Department of Pediatrics, Section of Adolescent Medicine, Indiana University School of Medicine, Indianapolis, IN 46202, USA.
Sex Transm Infect. 2010 Oct;86(5):400-3. doi: 10.1136/sti.2009.040766. Epub 2010 May 6.
Condom use is a key part of sexually transmitted infection (STI) prevention for young men. Yet little is known about how younger adolescent boys initially learn about and use condoms. We examined sources of information, attitudes towards, acquisition, practice and early use of condoms among 14-16-year-old boys.
Thirty 14-16-year-old boys were recruited from a teen clinic serving a community with high STI rates and were asked open-ended questions about condoms, such as, "Where did you learn about condoms?" and "In what situations would you/would you not, use condoms." Interviews were audio recorded, transcribed and coded. Qualitative analysis focused upon key concepts and shared social cognitions related to condom use.
Both sexually inexperienced and experienced participants perceived that sex feels or would feel less pleasurable with condoms. For almost all participants, families were the primary source of both information about condoms and of condoms themselves. This information focused on pregnancy prevention, with STIs secondary. Participants' views of condoms fell into three developmental groups: not interested in condoms and equating their use with interest in sex; exploring condoms out of either curiosity or in preparation for sex; and experienced with condom use. Exploring included behaviours such as checking condoms out and trying them on.
Our findings of existing negative perceptions of condoms, the importance of families in learning about condoms and the developmental need to test and try on condoms before use have implications for adolescent STI prevention programmes.
对于年轻男性而言，使用安全套是预防性传播感染（STI）的关键措施。然而，目前对于年龄较小的青少年男孩最初是如何了解和使用安全套的知之甚少。本研究旨在探讨 14-16 岁男孩获取、使用安全套的信息来源、态度、行为和早期使用情况。
从一家青少年诊所招募了 30 名 14-16 岁的男孩，该诊所服务的社区性传播感染率较高，他们被问及有关安全套的开放式问题，例如：“你从哪里了解到安全套的？”和“在什么情况下你会/不会使用安全套？”采访内容进行了录音、转录和编码。定性分析侧重于与安全套使用相关的关键概念和共同的社会认知。
无论性经验丰富与否，参与者都认为使用安全套会降低性体验的愉悦感。对于几乎所有的参与者而言，家庭是他们获取安全套相关信息和安全套本身的主要来源。这些信息主要集中在预防怀孕上，其次才是预防性传播感染。参与者对安全套的看法可以分为三组：对安全套不感兴趣，并将其使用与性兴趣等同；出于好奇或为性行为做准备而探索安全套；以及有安全套使用经验。探索行为包括查看和试用安全套。
我们的研究结果发现，现有对安全套的负面看法、家庭在了解安全套方面的重要性以及在使用前测试和试用安全套的发展需求，对青少年性传播感染预防计划具有重要意义。
