爱与信任的问题？关系因素在青少年性决策中的作用。
A Question of Love and Trust? The Role of Relationship Factors in Adolescent Sexual Decision Making.
作者信息
Ewing Sarah W Feldstein, Bryan Angela D
机构信息
*Department of Psychiatry, University of New Mexico, Albuquerque, NM; †Department of Psychology and Neuroscience, University of Colorado Boulder, Boulder, CO.
出版信息
J Dev Behav Pediatr. 2015 Oct;36(8):628-34. doi: 10.1097/DBP.0000000000000190.
OBJECTIVE
While representing only 25% of the sexually active population, 50% of all new sexually transmitted infections occur among young people mostly because of inconsistent condom use. Critically, the majority of adolescent sexual activity takes place in the context of romantic relationships; thus, it is important to understand how relationship factors may influence decision making about the use of protection.
METHODS
We used a mixed-method approach to investigate the extent to which relationship length, degree of trust or love in the relationship, and frequency of intercourse influence both perceptions of the probability of condom use and self-reported condom use in the context of relationships among a diverse sample of high-risk adolescents (age 12-19 yr).
RESULTS
Participants were least likely to use condoms if they were in relationships with high trust or love and high frequency of intercourse. Importantly, sexual experience status was a strong moderator of primary effects.
CONCLUSION
The perspective of motivated cognition provides a useful theoretical framework to better understand adolescent decision making about condom use, particularly for sexually experienced youth.
目的
尽管年轻人仅占性活跃人群的25%，但所有新增性传播感染病例中有50%发生在年轻人当中，这主要是因为他们使用避孕套的情况不稳定。至关重要的是，大多数青少年的性活动是在恋爱关系中发生的；因此，了解恋爱关系因素如何影响保护措施使用的决策很重要。
方法
我们采用了一种混合方法，来调查在不同的高危青少年样本（年龄在12至19岁之间）中，恋爱时长、恋爱关系中的信任或爱意程度以及性交频率在多大程度上会影响对使用避孕套可能性的认知以及在恋爱关系中自我报告的避孕套使用情况。
结果
如果参与者处于信任或爱意程度高且性交频率高的恋爱关系中，他们使用避孕套的可能性最小。重要的是，性经验状况是主要影响因素的一个强有力的调节变量。
结论
动机性认知的观点提供了一个有用的理论框架，以更好地理解青少年关于使用避孕套的决策，特别是对于有性经验的青少年。
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