Valencia Claudia P, Canaval Gladys E
Universidad Nacional de Colombia, Bogotá, Colombia,
Escuela de Enfermería, Universidad del Valle.
Rev Salud Publica (Bogota). 2012 Oct;14(5):810-21.
Identifying condom use frequency and factors predisposing, facilitating and reinforcing its consistent use in college students.
This was a cross-sectional analytical study involving multivariate analysis. The sample consisted of 397 students who were randomly selected using stratified sampling by faculty who had applied a computer-assisted survey entitled, "Recognizing my sexual health."
33 % of the sample population reported routine condom use. The predisposing factors for regular condom use were the intention to use one and high self-efficacy regarding use with casual partners. Facilitating factors revealed that condom use with a habitual partner increased the opportunity to use it 19-fold. Being male was associated with its use regarding both predisposing and facilitating factors. It is worth stressing that, amongst there in forcing factors, considering that a condom intensifies pleasure by feeling protected was associated with its regular use as was the condom being accepted by friends. By contrast, abandoning condom use for other contraceptive methods reduced the probability of it being used usually by 60 %.
Non-regular condom use in penile-anal intercourse and its displacement by other contraceptive methods provided clear evidence of young people's major concern concerning becoming pregnant rather than avoiding contracting an STI. Formulating and implementing programs simultaneously aimed at and placing equal emphasis on avoiding pregnancy and preventing HIV and other STI is recommended.
确定大学生使用避孕套的频率以及促使、便利和加强其持续使用的因素。
这是一项涉及多变量分析的横断面分析研究。样本由397名学生组成,这些学生是通过按学院分层抽样随机选取的,学院采用了一项名为“认识我的性健康”的计算机辅助调查。
33%的样本人群报告经常使用避孕套。经常使用避孕套的诱发因素是使用意愿以及与性伴侣使用时的高自我效能感。便利因素表明,与固定性伴侣使用避孕套会使使用机会增加19倍。在诱发因素和便利因素方面,男性都与避孕套使用有关。值得强调的是,在强化因素中,认为避孕套通过带来安全感而增强快感以及避孕套被朋友接受都与经常使用避孕套有关。相比之下,改用其他避孕方法而不再使用避孕套会使通常使用避孕套的概率降低60%。
在阴茎-肛门性交中不经常使用避孕套以及被其他避孕方法取代,清楚地表明年轻人主要关心的是怀孕而非避免感染性传播感染。建议制定并实施同时旨在避免怀孕和预防艾滋病毒及其他性传播感染并同等重视这两方面的项目。