title: Contextual influence of Taiwanese adolescents' sexual attitudes and behavioral intent.
abstract: This study examined parental, peer, and media influences on Taiwanese adolescents' attitudes toward premarital sex and intent to engage in sexual behavior. Participants included a convenience sample of 186 adolescents aged 13-15 recruited from two middle schools in Taiwan. Parental influence was indicated by perceived parental disapproval toward premarital sex and perceived peer sexual behavior was used to measure peer influence. Media influence was measured by the adolescents' perception of whether the media promotes premarital sex. We conducted structural equation modeling to test a hypothesized model. The findings suggested that the perceived sexual behavior of peers had the strongest effect on Taiwanese adolescents' sexual attitudes and behavioral intent, while parental disapproval and media influence also significantly contributed to adolescents' sexual attitudes and intent to engage in sex. School nurses are in an ideal position to coordinate essential resources and implement evidence-based sexually transmitted infection and HIV/AIDS prevention interventions that address issues associated with the influence of parents, peers, and media.
authors.affiliation: College of Nursing & Health Innovation, Arizona State University, Phoenix, Arizona, USA.
authors.forename: Angela Chia-Chen
authors.initials: AC
authors.lastname: Chen
authors.affiliation: Department of Medicine, Division of Prevention Sciences, Center for AIDS Prevention Studies, University of California, San Francisco, California, USA.
authors.forename: Torsten B
authors.initials: TB
authors.lastname: Neilands
authors.affiliation: Shu Zen College of Medicine and Management, Kaohsiung City, Taiwan.
authors.forename: Shu-Min
authors.initials: SM
authors.lastname: Chan
authors.affiliation: Department of Medicine, Division of Prevention Sciences, Center for AIDS Prevention Studies, University of California, San Francisco, California, USA.
authors.forename: Marguerita
authors.initials: M
authors.lastname: Lightfoot
mesh_terms: D000293:Adolescent; D000294:Adolescent Behavior / Q000523:psychology*; D016009:Chi-Square Distribution; D005260:Female; D006801:Humans; D033182:Intention; D008297:Male; D000067074:Peer Influence; D012725:Sexual Behavior / Q000523:psychology*; D011795:Surveys and Questionnaires; D013624:Taiwan
keywords: adolescent health; health promotion; school nursing; sexual health; social media