Bui Thanh Cong, Markham Christine M, Ross Michael W, Williams Mark L, Beasley R Palmer, Tran Ly T H, Nguyen Huong T H, Le Thach Ngoc
Division of Health Promotion and Behavioral Sciences, The University of Texas - Health Science Center, Houston, TX 77030, USA.
Sex Health. 2012 Sep;9(4):314-22. doi: 10.1071/SH11067.
Worldwide, the literature on sexual behaviour has documented associations between gender-based relationship inequality and sexual communication ability and the actual use of condoms or other contraceptives among young women. This study aimed to examine these associations among undergraduate female students in the Mekong Delta of Vietnam.
A cross-sectional survey of 1181 female third-year students from two universities in the Mekong Delta was conducted. Latent variable modelling and logistic regression were employed to examine the hypothesised associations.
Among the 72.4% of students who had ever had boyfriends, 44.8% indicated that their boyfriends had asked for sex, 13% had had penile-vaginal sex and 10.3% had had oral sex. For those who had had penile-vaginal sex, 33% did not use any contraceptive method, including condoms, during their first sexual intercourse. The greater a student's perception that women were subordinate to men, the lower her self-efficacy for sexual communication and the lower her actual frequency of discussing safer sex matters and asking her partner to use a condom. Sexual communication self-efficacy was associated with actual contraceptive use (P=0.039) but only marginally with condom use (P=0.092) at first sexual intercourse.
Sexual health promotion strategies should address the influence of gender relations on young women's sexual communication self-efficacy and the subsequent impact on actual contraceptive and condom use.
在全球范围内，关于性行为的文献记录了基于性别的关系不平等与年轻女性的性沟通能力以及避孕套或其他避孕措施的实际使用之间的关联。本研究旨在调查越南湄公河三角洲本科女学生中的这些关联。
对湄公河三角洲两所大学的1181名大三女学生进行了横断面调查。采用潜在变量建模和逻辑回归来检验假设的关联。
在曾有过男朋友的72.4%的学生中，44.8%表示她们的男朋友曾要求发生性行为，13%有过阴茎阴道性交，10.3%有过口交。对于有过阴茎阴道性交的学生，33%在首次性交时未使用任何避孕方法，包括避孕套。学生越认为女性从属于男性，其性沟通自我效能感越低，讨论安全性行为问题以及要求伴侣使用避孕套的实际频率也越低。性沟通自我效能感与首次性交时的实际避孕措施使用相关（P = 0.039），但与避孕套使用仅存在微弱关联（P = 0.092）。
性健康促进策略应解决性别关系对年轻女性性沟通自我效能感的影响以及对实际避孕和避孕套使用的后续影响。
