Dual method use at last sexual encounter: a nationally representative, episode-level analysis of US men and women Prepared for resubmission to Contraception
Dual method use at last sexual encounter: a nationally representative, episode-level analysis of US men and women Prepared for resubmission to Contraception
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DOI：
10.1016/j.contraception.2014.06.003
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发表时间：
2014-10-01
期刊：
影响因子：
2.9
通讯作者：
Fortenberry, J. Dennis
中科院分区：
文献类型：
--
作者：
Higgins, Jenny A.;Smith, Nicole K.;Fortenberry, J. Dennis
目标：男用避孕套与其他避孕药结合使用可增加对怀孕和性传播感染的保护。然而，很少有分析的背景下使用的双重方法的性episode，包括男性的报告或探讨性别的模式在reporting.Study设计：我们分析了双重方法的使用模式，使用全国代表性的数据集的18-44岁在美国（N=404名男性，416名女性）。受访者表示，避孕方法使用在最后阴茎阴道性交，避孕套的做法和关系和性的信息，特定partner.Results：超过三分之一的阴茎阴道性交事件（40%）涉及男用避孕套的用途：28%的避孕套，12%的避孕套加上一个非常有效的方法。双重方法报告没有显着差异，性别。在双重方法的使用者中，只有59%的人报告在整个性交过程中使用避孕套，而35%的人开始性交时没有避孕套，6%的人在性交过程中取出避孕套。报告不正确使用避孕套的男性比例高于女性（49%对35%），但这一差异在统计学上并不显著。只有50%的双重方法的用户报告安全套的使用在所有的最后10性交epissions.Conclusions：许多人被归类为“双重用户”在以前的研究中可能不会使用双重方法一致或正确。研究人员和从业人员在评估和解决双重方法使用时，应询问如何使用避孕套以及使用避孕套的频率。此外，虽然很少对男子进行关于双重避孕方法使用情况的调查，但他们可以提供一致的避孕估计数，而且可能更有可能报告避孕套使用情况，如晚使用或早取出。(C)2014 Elsevier Inc. All rights reserved.
Objectives: Male condom use in conjunction with other contraceptives increases protection against pregnancy and sexually transmitted infections. However, few analyses contextualize dual method use within the sexual episode, include reports from men or explore gendered patterns in reporting.Study design: We analyzed dual method use patterns using a nationally representative dataset of 18-44 years old in the US (N=404 men, 416 women). Respondents indicated contraceptive methods used at last penile vaginal intercourse, condom practices and relationship and sexual information about that particular partner.Results: More than one-in-three penile vaginal intercourse episodes (40%) involved male condom use: 28% condom only and 12% condom plus a highly effective method. Dual method reporting did not differ significantly by gender. Among dual method users, only 59% reported condom use during the entire intercourse episode, while 35% began intercourse without one and 6% removed the condom during intercourse. A greater proportion of men than women reported incorrect use of condoms (49% versus 35%), though this difference was not statistically significant. Only 50% of dual method users reported condom use in all of their last 10 intercourse episodes.Conclusions: Many people classified as "dual users" in previous studies may not be using dual methods consistently or correctly. Researchers and practitioners should inquire how and how often condoms are used when assessing and addressing dual method use. Furthermore, though men have rarely been surveyed about dual method use, they can provide consistent contraceptive estimates and may be more likely to report condom practices such as late application or early removal. (C) 2014 Elsevier Inc. All rights reserved.