Predictors of condom use among young adults in South Africa: The Reproductive Health and HIV Research Unit National Youth Survey
Predictors of condom use among young adults in South Africa: The Reproductive Health and HIV Research Unit National Youth Survey
复制标题
DOI：
10.2105/ajph.2006.086009
复制
发表时间：
2007-07-01
影响因子：
12.7
通讯作者：
Rees, Helen V.
中科院分区：
文献类型：
--
作者：
Hendriksen, Ellen Setsuko;Pettifor, Audrey;Rees, Helen V.
目标。我们对南非15至24岁有过性经验的年轻人（n=7686）进行了全国性随机抽样，检查了安全套使用的相关性。使用来自生殖健康和艾滋病毒研究单位全国青年调查的数据，我们进行了性别分层的双变量和多变量逻辑回归分析，以确定受访者在最近的性交中是否使用安全套的预测因素。初次性交时使用避孕套以及与第一次性伴侣谈论避孕套是最近性交时使用避孕套的最重要预测因素。其他重要的预测因素包括高安全套使用自我效能，对未来的乐观，以及报告的可归因于艾滋病毒/艾滋病的行为改变。已婚或恋爱6个月或更长时间的年轻人在最近的性行为中使用避孕套的可能性要低得多。我们的研究结果指出，在青少年初次性行为之前，让他们接受性教育、自愿咨询和测试以及支持年轻人（尤其是年轻女性）在性行为和避孕套方面做出明智决定的计划是非常重要的。
Objectives. We examined correlates of condom use among a national random probability sample of sexually experienced young adults aged 15 to 24 years (n=7686) in South Africa.Methods. Using data from the Reproductive Health and HIV Research Unit National Youth Survey, we conducted gender-stratified bivariate and multivariate logistic regression analyses to determine predictors of whether respondents had used a condom during their most recent sexual intercourse.Results. Condom use at sexual debut and talking with one's first sexual partner about condoms were the most significant predictors of condom use at most recent intercourse. Other significant predictors included high condom use self-efficacy, optimism about the future, and reported behavior change attributable to HIV/AIDS. Young adults who were married or had been involved in a relationship for 6 months or more were significantly less likely to have used a condom during their most recent sexual intercourse.Conclusions. Our findings point to the importance of exposing youths to sexuality education before their sexual debut as well as voluntary counseling and testing and programming that supports young adults, particularly young women, in making informed decisions about sexual intercourse and condoms.