Pinyaphong Jakkrite, Srithanaviboonchai Kriengkrai, Chariyalertsak Suwat, Phornphibul Pikul, Tangmunkongvorakul Arunrat, Musumari Patou Masika
1 Chiang Mai University, Chiang Mai, Thailand.
2 Kyoto University School of Public Health, Kyoto, Japan.
Asia Pac J Public Health. 2018 Mar;30(2):147-157. doi: 10.1177/1010539517753931. Epub 2018 Feb 6.
University students are at increased risk of HIV infection, but little is known about the determinants of inconsistent condom use among them. The study aims to assess the association of sociodemographic, individual, dyadic, and social factors with inconsistent condom use among male university students. Of 1091 participants, 67.0% had sexual intercourse, though 64.4% had inconsistent condom use. It was found that "did not use a condom at first sexual intercourse" (adjusted odds ratio [AOR] 6.1; CI, 3.7-10.1), "history of STIs" (AOR, 2.1; CI, 1.0-4.2), low "self-efficacy" (AOR, 2.4; CI, 1.3-4.7), "perception that condom use reduces pleasure" (AOR, 1.4; CI, 1.0-2.1), and "high subjective norm" (AOR, 1.9; CI, 1.3-2.8) were associated with increased odds of inconsistent condom use. Condom use should be promoted from the onset of sexual activity to establish a habit of safe sex practices and for improvement in self-efficacy of condom use. Emphasis must be laid on pleasure-enhancing benefits of condom use and changing social norms.
大学生感染艾滋病毒的风险有所增加，但对于他们中不坚持使用避孕套的决定因素却知之甚少。该研究旨在评估社会人口学、个人、二元和社会因素与男大学生不坚持使用避孕套之间的关联。在1091名参与者中，67.0%有过性行为，不过64.4%的人不坚持使用避孕套。研究发现，“首次性行为时未使用避孕套”（调整后的优势比[AOR]为6.1；置信区间[CI]，3.7 - 10.1）、“性传播感染病史”（AOR，2.1；CI，1.0 - 4.2）、低“自我效能感”（AOR，2.4；CI，1.3 - 4.7）、“认为使用避孕套会降低快感”（AOR，1.4；CI，1.0 - 2.1）以及“高主观规范”（AOR，1.9；CI，1.3 - 2.8）与不坚持使用避孕套的几率增加有关。应从性活动开始就推广避孕套的使用以建立安全性行为习惯，并提高使用避孕套的自我效能感。必须强调使用避孕套对增强快感的益处以及改变社会规范。
