Pediatric Prevention Research Center, Department of Pediatrics, Wayne State University School of Medicine, 4707 St. Antoine, Suite W534, Detroit, MI 48201, USA.
AIDS Behav. 2013 Mar;17(3):1096-104. doi: 10.1007/s10461-012-0144-y.
This study assesses potential predictive factors for unresponsiveness to the "Focus on Youth in the Caribbean (FOYC)" intervention using longitudinal data from 1,360 Bahamian sixth-grade youth. Results from hierarchical logistic regression analyses indicate that the intervention had a greater impact on knowledge, skills, self-efficacy, and condom use intention among low and medium initial scorers. High initial scores in knowledge, skills, self-efficacy, and intention were predictive of relative unresponsiveness to the intervention. Advanced age and male sex were predictive of unresponsiveness to the intervention for HIV/AIDS knowledge. Female gender was predictive of unresponsiveness to the intervention for self-efficacy. High academic self-evaluation was predictive of unresponsiveness to the intervention for condom use intention. The greatest intervention impact was observed at the 6-month post-intervention follow-up; these intervention-related gains were sustained over the subsequent follow-up periods. Youth with higher risk attributes (lower knowledge, skills and self-efficacy) were more likely to respond to a risk reduction intervention.
本研究使用来自 1360 名巴哈马六年级青少年的纵向数据，评估了对“加勒比青年聚焦（FOYC）”干预措施无反应的潜在预测因素。层次逻辑回归分析的结果表明，该干预措施对低和中等初始得分者的知识、技能、自我效能和避孕套使用意愿的影响更大。高初始知识、技能、自我效能和意图得分是对干预措施相对无反应的预测因素。年龄较大和男性是对艾滋病毒/艾滋病知识干预措施无反应的预测因素。女性是自我效能对干预措施无反应的预测因素。高学业自我评估是对避孕套使用意图干预措施无反应的预测因素。在干预后 6 个月的随访中观察到最大的干预影响；这些与干预相关的收益在随后的随访期间得以维持。具有较高风险特征（较低的知识、技能和自我效能）的青少年更有可能对减少风险的干预措施做出反应。
