Two heads are better than one: the association between condom decision-making and condom use errors and problems

Two heads are better than one: the association between condom decision-making and condom use errors and problems
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两个头比一个好:安全套决策与安全套使用错误和问题之间的关联

DOI:
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发表时间:
2008
影响因子:
3.6
通讯作者:
W. Yarber
W. Yarber
中科院分区:
医学2区
文献类型:
--
作者:
R. Crosby;R. Milhausen;S. Sanders;C. Graham;W. Yarber

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目的:这项探索性研究比较了男性与单方面做出决定的男性之间的安全套使用错误和问题的频率,报告阴茎阴道性交使用安全套是双方决定的。方法:近 2000 人完成了网络调查问卷。对 660 名男性的子样本进行了分析,他们报告说他们最后一次使用安全套进行阴茎阴道性交(在过去三个月内)。评估了九个安全套使用错误/问题。多变量分析控制了男性的年龄、婚姻状况和使用安全套的经验水平。结果:男性的单方面决策与性行为结束前取出安全套的几率增加相关(调整后优势比 (AOR) 2.51,p = 0.002)、破裂(AOR 3.90,p = 0.037)和退出期间滑落(AOR 2.04,p = 0.019)。男性自我报告的使用安全套的经验水平与九个错误/问题中的七个显着相关,那些表明经验较少的人始终报告更多的错误/问题。结论:研究结果表明,女性参与阴茎阴道性交使用安全套的决定可能在一定程度上可以防止某些安全套错误/问题。男性自我报告的使用安全套的经验水平可能是一个有用的指标,表明是否需要旨在促进正确使用安全套的教育。教育计划可以通过敦促男性让女性伴侣参与安全套的使用决定而使男性受益。
Objectives: This exploratory study compared the frequency of condom use errors and problems between men reporting that condom use for penile–vaginal sex was a mutual decision compared with men making the decision unilaterally. Methods: Nearly 2000 people completed a web-based questionnaire. A sub-sample of 660 men reporting that they last used a condom for penile–vaginal sex (within the past three months) was analysed. Nine condom use errors/problems were assessed. Multivariate analyses controlled for men’s age, marital status, and level of experience using condoms. Results: Men’s unilateral decision-making was associated with increased odds of removing condoms before sex ended (adjusted odds ratio (AOR) 2.51, p = 0.002), breakage (AOR 3.90, p = 0.037), and slippage during withdrawal (AOR 2.04, p = 0.019). Men’s self-reported level of experience using condoms was significantly associated with seven out of nine errors/problems, with those indicating less experience consistently reporting more errors/problems. Conclusions: Findings suggest that female involvement in the decision to use condoms for penile–vaginal sex may be partly protective against some condom errors/problems. Men’s self-reported level of experience using condoms may be a useful indicator of the need for education designed to promote the correct use of condoms. Education programmes may benefit men by urging them to involve their female partner in condom use decisions.
一群性传播疾病高风险女性的乳胶避孕套机械失效。
DOI: 10.1097/00007435-199909000-00006
发表时间: 1999
影响因子: 3.1
作者:
Macaluso,M;Kelaghan,J;Artz,L;Austin,H;Fleenor,M;Hook3rd,EW;Valappil,T
通讯作者: Valappil,T