Department of Psychiatry, University of California, San Francisco, California, USA.
J Adolesc Health. 2010 Sep;47(3):254-62. doi: 10.1016/j.jadohealth.2010.01.018. Epub 2010 Apr 10.
To examine which condom negotiation strategies are effective in obtaining or avoiding condom use among Latino youth.
Interviews were conducted with 694 Latino youth, 61% female, aged 16-22. Participants reported on their condom negotiation strategies, perceptions of whether their sexual partner wanted to use condoms, and actual condom use. Three strategies to obtain condom use (risk information, direct verbal/nonverbal communication, insist) and four strategies to avoid condom use (emotional coercion, ignore condom use, dislike condoms, seduction) were examined. Data were analyzed using multiple linear regression, and included youth (n = 574) who reported wanting to use or avoid condoms.
Almost 60% of participants reported wanting to use condoms, and nearly all of these used some strategy to obtain condom use. Young men who wanted to use condoms were more likely to do so, compared with young women. Risk information and direct verbal/nonverbal communication were effective strategies to obtain condom use, even among youth who perceived their sexual partners as not wanting to use condoms. Ignoring condom use was an effective condom avoidance strategy, even when youth thought their partners wanted to use condoms. Unexpectedly, young men who expressed dislike of condoms had higher rates of condom use than young men not using this condom avoidance strategy.
This research identified condom negotiation strategies that are effective among Latino youth, even when they believe their partners do not want to use condoms. Health care providers could encourage Latino youth to use such condom negotiation strategies.
研究拉丁裔青少年在获得或避免使用避孕套时哪些避孕套谈判策略有效。
对 694 名年龄在 16 至 22 岁的拉丁裔青少年进行了访谈。参与者报告了他们的避孕套谈判策略、对性伴侣是否想要使用避孕套的看法以及实际使用避孕套的情况。研究了三种获得避孕套使用的策略（风险信息、直接口头/非口头沟通、坚持）和四种避免使用避孕套的策略（情感胁迫、忽视避孕套使用、不喜欢避孕套、诱惑）。使用多元线性回归分析数据，包括报告想要使用或避免使用避孕套的青年（n = 574）。
近 60%的参与者报告想要使用避孕套，几乎所有参与者都使用了某种策略来获得避孕套的使用。与年轻女性相比，想要使用避孕套的年轻男性更有可能这样做。风险信息和直接口头/非口头沟通是获得避孕套使用的有效策略，即使在参与者认为性伴侣不想要使用避孕套的情况下也是如此。忽视避孕套使用是一种有效的避孕套避免策略，即使在参与者认为他们的伴侣想要使用避孕套的情况下也是如此。出乎意料的是，表达不喜欢避孕套的年轻男性使用避孕套的比例高于不使用这种避孕套避免策略的年轻男性。
这项研究确定了拉丁裔青少年中有效的避孕套谈判策略，即使他们认为他们的伴侣不想使用避孕套。医疗保健提供者可以鼓励拉丁裔青少年使用这些避孕套谈判策略。
