University of Miami, Miami, FL 33136, USA.
Health Educ Behav. 2013 Aug;40(4):384-91. doi: 10.1177/1090198112440010. Epub 2012 May 4.
Hispanic problem behavior youth are at an increased risk of engaging in HIV risk behaviors, including low condom use. However, relatively little research has examined factors that affect condom use in this population. Although research indicates that family processes, such as higher levels of family functioning and open parent-adolescent communication about sex, and condom use attitudes, norms, and control beliefs as depicted by the theory of planned behavior have an effect on condom use behaviors, the combination of the two factors has received minimal attention. The purpose of this study was to examine the effect of family functioning on condom use intentions and behaviors through communication about sex and condom use attitudes, parental norms, and control beliefs. A cross-sectional study of 171 predominately male (73.1%) sexually active Hispanic problem behavior adolescents (mean age = 14.88 years) was conducted. Structural equation modeling was used to test the study hypothesis. Findings largely support the overall model and suggest that family functioning had an indirect effect on condom use intention and behavior through communication about sex, condom use attitudes, and control beliefs. Family functioning, however, did not have an indirect effect on condom use intention and behavior through communication about sex and parental norms. Implications for prevention science and future research are discussed.
西班牙裔问题行为青少年更有可能从事艾滋病毒风险行为，包括低 condom 使用。然而，相对较少的研究已经研究了影响这一人群 condom 使用的因素。尽管研究表明，家庭过程，如更高水平的家庭功能和开放的父母-青少年关于性的沟通，以及 condom 使用态度、规范和计划行为理论所描述的控制信念，对 condom 使用行为有影响，但这两个因素的结合受到的关注很少。本研究的目的是通过关于性和 condom 使用态度、父母规范和控制信念的沟通，检验家庭功能对 condom 使用意图和行为的影响。对 171 名主要是男性（73.1%）活跃的西班牙裔问题行为青少年（平均年龄=14.88 岁）进行了横断面研究。使用结构方程模型检验了研究假设。研究结果在很大程度上支持了总体模型，并表明家庭功能通过关于性、 condom 使用态度和控制信念的沟通，对 condom 使用意图和行为有间接影响。然而，家庭功能并没有通过关于性和父母规范的沟通对 condom 使用意图和行为产生间接影响。讨论了预防科学和未来研究的意义。
