少数族裔女大学生对避孕套协商的看法。
Minority College Women's Views on Condom Negotiation.
作者信息
McLaurin-Jones TyWanda, Lashley Maudry-Beverly, Marshall Vanessa
机构信息
Department of Community & Family Medicine, Howard University College of Medicine, 520 W Street, NW, Washington, DC 20059, USA.
Department of Psychology, Medgar Evers College, 1650 Bedford Avenue, Brooklyn, NY 11235, USA.
出版信息
Int J Environ Res Public Health. 2015 Dec 22;13(1):ijerph13010040. doi: 10.3390/ijerph13010040.
This study utilized quantitative and qualitative methods to (1) investigate the relationship between frequency of condom use and negotiation strategies and (2) evaluate experiences with condom negotiations among sexually active, heterosexual, African American college women. One hundred female students from a Historically Black Colleges and Universities (HBCU) completed a questionnaire that included the Condom Influence Strategies Scale (CIS) and participated in a focus group. An ANOVA was conducted to compare differences between never, inconsistent, and consistent condom users. Consistent condom users scored higher than never users on the "withholding sex" subscale of the CIS (4.88 vs. 3.55; p < 0.001) as well as endorsed items more strongly on the "direct request" subscale of the CIS (4.63 vs. 3.82, p < 0.05) than never users. A thematic analysis of open discussions identified overarching themes. Similarly, refusing sex and/or having direct communications with partner emerged as primary strategies. Threats to negotiation included deciding the "right timing" of discussion and having a previous history of sexual intercourse without a condom with their partner. Other key concepts that contribute to condom negotiation are the views that condoms are a male's responsibility and stigma of women who carry condoms.
本研究采用定量和定性方法,以(1)调查避孕套使用频率与协商策略之间的关系,以及(2)评估性活跃的异性恋非裔美国女大学生在避孕套协商方面的经历。来自一所历史悠久的黑人学院和大学(HBCU)的100名女学生完成了一份问卷,其中包括避孕套影响策略量表(CIS),并参加了一个焦点小组。进行了方差分析以比较从不使用、不经常使用和经常使用避孕套的人群之间的差异。经常使用避孕套的人群在CIS的“拒绝性行为”子量表上的得分高于从不使用避孕套的人群(4.88对3.55;p<0.001),并且在CIS的“直接要求”子量表上对条目的认可也比从不使用避孕套的人群更强(4.63对3.82,p<0.05)。对公开讨论的主题分析确定了总体主题。同样,拒绝性行为和/或与伴侣进行直接沟通成为主要策略。协商面临的威胁包括确定讨论的“正确时机”以及与伴侣有过无避孕套性交的历史。有助于避孕套协商的其他关键概念包括认为避孕套是男性的责任以及携带避孕套的女性的耻辱感。