Palacios-Delgado Jorge Raúl, Ortego-García Nuria
Doctor en Psicología, Universidad del Valle de México, Querétaro, México.
Médico general, Universidad del Valle de México, Querétaro, México.
Rev Colomb Obstet Ginecol. 2020 Mar;71(1):9-20. doi: 10.18597/rcog.3327.
To compare sexual negotiation levels and self-efficacy in male condom use in men and women.
Comparative crosssectional study of undergraduate students carried out during the year 2018 in a private university in the city of Querétaro, Mexico. Non-probabilistic sampling was used. Measured variables included sociodemographic characteristics, risky sexual behaviors, negotiation skills and sexual self-efficacy for condom use. The Mann Whitney U test and non-parametric variance analysis (Kruskal - Wallis) were used.
Overall, 270 students were enrolled; 89.6% of university students were sexually active; the mean age of sexual activity initiation was 15.41 years. The average reported number of sexual partners was 4.2. In each sexual relation, 27.8% had used a condom. Differences were found between men and women in terms of sexual negotiation styles in the avoidance (p=0.04) and accommodation (p<0.00) domains, with higher scores for men compared to women. Women scored higher for self-efficacy in condom use (p<0.001).
The young university students interviewed engage in risky sexual activities. Women exhibit greater sexual self-efficacy as well as better skills at negotiating condom use. Strengthening public policies targeted to the student population for the prevention of risky sexual behavior is needed. Further studies on interventions aimed at building strong sexual negotiation and self-efficacy among adolescents are required.
比较男性和女性在使用男用避孕套方面的性协商水平和自我效能感。
2018年在墨西哥克雷塔罗市一所私立大学对本科生进行的比较横断面研究。采用非概率抽样。测量变量包括社会人口学特征、危险性行为、协商技巧和使用避孕套的性自我效能感。使用曼-惠特尼U检验和非参数方差分析（克鲁斯卡尔-沃利斯检验）。
总体而言，共招募了270名学生；89.6%的大学生有性行为；开始性行为的平均年龄为15.41岁。报告的性伴侣平均数量为4.2个。在每段性关系中，27.8%的人使用了避孕套。在避免（p=0.04）和顺应（p<0.00）领域的性协商方式上，男性和女性存在差异，男性得分高于女性。女性在使用避孕套的自我效能感方面得分更高（p<0.001）。
接受访谈的年轻大学生存在危险性行为。女性表现出更高的性自我效能感以及更好的避孕套使用协商技巧。需要加强针对学生群体预防危险性行为的公共政策。还需要进一步研究旨在增强青少年强大的性协商能力和自我效能感的干预措施。
