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Correlates of condom-use self-efficacy on the EPPM-based Integrated Model among Chinese College Students

Biomedical and Environmental Sciences 2017年第2期30卷 97-105页

作者： JIN Shan Shan BU Kai CHEN Fang Fang XU Hui Fang LI Yi ZHAO Dong Hui XU Fang LI Jing Yan HAN Meng Jie WANG Ning WANG Lu National Center for AIDS/STD Control and Prevention Chinese Center for Disease Control and PreventionBeijing 102206China Guangzhou Center for Disease Control and Prevention Guangzhou 510440GuangdongChina Heilongjiang Provineial Center for Disease Control and Prevention Harbin 150030HeilongjiangChina Tianjin University of Traditional Chinese Medicine Tianjin 300193China Lingnan Partners Community Support Center Guangzhou 510000GuangdongChina

Objective To explore the predictors of condom-use self-efficacy in Chinese college students according to the extended parallel process model （EPPM）-based integrated model. Methods A total of 3,082 college students were anonymously surveyed through self-administered questionnaires in Guangzhou and Harbin, China. A structural equation model was applied to assess the integrated model. Results Among the participants, 2,387 （46.7%） were male, 2,586 （53.3%） were female, and the average age was 18.6 years. The final integrated model was acceptable. Apart from the direct effect （r = 0.23）, perceived severity had two indirect effects on condom-use self-efficacy through the attitude to HIV education （r = 0.40） and intention to engage in premarital sex （r = -0.16）, respectively. However, the perceived susceptibility mediated through the intention to engage in premarital sex （intent-to-premarital-sex） had a poor indirect impact on condom-use self-efficacy （total effect was -0.06）. Furthermore, attitude toward HIV health education （r = 0.49） and intent-to-premarital-sex （r = -0.32） had a strong direct effect on condom-use self-efficacy. In addition, male students perceived higher susceptibility, stronger intent-to-premarital-sex, and lower condom-use self-efficacy than female students. Conclusion The integrated model may be used to assess the determinants of condom-use self-efficacy among Chinese college students. Future research should focus on raising the severity perception, HIV-risk-reduction motivation, and the premarital abstinence intention among college students. Furthermore, considering the gender differences observed in the present survey, single-sex HIV education is required in school-based HIV/sex intervention.

关键词： HIV infection condom-use self-efficacy Chinese college students

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