Center for Health Equity Research, University of Pennsylvania School of Nursing, Philadelphia, PA, USA.
J Assoc Nurses AIDS Care. 2012 May-Jun;23(3):184-94. doi: 10.1016/j.jana.2011.03.005. Epub 2011 Jul 6.
Depression, HIV, and other sexually transmitted diseases (STDs) are growing concerns among African American adolescent females. Theoretical models contribute to identification of mediators of condom use; however, minimal research has addressed the explicit relationship between clinical depression and condom use in African American adolescent females. The authors report results from quantitative surveys with clinically depressed (n = 64) and nondepressed (n = 64) African American adolescent females in two large metropolitan cities in the eastern United States. Theoretical mediators of condom use in the study sample-attitudes, subjective norms, perceived behavioral control, and intentions-were investigated. Significant differences existed between the groups in condom use frequency (U = 356.5, p = .037); however, there were no statistically significant differences in condom use attitudes and beliefs. Although clinically depressed and nondepressed African American adolescent females may hold similar attitudes and beliefs about condom use, differences in condom use frequency may be a psychopathologic occurrence.
抑郁、艾滋病毒和其他性传播疾病（性病）是非洲裔美国少女越来越关注的问题。理论模型有助于确定避孕套使用的中介因素；然而，很少有研究涉及在非洲裔美国少女中临床抑郁症与避孕套使用之间的明确关系。作者报告了在美国东部两个大城市中对 64 名临床抑郁的和 64 名非抑郁的非洲裔美国少女进行定量调查的结果。在研究样本中，调查了避孕套使用的理论中介因素——态度、主观规范、感知行为控制和意向。两组在避孕套使用频率方面存在显著差异（U = 356.5，p =.037）；然而，在避孕套使用态度和信念方面没有统计学上的显著差异。尽管患有临床抑郁症和非抑郁症的非洲裔美国少女可能对避孕套使用持有相似的态度和信念，但避孕套使用频率的差异可能是一种心理病理现象。
