Factors associated with condom use among at-risk women students and nonstudents seen in managed care.
Factors associated with condom use among at-risk women students and nonstudents seen in managed care.
复制标题
在管理式护理中看到的高危女学生和非学生中与安全套使用相关的因素。
DOI：
10.1016/s0091-7435(03)00109-9
复制
发表时间：
2003
影响因子：
5.1
通讯作者：
Scholes,Delia
中科院分区：
文献类型：
--
作者：
Yarnall,KimberlySH;McBride,ColleenM;Lyna,Pauline;Fish,LauraJ;Civic,Diane;Grothaus,Louis;Scholes,Delia
性传播疾病（STD）的研究主要集中在高危人群，如性病门诊患者和大学生。本报告探讨了在初级保健中看到的非学生妇女中无保护性行为的预测因素。研究资料数据来自一项干预试验的基线调查，该试验测试量身定制的印刷材料，以鼓励使用避孕套。人口合格的妇女是从两个管理式保健组织的自动数据库中确定的，年龄在18 - 25岁，未婚，在过去6个月内异性性行为活跃，结果比较了非全日制学生（n = 711）和全日制学生（n = 390）的危险行为的发生频率和对无保护阴道性行为发生的相对贡献。在两个子样本中，无保护的性行为普遍存在，并且与无保护的性行为有相似的关联。年龄较大，使用激素或没有通常的避孕措施，并有一个“主要”的合作伙伴增加无保护的性行为;合作伙伴批准的避孕套，并购买或携带避孕套减少unprotected sex.CONCLUSION虽然性活跃的单身妇女在初级保健认为自己在低性病风险，他们的风险概况是类似的高风险人群。需要采取以诊所为基础的干预措施，包括积极主动地查明有风险的妇女和鼓励安全性行为的制度。
OBJECTIVESSexually transmitted diseases (STD) research has focused on high-risk populations such as STD clinic patients and college students. This report examines predictors of unprotected sex among nonstudent women seen in primary care.STUDY DESIGNData are taken from the baseline survey of an intervention trial testing tailored print materials to encourage condom use.POPULATIONEligible women were identified from automated databases of two managed care organizations and were ages 18–25, unmarried, heterosexually active in the prior 6 months, and not in a long-term monogamous relationship.OUTCOMESThe frequency of and relative contribution of risk behaviors to occurrences of unprotected vaginal sex were compared among non-full-time students (n = 711) and full-time students (n = 390).RESULTSSTD risk behaviors were prevalent and had similar associations with unprotected sex in both subsamples. Older age, using hormonal or no usual contraception, and having a “primary” partner increased unprotected sex; partner approval of condoms and having bought or carried condoms decreased unprotected sex.CONCLUSIONWhile sexually active single women seen in primary care perceive themselves at low STD risk, their risk profiles are similar to those of higher risk populations. Clinic-based interventions that include proactive identification of at-risk women and systems for encouraging safer sex practices are needed.