Magwali T L, Steiner M J, Toms H, Brown J M
University of Zimbabwe, Department of Obstetrics and Gynaecology, PO Box A 178, Avondale, Harare, Zimbabwe.
Cent Afr J Med. 2005 Jul-Aug;51(7-8):79-84.
(To determine the level and consistency of condom use among family planning clients at three family planning clinics in Zimbabwe.)
A prospective cross sectional study.
The study was carried out at three Zimbabwe National Family Planning Council clinics.
We interviewed 899 consecutive women seeking family planning services at these three clinics using a structured questionnaire.
The prevalence of condom use among this population of family planning clients and the factors predicting condom use were the main outcome measures. We define dual method use (DMU) as the use of condoms in conjunction with another highly effective contraceptive and dual purpose use (DPU) as the use of condoms for both pregnancy and STI/HIV prevention. We measured self-reported condom use during the last 30 days prior to each interview.
The prevalence of condom use among this population of family planning clients was 38%. Of all the study participants, 32% were DMU clients while 5% were DPU clients. Fifty eight percent of the DMU clients and 89% of the DPU clients clients reported consistent condom use respectively. Logistic regression analysis showed that young age and reporting high risk sexual behaviour were predictors of condom use.
The level of condom use among this population of family plannig clients is too low for a country with such a high HIV prevalence. Condom users were more likely to report DMU than DPU. Those reporting DPU were more likely to report consistent condom use.
（确定津巴布韦三家计划生育诊所的计划生育服务对象中避孕套的使用水平和一致性。）
前瞻性横断面研究。
该研究在津巴布韦国家计划生育委员会的三家诊所开展。
我们使用结构化问卷对在这三家诊所连续寻求计划生育服务的899名女性进行了访谈。
该计划生育服务对象人群中避孕套的使用 prevalence以及预测避孕套使用的因素是主要观察指标。我们将双重方法使用（DMU）定义为同时使用避孕套和另一种高效避孕方法，将双重目的使用（DPU）定义为使用避孕套预防怀孕和性传播感染/艾滋病毒。我们测量了每次访谈前30天内自我报告的避孕套使用情况。
该计划生育服务对象人群中避孕套的使用率为38%。在所有研究参与者中，32%是双重方法使用者，而5%是双重目的使用者。分别有58%的双重方法使用者和89%的双重目的使用者报告始终坚持使用避孕套。逻辑回归分析表明，年轻和报告有高危性行为是避孕套使用的预测因素。
对于一个艾滋病毒感染率如此之高的国家来说，该计划生育服务对象人群中避孕套的使用水平过低。避孕套使用者报告双重方法使用的可能性高于双重目的使用。报告双重目的使用的人更有可能报告始终坚持使用避孕套。
