Lack of recent condom use among detained adolescent males: a multilevel investigation
Lack of recent condom use among detained adolescent males: a multilevel investigation
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DOI：
10.1136/sti.2004.009639
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发表时间：
2004-12-01
影响因子：
3.6
通讯作者：
DiClemente, RJ
中科院分区：
文献类型：
--
作者：
Crosby, R;Salazar, LF;DiClemente, RJ
目的：调查多个层次的影响，就缺乏最近的安全套使用之间的高风险样本的青少年男性招募从短期拘留facility.Methods：一个横断面调查231名青少年男性服务，主要是短期拘留判决。评估采用音频计算机辅助自我访谈。在最近的性行为中使用避孕套的情况以及20种不使用避孕套的潜在相关因素进行了评估。在五个层次的因果关系：个人，关系，同伴关系，家庭和social.Results：九个相关因素达到双变量显着性（p< 0.05）。其中，个人水平相关性在多元模型中尤其重要。避孕套障碍量表的动机分量表是最近使用避孕套的最强的多变量相关。得分低于中位数的青少年报告最近没有使用避孕套的可能性约为3.4倍（p = 0.0006）。表示曾导致怀孕的青少年报告未使用避孕套的可能性约为2.5倍（p = 0.02）。最后，那些报告他们的同龄人没有使用避孕套的两倍可能报告缺乏使用（p = 0.048）。结论：在调查多层次的潜在影响避孕套的使用，多变量的研究结果表明，个人层面的因素可能是最重要的决定因素，不使用青少年男性在短期拘留设施。虽然可能需要进行结构性改革，以影响某些形式的安全性行为，但对青少年男性进行直接干预，以有利地改变使用避孕套的决定因素，可能是合理的。
Objective: To investigate multiple levels of influence with respect to the lack of recent condom use among a high risk sample of adolescent males recruited from short term detention facilities.Methods: A cross sectional survey of 231 adolescent males serving, predominantly, short term detention sentences. Assessments were conducted using audiocomputer assisted self interviewing. Condom use during the most recent sexual event was assessed as well as 20 potential correlates of not using condoms. Correlates were assessed within five levels of causation: personal, relational, peer affiliation, family, and societal.Results: Nine correlates achieved bivariate significance ( p< 0.05). Of these, the personal level correlates were particularly important in a multivariate model. The motivation subscale from the Condom Barriers Scale was the strongest multivariate correlate of recent condom use. Adolescents scoring below the median were about 3.4 times more likely to report lack of recent condom use ( p = 0.0006). Adolescents indicating they had ever caused a pregnancy were about 2.5 times more likely to report lack of condom use ( p = 0.02). Finally, those reporting their peers did not use condoms were about twice as likely to report lack of use ( p = 0.048).Conclusion: Upon investigating multiple levels of potential influence on condom use, the multivariate findings suggest that personal level factors may be the most important determinant of non-use among adolescent males in short term detention facilities. Although structural changes may be needed to influence some forms of safer sex behaviour, direct intervention with adolescent males may be justified to favourably alter determinants of condom use.