Sieving R, Resnick M D, Bearinger L, Remafedi G, Taylor B A, Harmon B
Department of Pediatrics, School of Medicine, University of Minnesota, Minneapolis, USA.
Arch Pediatr Adolesc Med. 1997 Mar;151(3):243-51. doi: 10.1001/archpedi.1997.02170400029006.
To identify important cognitive and behavioral predictors of sexually transmitted disease (STD) risk behavior among a sexually active adolescent cohort.
One-year longitudinal study of health beliefs, sexual behaviors, and STD acquisition among 549 adolescents, 14 to 21 years of age.
School- and community-based health clinics in a large metropolitan area.
Data from 410 sexually active adolescents completing surveys at baseline and 1-year follow-up.
None.
Sexually transmitted disease risk behavior--a composite measure of condom use consistency with most recent sexual partner(s), number of vaginal sex partners, and frequency of intercourse with most recent sexual partner(s).
For girls (n = 335), a model including baseline STD risk behavior, condom use self-efficacy, oral contraceptive use, communication with sexual partners about STD prevention, and alcohol use in connection with sexual activity explained 21.1% of the variance in STD risk behavior at 1-year follow-up. For boys (n = 75), the strongest predictors of STD risk behavior at follow-up included baseline STD risk behavior, perceived susceptibility to STD, condom use self-efficacy, negative outcome expectations associated with condom use, and perceived barriers to STD prevention.
Efforts targeting reduction in STD risk behavior must begin before the onset of somewhat stable patterns of sexual risk behavior. Among adolescents who are sexually active, interventions should include components that increase condom use self-efficacy, build skills to communicate with sexual partners about STD prevention, and address behaviors associated with STD risk behavior including oral contraceptive use.
确定性活跃青少年群体中性传播疾病（STD）风险行为的重要认知和行为预测因素。
对549名14至21岁青少年的健康观念、性行为和性传播疾病感染情况进行为期一年的纵向研究。
一个大都市地区的学校和社区健康诊所。
410名性活跃青少年在基线和1年随访时完成调查的数据。
无。
性传播疾病风险行为——与最近性伴侣使用避孕套的一致性、阴道性伴侣数量以及与最近性伴侣性交频率的综合指标。
对于女孩（n = 335），一个包括基线性传播疾病风险行为、避孕套使用自我效能感、口服避孕药使用、与性伴侣就性传播疾病预防进行沟通以及与性活动相关的饮酒情况的模型，解释了1年随访时性传播疾病风险行为变异的21.1%。对于男孩（n = 75），随访时性传播疾病风险行为的最强预测因素包括基线性传播疾病风险行为、对性传播疾病的易感性认知、避孕套使用自我效能感、与避孕套使用相关的负面结果预期以及性传播疾病预防的感知障碍。
旨在降低性传播疾病风险行为的努力必须在性风险行为模式稍有稳定之前就开始。在性活跃的青少年中，干预措施应包括提高避孕套使用自我效能感的内容、培养与性伴侣就性传播疾病预防进行沟通的技能，以及解决与性传播疾病风险行为相关的行为，包括口服避孕药的使用。
