尼泊尔 15-49 岁男性和女性最近一次性行为中使用安全套的情况及其相关因素。
Condom Use at Last Sexual Intercourse and Its Correlates among Males and Females Aged 15-49 Years in Nepal.
机构信息
Yonsei Global Health Center, Yonsei University, Wonju 03722, Korea.
Department of Health Administration, Graduate School, Yonsei University, Wonju 03722, Korea.
出版信息
Int J Environ Res Public Health. 2018 Mar 16;15(3):535. doi: 10.3390/ijerph15030535.
This study aimed to assess the prevalence and correlates of condom use at last sexual intercourse among people aged 15-49 years in Nepal. Secondary data analysis was performed using the Nepal Demographic and Health Survey 2011. The study was restricted to the respondents who reported ever having had sexual intercourse; 9843 females and 3017 males were included. Condom use was assessed by asking if respondents used condoms in their most recent sexual intercourse. Chi-square test and multivariate logistic regression analysis were performed using Complex Sample Analysis Procedure to adjust for sample weight and multistage sampling design. Overall, 7.6% of total, and 16.3% of males and 6.2% of females reported using condoms in their last sexual intercourse. Living in Far-Western region, age and wealth quintile were positively associated with condom use in both males and females. Being unmarried was the most important predictor of condom use among males. Higher education was associated with increased likelihood of condom use in females. However, mobility, having multiple sexual partners, and HIV knowledge were not significant correlates of condom use in both sexes. A big difference was observed in the variance accounted for males and females; indicating use of condoms is poorly predicted by the variables included in the study among females. Condom use was more associated with sociodemographic factors than with sexual behavior and HIV knowledge.
本研究旨在评估尼泊尔 15-49 岁人群在最近一次性行为中使用安全套的流行率和相关因素。使用 2011 年尼泊尔人口与健康调查的二次数据分析。研究仅限于报告曾经有过性行为的受访者;共纳入 9843 名女性和 3017 名男性。通过询问受访者在最近一次性行为中是否使用安全套来评估安全套使用情况。使用复杂样本分析程序进行卡方检验和多变量逻辑回归分析,以调整样本权重和多阶段抽样设计。总体而言,在所有受访者中,有 7.6%的人在最近一次性行为中使用了安全套,其中男性为 16.3%,女性为 6.2%。在男性和女性中,居住在远西部地区、年龄和财富五分位数与安全套使用呈正相关。未婚是男性使用安全套的最重要预测因素。受教育程度较高与女性使用安全套的可能性增加有关。然而,流动性、多个性伴侣和 HIV 知识在两性中都不是安全套使用的显著相关因素。男性和女性之间的差异很大;这表明在研究中包括的变量对女性使用安全套的预测能力较差。安全套的使用更多地与社会人口因素有关,而与性行为和 HIV 知识关系不大。
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