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运用计划行为理论探讨性别与性经历在预测青少年避孕套使用意图方面的作用。

The role of gender and sexual experience in predicting adolescent condom use intentions using the theory of planned behaviour.

作者信息

Rich Antonia, Mullan Barbara A, Sainsbury Kirby, Kuczmierczyk Andrzej R

机构信息

* Department of Psychology, City University , London , UK.

出版信息

Eur J Contracept Reprod Health Care. 2014 Aug;19(4):295-306. doi: 10.3109/13625187.2014.917624. Epub 2014 Jun 5.

Abstract

OBJECTIVES

To examine how the prediction of condom-related cognitions, intentions, and behaviour amongst adolescents may differ according to gender and sexual experience within a theory of planned behaviour (TPB) framework.

METHODS

Adolescents (N = 306) completed questionnaires about sexual experience, condom use, TPB variables, perceived risk, and safe sex knowledge.

RESULTS

Significant differences in TPB variables, perceived risk, and knowledge were found; males and sexually experienced participants were generally less positive about condom use. Twenty percent of the variance in attitudes was accounted for by four variables; specifically, female gender, no previous sexual experience, better safe sex knowledge, and greater risk perceptions were associated with more positive attitudes. The prediction of intentions separately amongst sexually experienced (R(2) = 0.468) and inexperienced (R(2) = 0.436) participants revealed that, for the former group, attitudes and subjective norms were the most important considerations. In contrast, among the inexperienced participants, attitudes and the gender-by-perceived risk interaction term represented significant influences.

CONCLUSIONS

The results suggest that interventions designed to improve adolescents' intentions to use condoms and rates of actual condom use should consider differences in gender and sexual experience.

摘要

目的

在计划行为理论(TPB)框架内,研究青少年中与避孕套相关的认知、意图和行为的预测如何因性别和性经历而有所不同。

方法

306名青少年完成了关于性经历、避孕套使用、TPB变量、感知风险和安全性行为知识的问卷调查。

结果

在TPB变量、感知风险和知识方面发现了显著差异;男性和有性经历的参与者对避孕套使用的态度通常较不积极。态度方面20%的方差由四个变量解释;具体而言,女性、无先前性经历、更好的安全性行为知识和更高的风险感知与更积极的态度相关。对有性经历(R² = 0.468)和无性经历(R² = 0.436)参与者的意图分别进行预测显示,对于前一组,态度和主观规范是最重要的考虑因素。相比之下,在无性经历的参与者中,态度和性别与感知风险的交互项具有显著影响。

结论

结果表明,旨在提高青少年使用避孕套的意图和实际避孕套使用率的干预措施应考虑性别和性经历的差异。

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