使用信息-动机-行为技能模型预测法庭强制治疗中的青少年药物滥用者的安全性行为。

Predicting protected sexual behaviour using the Information-Motivation-Behaviour skills model among adolescent substance abusers in court-ordered treatment.

作者信息

Kalichman S, Stein J A, Malow R, Averhart C, Dévieux J, Jennings T, Prado G, Feaster D J

机构信息

University of Connecticut.

出版信息

Psychol Health Med. 2002;7(3):327-338. doi: 10.1080/13548500220139368.

Abstract

The Information-Motivation-Behavioural skills model (Fisher & Fisher, 1992) was used to predict condom use among adolescents residing in a court-ordered inpatient substance abuse treatment programme (N = 271; 181 male and 90 female, primarily of minority ethnicity). In a predictive structural equation model, demographic variables, HIV transmission knowledge, and motivational variables of pro-condom norms and attitudes, and perceived susceptibility predicted condom use skills and condom use self-efficacy. Along with the other variables in the model, condom skills and condom self-efficacy were hypothesized to predict condom use over a three-month period. It was found that condom skills were predicted by greater age, pro-condom attitudes and greater perceived susceptibility. Condom self-efficacy was predicted by gender, pro-condom norms and condom attitudes. Condom use was significantly predicted by pro-condom norms and stronger condom self-efficacy. Both condom skills and knowledge did not significantly predict condom use. Significant demographic predictors of condom use included greater age and gender. Results suggest that changing personal attitudes about condoms and reinforcing the power of pro-condom beliefs among significant others will encourage condom use among adolescents who are at high risk for HIV and other STDs.

摘要

信息-动机-行为技能模型(费舍尔和费舍尔,1992年)被用于预测居住在一个法院强制要求的住院药物滥用治疗项目中的青少年的避孕套使用情况(N = 271;181名男性和90名女性,主要为少数族裔)。在一个预测性结构方程模型中,人口统计学变量、艾滋病毒传播知识、支持使用避孕套的规范和态度的动机变量以及感知易感性预测了避孕套使用技能和避孕套使用自我效能感。与模型中的其他变量一起,避孕套技能和避孕套自我效能感被假设为在三个月的时间内预测避孕套使用情况。研究发现,年龄较大、支持使用避孕套的态度以及较高的感知易感性可预测避孕套使用技能。避孕套自我效能感由性别、支持使用避孕套的规范和避孕套态度预测。支持使用避孕套的规范和较强的避孕套自我效能感可显著预测避孕套使用情况。避孕套技能和知识均未显著预测避孕套使用情况。避孕套使用的显著人口统计学预测因素包括年龄较大和性别。结果表明,改变个人对避孕套的态度并在重要他人中强化支持使用避孕套信念的影响力,将鼓励感染艾滋病毒和其他性传播疾病风险较高的青少年使用避孕套。

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