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首页> 外文期刊>AIDS care. >Gender differences in prevalence and correlates of high sexual self-efficacy among adolescents in Soweto, South Africa: implications for gender-sensitive research and programming
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Gender differences in prevalence and correlates of high sexual self-efficacy among adolescents in Soweto, South Africa: implications for gender-sensitive research and programming

机译：南非索韦托青少年青少年高性能的性别差异和高性能自我疗效的关联：对性别敏感性研究和编程的影响

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摘要

Sexual self-efficacy (SSE)- one's confidence in their ability to perform given sexual behaviours, has been shown to predict adolescents' HIV-prevention practices (e.g., Condom use). Few studies within sub-Saharan Africa, where HIV incidence and prevalence disproportionately affects young women, have examined gendered differences in SSE. We used multivariable logistic regression to identify correlates of high-SSE separately among adolescent men and women (aged 14-19) in Soweto, South Africa using a previously validated SSE scale (high-SSE [3/6 items]; study-alpha=0.75). SSE scale items assessed self-efficacy related to sexual refusal and condom use. Adolescent women were significantly more likely to report high-SSE than adolescent men (72.3% versus 49.5%; p0.01). High-SSE among adolescent men was associated with more positive beliefs about sexual relationships and negatively associated with probable depression. High-SSE among adolescent women was associated with increased HIV knowledge, more positive beliefs about condom use and sexual relationships, having an adult in the home, and negatively associated with being an older adolescent (16-17 versus 15), and ever experiencing physical violence. Differences in prevalence and correlates of SSE among adolescent men and women in South Africa highlight important areas for gender-sensitive interventions. Targeted efforts to reduce negative sexual beliefs, improve HIV knowledge and mental well-being may improve SSE and thus the uptake of HIV-prevention practices among adolescent men. For adolescent women, findings indicate programming should move beyond individual-levels determinants of behaviour to focus on improving enabling environments (e.g., Reduced violence and improved family relationships) in which sexual agency can be enacted.
机译：性自我效能（SSE） - 对他们进行性行为的能力的信心已被证明预测青少年的艾滋病毒预防措施（例如，避孕套）。在撒哈拉以南非洲的少数研究，其中艾滋病毒发病率和患病率不成比例地影响年轻女性，已经审查了SSE的性别差异。我们使用多变量的Logistic回归来识别使用以前经过验证的SSE规模的南非Soweto（南非索韦托的青少年男女（14-19岁）中的高尚男女（年龄14-19岁）的相关性（高SSE [3/6项];研究 - alpha = 0.75）。 SSE比例项目评估了与性拒绝和避孕套使用相关的自我效能。青少年女性更有可能报告比青少年男性高（72.3％对49.5％; P <0.01）。青少年男性中的高上世界与对性关系的更积极的信念有关，与可能的抑郁症负相关。青少年女性中的高上世界与艾滋病毒知识增加有关，对避孕套使用和性关系的更积极的信念，在家里，在家里有成年人，与年龄较大的青少年（16-17与15岁）负相关，并且曾经经历过身体暴力。南非青少年男女普遍存在和上海女性的普遍性和相关性突出了性别敏感干预措施的重要领域。有针对性的努力来减少消极性信念，改善艾滋病毒知识和心理福祉可能会改善SSE，从而增加青少年男性中艾滋病毒预防实践。对于青春期女性，调查结果表明编程应该超出个人级别的行为决定因素，专注于改善能够制定性机构的有利环境（例如，减少暴力和改进的家庭关系）。

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  • 来源
    《AIDS care.》 |2018年第4期|共9页
  • 作者

    Closson Kalysha; Dietrich Janan; Lachowsky Nathan J.; Nkala Busi; Cui Zishan; Chia Jason; Hogg Robert S.; Gray Glenda; Kaida Angela; Miller Cari L.;

  • 作者单位

    Simon Fraser Univ Fac Hlth Sci Blusson Hall Rm10522 8888 Univ Dr Burnaby BC V5A 1S6 Canada;

    Univ Witwatersrand Perinatal HIV Res Unit PHRU Fac Hlth Sci Johannesburg South Africa;

    British Columbia Ctr Excellence HIV AIDS Dept Epidemiol Vancouver BC Canada;

    Univ Witwatersrand Perinatal HIV Res Unit PHRU Fac Hlth Sci Johannesburg South Africa;

    British Columbia Ctr Excellence HIV AIDS Dept Epidemiol Vancouver BC Canada;

    British Columbia Ctr Excellence HIV AIDS Dept Epidemiol Vancouver BC Canada;

    Simon Fraser Univ Fac Hlth Sci Blusson Hall Rm10522 8888 Univ Dr Burnaby BC V5A 1S6 Canada;

    Univ Witwatersrand Perinatal HIV Res Unit PHRU Fac Hlth Sci Johannesburg South Africa;

    Simon Fraser Univ Fac Hlth Sci Blusson Hall Rm10522 8888 Univ Dr Burnaby BC V5A 1S6 Canada;

    Simon Fraser Univ Fac Hlth Sci Blusson Hall Rm10522 8888 Univ Dr Burnaby BC V5A 1S6 Canada;

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  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类 传染病;
  • 关键词

    Adolescent; HIV prevention; Self Efficacy; Gender; SouthAfrica;

    机译：青少年;艾滋病毒预防;自我效力;性别;Southafrica;

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