Department of Infectious Diseases & Microbiology, Graduate School of Public Health, University of Pittsburgh, Pittsburgh, Pennsylvania; Division of Adolescent and Young Adult Medicine, Department of Pediatrics, UPMC Children's Hospital of Pittsburgh, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania.
Division of Adolescent and Young Adult Medicine, Department of Pediatrics, UPMC Children's Hospital of Pittsburgh, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania; Department of Behavioral and Community Health Sciences, Graduate School of Public Health, University of Pittsburgh, Pittsburgh, Pennsylvania.
J Adolesc Health. 2022 Feb;70(2):282-289. doi: 10.1016/j.jadohealth.2021.08.012. Epub 2021 Oct 4.
Obtaining affirmative consent, a hallmark of sexual violence prevention education on college campuses, may influence sexual communication and behaviors such as condom use. This study examined the relationship between self-efficacy to obtain sexual consent with sexual health communication and behaviors among a sample of U.S. college students.
Data were from 2,291 students enrolled in a cluster-randomized controlled trial conducted on 28 college campuses from 2015 to 2017. Students reported their self-efficacy to obtain sexual consent, communication about sexual health, and sexual health behaviors. Multivariable logistic regression, adjusted for school clustering, history of violence victimization, and sexually transmitted infection history, estimated odds ratios and 95% confidence intervals (CIs) for sexual consent self-efficacy and sexual health communication.
Females (n = 1,150) reported higher self-efficacy to obtain consent than males (b = .32, 95% CI = .23, .41), but lower odds of communication about condom use (adjusted odds ratio [AOR] = .75, 95% CI = .60, .96) and HIV prevention (AOR = .63, 95% CI = .48, .81). Black and other race students reported higher odds of HIV/sexually transmitted infection prevention communication than white students. Odds of consistent condom use were highest among students reporting condom use communication and high self-efficacy to obtain sexual consent (AOR = 1.99, 95% CI = 1.58, 2.51).
Campus sexual assault prevention education that focuses narrowly on obtaining sexual consent may be missing an opportunity to enhance sexual health communication broadly, including condom and contraceptive use discussion to promote overall sexual health.
获得肯定的同意，这是大学校园性暴力预防教育的标志之一，可能会影响性沟通和性行为，如使用避孕套。本研究调查了自我效能感与性健康沟通和性行为之间的关系，研究对象是美国的大学生样本。
数据来自于 2015 年至 2017 年在 28 所大学进行的一项集群随机对照试验中的 2291 名学生。学生报告了他们获得性同意的自我效能感、性健康沟通以及性健康行为。多变量逻辑回归，调整了学校聚类、暴力受害史和性传播感染史，估计了获得性同意的自我效能感和性健康沟通的优势比和 95%置信区间（CI）。
女性（n=1150）报告的获得同意的自我效能感高于男性（b=0.32，95%CI=0.23，0.41），但报告避孕套使用（调整后的优势比[AOR]=0.75，95%CI=0.60，0.96）和艾滋病毒预防（AOR=0.63，95%CI=0.48，0.81）沟通的可能性较低。黑人学生和其他种族学生报告艾滋病毒/性传播感染预防沟通的可能性高于白人学生。报告 condom use communication 和 high self-efficacy to obtain sexual consent 的学生，他们使用 condom 的一致性最高（AOR=1.99，95%CI=1.58，2.51）。
专注于获得性同意的校园性侵犯预防教育可能错过了增强广泛的性健康沟通的机会，包括 condom 和避孕药使用讨论，以促进整体性健康。
