Santelli J S, Kouzis A C, Hoover D R, Polacsek M, Burwell L G, Celentano D D
Department of Maternal and Child Health, Johns Hopkins School of Hygiene and Public Health, Baltimore, USA.
Fam Plann Perspect. 1996 May-Jun;28(3):101-7.
A theoretical model was used to examine the influence of relationship factors, pregnancy intentions, contraceptive behavior and other psychosocial characteristics on stages of behavior change in condom use among heterosexual black women of reproductive age. Data from an inner-city street survey compared women who were not contemplating condom use, women who were attempting to use condoms or had used them consistently for short periods of time, and those who had achieved long-term consistent use. Women's relationship with their main partner appears to be an important factor in understanding their use of condoms both with main partners and with other partners. For condom use with the main partner, factors such as emotional closeness and partner support were significant predictors of the likelihood that women would be attempting to use condoms rather than not contemplating use. Cohabitation and the belief that condom use builds trust were significant predictors of long-term consistent condom use. Having a regular or main partner was strongly associated with intentions to use condoms with other partners. Women who wanted to become pregnant were much less likely to intend to use condoms with their main partner, and women using oral contraceptives were less likely to be long-term consistent condom users.
采用理论模型研究关系因素、怀孕意愿、避孕行为及其他社会心理特征对育龄期异性恋黑人女性使用避孕套行为改变阶段的影响。来自市中心街道调查的数据对未考虑使用避孕套的女性、尝试使用避孕套或短期内持续使用避孕套的女性，以及已实现长期持续使用避孕套的女性进行了比较。女性与主要伴侣的关系似乎是理解她们与主要伴侣及其他伴侣使用避孕套情况的一个重要因素。对于与主要伴侣使用避孕套的情况，诸如情感亲密程度和伴侣支持等因素是女性尝试使用避孕套而非不考虑使用避孕套可能性的重要预测指标。同居以及认为使用避孕套能建立信任是长期持续使用避孕套的重要预测指标。有固定或主要伴侣与与其他伴侣使用避孕套的意愿密切相关。想要怀孕的女性与主要伴侣使用避孕套的意愿要低得多，而使用口服避孕药的女性成为长期持续使用避孕套者的可能性较小。
