HIV/STI Surveillance Research Center, and WHO Collaborating Center for HIV Surveillance, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran.
The Kirby Institute, UNSW Sydney, Sydney, NSW, Australia.
Int J Health Policy Manag. 2018 Nov 1;7(11):1007-1014. doi: 10.15171/ijhpm.2018.65.
Given the young structure of Iran's population and the fact that extramarital sexual relationships are both prohibited by legislation and shunned by society and religion, examining condom use practices among Iranian youth is highly important. The aim of this study was to explore condom use and its correlates among Iranian young adults.
In a sample of 3,045 individuals aged 19-29 who were recruited from a nation-wide study, we analyzed data from 633 participants who reported a history of extramarital sex. Subjects were asked about their condom use practices during their last penetrative sex. Data were collected through a self-administered questionnaire where the respondents completed the survey on their own and passed it to trained gender-matched interviewers. Multivariable regression models were constructed to report adjusted odds ratios (AOR) along with 95% CI.
Of the 633 participants, 222 (35.1%) reported condom use at last sex. Men reported significantly higher condom use than women (38.5% vs. 25.7%). Having a stable job (AOR = 1.86, 95% CI: 1.01, 3.43), higher knowledge of condom use (AOR = 1.57, 95% CI: 1.03, 2.37) and sexual transmission of HIV (AOR = 1.83, 95% CI: 1.18, 2.85) were positively associated with condom use at last sex. Conversely, experience of sex under the influence of substances (AOR = 0.66, 95% CI: 0.45, 0.94) was significantly associated with reduced odds of condom use at last sex.
This study shows that only one out of every three young adults reported using condoms at last sex. While educational programs are helpful, multi-sectoral approaches (eg, individual-, community-, and structural-level interventions) are required to change sexual behaviours towards safe sex practices and reinforce negotiating condom use among youth.
鉴于伊朗人口结构较为年轻，且婚外性行为既受到立法禁止，也为社会和宗教所不容，因此，研究伊朗年轻人的 condom 使用情况至关重要。本研究旨在探讨伊朗年轻成年人 condom 使用情况及其相关因素。
在一项全国性研究中，我们对 3045 名 19-29 岁的个体进行了抽样调查，分析了其中 633 名有婚外性行为史的参与者的数据。我们询问了他们最近一次性行为中 condom 的使用情况。数据通过自填式问卷收集，由经过培训的性别匹配的访谈员进行调查。我们构建了多变量回归模型，以报告调整后的优势比（AOR）及其 95%置信区间（CI）。
在 633 名参与者中，有 222 名（35.1%）报告在最近一次性行为中使用 condom。男性报告的 condom 使用比例显著高于女性（38.5% vs. 25.7%）。有稳定工作（AOR = 1.86，95% CI：1.01，3.43）、更高的 condom 使用知识（AOR = 1.57，95% CI：1.03，2.37）和性传播 HIV 感染的风险意识（AOR = 1.83，95% CI：1.18，2.85）与最近一次性行为中 condom 的使用呈正相关。相反，受物质影响下发生性行为的经历（AOR = 0.66，95% CI：0.45，0.94）与最近一次性行为中 condom 使用几率降低显著相关。
本研究表明，只有三分之一的年轻人报告在最近一次性行为中使用 condom。虽然教育计划是有帮助的，但需要采取多部门方法（如个人、社区和结构层面的干预措施）来改变性行为方式，促进年轻人采取安全性行为并加强 condom 使用的协商。
