Department of Psychology, Arizona State University, P.O. Box 871104, Tempe, AZ 85287-1104, USA.
Psychol Health. 2011 Nov;26(11):1499-520. doi: 10.1080/08870446.2011.572259. Epub 2011 Jun 28.
The purpose of this research was to select from the health belief model (HBM), theories of reasoned action (TRA) and planned behaviour (TPB), information-motivation-behavioural skills model (IMB) and social cognitive theory (SCT) the strongest longitudinal predictors of women's condom use and to combine these constructs into a single integrated model of condom use. The integrated model was evaluated for prediction of condom use among young women who had steady versus casual partners. At Time 1, all constructs of the five models and condom use were assessed in an initial and a replication sample (n = 193, n = 161). Condom use reassessed 8 weeks later (Time 2) served as the main outcome. Information from IMB, perceived susceptibility, benefits, and barriers from HBM, self-efficacy and self-evaluative expectancies from SCT, and partner norm and attitudes from TPB served as indirect or direct predictors of condom use. All paths replicated across samples. Direct predictors of behaviour varied with relationship status: self-efficacy significantly predicted condom use for women with casual partners, while attitude and partner norm predicted for those with steady partners. Integrated psychosocial models, rich in constructs and relationships drawn from multiple theories of behaviour, may provide a more complete characterisation of health protective behaviour.
本研究旨在从健康信念模型（HBM）、理性行为理论（TRA）和计划行为理论（TPB）、信息动机行为技能模型（IMB）和社会认知理论（SCT）中选择对女性使用避孕套的最强纵向预测因素，并将这些结构整合到一个单一的避孕套使用综合模型中。该综合模型用于预测与固定伴侣和偶然伴侣的年轻女性使用避孕套的情况。在第 1 时间点，在初始样本和重复样本中评估了五个模型的所有结构以及避孕套使用情况（n=193，n=161）。8 周后（第 2 时间点）重新评估避孕套使用情况作为主要结果。来自 IMB 的信息、感知易感性、HBM 的益处和障碍、SCT 的自我效能和自我评估期望，以及 TPB 的伴侣规范和态度，作为避孕套使用的间接或直接预测因素。所有路径在样本中都得到了复制。行为的直接预测因素因关系状况而异：对于偶然伴侣的女性，自我效能显著预测了避孕套的使用，而态度和伴侣规范则预测了与稳定伴侣的女性。综合心理社会模型，包含来自多种行为理论的丰富结构和关系，可能更完整地描述保护健康的行为。
