Schmid Amy, Leonard Noelle R, Ritchie Amanda S, Gwadz Marya V
Department of Health and Behavior Studies, Teachers College, Columbia University, New York, New York.
Department of Health and Behavior Studies, Teachers College, Columbia University, New York, New York; Center for Drug Use and HIV Research, College of Nursing, New York University, New York, New York.
J Adolesc Health. 2015 Jul;57(1):94-9. doi: 10.1016/j.jadohealth.2015.03.005. Epub 2015 Apr 28.
Assertive communication has been associated with higher levels of condom use among youth using self-report survey methodology. The purpose of this study was to examine the subjective ratings of assertiveness among young, romantically involved couples in the context of a condom negotiation task.
Using an innovative video-recall procedure, 32 couples (64 youth) engaged in a videotaped condom negotiation task and then rated self and partners' level of assertiveness. Both individual ratings of assertiveness and couple-level assertiveness were assessed using dyadic hierarchical linear modeling.
Individuals' assertiveness was positively associated with condom use. Unexpectedly, the overall level of assertiveness in couples showed a curvilinear association with condom use. Very high and very low assertiveness was associated with lower condom use, whereas moderate levels of assertiveness were associated with higher condom use.
Moderate levels of assertiveness during condom negotiation may facilitate condom use in young couples. Increasing condom use among romantic partners may require developing interventions that strengthen youths' ability to engage in assertive communication strategies that balance emotional intimacy with self-advocacy.
采用自我报告调查方法的研究表明，自信沟通与青少年更高的避孕套使用水平相关。本研究的目的是在避孕套协商任务的背景下，考察恋爱中的年轻情侣对自信的主观评分。
采用创新的视频回忆程序，32对情侣（64名青少年）参与了一项录像的避孕套协商任务，然后对自己和伴侣的自信水平进行评分。使用二元分层线性模型评估自信的个体评分和情侣层面的自信。
个体的自信与避孕套使用呈正相关。出乎意料的是，情侣中的总体自信水平与避孕套使用呈曲线相关。非常高和非常低的自信与较低的避孕套使用相关，而适度的自信水平与较高的避孕套使用相关。
在避孕套协商过程中适度的自信水平可能会促进年轻情侣使用避孕套。增加恋爱伴侣之间的避孕套使用可能需要开展干预措施，以增强青少年进行自信沟通策略的能力，这种策略要在情感亲密与自我主张之间取得平衡。
