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 : 001F91 ( Ncbi/Merge ); précédent : 001F90; suivant : 001F92Predictors 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
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<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>
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<pmc article-type="research-article" xml:lang="en"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">BMC Infect Dis</journal-id>
<journal-id journal-id-type="iso-abbrev">BMC Infect. Dis</journal-id>
<journal-title-group><journal-title>BMC Infectious Diseases</journal-title>
</journal-title-group>
<issn pub-type="epub">1471-2334</issn>
<publisher><publisher-name>BioMed Central</publisher-name>
</publisher>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">23734860</article-id>
<article-id pub-id-type="pmc">3686691</article-id>
<article-id pub-id-type="publisher-id">1471-2334-13-262</article-id>
<article-id pub-id-type="doi">10.1186/1471-2334-13-262</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject>
</subj-group>
</article-categories>
<title-group><article-title>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</article-title>
</title-group>
<contrib-group><contrib contrib-type="author" id="A1"><name><surname>Cai</surname>
<given-names>Yong</given-names>
</name>
<xref ref-type="aff" rid="I1">1</xref>
<email>caiyong202028@163.com</email>
</contrib>
<contrib contrib-type="author" id="A2"><name><surname>Ye</surname>
<given-names>Xiuxia</given-names>
</name>
<xref ref-type="aff" rid="I2">2</xref>
<xref ref-type="aff" rid="I3">3</xref>
<email>xiuxiaye@gmail.com</email>
</contrib>
<contrib contrib-type="author" id="A3"><name><surname>Shi</surname>
<given-names>Rong</given-names>
</name>
<xref ref-type="aff" rid="I1">1</xref>
<email>shirong61@yahoo.com.cn</email>
</contrib>
<contrib contrib-type="author" id="A4"><name><surname>Xu</surname>
<given-names>Gang</given-names>
</name>
<xref ref-type="aff" rid="I1">1</xref>
<email>smile567@sohu.com</email>
</contrib>
<contrib contrib-type="author" id="A5"><name><surname>Shen</surname>
<given-names>Lixiao</given-names>
</name>
<xref ref-type="aff" rid="I2">2</xref>
<email>kcb096@163.com</email>
</contrib>
<contrib contrib-type="author" id="A6"><name><surname>Ren</surname>
<given-names>Jia</given-names>
</name>
<xref ref-type="aff" rid="I1">1</xref>
<email>Jessica4869@hotmail.com</email>
</contrib>
<contrib contrib-type="author" corresp="yes" id="A7"><name><surname>Huang</surname>
<given-names>Hong</given-names>
</name>
<xref ref-type="aff" rid="I2">2</xref>
<email>huanghong096@hotmail.com</email>
</contrib>
</contrib-group>
<aff id="I1"><label>1</label>
School of Public Health affiliated with School of Medicine, Shanghai Jiaotong University, No.227, South Chongqing Road, Shanghai 200025, PR China</aff>
<aff id="I2"><label>2</label>
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</aff>
<aff id="I3"><label>3</label>
Shanghai Children’s Medical Center, affiliated with School of Medicine, Shanghai Jiaotong University, No.1678, Dongfang Road, Shanghai 200127, PR China</aff>
<pub-date pub-type="collection"><year>2013</year>
</pub-date>
<pub-date pub-type="epub"><day>4</day>
<month>6</month>
<year>2013</year>
</pub-date>
<volume>13</volume>
<fpage>262</fpage>
<lpage>262</lpage>
<history><date date-type="received"><day>9</day>
<month>12</month>
<year>2012</year>
</date>
<date date-type="accepted"><day>23</day>
<month>5</month>
<year>2013</year>
</date>
</history>
<permissions><copyright-statement>Copyright © 2013 Cai et al.; licensee BioMed Central Ltd.</copyright-statement>
<copyright-year>2013</copyright-year>
<copyright-holder>Cai et al.; licensee BioMed Central Ltd.</copyright-holder>
<license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by/2.0"><license-p>This is an Open Access article distributed under the terms of the Creative Commons Attribution License (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by/2.0">http://creativecommons.org/licenses/by/2.0</ext-link>
), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p>
</license>
</permissions>
<self-uri xlink:href="http://www.biomedcentral.com/1471-2334/13/262"></self-uri>
<abstract><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>
</abstract>
<kwd-group><kwd>Senior high school students</kwd>
<kwd>IMB model</kwd>
<kwd>Consistent condom use</kwd>
</kwd-group>
</article-meta>
</front>
</pmc>
<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" first="Xiuxia" last="Ye">Xiuxia Ye</name>
</country>
</tree>
</affiliations>
</record>
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