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Sexual behavior, stages of condom use, and self-efficacy among college students in Taiwan.

机译:台湾大学生的性行为,使用安全套的阶段以及自我效能感。

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The purposes of this study were: (1) to assess sexual behaviors and condom use behaviors; (2) to compare sexual behaviors and condom use behaviors between gender groups; and (3) to explore differences in specific items of self-efficacy to practicing condom use by the transtheoretical model stages of readiness to change among college students in Taiwan. A survey of students at two universities yielded 996 valid responses. The survey questions collected reports of demographic information, sexual history, condom use in general, and likely condom use in specific situations in relation to self-efficacy. Only 27.8% (n=277) reported ever having had sex, of these only 31.4% used condoms every time (those in action and maintenance). Condom use among women was lower than among men with men 5.1 times more likely to use condoms to prevent sexually transmitted infections (OR=5.1, 95% CI: 2.14-12.16, p=0.0002). The stages of change model with reported attitudes (self-efficacy) toward condom use in specific situations. The Tukey-Kramer multiple comparisons showed that participants in the maintenance stage reported significantly higher scores than those in the pre-contemplation, contemplation, and preparation stages for all 10 self-efficacy items (p<0.0001). Circumstances that are the most challenging for condom adherence across the stages are: partner preference to forego use, situations involving alcohol and drug use, and perceived low-risk scenarios. College students in Taiwan would benefit from targeted interventions that link risky sex to alcohol, and that address the interpersonal pressure within relationships that compel women students to practice unsafe sex.
机译:这项研究的目的是:(1)评估性行为和使用避孕套的行为; (2)比较性别群体之间的性行为和安全套使用行为; (3)通过台湾大学生准备好转变的跨理论模型阶段,探讨在练习避孕套使用的特定自我效能方面的差异。一项对两所大学学生的调查得出了996个有效答案。调查问题收集了有关人口统计学信息,性史,一般使用安全套以及在与自我效能有关的特定情况下可能使用安全套的报告。据报道,曾经发生过性行为的只有27.8%(n = 277),其中每次使用安全套的只有31.4%(使用和维护者)。女性使用避孕套的比例低于男性男性,使用避孕套预防性传播感染的可能性是男性的5.1倍(OR = 5.1,95%CI:2.14-12.16,p = 0.0002)。报告了在特定情况下使用安全套的态度(自我效能)的变化模型阶段。 Tukey-Kramer的多重比较显示,在所有10个自我效能感项目中,维持阶段的参与者的得分均显着高于进行预想,进行冥想和准备阶段的参与者(p <0.0001)。在各个阶段,坚持使用安全套最具挑战性的情况是:伴侣对放弃使用的偏爱,涉及酗酒和吸毒的情况以及感知到的低风险情况。台湾的大学生将受益于有针对性的干预措施,这些干预措施将危险的性行为与酗酒联系在一起,并解决了关系中的人际压力,这种压力迫使女学生进行不安全的性行为。

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