Correlates of Condom Use Among Male High School Students in Nairobi, Kenya
Correlates of Condom Use Among Male High School Students in Nairobi, Kenya
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DOI：
10.1111/j.1746-1561.2009.00430.x
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发表时间：
2009-09-01
影响因子：
2.2
通讯作者：
Orpinas, Pamela
中科院分区：
文献类型：
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作者：
Kabiru, Caroline W.;Orpinas, Pamela
背景正确和持续使用避孕套是降低性传播感染(STI)风险的有效策略。本研究调查了3组青少年男性的社会人口学、行为和心理社会特征：持续使用安全套、零星使用安全套和不使用避孕套。用交叉表和一般线性模型检验各解释变量与避孕套使用者群体之间的关系。与非使用者和零星使用者相比，始终如一的使用者在较大的年龄首次发生性行为，并报告了更高的避孕套使用自我效能感，对安全性行为的同伴态度更积极，对避孕套的使用态度更强烈。与零星和持续的吸毒者相比，不吸毒者报告的性伴侣更少，物质使用更少，与非浪漫伴侣的性行为更频繁。与其他两组相比，零星使用者拥有更多的性伴侣和更强烈的态度，支持男性和女性扮演不同的角色。3组人群的HIV/AIDS知识水平无差异。平均而言，受访者对三分之二的问题回答正确。所有人群都认为自己感染性病的风险很低，这种看法与避孕套的使用情况没有什么不同。每组参与者的年龄差异很小。结论这项研究支持针对特定避孕套使用群体进行干预的必要性。
BACKGROUNDCorrect and consistent condom use is an effective strategy to reduce the risk of sexually transmitted infections (STIs). This study examines sociodemographic, behavioral, and psychosocial characteristics of 3 groups of adolescent males: consistent, sporadic, and non-condom users.METHODSThe sample consisted of 931 sexually experienced male high school students in Nairobi, Kenya. Cross tabulations and general linear models were used to test the relation between each explanatory variable and condom user group.RESULTSFifty-three percent of respondents reported having used condoms. Compared with nonusers and sporadic users, consistent users engaged in sexual intercourse for the first time at an older age and reported higher condom use self-efficacy, more positive peer attitudes toward safe sex, and stronger attitudes toward condom use. Compared with sporadic and consistent users, nonusers reported fewer sexual partners, less substance use, and more frequent intercourse with non-romantic partners. Sporadic users, compared with the other 2 groups, had more sexual partners and stronger attitudes that support that males and females have separate roles. The 3 groups did not differ in HIV/AIDS knowledge. On average, respondents responded correctly to two thirds of the questions. All groups perceived their risk of contracting an STI as low, and this perception did not differ by condom use. Differences in participants' age by group were minimal.CONCLUSIONSThe study supports the need for interventions that target specific condom use groups.