Department of Obstetrics and Gynecology, University of Chicago, Chicago, Illinois.
Department of Obstetrics and Gynecology, University of Chicago, Chicago, Illinois.
J Adolesc Health. 2017 Mar;60(3):340-345. doi: 10.1016/j.jadohealth.2016.10.017. Epub 2017 Jan 5.
To describe the extent to which African-American male adolescents perceive responsibility for contraception and condom use and to understand the perceived importance of dual method use for respondents in casual versus committed relationships.
Data were collected using surveys informed by formative focus group sessions. Participants included African-American male high-school students aged 14-19 years from the Chicago's South Side. Respondents were surveyed regarding contraceptive behavioral intentions and perceived importance of dual method use. Responses were compared by relationship type. Logistic regression modeling was used to determine the association between contraception responsibility and perceiving dual method protection as important for each sexual relationship type.
Sample included 348 young men (mean age: 16.1 years; mean age at first sex: 13.8 years). Among those who had heard of condoms (99.4%) and withdrawal (90.4%), most reported liking these methods (83.7% and 53.9%). Participants were more likely to report greater responsibility within a committed relationship for all perceived contraceptive responsibilities (e.g., going with partner to get contraception). Participants were more likely to engage in conversation about pregnancy prevention with a committed partner. Among sexually active respondents, perceived contraceptive responsibility was associated with perceiving dual protection as very important (odds ratio = 1.58; 95% confidence interval = 1.05-2.38).
Respondents felt partially responsible for pregnancy prevention, particularly within committed relationships, and were open to using dual protection. However, many respondents had low levels of contraception knowledge. These findings indicate that male African-American adolescents might benefit from increased education and support around contraception methods and condom use.
描述非裔美国男青少年对避孕和使用避孕套的责任感程度，并了解在随意和承诺关系中，受访者对双重方法使用的重要性的看法。
数据是通过基于形成性焦点小组会议的调查收集的。参与者包括来自芝加哥南部的 14-19 岁的非裔美国男高中生。受访者被调查有关避孕行为意图和对双重方法使用重要性的看法。根据关系类型对回答进行比较。逻辑回归模型用于确定避孕责任与对每种性关系类型的双重方法保护的重要性之间的关联。
样本包括 348 名年轻男性（平均年龄：16.1 岁；首次性行为的平均年龄：13.8 岁）。在听说过避孕套（99.4%）和退出（90.4%）的人中，大多数人表示喜欢这些方法（83.7%和 53.9%）。在承诺关系中，参与者更有可能对所有感知的避孕责任承担更大的责任（例如，与伴侣一起去获得避孕措施）。参与者更有可能与承诺的伴侣讨论预防怀孕的问题。在有性行为的受访者中，感知的避孕责任与认为双重保护非常重要相关（优势比=1.58；95%置信区间=1.05-2.38）。
受访者感到对避孕有一定程度的责任，特别是在承诺关系中，并且愿意使用双重保护。然而，许多受访者的避孕知识水平较低。这些发现表明，非裔美国青少年男性可能受益于增加有关避孕方法和避孕套使用的教育和支持。
