Predictors of Condom Use Intention in the Prevention of HIV /AIDS among Taiwanese Junior College Students

臺灣專科學生預防愛滋病使用保險套行為意向之預測因素

葉昭幸(Chao-Hsing Yeh)

《護理研究》 6卷4期 (1998/08) Pp. 264-278

摘要

本研究探討台灣南、北部專科學生對預防愛滋病使用保險套行為意向之預測因素。問卷調查的時間為1995至1996年，總共收集2015位學生，問卷回收率是94％。在回收的問卷中，總共有115位女生（9%,n = 1326）及187位男生（27 %,n=689）承認曾經有性經驗。本研究針對曾經有性經驗之302位學生進行資料分析，研究結果顯示男生比女生有較多之感染愛滋病的危險性行為，例如比較不想使用保險套及有比較多的性伴侶。邏輯迴歸分析保險套使用行為意向之預測因素，研究結果顯示曾經使用保險套之經驗、比較正向之保險套使用態度、較強之使用保險套之自我效能、及區域（南部），有比較強之使用保險套的行為意向。性別的差異及主觀的規範與使用保險套的行為意向無關。研究結果建議對專科學生之愛滋病防治課程，應著重於實際保險套的使用、增強使用保險套的自我效能、及加強對使用保險套之正向態度。

關鍵字

使用保險套行為意向 ； 愛滋病防治 ； 專科學生 ； 預測因素

並列摘要

A cross-sectional survey was conducted to investigate predictors of condom use intention in the prevention of HIV/AIDS among junior college students in both north and south regions of Taiwan, R.O.C., between 1995 and 1996. HIV/AIDS prevention surveys were self-administered by students during health-related classes. Of 2015 respondents, a 94% return rate, 115 (9%, n=1326) females and 187 (27%, n=689) males who reported ever having sex and being still sexually active at that time, were used for the data analysis. Results showed that male students were engaged more in HIV risk behaviors (less intent to use condom and more sexual partners) than were females. Risky sexual behaviors were more common among students in the north region than those in the south region. Logistic regression was employed to analyze the predictors of condom use intention. The results shown positive attitudes towards condoms, stronger perceived self-efficacy to use a condom, and prior experience of condom use were significantly associated with condom use intention. The gender difference was not significant. Region, an indicator of the social-cultural environment, was associated with intention. The results of this study suggest that future intervention programs should focus on actral practice of condom use, increased perceived self-efficacy of condom use, and more positive attitudes towards condoms.

並列關鍵字

condom use intention ； HIV/AIDS prevention ； Taiwanese junior college students ； predictor