Determinants of condom use among young people in urban Cameroon

Determinants of condom use among young people in urban Cameroon
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DOI:
10.1111/j.1728-4465.2002.00335.x
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发表时间:
2002-12-01
影响因子:
2.1
通讯作者:
Klein, M
Klein, M
中科院分区:
医学2区
文献类型:
--
作者:
Meekers, D;Klein, M

文献摘要

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为了减少青少年中的健康问题,喀麦隆的政府和非政府组织正在实施面向青年的生殖健康方案。为了便于设计有效的计划来增加避孕套的使用,这项研究检查了喀麦隆城市未婚年轻人中曾经使用过避孕套的决定因素以及目前与常规和临时伴侣使用避孕套的调查数据。而大多数人。青少年至少尝试过一次避孕套,使用情况仍然不一致。研究发现,父母支持、个人风险认知和自我效能感与避孕套的使用水平较高有关。旨在增加年轻人中新避孕套使用者数量的面向青年的方案应促进父母支持使用避孕套,并增强年轻人对个人风险的认识。旨在让年轻人相信他们的性史会使他们面临感染艾滋病毒的风险的项目,以及消除与定期伴侣一起感染艾滋病毒风险较低的神话的项目,可能有助于提高个人的风险认知。最后,沟通项目应该旨在提高青少年的自我效能感,特别是在他们说服伴侣使用避孕套并正确使用避孕套的能力方面。
To reduce the prevalence health problems among adolescents, governmental and nongovernmental organizations in Cameroon are implementing youth-oriented reproductive health programs. To facilitate the design of effective programs to increase condom use, this study examines survey data on the determinants of having ever used condoms and on current condom use with regular and casual partners among unmarried young people in urban Cameroon. While most. adolescents have, tried condoms at least once, use.,remains inconsistent. Parental support, personal risk perception, and self-efficacy are found to be associated with higher levels of condom use. Youth-oriented programs seeking to increase the number of new condom users among the young should promote parental support for condom use and enhance young people's perceptions of personal risk. Programs that work to convince the young that their sexual history can put them at risk of HIV infection and that dispel the myth that HIV risk with regular partners is low may serve to increase personal risk perception. Finally, communications programs should aim to increase adolescents' self-efficacy, particularly in terms of their perceived ability to convince partners to use condoms and to use them correctly.