Abstract:
BACKGROUND:High incidence rates of HIV/AIDS infections among youth draw attention to the need for emphasizing the reduction of risky sexual behavior, a major contributor to the spread of HIV/AIDS. Few researchers have examined the relationship between self-efficacy for HIV/AIDS preventions, depressive symptoms, and adolescent risky sexual behavior. This insufficient understanding limits nurses' ability to provide effective programs for reducing adolescents' risky sexual behaviors. OBJECTIVES:This study was conducted to investigate the relationships among HIV/AIDS preventive self-efficacy, depressive symptoms, and risky sexual behavior in Taiwanese adolescents. DESIGN:A cross-sectional, correlational study. SETTINGS:Seven vocational high schools located in a metropolitan area in southern Taiwan. PARTICIPANTS:A convenience sample of 16-18-year-old vocational high school Taiwanese adolescents (n=734) participated in this study. METHODS:Several self-administrated questionnaires, including HIV/AIDS Preventive Self-efficacy scale, the Center for Epidemiological Studies-Depression scale, Safe Sex Behavior Questionnaire, and a form for demographic data, were used to collect data. RESULTS:Taiwanese adolescents who had higher HIV/AIDS preventive self-efficacy scores had less overall risky sexual behavior. Adolescents who had less depressive symptoms had higher HIV/AIDS preventive self-efficacy. More depressive symptoms were correlated to more risky sexual behavior. CONCLUSION:Improving Taiwanese adolescents' HIV/AIDS preventive self-efficacy could be useful to reduce risky sexual behaviors in this population. Results of this study may assist nurses in understanding factors related to adolescents HIV/AIDS related risky sexual behavior and its' preventions. However, future longitudinal studies are needed to clarify whether depressive symptoms is a major influential factor that might interfere with the effectiveness of HIV/AIDS prevention programs.
journal_name
Int J Nurs Studjournal_title
International journal of nursing studiesauthors
Lee YH,Salman A,Fitzpatrick JJdoi
10.1016/j.ijnurstu.2008.11.007subject
Has Abstractpub_date
2009-05-01 00:00:00pages
653-60issue
5eissn
0020-7489issn
1873-491Xpii
S0020-7489(08)00341-6journal_volume
46pub_type
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