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被判定有罪女孩中的避孕套误使用情况:与实验室确诊的衣原体和淋病的关联。

Condom misuse among adjudicated girls: associations with laboratory-confirmed chlamydia and gonorrhea.

作者信息

Crosby Richard, Salazar Laura F, DiClemente Ralph J, Yarber William L, Caliendo Angela M, Staples-Horne Michelle

机构信息

College of Public Health, University of Kentucky, Lexington, Kentucky 40506-0003, USA.

出版信息

J Pediatr Adolesc Gynecol. 2007 Dec;20(6):339-43. doi: 10.1016/j.jpag.2007.09.001.

Abstract

OBJECTIVES

To identify the prevalence of condom use errors among detained female teens and to test two inter-related hypotheses concerning condom failure.

METHODS

A cross-sectional survey of 134 female teens recruited within eight detention facilities. Measures were collected using audio-computer assisted self-interviewing. Assessment for the presence of C. trachomatis and N. gonorrhoeae was also conducted.

RESULTS

Five forms of condom use errors/problems were common: not discussing condom use with the partner (34.3%), not having a condom when one was desired (48.5%), starting sex before application (21.6%), removing condoms before sex concludes (26.9%), and breakage (32.8%). Significant, associations were found between condom errors/problems and drug/alcohol use. Errors/problems with condom use were significantly higher among teens diagnosed with an sexually transmitted disease (STD) (P = 0.039 for an index measure; P = 0.022 for a single-item measure).

CONCLUSIONS

Findings suggest that detained female teens may have experienced multiple condom use error and problems thereby increasing their vulnerability to STD acquisition.

摘要

目的

确定被拘留的少女中避孕套使用错误的发生率,并检验两个关于避孕套失败的相互关联的假设。

方法

对从八个拘留设施招募的134名少女进行横断面调查。使用音频计算机辅助自我访谈收集数据。还对沙眼衣原体和淋病奈瑟菌的存在情况进行了评估。

结果

常见的五种避孕套使用错误/问题形式为:未与性伴侣讨论避孕套使用情况(34.3%)、需要时没有避孕套(48.5%)、在戴上避孕套前开始性行为(21.6%)、在性行为结束前取下避孕套(26.9%)以及避孕套破损(32.8%)。发现避孕套错误/问题与药物/酒精使用之间存在显著关联。被诊断患有性传播疾病(STD)的青少年中,避孕套使用的错误/问题显著更高(指标测量的P = 0.039;单项测量的P = 0.022)。

结论

研究结果表明,被拘留的少女可能经历了多种避孕套使用错误和问题,从而增加了她们感染性传播疾病的易感性。

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