Jin Shan Shan, Bu Kai, Chen Fang Fang, Xu Hui Fang, Li Yi, Zhao Dong Hui, Xu Fang, Li Jing Yan, Han Meng Jie, Wang Ning, Wang Lu
National Center for AIDS/STD Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 102206, China.
Guangzhou Center for Disease Control and Prevention, Guangzhou 510440, Guangdong, China.
Biomed Environ Sci. 2017 Feb;30(2):97-105. doi: 10.3967/bes2017.013.
To explore the predictors of condom-use self-efficacy in Chinese college students according to the extended parallel process model (EPPM)-based integrated model.
A total of 3,081 college students were anonymously surveyed through self-administered questionnaires in Guangzhou and Harbin, China. A structural equation model was applied to assess the integrated model.
Among the participants, 1,387 (46.7%) were male, 1,586 (53.3%) were female, and the average age was 18.6 years. The final integrated model was acceptable. Apart from the direct effect (r = 0.23), perceived severity had two indirect effects on condom-use self-efficacy through the attitude to HIV education (r = 0.40) and intention to engage in premarital sex (r = -0.16), respectively. However, the perceived susceptibility mediated through the intention to engage in premarital sex (intent-to-premarital-sex) had a poor indirect impact on condom-use self-efficacy (total effect was -0.06). Furthermore, attitude toward HIV health education (r = 0.49) and intent-to-premarital-sex (r = -0.31) had a strong direct effect on condom-use self-efficacy. In addition, male students perceived higher susceptibility, stronger intent-to-premarital-sex, and lower condom-use self-efficacy than female students.
The integrated model may be used to assess the determinants of condom-use self-efficacy among Chinese college students. Future research should focus on raising the severity perception, HIV-risk-reduction motivation, and the premarital abstinence intention among college students. Furthermore, considering the gender differences observed in the present survey, single-sex HIV education is required in school-based HIV/sex intervention.
基于扩展平行过程模型（EPPM）的整合模型，探讨中国大学生使用避孕套自我效能感的预测因素。
在中国广州和哈尔滨，通过自填式问卷对3081名大学生进行匿名调查。应用结构方程模型评估该整合模型。
参与者中，男性1387人（46.7%），女性1586人（53.3%），平均年龄为18.6岁。最终的整合模型是可以接受的。除直接效应（r = 0.23）外，感知严重性分别通过对艾滋病教育的态度（r = 0.40）和婚前性行为意愿（r = -0.16）对使用避孕套自我效能感有两个间接效应。然而，通过婚前性行为意愿介导的感知易感性对使用避孕套自我效能感的间接影响较弱（总效应为-0.06）。此外，对艾滋病健康教育的态度（r = 0.49）和婚前性行为意愿（r = -0.31）对使用避孕套自我效能感有很强的直接效应。此外，男学生比女学生感知到更高的易感性、更强的婚前性行为意愿和更低的使用避孕套自我效能感。
该整合模型可用于评估中国大学生使用避孕套自我效能感的决定因素。未来的研究应侧重于提高大学生的严重性感知、降低艾滋病风险的动机和婚前禁欲意愿。此外，考虑到本次调查中观察到的性别差异，在学校艾滋病/性干预中需要开展单性别艾滋病教育。
