Myer Landon, Mathews Catherine, Little Francesca
HIV Prevention and Vaccine Research Unit, South African Medical Research Council, Department of Public Health, University of Cape Town, Cape Town, South Africa.
Sex Transm Dis. 2002 Apr;29(4):239-41. doi: 10.1097/00007435-200204000-00009.
Although the South African government has increased the number of male condoms distributed free to the public, there is no understanding of whether these are being used effectively to prevent the spread of sexually transmitted diseases, including HIV infection.
The study goal was to determine sexual behaviors and barriers to condom use among individuals procuring condoms distributed free to the public sector.
In a prospective study, individuals who procured condoms from 12 public health facilities across South Africa were recruited and observed for the next 5 weeks.
The 384 successfully observed subjects reported 3262 sexual contacts, of which 2637 (81%) involved protection with a condom. In multivariate analysis, alcohol consumption and use of other contraceptives were associated with unprotected sexual intercourse.
The levels of condom use are relatively high in this population, but these data highlight several important barriers to condom use that may be targeted by future interventions.
尽管南非政府已增加向公众免费发放男用避孕套的数量，但对于这些避孕套是否被有效用于预防包括艾滋病毒感染在内的性传播疾病，人们并不清楚。
本研究的目标是确定在从公共部门获取免费发放避孕套的人群中的性行为及使用避孕套的障碍。
在一项前瞻性研究中，招募了从南非各地12个公共卫生机构获取避孕套的人员，并在接下来的5周内对其进行观察。
384名成功观察的受试者报告了3262次性接触，其中2637次（81%）使用了避孕套进行保护。在多变量分析中，饮酒和使用其他避孕方法与无保护性行为有关。
该人群中避孕套的使用水平相对较高，但这些数据突出了几个使用避孕套的重要障碍，未来的干预措施可能会针对这些障碍。
