{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,26]],"date-time":"2025-10-26T21:27:37Z","timestamp":1761514057783,"version":"build-2065373602"},"reference-count":51,"publisher":"CSIRO Publishing","issue":"4","license":[{"start":{"date-parts":[[2025,9,10]],"date-time":"2025-09-10T00:00:00Z","timestamp":1757462400000},"content-version":"vor","delay-in-days":76,"URL":"https:\/\/doi.org\/10.1071\/journalslicense"}],"funder":[{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["72204129"],"award-info":[{"award-number":["72204129"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100007129","name":"Natural Science Foundation of Shandong Province","doi-asserted-by":"publisher","award":["ZR2021QG029"],"award-info":[{"award-number":["ZR2021QG029"]}],"id":[{"id":"10.13039\/501100007129","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,8,29]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Psychosexual health refers to an individual\u2019s capacity to acquire sexual knowledge through appropriate means, develop healthy values, accept bodily changes, align with socio-cultural norms and regulate sexual behaviors. The study aimed to explore the relative importance of general self-efficacy, sexual refusal self-efficacy, peer relationship, parental monitoring and parent\u2013teen communication about sex in influencing psychosexual health among secondary vocational school students.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A total of 2895 secondary vocational school students from of Shandong province in China were selected to complete the General Self-Efficacy Scale, Sexual Refusal Self-Efficacy Questionnaire, Peer Relationship Scale, Parental Monitoring Questionnaire, Parent\u2013Teen Communication about Sex Questionnaire, School Connectedness Scale, School Sex Education Questionnaire and High School Student Psychosexual Health Scale. Dominance analysis was used for statistical analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Dominance analysis revealed that importance rankings of the socio-ecological factors on psychosexual health in descending order were: peer relationship (the degree of contribution was 36.1%), parent\u2013adolescent communication about sex (the degree of contribution was 34.2%), general self-efficacy (the degree of contribution was 14.5%), sexual refusal self-efficacy (the degree of contribution was 9.6%) and parental monitoring (the degree of contribution was 5.9%).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Peer relationship, parent\u2013adolescent communication about sex, general self-efficacy, sexual refusal self-efficacy and parental monitoring are the main socio-ecological factors on psychosexual health among secondary vocational school students. Accordingly, helping students build good peer relationships, facilitating appropriate parent\u2013adolescent communication about sex and proper parental monitoring, and increasing students\u2019 general self-efficacy and sexual refusal self-efficacy are crucial measures to improve psychosexual health for secondary vocational school students.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1071\/sh25001","type":"journal-article","created":{"date-parts":[[2025,6,25]],"date-time":"2025-06-25T19:48:10Z","timestamp":1750880890000},"source":"Crossref","is-referenced-by-count":0,"title":["The relative importance of socio-ecological factors in regard to psychosexual health among adolescent students: based on dominance analysis"],"prefix":"10.1071","volume":"22","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-9453-6393","authenticated-orcid":true,"given":"Xiuqing","family":"Fang","sequence":"first","affiliation":[{"name":"ASchool of Nursing, Qingdao University, Qingdao 266071, Shandong 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