Condom use by women recently diagnosed with a sexually transmitted infection: effects of study methodology on the apparent influence of hormonal/surgical contraception.
Condom use by women recently diagnosed with a sexually transmitted infection: effects of study methodology on the apparent influence of hormonal/surgical contraception.
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最近被诊断患有性传播感染的女性使用安全套：研究方法对激素/手术避孕的明显影响的影响。
DOI：
10.1097/01.olq.0000145856.33245.60
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发表时间：
2004
影响因子：
3.1
通讯作者：
Lavori,Philip
中科院分区：
文献类型：
--
作者：
Wilson,SandraR;Brown,NancyL;Chin,Victor;Levin,David;Kao,Ya-Min;Hu,Paul;Lavori,Philip
目的/目标：本研究的目的是调查持续使用避孕套（CCU）的潜在预测因素，包括激素避孕/手术绝育（HC/SS）的影响。研究：在214名性活跃、18- 45岁、既往诊断为性传播感染的女性中，使用回归方法预测CCU和CU的其他指标。CCU与年轻、非裔美国人、临时性伴侣、最近的HIV检测、安全套使用自我效能和对伴侣关系的关注显著相关。在控制混杂因素（年龄、种族、临时伴侣）之前（HC/SS，21.3%，非HC/SS，25.3%;比值比[OR]，0.798; P= 0.4914）或之后（OR，1.209; P= 0.5995），HC/SS与CCU的可能性无显著相关性。控制年龄和种族消除了HC/SS和3种间隔安全套使用替代措施（“任何使用"、“无保护行为次数"、“安全套保护接触比例”）之间最初显著或接近显著的负相关，并大大降低了HC/SS和“最后一次性行为时使用安全套”之间的相关性。结论：避孕套使用措施的选择和控制的混杂变量可以在很大程度上影响研究结果时，避孕套使用的潜在预测因素，如HC/SS。
Objective/Goal: The objective of this study was to investigate potential predictors of consistent condom use (CCU), including the influence of hormonal contraception/surgical sterilization (HC/SS).Study: Regression methods were used to predict CCU and other measures of CU among 214 sexually active, 18-to 45-year-old women previously diagnosed with a sexually transmitted infection.Results: CCU was significantly associated with younger age, African American ethnicity, having casual partners, recent HIV testing, condom use self-efficacy, and concern about partner relationship. HC/SS was not significantly associated with the likelihood of CCU, before (HC/SS, 21.3%, non-HC/SS, 25.3%; odds ratio [OR], 0.798; P= 0.4914) or after (OR, 1.209; P= 0.5995) controlling for confounders (age, ethnicity, casual partners). Controlling for age and ethnicity eliminated initial significant or near-significant inverse associations between HC/SS and 3 alternative measures of interval condom use (“any use,”“number of unprotected acts,”“proportion condom-protected contacts”) and substantially diminished the association between HC/SS and “condom use at last sex.”Conclusions: Choice of condom use measure and control of confounding variables can substantially affect results when studying potential predictors of condom use such as HC/SS.