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大学生使用避孕套的预测因素

Predictors of Condom Use among College Students.

作者信息

Santos Maria José de Oliveira, Ferreira Elisabete Maria Soares, Ferreira Manuela Conceição

机构信息

Health Sciences Research Unit: UICISA: E-EsenfC/ESSIPV, Health School, University of Trás-os-Montes and Alto Douro, 5000-801 Vila Real, Portugal.

Faculty of Psychology and Educational Sciences, University of Porto, 4200-135 Porto, Portugal.

出版信息

Int J Environ Res Public Health. 2024 Apr 3;21(4):433. doi: 10.3390/ijerph21040433.

Abstract

Consistent condom use is recognized as one of the most effective strategies to prevent unwanted pregnancies and sexually transmitted infections. Despite their effectiveness, condoms remain fairly well used among younger people. The conception of appropriate measures to change behaviors needs a deep understanding of the factors underlying poor adherence to condom use. This study aims to identify the predictors of condom use among college students. A cross-sectional, correlational, and predictive study was conducted involving a convenience sample of 1946 university students, with an average age of 21 years (20.74 ± 2.32). Pender's Health Promotion Model (HPM) was used as a conceptual and methodological framework to understand the relationship between the predictors of condom use. An explanatory theoretical model of condom use behavior was established using path analysis. Condom use among young people is infrequent, with only 39.4% of respondents reporting consistent use. Perceived benefits, positive feelings, and interpersonal influences emerged as variables with the most explicitly positive influence on the commitment to condom use, a trend confirmed for both sexes. Commitment was the strongest predictor of condom use behavior (β = 0.580; < 0.001). Pender's HPM is effective in explaining the relationships between the predictors of condom use.

摘要

坚持使用避孕套被认为是预防意外怀孕和性传播感染最有效的策略之一。尽管避孕套很有效,但在年轻人中其使用率仍然相当低。制定改变行为的适当措施需要深入了解导致避孕套使用依从性差的潜在因素。本研究旨在确定大学生中避孕套使用的预测因素。进行了一项横断面、相关性和预测性研究,纳入了1946名大学生的便利样本,平均年龄为21岁(20.74±2.32)。彭德健康促进模型(HPM)被用作概念和方法框架来理解避孕套使用预测因素之间的关系。使用路径分析建立了避孕套使用行为的解释性理论模型。年轻人中避孕套使用率很低,只有39.4%的受访者报告坚持使用。感知益处、积极感受和人际影响是对坚持使用避孕套承诺有最明显积极影响的变量,这一趋势在两性中均得到证实。承诺是避孕套使用行为最强的预测因素(β = 0.580;<0.001)。彭德的HPM在解释避孕套使用预测因素之间的关系方面是有效的。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c009/11050062/5d1327a56825/ijerph-21-00433-g001.jpg

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