Knowledge of correct condom use and consistency of use among adolescents in four countries in sub-Saharan Africa.
Knowledge of correct condom use and consistency of use among adolescents in four countries in sub-Saharan Africa.
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DOI：
10.2307/25549740
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发表时间：
2007-12-01
影响因子：
1
通讯作者：
Konyani, Sidon
中科院分区：
文献类型：
--
作者：
Bankole, Akinrinola;Ahmed, Fatima H;Konyani, Sidon
本文利用2004年全国青少年调查的数据，详细分析了布基纳法索、加纳、马拉维和乌干达青少年对正确使用安全套和坚持使用安全套的知识及其协变量。对男女青少年正确使用安全套知识的最强预测因素是接触安全套使用示范。在布基纳法索、加纳和乌干达，看过安全套示范的青少年比没有正确使用安全套知识的青少年的可能性高出2至5倍。年龄、是否在学校接受过性教育、是否上过学和是否接触过广播也是正确使用知识的重要预测因素，尤其是在男性中。正如年轻男子的行为所表明的那样，青少年使用安全套的程度在各国之间存在差异。然而，它远未达到所需的100%水平。报告在调查前3个月内持续使用该方法的比例在布基纳法索为38%，在加纳为47%，在马拉维为20%，在乌干达为36%。伴侣之间的年龄差异是持续使用避孕套的一个主要决定因素：伴侣比自己小0-4岁的年轻男子持续使用避孕套的可能性是伴侣比自己小5-9岁的年轻男子的2.5倍。持续使用安全套的其他重要预测因素是居住地、教育、生活安排和接触大众媒体，特别是广播和报纸。这项研究的结果指出了政策和方案可以解决的领域，为青少年提供他们实现健康的性生活和生殖生活所需的各种信息和服务。
Using data from the 2004 National Adolescent Surveys, this paper undertook a detail analysis of knowledge of correct condom use and consistency of use, as well as their covariates, among adolescents in Burkina Faso, Ghana, Malawi and Uganda. The strongest predictor of knowledge of correct condom use among both male and female adolescents is exposure to a condom use demonstration. In Burkina Faso, Ghana and Uganda, adolescents who have seen a condom demonstration are 2 to 5 times as likely as those who have not to have good knowledge of correct condom use. Age, ever received sex education in school, ever attended school and exposure to the radio are also significant predictors of knowledge of correct use, particularly among men. As indicated by behavior among young men, the extent to which adolescents use the condom consistently varies across countries. Yet, it is nowhere near the required 100% level. The proportion reporting consistent use of the method in the 3 months preceding the survey is 38% in Burkina Faso, 47% in Ghana, 20% in Malawi and 36% in Uganda. Age difference between partners is a major determinant of consistent use of condoms: young men whose partner is 0-4 years younger are about two and a half times more likely to use condoms consistently than those who whose partner is 5-9 years younger. Other important predictors of consistent condom use are residence, education, living arrangement and exposure to mass media, specifically the radio and newspaper. Findings from this study point to areas that policy and program can address to provide adolescents access to the kinds of information and service they need to achieve healthy sexual and reproductive lives.