Manning Wendy D, Flanigan Christine M, Giordano Peggy C, Longmore Monica A
Department of Sociology, Bowling Green State University, Bowling Green, OH, USA.
Perspect Sex Reprod Health. 2009 Sep;41(3):181-90. doi: 10.1363/4118109.
Research on adolescent condom use often focuses on the influence of parents, peers and environmental factors. Although most sexually active teenagers have sex within dating relationships, little is known about associations between the characteristics of these relationships and consistency of condom use.
Data on 269 participants in Wave 1 of the Toledo Adolescent Relationships Study who had had sex in their current or most recent dating relationship were analyzed in logistic regression models to examine how positive and negative relationship qualities are associated with consistent condom use.
Among teenagers who had had sex with their dating partner, both negative relationship dynamics (conflict, partner's controlling behavior, mistrust, jealousy, perceived partner inferiority) and positive qualities (love, enmeshment, salience, self-disclosure) were negatively associated with consistent condom use (odds ratios, 0.7-0.9). Asymmetries in partners' age, race and school were not related to consistent condom use. Relationship duration was negatively associated with consistency (0.98-0.99), but the association was explained by feelings of relationship importance. Findings for relationship qualities were similar for males and females, with the exception of conflict, which was positively associated with consistent condom use among females but not males.
Although the relationship processes associated with consistent condom use are complex, such processes appeared to be more strongly associated with consistent condom use than were social and demographic characteristics. Programs should focus on relationship qualities and dynamics, recognizing that both negative and positive relationship features are associated with consistent condom use.
青少年使用避孕套的研究通常聚焦于父母、同伴及环境因素的影响。尽管大多数有性行为的青少年是在恋爱关系中发生性行为，但对于这些恋爱关系的特征与避孕套使用的一致性之间的关联却知之甚少。
对托莱多青少年恋爱关系研究第1波中的269名参与者的数据进行分析，这些参与者在其当前或最近的恋爱关系中有过性行为，通过逻辑回归模型来检验积极和消极的恋爱关系特质如何与避孕套的持续使用相关联。
在与恋爱伴侣发生过性行为的青少年中，消极的恋爱关系动态（冲突、伴侣的控制行为、不信任、嫉妒、感知到的伴侣劣势）和积极特质（爱、亲密、突出、自我表露）均与避孕套的持续使用呈负相关（比值比为0.7 - 0.9）。伴侣在年龄、种族和学校方面的差异与避孕套的持续使用无关。恋爱持续时间与一致性呈负相关（0.98 - 0.99），但这种关联可由恋爱重要性的感受来解释。恋爱特质的研究结果在男性和女性中相似，但冲突除外，冲突与女性而非男性的避孕套持续使用呈正相关。
尽管与避孕套持续使用相关的恋爱过程很复杂，但这些过程似乎比社会和人口特征与避孕套持续使用的关联更强。项目应关注恋爱特质和动态，认识到消极和积极的恋爱特征均与避孕套持续使用有关。
