The Third Xiangya Hospital, Central South University, Changsha, China.
J Sex Med. 2012 Dec;9(12):3009-17. doi: 10.1111/j.1743-6109.2012.02945.x. Epub 2012 Oct 4.
Monogamous female sexually transmitted infection (STI) patients are at high risk of recurrent STI, but there is no study investigating their risk behaviors.
We investigated the prevalence of male condom use and associated factors among monogamous STI female patients.
Independent variables included socio-demographic characteristics, STI history, nature of relationship, and cognitions (Health Belief Model). Dependent variables included the use of male condoms in the past two months and intention to use male condoms consistently in the future 6 months.
A cross-sectional survey using a structured questionnaire was conducted among STI female patients with only one male sex partner in the last 12 months and attended a major government STI clinic in Hong Kong.
Among the 538 participants, 25.1% used condoms consistently (every time) during sex in the past 2 months, while 35.2% intended to do so in the next 6 months. A multiple stepwise logistic regression model identified three statistically significant factors associated with lower likelihoods of consistent condom use in the past 2 months: type of sole sex partner (cohabitant vs. husband: OR = 0.29, 95% CI = 0.12 to 0.70; regular boyfriend vs. husband: OR = 0.52, 95% CI = 0.30 to 0.91), being financially dependent (OR = 0.45, 95% CI = 0.27 to 0.75), and partner's dislike of condom use (OR = 0.23, 95% CI = 0.15 to 0.39). In a similar model, the same three factors were found to be significantly associated with the intention to use condoms consistently in the next 6 months. The low prevalence of intention to use condoms consistently in the future suggested that our study population might be victimized again. The impact of financially dependent relationships and men's dislike of using condoms on condom use may operate through imbalanced gender power.
Interventions are greatly warranted and should increase risk awareness and empower this vulnerable population.
单一性伴侣的女性性传播感染（STI）患者具有较高的复发性 STI 风险，但目前尚无研究调查其风险行为。
我们调查了单一性伴侣的 STI 女性患者中使用男用避孕套的情况及其相关因素。
自变量包括社会人口统计学特征、性病史、伴侣关系性质和认知（健康信念模型）。因变量包括过去两个月使用男用避孕套的情况和未来 6 个月内持续使用男用避孕套的意愿。
对过去 12 个月内与单一性伴侣发生性行为且在香港一家主要政府性传播感染诊所就诊的女性 STI 患者进行了横断面调查，采用结构化问卷进行调查。
在 538 名参与者中，过去 2 个月内每次性行为都使用避孕套的比例为 25.1%，而未来 6 个月内有 35.2%的人打算这样做。多步逻辑回归模型确定了三个与过去 2 个月内较低概率使用男用避孕套相关的统计学显著因素：单一性伴侣的类型（同居者与丈夫：OR = 0.29，95%CI = 0.12 至 0.70；固定男友与丈夫：OR = 0.52，95%CI = 0.30 至 0.91）、经济依赖（OR = 0.45，95%CI = 0.27 至 0.75）和伴侣不喜欢使用避孕套（OR = 0.23，95%CI = 0.15 至 0.39）。在类似的模型中，同样的三个因素与未来 6 个月内持续使用避孕套的意愿显著相关。未来持续使用避孕套的意愿率较低，表明我们的研究人群可能再次成为受害者。经济依赖关系和男性不喜欢使用避孕套对避孕套使用的影响可能是通过性别权力失衡来实现的。
迫切需要采取干预措施，提高这一弱势群体的风险意识并赋予其权力。
