An intervention study examining the effects of condom wrapper graphics and scent on condom use in the Botswana Defence Force.
An intervention study examining the effects of condom wrapper graphics and scent on condom use in the Botswana Defence Force.
复制标题
一项干预研究，探讨安全套包装图形和气味对博茨瓦纳国防军使用安全套的影响。
DOI：
10.1080/09540121.2013.860420
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发表时间：
2014
期刊：
影响因子：
1.7
通讯作者：
Shaffer,Richard
中科院分区：
文献类型：
--
作者：
Tran,BonnieRobin;Thomas,AnneGoldzier;Vaida,Florin;Ditsela,Mooketsi;Phetogo,Robert;Kelapile,David;Haubrich,Richard;Chambers,Christina;Shaffer,Richard
博茨瓦纳国防军（BDF）人员通常不使用政府提供的免费避孕套，因为它们有难闻的气味和不吸引人的包装。与BDF的形成性工作发现，有香味的避孕套和军事灵感（伪装）包装图形对人员有吸引力。实施了一项非随机干预研究，以确定安全套包装图形和气味是否改善了BDF中的安全套使用。四个军事地点被选定参加。南部的两个研究中心收到了用普通包装纸包装的干预避孕套，北部的两个研究中心收到了用军事包装纸包装的干预避孕套;干预避孕套有香味或无味。211名年龄在18-30岁之间、曾经发生过性行为的男性士兵同意参加。性活动和避孕套的使用是通过性行为日记在干预前后进行测量的。计算每个参与者的安全套使用率（CUR;受保护性行为的频率除以总的性行为频率）。平均CURs随时间显著增加（基线为85.7%，干预后为94.5%）。与普通包装相比，接受军用包装的干预避孕套的参与者随着时间的推移使用避孕套的调整几率更高。调整后的避孕套使用率也更高的参与者谁报告使用香味与无味避孕套。提供有香味的安全套和用军事包装袋包装的安全套可能有助于增加安全套的使用，减少军事人员中的艾滋病毒感染。
Free condoms provided by the government are often not used by Botswana Defence Force (BDF) personnel due to a perceived unpleasant scent and unattractive wrapper. Formative work with the BDF found that scented condoms and military-inspired (camouflage) wrapper graphics were appealing to personnel. A non-randomized intervention study was implemented to determine whether condom wrapper graphics and scent improved condom use in the BDF. Four military sites were selected for participation. Two sites in the south received the intervention condom wrapped in a generic wrapper and two sites in the north received the intervention condom wrapped in a military-inspired wrapper; intervention condoms were either scented or unscented. Two hundred and eleven male soldiers who ever had sex, aged 18–30 years, and stationed at one of the selected sites consented to participate. Sexual activity and condom use were measured pre- and post-intervention using sexual behavior diaries. A condom use rate (CUR; frequency of protected sex divided by the total frequency of sex) was computed for each participant. Mean CURs significantly increased over time (85.7% baseline vs. 94.5% post-intervention). Adjusted odds of condom use over time were higher among participants who received the intervention condom packaged in the military wrapper compared with the generic wrapper. Adjusted odds of condom use were also higher for participants who reported using scented vs. unscented condoms. Providing scented condoms and condoms packaged in a miltiary-inspired wrapper may help increase condom use and reduce HIV infection among military personnel.