大四學生持續使用保險套之影響

The Influence of the Consistent Condom Use of College Senior Students

10.6784/FJS.200403.0053

陳德馨(Te-Hsin Chen)；晏涵文(Han-Wen Yen)

大學生 ； 保險套使用行為 ； 持續使用保險套 ； 理性行動論 ； 自我效能 ； college students ； condom use behavior ； the consistent condom use ； theory of reasoned action ； self-efficacy

台灣性學學刊

10卷1期（2004 / 03 / 01）

53 - 70

繁體中文

本研究係以ASE模式（態度、主觀規範、自我效能）為基礎，目的在探討大學生「持續使用保險套」之影響因素。研究採問卷調查法，並以台北縣市四所大學，251位有性經驗之大四學生為研究樣本，所得結果如下： 一、近半年有性經驗之大四學生，佔所有研究對象之33.96％；最近半年「持續使用保險套」者佔29.3％；「持續使用保險套」者中，單純以「避孕」為目的者佔61.9％，兼顧預防懷孕與愛滋病等性病者，僅36.5％，無人單純為了「預防愛滋病等性病」而持續使用保險套。 二、正向影響有性經驗之大四學生，「持續使用保險套」主要五項因素為：(一)較高熱悉保險套使用方法並能說服性伴侶使用之自我效能 (二) 第一次性行為時使用保險套 (三) 較高精熟程度之自我效能 (四) 正向之性樂趣態度 (五) 正向之對使用者的觀感態度。 根據研究結果，建議政府相關衛生單位，應善加利用大眾傳播媒體力量，推廣及建立年輕族群為預防愛滋病等性病而使用保險套之文化；在學校教育部分，應提早於高中階段即教導正確之保險套使用方法、勸導性伴侶使用保險套之說服技巧的相關課程，藉此以增加保險套的持續使用率。

This study is to discuss the factors of the impact of ‘‘the consistent condom use’’ for college students based on ASE models (Attitude, Subjective Norm and Self-Efficacy). This study is done by the use of a questionnaire based on a sample of 251 students who had sexual experience from 4 universities. The results are as follows: 1.The senior college students who has sexual experience is 33.96%, and among them, ‘‘the consistent condom use’’ is 29.3% ; however, their use for preventing pregnancy is 61.9%, both for the prevention pregnancy and AIDS among them is only 36.5%. Very unsafely, nobody uses the condom for the purpose of the prevention of AIDS and STDs. 2.The positive influential top-five factors of ‘‘the consistent condom use’’ to senior college students with sexual experience was as follows: (1) high self-efficacy of mastering the use of condom and persuading the sexual partner to use it (2) the use of condom on the first sexual behavior (3) the self-efficacy of good mastery (4) positive attitude towards sexual pleasure (5) positive attitude towards the condom user. According to this study, the government should make good use of mass media’s influence. Hence, the students can have the idea of correct condom use and they can prevent the inflection of AIDS and other sexually transmitted diseases. Besides, school should provide the related curriculum about the better ways of condom use and the skills of persuading his sexual partner to use the condom in order to increase the consistent condom use.

1. Ajzen, I.,Madden, T.J.(1986).Prediction of goal-directed behaviour: attitude, intention, and perceived behavior control.Journal of experimental social psychology,22,453-474.
2. Baker, S.A.,Morrison, D.M.,Cater, W.B.,Verdon, M, S.(1996).Using the theory of reasoned action (TRA) to understand the decision to use condoms in an STD clinic population.Health education quarterly,23(3),528-542.
3. Bankole, A.,Darroch, J.E.,Singh, S.(1999).Determinants of trends in condom use in the United States, 1988-1995.Fam. Plamm. Perspect,31,264-271.
4. Basen-Engquist, K.,Paecel, G.S.(1992).Attitudes, norms, and self-efficacy: A model of adolescent`s HIV-related sexual risk behavior.Health Education Quarterly,19(2),262-277.
5. Brafford, L.J.,Beck, K.H.(1991).Development and validation of a condom self-efficacy scales for college students.Journal of American college health,39(5),219-225.
6. Brien, T.M.,Thombs, D.L.,Mahoney, C.A.,Wallnau, L.(1994).Dimensions of self-efficacy among three distinct groups of condom users.Journal of American college health,42,167-174.
7. De Vires, H.,Dijkstra, M.,Kuhlman, P.(1988).Self-efficacy: the third factor besides attitude and subjective norm as a predictor of behavior intentions.Health education research,3,273-383.
8. De Visser, R.O.,Smith, A.M.A.(2000).When always isn`t enough: implications of the late application of condoms for the validity and reliability of self-reported condom use.AIDS care,12(2),221-225.
9. Fishbein, M.,Higgins, D.L.,Rietmeijer, C.,Wolitski, R.J.,Guenther-Grey, C.A.,Johnson, W.D.(1999).Community- Level HIV intervention in 5 cities: Final outcom data from the CDC AIDS community demonsiration project.American journal of public health,89(3),336-345.
10. Grimley, D.M.,Riley, G.E.,Bellis, J.M.,Prochaska, J.O.(1993).Assessing the stages of change and decision-making for contraceptive use for the prevention of pregnancy, sexual transmitted diseases, and acquired immunodeficiency syndrome.Health Education Quarterly,20(4),455-470.
11. Helweg-Larsen, M.,Collins, BE.(1994).The UCLA multidimensional condoms attitude scale: documenting the complex determinants of condom use in college student.Health psychology,13(3),224-237.
12. Howard, M,M.,Fortenberry, J.D.,Blythe, M.J.,Zimet, G.D.,On, D.P.(1999).Partterns of sexual partnerships among adolescent females.Journal of Adolescent Health,24,300-303.
13. Irwin, C.E.,Millstein(1986).Biopsychosocial correlation of risk-taking behaviors during adolescence.Journal of adolescent health,7,82-96.
14. Kaplan, D.W.,Feinstein, R.A.,Fisher, M.M.,Klein, J.D.,Olmedo, L.F.,Rome, E.S.(2001).Condom use by adolescents.Pediatrics,107(6),1463-1469.
15. Parsons, J.T.,Halkitis, P.N.,Bimbi, D.,Borkowsi, T.(2000).Perceptions of the benefits and costs associated with condom use and unprotected sex among late adolescent college student.Journal of adolescence,23,377-391.
16. Parsons, J.T.,Huszti, H.C.,Crudder, S.O.,Rich, L.,Mendoza, J.(2000).Maintentace of safer sexual behavior: evaluation of a theory-base intervention for HIV seropositive men with haemophilia and their female partners.Haemophilia,6,181-190.
17. Pleck, J.H.,Sonenstein, F.L.(1993).Family planning perspectives,25(3),106-111.
18. Polacsek, M.,Celentano, D.D.,O` Campo, P.,Santelli, J.(1999).Correlates of condom use stage of change: implications for intervention.AIDS education and prevention,11(1),38-52.
19. Rossem, R.V.,Meekers, D.,Akinyemi, Z.(2001).Consistent condom use with different types of partners: evidence from two Nigerian surveys.AIDS education and prevention,13(3),252-267.
20. Santelli, J.S.,Kouzis, A.C.(1996).Stage of behavior change for condom use: The influence of partner type, relationship and pregnancy factors.Family Planning Perspectives,28(3),101-107.
21. Schaalma, H.,Kok, G.,Peters, L.(1993).Determinants of consistent condom use by adolescents: the impact of experience of sexual intercourse.Health education research,8(2),255-265.
22. Sonenstein, F.L.,Ku, L.C.,Lindberg, L.D.,Turner, C.F.,Pleck, J.H.(1998).Change in sexual behavior and condom use among teenage males: 1988-1995.American journal of public health,88(6),956-959.
23. St Lawrence, J.S.,Scott, C.P.(1996).Examination of relationship between African American adolescents` condom use at sexual onset and later sexual behavior: implication for condom distribution programs.AIDS education & prevention,8,258-266.
24. Wilson, D.M.,Kastrinakis, M.,D` Angelo, L.J.,Getson, P.(1994).Attitudes, knowledge, and behavior regarding condom use in urban Black adolescent males.Adolescence,29,13-26.
25. Wong, C.Y.,Tang, S.K.(2001).Understanding heterosexual Chinese college students` intention to adopt safer sex behaviors.The Journal of Sex Research,38(2),118-126.
26. Wulfert, E.,Wan, C.K.(1995).Safer sex intentions and condom use viewed from a health belief, reasoned action, and social cognitive perspective.Journal of sex research,32(4),299-312.
27. 王瑞琪(1992)。碩士論文(碩士論文)。國立台灣師範大學衛生教育研究所。
28. 林燕卿、張利中(2001)。大學院校學生保險套使用情形及其影響因素－以高雄地區爲例。台灣性學學刊，7(2)，54-67。
29. 晏涵文、林燕卿、張利中(1998)。青少年婚前性行爲及其趨勢探討。台灣性學學刊，4(2)，1-14。
30. 陳誘屏(1994)。碩士論文(碩士論文)。國立台灣師範學衛生教育研究所。
31. 楊金裡、晏涵文(1998)。某夜二專學生與性伴侶使用保險套情形及其相關因素之探討。台灣性學學刊，4(2)，50-62。
32. 葉昭幸(1998)。台灣專科學生預防愛滋病使用保險套行爲意向之預測因素。護理研究，6(4)，264-278。

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2. 黃慧琪、陳慧郡、侯淑雲、林梅香、林秀純、宋素卿(2014)。推動校園性健康促進計畫歷程與成效之初探。臺灣性學學刊，20(1)，27-54。
3. 劉宜廉、黃惠鈞、陳佳伶、史麗珠(2012)。桃園地區夜校高二生的性行為、使用保險套行為：健康信念模式。性學研究，3(1)，1-23。