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首页> 外文期刊>AIDS Research and Treatment >Exploring Factors Associated with Nonchange in Condom Use Behavior following Participation in an STI/HIV Prevention Intervention for African-American Adolescent Females
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Exploring Factors Associated with Nonchange in Condom Use Behavior following Participation in an STI/HIV Prevention Intervention for African-American Adolescent Females

机译：探索参与非裔美国青少年女性的性传播感染/艾滋病毒预防干预后避孕套使用行为不变的因素

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To enhance future STI/HIV prevention efforts, this study examined factors associated with adolescents’ failure to improve their condom use behaviors after participating in an STI/HIV prevention intervention. African-American adolescent females (N=205;Mage = 17.9) in an STI/HIV prevention intervention trial completed ACASI interviews and provided self-collected vaginal swabs to assess two prevalent STIs at baseline and 6 months after intervention. Analyses compared those who increased condom use after intervention (change group) to those whose condom use did not increase (nonchange group). 43.4% did not increase their condom use after the intervention and were more likely to have an STI at followup (χ2=4.64,P=.03). In a multivariate logistic regression model, the nonchange group was more likely to have (a) higher sensation seeking (AOR = .91,P=.023), (b) a boyfriend (AOR = .32,P=.046), and/or (c) a physical abuse history (AOR = .56,P=.057). There were also differences in the extent to which psychosocial mediators changed between the two groups. Findings highlight the need to tailor STI/HIV interventions to adolescents with a greater degree of sensation seeking and address key relationship characteristics and trauma histories to bolster intervention efficacy.
机译：为了加强未来的性传播感染/艾滋病毒预防工作，本研究调查了与青少年在参加性传播感染/艾滋病毒预防干预后未能改善其安全套使用行为有关的因素。在一项STI / HIV预防干预试验中，非洲裔美国青少年女性（N = 205; Mage = 17.9）完成了ACASI访谈，并提供了自己收集的阴道拭子，以评估基线和干预后6个月的两种流行的STI。分析比较了干预后增加使用安全套的人（更换组）和不增加使用安全套的人（未更换组）。干预后43.4％的人没有增加安全套的使用，随访时更容易发生性传播感染（χ2= 4.64，P = .03）。在多元Logistic回归模型中，不变组更有可能（a）寻求更高的感觉（AOR = .91，P = .023），（b）男朋友（AOR = .32，P = .046），和/或（c）身体虐待史（AOR = .56，P = .057）。两组之间的社会心理调解者变化的程度也存在差异。研究结果强调，有必要针对具有较大感觉寻求程度的青少年量身定制性传播感染/艾滋病毒干预措施，并解决关键的人际关系特征和创伤史，以增强干预效果。

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