Tassiopoulos Katherine K, Seage George R, Sam Noel E, Ao Trong T H, Masenga Elisante J, Hughes Michael D, Kapiga Saidi H
Department of Epidemiology, Harvard School of Public Health, Kresge Building, Room 816, 677 Huntington Avenue, Boston, MA 02115, USA.
AIDS Behav. 2006 Jul;10(4):405-13. doi: 10.1007/s10461-006-9112-8.
Understanding psychosocial, sexual behavior and knowledge differences between never, inconsistent and consistent condom users can improve interventions to increase condom use in resource-poor countries, but they have not been adequately studied. We examined these differences in a cohort of 961 female hotel and bar workers in Moshi, Tanzania. Forty-nine percent of women reported no condom use; 39% reported inconsistent use, and 12% reported consistent use. Women with multiple sexual partners in the past five years were less likely to be consistent rather than inconsistent users as were women who had ever exchanged sex for gifts or money. Inconsistent users had higher condom knowledge and higher perceived acceptability of condom use than did never users, but they did not differ from consistent users by these factors. There are important differences between women by level of condom use. These findings can help inform interventions to increase condom use.
了解从未使用过避孕套、不规律使用避孕套和持续使用避孕套的人群在心理社会因素、性行为及知识方面的差异，有助于改进在资源匮乏国家推广避孕套使用的干预措施，但目前对此尚未进行充分研究。我们在坦桑尼亚莫希的961名女性酒店及酒吧工作人员队列中研究了这些差异。49%的女性报告从未使用过避孕套；39%报告不规律使用，12%报告持续使用。在过去五年中有多个性伴侣的女性，以及曾以性换取礼物或金钱的女性，相比不规律使用者，持续使用者的可能性更低。不规律使用者比从未使用者具备更高的避孕套知识，且对使用避孕套的可接受度更高，但在这些因素上，她们与持续使用者并无差异。不同避孕套使用水平的女性之间存在重要差异。这些研究结果可为增加避孕套使用的干预措施提供参考。
