Department of Psychological, Health, and Learning Sciences, College of Education, University of Houston, Houston, Texas.
Health and Behavioral Science, College of Humanities and Social Sciences, Houston, Texas.
J Community Psychol. 2020 Jul;48(5):1424-1437. doi: 10.1002/jcop.22337. Epub 2020 Mar 13.
The theory of gender and power provides a unique framework for understanding condom use by accounting for distinct challenges faced by minority women in particular. This study examined whether self-efficacy about condom use communication (SECC) and perceived partner's beliefs about condom (PPBC) use had an influence on condom use frequency; and whether these associations varied by gender. A sample of 252 African-American college students (101 males and 151 females) completed a confidential online survey assessing SECC, PPBC, and condom use behavior. SECC and PPBC showed significant associations with condom use behavior. Furthermore, there was a gender interaction effect with PPBC on condom use behavior. As PPBC increases toward positive associations about condom use, condom use behavior increased significantly more for females (B = 0.42; p = .02) as compared to males (B = 0.26; p = .19). This study supports the need to teach young women effective communication skills in order for them to accurately assess what their partner thinks about condom-related behaviors; and ultimately not allow partner discouragement to influence their decisions to use condoms. Interventions aimed at reducing risky sexual behavior on predominantly Black college campuses, in particular, may benefit from directly addressing relationship power and focusing on building self-efficacy in communicating condom use.
性别和权力理论为理解避孕套的使用提供了一个独特的框架，特别是可以解释少数族裔女性所面临的独特挑战。本研究考察了使用避孕套沟通的自我效能感（SECC）和感知伴侣对避孕套的信念（PPBC）是否对避孕套使用频率有影响；以及这些关联是否因性别而异。本研究对 252 名非裔美国大学生（男性 101 名，女性 151 名）进行了一项在线调查，调查内容包括 SECC、PPBC 和避孕套使用行为。SECC 和 PPBC 与避孕套使用行为显著相关。此外，PPBC 对避孕套使用行为存在性别交互效应。随着对避孕套使用的积极看法，PPBC 增加，女性的避孕套使用行为显著增加（B=0.42；p=0.02），而男性的避孕套使用行为增加（B=0.26；p=0.19）。本研究支持需要教授年轻女性有效的沟通技巧，以便她们能够准确评估伴侣对与避孕套相关行为的看法；并最终不会因伴侣的劝阻而影响使用避孕套的决定。特别是在以黑人为主的大学校园里，减少高风险性行为的干预措施可能会受益于直接解决关系权力问题，并侧重于建立沟通避孕套使用的自我效能感。
