| Summary: | 碩士 === 高雄醫學大學 === 護理學研究所碩士班 === 94 === This study adopted the Transtheoretical model to explore condom use behavior of sexually experienced college students. The purposes were: (1) to understand the distribution of Stage of Change (SOC) for condom use behavior among sexually experienced college students; (2) to examine factors such as personal background, sexual experiences, relationship with sexual partner, perception of the support of condom use from peers and sexual partners, decisional balance of condom use, and self-efficacy of condom use in relation to SOC for condom use behavior; (3) to explore the important discriminative factors of SOC for condom use behavior.
By conventient sampling, five colleges in Kaohsiung area were selected. In each grade of each college, from grade two to grade four ,two classes were selected. All students in the chosen classes were used as study subjects. From the 1064 respondents, a total of 310 students who had been sexually active within the past year were recruited for the study. The tool of this research was a anonymous structural questionnaire, which was composed of scales such as basic personal data, SOC for condom use behavior, perceptions of peers’ support, perceptions of sexual partners’ support, decisional balance of condom use, and self-efficacy of condom use. Internal consistency, test-retest reliability, and content validity were evaluated. The collected data were analyzed with statistics such as numbers, percentages, averages, and standard deviations, as well as Chi-square test, one-way ANOVA , LSD multiple comparisons and discriminant analysis.
The results showed that: (1) The distribution of college students’ SOCs in condom use behavior was 11.6% in pre-contemplation stage, 12.9% in contemplation stage, 16.1% in preparation stage, 21.6% in action stage, and 37.4% in maintenance stage; (2) The subjects had a medium level of the perception of peer support in condom use, an upper medium level of the perceived benefits of condom use, a lower-medium level of the perceived barriers of condom use, and an upper-medium level of self-efficacy; (3) A significant relation was shown between the sexual experience and the SOC of condom use behavior while age, gender, social and economic status of the family were not; (4) Scores of perception of peers’ support , perception of sexual partners’ support, decisional balance and self-efficacy of condom use were significantly different across the SOCs for condom use. Perception of peers’ support and perception of sexual partners’ support, decisional balance and self-efficacy of condom use gradually increased across the SOCs for condom use.(5)The three most discriminative factors in the SOCs for condom use behavior were self-efficacy, perception of the sexual partners’ support of condom use, and relationship with sexual partners. The accuracy of classification was 42.6 %.
The result of the study can serve as references for interventions in schools, and suggestions for improving condom use among college students.
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