@article{ref1,
title="Acculturative stress, poor mental health and condom-use intention among international students in China",
journal="Health education journal",
year="2018",
author="Yang, N. and Xu, Y. and Chen, X. and Yu, B. and Yan, H. and Li, S.",
volume="77",
number="2",
pages="142-155",
abstract="OBJECTIVES: Engaging in sexual risk behaviour can be a maladaptive strategy for international students to deal with stress. This study examined the role of poor mental health in mediating the relationship between acculturative stress and condom-use intention among international students in Beijing, China. <br><br>METHODS: The study used a cross-sectional design, and the participants were enrolled through convenience sampling. The mediation effects of poor mental health were assessed using structural equation modelling. Setting: Participants included 299 international students (143 men, mean age = 21.87 ± 3.23) who were studying in Beijing, China. <br><br>RESULTS: Correlation analysis revealed that acculturative stress was negatively associated with condom-use intentions (r = -.250, p <.01) and positively associated with poor mental health (r =.458, p <.01). Condom-use intentions were negatively related to poor mental health (r = -.258, p <.01). Structural equation model analysis showed that overall poor mental health, as well as anxiety, phobic anxiety and psychoticism, mediated the relationship between acculturative stress and condom-use intentions among men. The same mediation effects for women were not statistically significant. <br><br>CONCLUSIONS: Poor mental health can mediate the relationship between acculturative stress and condom-use intention among male international students in Beijing, China. <br><br>FINDINGS suggest that programmes and interventions to target acculturative stress and psychological problems may be useful in preventing international students from engaging in sexual risk behaviour. © 2017, © The Author(s) 2017.<p /><p>Language: en</p>",
language="en",
issn="0017-8969",
doi="10.1177/0017896917739443",
url="http://dx.doi.org/10.1177/0017896917739443"
}