香港华人中不使用避孕套的原因：对预防艾滋病毒和性传播疾病的影响。
Reasons for not using condoms among the Hong Kong Chinese population: implications for HIV and STD prevention.
作者信息
Abdullah A S M, Fielding R, Hedley A J, Ebrahim S H, Luk Y K
机构信息
Department of Community Medicine, The University of Hong Kong, Hong Kong SAR, China.
出版信息
Sex Transm Infect. 2002 Jun;78(3):180-4. doi: 10.1136/sti.78.3.180.
OBJECTIVE
To assess the prevalence and reasons for non-use of condoms among the Hong Kong Chinese population and obtain baseline data to monitor sexual behavioural change.
METHODS
Cross sectional self administered questionnaire surveys in convenience sampled groups of Hong Kong Chinese residents were carried out.
RESULTS
Of the 1508 respondents, 24% reported consistent condom use and 76% inconsistent use. Overall, 17% of respondents reported having sex with strangers. People who were at increased risk for inconsistent condom use included STD clinics attendees, those who never married, and those reporting low self efficacy for condom use or sex with strangers. Common reasons for not using condoms were trust in partner, use of other contraceptives, and reduced sensation while using condoms.
CONCLUSIONS
Given the reported high prevalence of travel and sexual contact with strangers, and misconceptions about condoms among the Hong Kong Chinese population, innovative condom social marketing campaigns are needed. Periodic monitoring of condom use behaviours should be an integral part of HIV/STD surveillance activity.
目的
评估香港华人中不使用避孕套的流行情况及原因，并获取基线数据以监测性行为变化。
方法
对便利抽样的香港华人居民群体进行横断面自填问卷调查。
结果
在1508名受访者中，24%报告始终使用避孕套，76%使用情况不一致。总体而言，17%的受访者报告与陌生人发生过性行为。避孕套使用情况不一致风险增加的人群包括性病门诊就诊者、从未结婚者以及报告使用避孕套或与陌生人发生性行为自我效能感低的人。不使用避孕套的常见原因是信任伴侣、使用其他避孕方法以及使用避孕套时感觉降低。
结论
鉴于报告显示与陌生人旅行和性接触的高流行率以及香港华人对避孕套的误解，需要开展创新的避孕套社会营销活动。定期监测避孕套使用行为应成为艾滋病毒/性传播感染监测活动的一个组成部分。
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