Institute for Population and Social Research, Mahidol University, Phutthamonthon, Nakhon Pathom,Thailand.
PLoS One. 2012;7(7):e42009. doi: 10.1371/journal.pone.0042009. Epub 2012 Jul 30.
This study aims to determine factors associated with levels of condom use among heterosexual Thai males in sex with regular partners and in sex with casual partners.
The data used in this study are from the national probability sample of the 2006 National Sexual Behavior Study, the third nationally representative cross-sectional survey in Thailand. A subtotal of 2,281 men were analyzed in the study, including young (18-24) and older (25-59) adults who were residents of rural areas of Thailand, non-Bangkok urban areas, and Bangkok. Two outcomes of interest for this analysis are reported condom use in the past 12 months by males in relationships with the most recent regular and casual partners who were not sex workers. Chi-square statistics, bivariate regressions and the proportional odds regression models are used in the analysis.
Condom use for men with their regular partner is revealed to be positively related to education, knowledge of condom effectiveness, and pro-condom strategy, and negatively related to non-professional employment, status of registered marriage, and short relationship duration. Condom use with casual partner is positively determined by education, condom knowledge, non-professional occupation, short relationship duration, and lack of history of paid sex.
The national survey emphasized the importance of risk perceptions and condom motivations variables in explaining condom use among men in Thailand. These factors include not only education and knowledge of condom effectiveness and pro-condom strategy but also types of partners and their relationship context and characteristics. Program intervention to promote condom use in Thailand in this new era of predominant casual sex rather than sex with sex workers has to take into account more dynamic partner-based strategies than in the past history of the epidemics in Thailand.
本研究旨在确定与泰国异性恋男性与固定性伴侣和偶然性伴侣发生性行为时使用安全套相关的因素。
本研究使用的数据来自 2006 年全国性行为研究的全国概率样本，这是泰国第三次具有全国代表性的横断面调查。本研究共分析了 2281 名男性，包括居住在泰国农村地区、非曼谷城市地区和曼谷的年轻（18-24 岁）和年长（25-59 岁）成年人。本次分析的两个感兴趣结果是报告过去 12 个月中与最近的非性工作者固定和偶然伴侣发生性关系的男性使用安全套的情况。采用卡方检验、双变量回归和比例优势回归模型进行分析。
与固定性伴侣发生性行为的男性使用安全套的情况与教育程度、对安全套有效性的了解以及支持使用安全套的策略呈正相关，与非专业就业、注册婚姻状况和短时间的关系持续时间呈负相关。与偶然伴侣发生性行为时使用安全套的情况与教育程度、安全套知识、非专业职业、短时间的关系持续时间和没有支付性交易的历史记录呈正相关。
全国性调查强调了风险认知和使用安全套的动机变量在解释泰国男性使用安全套方面的重要性。这些因素不仅包括教育程度和对安全套有效性和支持使用安全套的策略的了解，还包括伴侣的类型以及他们的关系背景和特征。在泰国性工作者主导的性行为新时代，为了促进安全套的使用，项目干预措施必须考虑比过去更具动态性的基于伴侣的策略，而不是基于过去的流行病史。
