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首页> 美国卫生研究院文献>Frontiers in Public Health >Exploring the Role of Sex and Sexual Experience in Predicting American Indian Adolescent Condom Use Intention Using Protection Motivation Theory
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Exploring the Role of Sex and Sexual Experience in Predicting American Indian Adolescent Condom Use Intention Using Protection Motivation Theory

机译：利用保护动机理论探讨性和性经验在预测美洲印第安人青少年避孕套使用意图中的作用

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>Introduction: American Indian (AI) youth experience poor sexual health outcomes. Research indicates the Protection Motivation Theory (PMT) is a robust model for understanding how sexual risk and protective behaviors are associated with condom use intention (CUI). Studies indicate the constructs of the PMT which influence CUI vary by sex and sexual experience. This analysis explores associations between PMT constructs and CUI by sex and sexual experience among AI youth who participated in the Respecting the Circle of Life (RCL) trial, a sexual and reproductive health intervention.>Methods: We analyzed baseline data from the sample of 267 AIs, ages 13–19, who participated in the evaluation. We examined CUI and PMT construct scores by sex and sexual experience utilizing generalized estimated equations and multiple regression models to test which PMT constructs were associated with CUI across sex and sexual experience.>Results: Twenty-two percentage of participants were sexually experienced; 56.8% reported CUI at baseline. We found several differences in scores in PMT constructs by sex and sexual experience including self-efficacy, response efficacy, vulnerability, severity, and extrinsic rewards. We also found constructs varied that were associated with CUI varied across sex and sexual experience. No PMT constructs were associated with CUI among sexually experienced youth.>Conclusion: Results provide support for developing, selecting and delivering sexual health programs by sex and sexual experience in American Indian communities. Girls programs should focus on internal satisfaction and self-worth while boys should focus on negative impacts of not using condoms. Programs for youth who are not sexually active should focus on negative impacts of not using condoms. Programs for sexually inactive youth should work to change peer norms around condom use and improve knowledge about the efficacy of condom use.
机译：>简介：美洲印第安人（AI）的性健康状况较差。研究表明，保护动机理论（PMT）是用于了解性风险和保护行为与安全套使用意图（CUI）相关联的可靠模型。研究表明，影响CUI的PMT构造因性别和性经​​历而异。该分析按性别和性经​​历探讨了参加“尊重生命圈”（RCL）试验（性与生殖健康干预）的AI青年中PMT结构与CUI之间的关联。>方法：我们分析了基线参与评估的267位年龄在13至19岁的AI的样本中的数据。我们使用广义估计方程和多元回归模型按性别和性经​​历检查了CUI和PMT构造得分，以测试哪些PMT构造与跨性别和性经​​历的CUI相关。>结果： 22％的参与者有性经历； 56.8％的人报告基线时有CUI。我们发现，按性别和性经​​历的不同，PMT结构得分的差异包括自我效能，反应功效，脆弱性，严重程度和外在奖励。我们还发现，与CUI相关的结构因性别和性经​​历而异。在有性经历的年轻人中，没有PMT构造与CUI相关。>结论：结果为在美洲印第安人社区中按性别和性经​​历制定，选择和实施性健康计划提供了支持。女孩计划应注重内部满意度和自我价值，而男孩则应注重不使用避孕套的负面影响。针对不从事性活动的青年的计划应侧重于不使用安全套的负面影响。不从事性活动的青年计划应努力改变使用安全套的同伴规范，并提高对使用安全套功效的了解。

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