Lollis C M, Johnson E H, Antoni M H
Behavioral Medicine and Health, Psychology Program, Morehouse School of Medicine, Atlanta, GA 30303, USA.
AIDS Educ Prev. 1997 Dec;9(6):551-63.
This investigation examined the ability of the health belief model (HBM) to predict condom usage and risky sexual practices in 122 white heterosexual college students (ages 17 to 33 years). The HBM did not significantly explain condom usage in the 58 men and 64 women surveyed; rather it partially explained the variance in sexual risk behaviors. Results were not consistent for men and women. The HBM components significantly explained 18% of the variance in multiple sexual partnerships in men and 22% of the variance in this behavior in women. The HBM constructs also explained 9% of the variance in the likelihood of women being intoxicated or high during sex and 18% of the variance in the number of sexual risk behaviors endorsed by women. These findings suggest that the HBM has differential and limited utility for predicting sexual practices in university students. Future research is needed to examine more comprehensive models of behavior change.
本研究调查了健康信念模型(HBM)预测122名白人异性恋大学生(年龄在17至33岁之间)使用避孕套及危险性行为的能力。在接受调查的58名男性和64名女性中,HBM并不能显著解释避孕套的使用情况;相反,它只能部分解释性风险行为的差异。男性和女性的结果并不一致。HBM各组成部分显著解释了男性多个性伴侣行为差异的18%以及女性该行为差异的22%。HBM各构成要素还解释了女性在性行为中醉酒或嗑药可能性差异的9%以及女性认可的性风险行为数量差异的18%。这些发现表明,HBM在预测大学生性行为方面具有不同且有限的效用。未来需要开展研究以检验更全面的行为改变模型。