Bankole Akinrinola, Ahmed Fatima H, Neema Stella, Ouedraogo Christine, Konyani Sidon
The Guttmacher Institute, USA.
Afr J Reprod Health. 2007 Dec;11(3):197-220.
Using data from the 2004 National Adolescent Surveys, this paper undertook a detail analysis of knowledge of correct condom use and consistency of use, as well as their covariates, among adolescents in Burkina Faso, Ghana, Malawi and Uganda. The strongest predictor of knowledge of correct condom use among both male and female adolescents is exposure to a condom use demonstration. In Burkina Faso, Ghana and Uganda, adolescents who have seen a condom demonstration are 2 to 5 times as likely as those who have not to have good knowledge of correct condom use. Age, ever received sex education in school, ever attended school and exposure to the radio are also significant predictors of knowledge of correct use, particularly among men. As indicated by behavior among young men, the extent to which adolescents use the condom consistently varies across countries. Yet, it is nowhere near the required 100% level. The proportion reporting consistent use of the method in the 3 months preceding the survey is 38% in Burkina Faso, 47% in Ghana, 20% in Malawi and 36% in Uganda. Age difference between partners is a major determinant of consistent use of condoms: young men whose partner is 0-4 years younger are about two and a half times more likely to use condoms consistently than those who whose partner is 5-9 years younger. Other important predictors of consistent condom use are residence, education, living arrangement and exposure to mass media, specifically the radio and newspaper. Findings from this study point to areas that policy and program can address to provide adolescents access to the kinds of information and service they need to achieve healthy sexual and reproductive lives.
本文利用2004年全国青少年调查的数据，对布基纳法索、加纳、马拉维和乌干达青少年正确使用避孕套的知识、使用的一致性及其协变量进行了详细分析。男性和女性青少年中，正确使用避孕套知识的最强预测因素是接触过避孕套使用演示。在布基纳法索、加纳和乌干达，看过避孕套演示的青少年正确使用避孕套知识良好的可能性是未看过的青少年的2至5倍。年龄、是否在学校接受过性教育、是否上学以及接触广播也是正确使用知识的重要预测因素，尤其是在男性中。从年轻男性的行为可以看出，青少年持续使用避孕套的程度在不同国家有所不同。然而，这远未达到所需的100%水平。在调查前3个月报告持续使用该方法的比例在布基纳法索为38%，在加纳为47%，在马拉维为20%，在乌干达为36%。性伴侣之间的年龄差异是持续使用避孕套的主要决定因素：伴侣比自己小0至4岁的年轻男性持续使用避孕套的可能性是伴侣比自己小5至9岁的男性的约2.5倍。持续使用避孕套的其他重要预测因素包括居住地点、教育程度、生活安排以及接触大众媒体，特别是广播和报纸。本研究结果指出了政策和项目可以解决的领域，以便为青少年提供他们实现健康性和生殖生活所需的各类信息和服务。
