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首页> 外文期刊>Archives of sexual behavior >Do Behavioral Scientists Really Understand HIV-Related Sexual Risk Behavior? A Systematic Review of Longitudinal and Experimental Studies Predicting Sexual Behavior
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Do Behavioral Scientists Really Understand HIV-Related Sexual Risk Behavior? A Systematic Review of Longitudinal and Experimental Studies Predicting Sexual Behavior

机译：行为科学家真的了解艾滋病相关的性风险行为吗？预测性行为的纵向和实验研究的系统综述

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Behavioral interventions to reduce sexual risk behavior depend on strong health behavior theory. By identifying the psychosocial variables that lead causally to sexual risk, theories provide interventionists with a guide for how to change behavior. However, empirical research is critical to determining whether a particular theory adequately explains sexual risk behavior. A large body of cross-sectional evidence, which has been reviewed elsewhere, supports the notion that certain theory-based constructs (e.g., self-efficacy) are correlates of sexual behavior. However, given the limitations of inferring causality from correlational research, it is essential that we review the evidence from more methodologically rigorous studies (i.e., longitudinal and experimental designs). This systematic review identified 44 longitudinal studies in which investigators attempted to predict sexual risk from psychosocial variables over time. We also found 134 experimental studies (i.e., randomized controlled trials of HIV interventions), but of these only 9 (6.7 %) report the results of mediation analyses that might provide evidence for the validity of health behavior theories in predicting sexual behavior. Results show little convergent support across both types of studies for most traditional, theoretical predictors of sexual behavior. This suggests that the field must expand the body of empirical work that utilizes the most rigorous study designs to test our theoretical assumptions. The inconsistent results of existing research would indicate that current theoretical models of sexual risk behavior are inadequate, and may require expansion or adaptation.
机译：减少性风险行为的行为干预措施取决于强有力的健康行为理论。通过确定导致性风险的心理社会变量，理论为干预者提供了如何改变行为的指南。但是，实证研究对于确定特定理论是否足以解释性风险行为至关重要。大量横截面证据已在其他地方进行了评论，支持以下观点：某些基于理论的结构（例如自我效能感）与性行为有关。但是，鉴于从相关研究推断因果关系的局限性，我们有必要对来自方法更严格的研究（即纵向设计和实验设计）的证据进行审查。这项系统评价确定了44篇纵向研究，研究人员试图根据心理社会变量随时间推移预测性危险。我们还发现134个实验研究（即HIV干预的随机对照试验），但其中只有9个（6.7％）报告了调解分析的结果，这些分析可能为健康行为理论在预测性行为方面的有效性提供证据。结果表明，对于大多数传统的理论性行为预测指标，两种研究类型之间的融合支持都很少。这表明该领域必须扩大利用最严格的研究设计来检验我们的理论假设的实证研究的范围。现有研究的不一致结果表明，当前的性风险行为理论模型不充分，可能需要扩展或适应。

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