Women bar drinkers' discussions about birth control and risky sexual behavior.
Women bar drinkers' discussions about birth control and risky sexual behavior.
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女性禁止饮酒者讨论节育和危险性行为。
DOI：
10.1007/s10508-011-9834-1
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发表时间：
2012
影响因子：
3.8
通讯作者：
Collins,RLorraine
中科院分区：
文献类型：
--
作者：
Levonyan-Radloff,Kristine;Parks,KathleenA;Collins,RLorraine
这项研究评估了如何在性活动前的避孕讨论影响避孕套的使用在225名年轻女性酒吧饮酒者的样本。酒精和其他药物的使用（AOD）和伴侣类型也进行了评估。数据收集通过每日报告和定性访谈超过12周。共报告了1671起性事件（M= 7.4起事件/参与者），其中64.7%（n= 1081）未使用安全套。在所有性事件中，10.9%（n= 183）的人在讨论避孕措施之前进行了讨论。这些讨论更有可能是由妇女发起的，并且在使用AOD时发生。专题分析揭示了四个共同的主题：确认使用避孕套的必要性，确认口服/激素避孕药的使用，充分使用避孕措施，以及避孕套的使用不一致。当性伴侣更亲密时，讨论降低了危险性行为的发生率（即，男朋友/约会伙伴），无论是否使用AOD，以及当性伙伴是朋友或前伴侣并且没有使用AOD时。专题分析表明，预防怀孕是讨论安全套使用的一个更强有力的动机，而不是感染性传播感染的风险。鉴于高风险的合作伙伴，性传播感染的历史，以及有限的时间，妇女报告知道“定期”的合作伙伴，我们建议，旨在减少危险性行为的干预措施，应量身定制，以提高妇女的性传播感染和怀孕风险的意识时，在AOD的影响下，并促进安全套的使用，无论合作伙伴类型。
This study evaluated how birth control discussions prior to sexual activity affected condom use in a sample of 225 young women bar drinkers. The use of alcohol and other drugs (AOD) and partner type also were assessed. Data were collected through daily reports and qualitative interviews over 12 weeks. A total of 1671 sexual events were reported (M= 7.4 events per participant), of which 64.7% (n= 1081) did not involve condom use. Discussions of birth control occurred prior to 10.9% (n= 183) of all sexual events. These discussions were more likely to be initiated by the woman and to occur when AOD had been used. Thematic analysis revealed four common themes: confirmation of the need to use condoms, confirmation of oral/hormonal contraceptive use, use of sufficient birth control, and discrepant condom use. The discussions reduced rates of risky sex when the sexual partner was more intimate (i.e., boyfriend/dating partner), regardless of AOD use and when the sexual partner was a friend or ex-partner and no AOD were used. The thematic analysis suggested that pregnancy prevention was a stronger motivation for discussing condom use, rather than risk of contracting an STI. Given the substantial rate of high risk partners, history of STIs, and limited amount of time women reported knowing “regular” partners, we suggest that interventions designed to reduce risky sex should be tailored to increase women’s awareness of STI and pregnancy risk when under the influence of AOD, and promote condom use regardless of partner type.