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Titre du document / Document title

Psychological mediating factors in an intervention to promote adolescent health care-seeking

Auteur(s) / Author(s)

HOGBEN Matthew (1) ; LEDSKY Rebecca (2) ; MIDDLESTADT Susan (2) ; VANDEVANTER Nancy (3) ; MESSERI Peter (3) ; MERZEL Cheryl (3) ; BLEAKLEY Amy (3) ; MALOTTE C. Kevin (4) ; SIONEAN C. Kristina (1) ; LAWRENCE Janet S. St. (1) ;

Affiliation(s) du ou des auteurs / Author(s) Affiliation(s)

(1) Centers for Disease Control and Prevention, Columbia University, ETATS-UNIS
(2) Center for Applied Behavioral Research, Columbia University, ETATS-UNIS
(3) Division of Sociomedical Sciences, Columbia University, ETATS-UNIS
(4) Health Sciences Department, California State University, Long Beach, ETATS-UNIS

Résumé / Abstract

Some of the highest rates of curable sexually transmitted diseases in the USA are found among adolescents. Routine, comprehensive health care that includes a sexual history may contribute to alleviating this problem. We designed and ran a three-session small-group workshop for adolescents, using local community organizations as intervention sites, with peers (typically 2-3 years older) helping facilitate the interactive sessions. Outcomes are summarized elsewhere: in this paper, we present an examination of theoretically based psychological mediating factors that we sought to influence during the intervention. Adolescents' health care-seeking beliefs, general attitudes to seeking care, and intentions to do so all changed such that they held more positive beliefs, evaluated health care more favorably, and developed stronger intentions to seek care. Furthermore, relationships among these constructs were strengthened according to theoretical precepts. Adolescents' self-efficacy and their perceptions of social norms pertaining to health care-seeking, however, were unaffected by the intervention. We explored gender differences in mediating factors, finding no interaction, although females did score higher on post-intervention attitude and intention measures.

Revue / Journal Title

Psychology, health & medicine    ISSN  1354-8506 

Source / Source

2005, vol. 10, no1, pp. 64-77 [14 page(s) (article)] (16 ref.)

Langue / Language

Anglais

Editeur / Publisher

Taylor & Francis, Abingdon, ROYAUME-UNI  (1996) (Revue)

Mots-clés anglais / English Keywords

Sociodemographic factor

;

Cognition

;

Infection

;

America

;

North America

;

Human

;

United States

;

Social environment

;

Mental health

;

Public health

;

Adolescent

;

Follow up study

;

Attitude change

;

Predictive factor

;

Psychosocial factor

;

Sex

;

Social norm

;

Cognitive attitude

;

Attitude

;

Self efficacy

;

Intention

;

Belief

;

Comparative study

;

Treatment

;

Help seeking

;

Health promotion

;

Prevention

;

Sexually transmitted disease

;

Mots-clés français / French Keywords

Facteur sociodémographique

;

Cognition

;

Infection

;

Amérique

;

Amérique du Nord

;

Homme

;

Etats Unis

;

Environnement social

;

Santé mentale

;

Santé publique

;

Adolescent

;

Etude longitudinale

;

Changement attitude

;

Facteur prédictif

;

Facteur psychosocial

;

Sexe

;

Norme sociale

;

Attitude cognitive

;

Attitude

;

Efficacité personnelle

;

Intention

;

Croyance

;

Etude comparative

;

Traitement

;

Recherche aide

;

Promotion santé

;

Prévention

;

Maladie sexuellement transmissible

;

Mots-clés espagnols / Spanish Keywords

Factor sociodemográfico

;

Cognición

;

Infección

;

America

;

America del norte

;

Hombre

;

Estados Unidos

;

Contexto social

;

Salud mental

;

Salud pública

;

Adolescente

;

Estudio longitudinal

;

Cambio actitud

;

Factor predictivo

;

Factor sicosocial

;

Sexo

;

Norma social

;

Actitud cognitiva

;

Actitud

;

Eficacia personal

;

Intencíon

;

Creencia

;

Estudio comparativo

;

Tratamiento

;

Busqueda ayuda

;

Promoción salud

;

Prevención

;

Enfermedad de transmisión sexual

;

Localisation / Location

INIST-CNRS, Cote INIST : 26456, 35400012574290.0060

Nº notice refdoc (ud4) : 16370541



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