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Correlates of Condom-use Self-efficacy on the EPPM-based Integrated Model among Chinese College Students
Shan Shan Jin1, Kai Bu1, Fang Fang Chen1
1National Center for AIDS/STD Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 102206, China.
Biomedical and Environmental Sciences : BES
|March 16, 2017
Summary
This study identified key factors influencing condom-use self-efficacy in Chinese college students. Interventions should target perceived severity and attitudes toward HIV education, considering gender differences in sexual health.
Area of Science:
- Public Health
- Health Psychology
- Behavioral Science
Background:
- Condom-use self-efficacy is crucial for preventing sexually transmitted infections among college students.
- Understanding predictors of condom use is essential for developing effective HIV/STI prevention strategies.
Purpose of the Study:
- To explore predictors of condom-use self-efficacy in Chinese college students using an integrated model based on the Extended Parallel Process Model (EPPM).
Main Methods:
- A cross-sectional survey of 3,081 Chinese college students in Guangzhou and Harbin.
- Anonymous self-administered questionnaires were used.
- Structural equation modeling (SEM) was applied to analyze the integrated model.
Main Results:
- Perceived severity indirectly influenced condom-use self-efficacy through attitude toward HIV education and intention for premarital sex.
- Attitude toward HIV health education and intention for premarital sex directly predicted condom-use self-efficacy.
- Male students reported higher perceived susceptibility, stronger intention for premarital sex, and lower condom-use self-efficacy compared to female students.
Conclusions:
- The integrated model effectively identifies determinants of condom-use self-efficacy in Chinese college students.
- Future interventions should focus on enhancing perceived severity of risks, promoting HIV risk-reduction motivation, and encouraging premarital abstinence intention.
- School-based HIV/sex education should consider gender-specific approaches due to observed differences in perceptions and self-efficacy.
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