Condom Use by Adolescents
Condom Use by Adolescents
复制标题
DOI：
10.1542/peds.2013-2821
复制
发表时间：
2013-11-01
期刊：
影响因子：
8
通讯作者：
Del Monte, Mark
中科院分区：
文献类型：
--
作者：
O'Brien, Rebecca F.;Blythe, Margaret J.;Del Monte, Mark
在过去十年中，青少年的性活动率、怀孕率和生育率继续下降，降至历史最低水平。尽管出现了这些积极趋势，但许多青少年仍然面临意外怀孕和性传播感染的风险。制定本政策声明的目的是帮助儿科医生理解和支持患者使用避孕套，以防止意外怀孕和性传播感染，并解决使用避孕套的障碍。如果始终正确使用，男用乳胶避孕套可以降低怀孕和许多性传播感染（包括艾滋病毒）的风险。自12年前发表上一份政策声明以来，越来越多的证据支持避孕套提供的预防性传播感染的保护。青少年感染性传播感染/艾滋病毒的比率仍然高得令人无法接受。增加避孕套供应或获得的干预措施，如果与包括安全性行为信息在内的额外个人、小团体或社区一级的活动相结合，则最为有效。需要继续开展研究，为青少年公共卫生干预措施提供信息，以增加安全套的一致和正确使用，并促进安全套与其他有效避孕方法对预防性传播感染的双重保护。
Rates of sexual activity, pregnancies, and births among adolescents have continued to decline during the past decade to historic lows. Despite these positive trends, many adolescents remain at risk for unintended pregnancy and sexually transmitted infections (STIs). This policy statement has been developed to assist the pediatrician in understanding and supporting the use of condoms by their patients to prevent unintended pregnancies and STIs and address barriers to their use. When used consistently and correctly, male latex condoms reduce the risk of pregnancy and many STIs, including HIV. Since the last policy statement published 12 years ago, there is an increased evidence base supporting the protection provided by condoms against STIs. Rates of acquisition of STIs/HIV among adolescents remain unacceptably high. Interventions that increase availability or accessibility to condoms are most efficacious when combined with additional individual, small-group, or community-level activities that include messages about safer sex. Continued research is needed to inform public health interventions for adolescents that increase the consistent and correct use of condoms and promote dual protection of condoms for STI prevention with other effective methods of contraception.