Rollins School of Public Health, Emory University, Atlanta, USA.
Int J Public Health. 2010 Dec;55(6):571-9. doi: 10.1007/s00038-010-0155-2. Epub 2010 Jun 3.
This paper examines the prevalence of and the factors associated with condom use in a sample of 283 young adult ecstasy users.
The study, which relied upon targeted sampling and ethnographic mapping, took place between 2002 and 2004. It entailed conducting two-hour-long, face-to-face interviews in the Atlanta, Georgia metropolitan area.
Condom use was inconsistent; only 35.2% of all sex acts were protected. Using multiple regression, five factors were related to condom use: race (Caucasians used condoms less than other groups), income (lower income = greater condom use), relationship status (persons involved in relationships reported less condom use than those who were not "involved"), multiple sex partners (multiple sex partners = more condom use), and condom use self-efficacy (higher efficacy level = more condom use).
Condom use rates were not optimal in this population. In particular, targeted interventions are needed for Caucasian ecstasy users. Intervention efforts ought to address relationship (in)fidelity as it pertains to engaging in safer sex practices, especially among persons involved in relationships. Intervention efforts also need to work to increase condom use self-efficacy.
本研究调查了 283 名年轻的摇头丸使用者样本中安全套使用的流行情况和相关因素。
该研究依赖于目标抽样和人种学绘图，于 2002 年至 2004 年进行。研究包括在佐治亚州亚特兰大地区进行两小时的面对面访谈。
安全套使用并不一致；只有 35.2%的性行为有保护措施。使用多元回归，有五个因素与安全套使用有关：种族（白种人使用安全套的比例低于其他群体）、收入（收入越低，使用安全套的比例越高）、关系状况（有伴侣的人报告使用安全套的比例低于没有“有伴侣”的人）、多个性伴侣（多个性伴侣=更多使用安全套）和安全套使用自我效能（效能水平越高，使用安全套的比例越高）。
在该人群中，安全套使用率并不理想。特别是针对白人摇头丸使用者，需要有针对性的干预措施。干预措施应该解决与安全性行为相关的关系（不）忠诚问题，特别是在有伴侣的人中。干预措施还需要努力提高安全套使用的自我效能。
