Do sexual health services encourage teenagers to use condoms? A longitudinal study
Do sexual health services encourage teenagers to use condoms? A longitudinal study
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DOI：
10.1783/jfp.31.2.271
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发表时间：
2005-10-01
影响因子：
--
通讯作者：
Wight, D
中科院分区：
文献类型：
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作者：
Parkes, A;Henderson, M;Wight, D
目的性健康服务有可能通过免费提供安全套和咨询来鼓励青少年使用安全套。本研究调查了参加性健康服务的15/16岁青少年与不参加这些服务的青少年相比是否更多地使用安全套以及对安全套有不同的信念。一个横截面多变量模型调查了服务访问和安全套一致性之间的关系，（使用避孕套的次数与青少年在过去一年中发生性行为的次数的比率）在15/16岁的青少年（n = 1013）。其次，纵向多变量模型研究服务使用和变化之间的联系，在13/14岁和15/16岁（n = 3432）测量的安全套相关的认知。结果访问服务免费安全套与更大的安全套一致性，控制对安全套的态度，安全套购买和其他因素。出于其他目的访问服务与较低的一致性相关。获得免费的避孕套服务预测更大的避孕套自我效能和个人责任感，并降低负面情绪与性快感时，使用避孕套。然而，访问其他目的的服务预测不太积极的态度对双重protection.Conclusions获得免费的安全套服务与更大的安全套使用和积极的变化，对安全套的态度，虽然服务咨询的作用仍不清楚。服务部门可以做更多的工作来强调在开避孕药时需要继续对性传播感染（STI）进行双重保护。
Objective Sexual health services have the potential to encourage teenagers' condom use through both the free supply of condoms and counselling. This study investigated whether 15/16-year-olds who attended sexual health services used condoms more and had different beliefs about condoms compared to those who did not use these services.Methods First, a cross-sectional multivariate model investigated the association between service visits and condom consistency (a ratio of the number of times a condom was used to the number of times a teenager had sexual intercourse in the past year) in teenagers at age 15/16 years (n = 1013). Second, a longitudinal multivariate model examined links between service use and changes in condom-related cognitions measured at age 13/14 and age 15/16 years (n = 3432).Results Visiting a service for free condoms was linked with greater condom consistency, after controlling for attitudes towards condoms, condom purchase and other factors. Visiting a service for other purposes was associated with lower consistency. Obtaining free condoms from services predicted greater condom self-efficacy and personal responsibility, and lower negative feelings relating to sexual pleasure when condoms were used. However, visiting a service for other purposes predicted less positive attitudes towards dual protection.Conclusions Obtaining free condoms from services was associated with greater condom use and positive changes in attitudes towards condoms, although the role of service counselling remains unclear. Services could do more to stress the need for continued dual protection against sexually transmitted infections (STIs) when prescribing the pill.