Manlove Jennifer, Ikramullah Erum, Terry-Humen Elizabeth
Child Trends, Washington, DC, USA.
J Adolesc Health. 2008 Oct;43(4):325-33. doi: 10.1016/j.jadohealth.2008.03.008. Epub 2008 Jun 24.
To incorporate a behavioral model of health services utilization to examine whether male adolescents' family, individual, sex education, and partner factors are associated with several measures of condom use and consistency in heterosexual relationships.
We examine a sample of sexually experienced male adolescents 15-19 years of age in the 2002 National Survey of Family Growth (NSFG) to identify factors associated with condom use at first sex and last sex, condom consistency with their most recent sexual partner, and condom consistency in the past 4 weeks.
Male adolescents who were Hispanic and those who did not receive formal sex education had lower odds of condom use and/or consistency, whereas African-American male adolescents and those with more positive attitudes about condoms had greater odds. Males who were older at most recent sex, who had an older sexual partner or a casual first sexual partner, who had a partner who used a method of contraception, who were in longer relationships, or who engaged in more frequent sex had reduced odds of contraceptive use.
Findings highlight multiple domains of influence on condom use behaviors among male adolescents. Programs that provide targeted services, address condom use attitudes, and help teens to negotiate condom use decision making with sexual partners may help to reduce high rates of sexually transmitted infections among male adolescents in the United States.
纳入一个卫生服务利用行为模型，以检验男性青少年的家庭、个人、性教育及伴侣因素是否与异性恋关系中避孕套使用及使用连贯性的多项指标相关。
我们在2002年全国家庭成长调查（NSFG）中对15至19岁有性经历的男性青少年样本进行研究，以确定与首次性行为和末次性行为时避孕套使用、与最近性伴侣的避孕套使用连贯性以及过去4周内避孕套使用连贯性相关的因素。
西班牙裔男性青少年以及未接受正规性教育的男性青少年使用避孕套和/或保持连贯性的几率较低，而非洲裔美国男性青少年以及对避孕套态度更积极的男性青少年几率更高。最近一次性行为时年龄较大、有年龄较大的性伴侣或随意的首次性伴侣、性伴侣使用避孕方法、恋爱关系持续时间较长或性行为更频繁的男性使用避孕套的几率降低。
研究结果凸显了对男性青少年避孕套使用行为产生影响的多个领域。提供针对性服务、解决避孕套使用态度问题并帮助青少年与性伴侣协商避孕套使用决策的项目，可能有助于降低美国男性青少年性传播感染的高发病率。
