Xiao Zhiwen
Valenti School of Communication, University of Houston, Texas 77204-3002, USA.
AIDS Educ Prev. 2012 Oct;24(5):469-82. doi: 10.1521/aeap.2012.24.5.469.
A cross-sectional survey was conducted to test an integrated model of condom use with a sample of 490 sexually active Chinese college students. A number of variables in the integrated model were predictors of condom use, explaining 33.4% of the variance in use. Partner communication was the strongest predictors (β = .317, SE = .038, p < .001). Self-efficacy (β = .252, SE = .076, p < .001), positive attitudes (β = .150, SE = .060, p < .001), and social norms (β = .207, SE = .080, p < .001) were also significant predictors of condom use. Additionally, peer communication marginally significantly predicted condom use (β = .089, SE = .039, p = .055). This study provides evidence of the utility of the theories of reasoned action and planned behavior as an effective underlying theoretical framework for HIV prevention and safe sex intervention programs in a non-Western culture. The study also provides evidence that communication with sexual partners about condom use should be one of the most important factors to be considered in the development of HIV prevention and safer sex education programs for Chinese youth.
开展了一项横断面调查，以对490名性活跃的中国大学生样本检验避孕套使用的综合模型。该综合模型中的一些变量是避孕套使用的预测因素，解释了使用情况中33.4%的方差。伴侣沟通是最强的预测因素（β = .317，标准误 = .038，p < .001）。自我效能感（β = .252，标准误 = .076，p < .001）、积极态度（β = .150，标准误 = .060，p < .001）和社会规范（β = .207，标准误 = .080，p < .001）也是避孕套使用的显著预测因素。此外，同伴沟通对避孕套使用的预测接近显著（β = .089，标准误 = .039，p = .055）。本研究为理性行动理论和计划行为理论作为非西方文化中艾滋病毒预防和安全性行为干预项目的有效潜在理论框架的效用提供了证据。该研究还提供了证据，表明与性伴侣就避孕套使用进行沟通应是为中国青年制定艾滋病毒预防和更安全性行为教育项目时要考虑的最重要因素之一。
