Predictors of consistent condom use based on the Information-Motivation-Behavior Skill (IMB) model among senior high school students in three coastal cities in China
Identifieur interne : 002452 ( Main/Exploration ); précédent : 002451; suivant : 002453Predictors of consistent condom use based on the Information-Motivation-Behavior Skill (IMB) model among senior high school students in three coastal cities in China
Auteurs : Yong Cai [République populaire de Chine] ; Xiuxia Ye [République populaire de Chine] ; Rong Shi [République populaire de Chine] ; Gang Xu [République populaire de Chine] ; Lixiao Shen [République populaire de Chine] ; Jia Ren [République populaire de Chine] ; Hong Huang [République populaire de Chine]Source :
- BMC Infectious Diseases [ 1471-2334 ] ; 2013.
Abstract
High prevalence of risky sexual behaviors and lack of information, skills and preventive support mean that, adolescents face high risks of HIV/AIDS. This study applied the information-motivation-behavioral skills (IMB) model to examine the predictors of consistent condom use among senior high school students from three coastal cities in China and clarify the relationships between the model constructs.
A cross-sectional study was conducted to assess HIV/AIDS related information, motivation, behavioral skills and preventive behaviors among senior high school students in three coastal cities in China. Structural equation modelling (SEM) was used to assess the IMB model.
Of the 12313 participants, 4.5% (95% CI: 4.2–5.0) reported having had premarital sex and among them 25.0% (95% CI: 21.2–29.1) reported having used a condom in their sexual debut. Only about one–ninth of participants reported consistent condom use. The final IMB model provided acceptable fit to the data (CFI = 0.981, RMSEA = 0.014). Consistent condom use was significantly predicted by motivation (β = 0.175,
The results highlight the importance of conducting HIV/AIDS preventive health promotion among senior high school students in China. The IMB model could predict consistent condom use and suggests that future interventions should focus on improving motivation and behavioral skills.
Url:
DOI: 10.1186/1471-2334-13-262
PubMed: 23734860
PubMed Central: 3686691
Affiliations:
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Shanghai Key Laboratory of Children’s Environmental Health, Xinhua Hospital, affiliated with School of Medicine, Shanghai Jiaotong University, No.1665, Kongjiang Road, Shanghai 200092, PR China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>MOE - Shanghai Key Laboratory of Children’s Environmental Health, Xinhua Hospital, affiliated with School of Medicine, Shanghai Jiaotong University, No.1665, Kongjiang Road, Shanghai 200092</wicri:regionArea><wicri:noRegion>Shanghai 200092</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="I3">Shanghai Children’s Medical Center, affiliated with School of Medicine, Shanghai Jiaotong University, No.1678, Dongfang Road, Shanghai 200127, PR China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Shanghai Children’s Medical Center, affiliated with School of Medicine, Shanghai Jiaotong University, No.1678, Dongfang Road, Shanghai 200127</wicri:regionArea><wicri:noRegion>Shanghai 200127</wicri:noRegion></affiliation></author><author><name sortKey="Shi, Rong" sort="Shi, Rong" uniqKey="Shi R" first="Rong" last="Shi">Rong Shi</name><affiliation wicri:level="1"><nlm:aff id="I1">School of Public Health affiliated with School of Medicine, Shanghai Jiaotong University, No.227, South Chongqing Road, Shanghai 200025, PR China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>School of Public Health affiliated with School of Medicine, Shanghai Jiaotong University, No.227, South Chongqing Road, Shanghai 200025</wicri:regionArea><wicri:noRegion>Shanghai 200025</wicri:noRegion></affiliation></author><author><name sortKey="Xu, Gang" sort="Xu, Gang" uniqKey="Xu G" first="Gang" last="Xu">Gang Xu</name><affiliation wicri:level="1"><nlm:aff id="I1">School of Public Health affiliated with School of Medicine, Shanghai Jiaotong University, No.227, South Chongqing Road, Shanghai 200025, PR China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>School of Public Health affiliated with School of Medicine, Shanghai Jiaotong University, No.227, South Chongqing Road, Shanghai 200025</wicri:regionArea><wicri:noRegion>Shanghai 200025</wicri:noRegion></affiliation></author><author><name sortKey="Shen, Lixiao" sort="Shen, Lixiao" uniqKey="Shen L" first="Lixiao" last="Shen">Lixiao Shen</name><affiliation wicri:level="1"><nlm:aff id="I2">MOE - Shanghai Key Laboratory of Children’s Environmental Health, Xinhua Hospital, affiliated with School of Medicine, Shanghai Jiaotong University, No.1665, Kongjiang Road, Shanghai 200092, PR China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>MOE - Shanghai Key Laboratory of Children’s Environmental Health, Xinhua Hospital, affiliated with School of Medicine, Shanghai Jiaotong University, No.1665, Kongjiang Road, Shanghai 200092</wicri:regionArea><wicri:noRegion>Shanghai 200092</wicri:noRegion></affiliation></author><author><name sortKey="Ren, Jia" sort="Ren, Jia" uniqKey="Ren J" first="Jia" last="Ren">Jia Ren</name><affiliation wicri:level="1"><nlm:aff id="I1">School of Public Health affiliated with School of Medicine, Shanghai Jiaotong University, No.227, South Chongqing Road, Shanghai 200025, PR China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>School of Public Health affiliated with School of Medicine, Shanghai Jiaotong University, No.227, South Chongqing Road, Shanghai 200025</wicri:regionArea><wicri:noRegion>Shanghai 200025</wicri:noRegion></affiliation></author><author><name sortKey="Huang, Hong" sort="Huang, Hong" uniqKey="Huang H" first="Hong" last="Huang">Hong Huang</name><affiliation wicri:level="1"><nlm:aff id="I2">MOE - Shanghai Key Laboratory of Children’s Environmental Health, Xinhua Hospital, affiliated with School of Medicine, Shanghai Jiaotong University, No.1665, Kongjiang Road, Shanghai 200092, PR China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>MOE - Shanghai Key Laboratory of Children’s Environmental Health, Xinhua Hospital, affiliated with School of Medicine, Shanghai Jiaotong University, No.1665, Kongjiang Road, Shanghai 200092</wicri:regionArea><wicri:noRegion>Shanghai 200092</wicri:noRegion></affiliation></author></analytic><series><title level="j">BMC Infectious Diseases</title><idno type="eISSN">1471-2334</idno><imprint><date when="2013">2013</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>High prevalence of risky sexual behaviors and lack of information, skills and preventive support mean that, adolescents face high risks of HIV/AIDS. This study applied the information-motivation-behavioral skills (IMB) model to examine the predictors of consistent condom use among senior high school students from three coastal cities in China and clarify the relationships between the model constructs.</p></sec><sec><title>Methods</title><p>A cross-sectional study was conducted to assess HIV/AIDS related information, motivation, behavioral skills and preventive behaviors among senior high school students in three coastal cities in China. Structural equation modelling (SEM) was used to assess the IMB model.</p></sec><sec><title>Results</title><p>Of the 12313 participants, 4.5% (95% CI: 4.2–5.0) reported having had premarital sex and among them 25.0% (95% CI: 21.2–29.1) reported having used a condom in their sexual debut. Only about one–ninth of participants reported consistent condom use. The final IMB model provided acceptable fit to the data (CFI = 0.981, RMSEA = 0.014). Consistent condom use was significantly predicted by motivation (β = 0.175, <italic>P</italic> < 0.01) and behavioral skills (β = 0.778, <italic>P</italic> < 0.01). Information indirectly predicted consistent condom use, and was mediated by behavioral skills (β = 0.269, <italic>P</italic> < 0.05).</p></sec><sec><title>Conclusions</title><p>The results highlight the importance of conducting HIV/AIDS preventive health promotion among senior high school students in China. The IMB model could predict consistent condom use and suggests that future interventions should focus on improving motivation and behavioral skills.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Shao, Ym" uniqKey="Shao Y">YM Shao</name></author><author><name sortKey="Jia, Zw" uniqKey="Jia Z">ZW Jia</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ergene, T" uniqKey="Ergene T">T Ergene</name></author><author><name sortKey="Cok, F" uniqKey="Cok F">F Cok</name></author><author><name sortKey="Tumer, A" uniqKey="Tumer A">A Tumer</name></author><author><name sortKey="Unal, S" uniqKey="Unal S">S Unal</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Akpabio, Ii" uniqKey="Akpabio I">II Akpabio</name></author><author><name sortKey="Asuzu, Mc" uniqKey="Asuzu M">MC Asuzu</name></author><author><name 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sortKey="Tao, X" uniqKey="Tao X">X Tao</name></author><author><name sortKey="Kang, D" uniqKey="Kang D">D Kang</name></author><author><name sortKey="Jiang, B" uniqKey="Jiang B">B Jiang</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kline, Rb" uniqKey="Kline R">RB Kline</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Hu, Lt" uniqKey="Hu L">LT Hu</name></author><author><name sortKey="Bentler, Pm" uniqKey="Bentler P">PM Bentler</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Tilahun, M" uniqKey="Tilahun M">M Tilahun</name></author><author><name sortKey="Mengistie, B" uniqKey="Mengistie B">B Mengistie</name></author><author><name sortKey="Egata, G" uniqKey="Egata G">G Egata</name></author><author><name sortKey="Reda, Aa" uniqKey="Reda A">AA Reda</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Giannotta, F" uniqKey="Giannotta F">F 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Semin</name></author><author><name sortKey="Gunay, T" uniqKey="Gunay T">T Gunay</name></author><author><name sortKey="Orcin, E" uniqKey="Orcin E">E Orcin</name></author><author><name sortKey="Ozan, S" uniqKey="Ozan S">S Ozan</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Haggstrom Nordin, E" uniqKey="Haggstrom Nordin E">E Haggstrom-Nordin</name></author><author><name sortKey="Hanson, U" uniqKey="Hanson U">U Hanson</name></author><author><name sortKey="Tyden, T" uniqKey="Tyden T">T Tyden</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Fisher, Jd" uniqKey="Fisher J">JD Fisher</name></author><author><name sortKey="Willcutts, Dlk" uniqKey="Willcutts D">DLK Willcutts</name></author><author><name sortKey="Misovich, Sj" uniqKey="Misovich S">SJ Misovich</name></author><author><name sortKey="Weinstein, B" uniqKey="Weinstein B">B Weinstein</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>République populaire de Chine</li></country></list><tree><country name="République populaire de Chine"><noRegion><name sortKey="Cai, Yong" sort="Cai, Yong" uniqKey="Cai Y" first="Yong" last="Cai">Yong Cai</name></noRegion><name sortKey="Huang, Hong" sort="Huang, Hong" uniqKey="Huang H" first="Hong" last="Huang">Hong Huang</name><name sortKey="Ren, Jia" sort="Ren, Jia" uniqKey="Ren J" first="Jia" last="Ren">Jia Ren</name><name sortKey="Shen, Lixiao" sort="Shen, Lixiao" uniqKey="Shen L" first="Lixiao" last="Shen">Lixiao Shen</name><name sortKey="Shi, Rong" sort="Shi, Rong" uniqKey="Shi R" first="Rong" last="Shi">Rong Shi</name><name sortKey="Xu, Gang" sort="Xu, Gang" uniqKey="Xu G" first="Gang" last="Xu">Gang Xu</name><name sortKey="Ye, Xiuxia" sort="Ye, Xiuxia" uniqKey="Ye X" first="Xiuxia" last="Ye">Xiuxia Ye</name><name sortKey="Ye, Xiuxia" sort="Ye, Xiuxia" uniqKey="Ye X" 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