Department of Public Health, College of Medicine and Health Sciences, Mizan-Tepi University, Mizan Teferi, Ethiopia.
Biomed Res Int. 2020 Sep 23;2020:9582139. doi: 10.1155/2020/9582139. eCollection 2020.
Unsafe sexual behavior among adolescents still represents a public health challenge. To have safe sex, effective condom utilization is needed. Condom use remains relatively low among adolescents in sub-Saharan Africa. Even though adolescents have good knowledge about condom use, they are still engaged in risky sexual behavior.
To assess condom use and attitude toward condom use among college students in southwest Ethiopia.
A cross-sectional study was conducted among 453 students at Mizan-Aman Polytechnic College in southwest Ethiopia. Data were collected using a structured self-administered questionnaire. The collected data were entered using EpiData version 4.2.0.0 and analyzed using SPSS version 20 statistical software. Binary logistic regression was computed. Independent variables with a value of less than 0.05 in the multivariable logistic regression model were considered significant.
Of the 453, 180 were sexually active. Among those sexually active, 119 (66.1%) used condoms in their last sexual intercourse. The proportion of positive attitude toward condom use was 53.4%, and the mean attitude score for condom use was 28.6 (±9.99 SD) ranging from 10 to 50. The study also found that being male (AOR = 1.77, 95% CI [1.19-2.65]), rural resident (AOR = 2.20, 95% CI [1.47-3.30]), ever had sex (AOR = 1.87, 95% CI [1.23-2.85]), and knowledge of STIs (AOR = 1.66, 95% CI [1.10-2.51]) were factors associated with a positive attitude toward condom use.
The proportion of positive attitude toward condom use among college students in Ethiopia was low. The study also found that being male, rural resident, ever had sex, and knowledge of STIs were factors associated with a positive attitude toward condom use. Therefore, strengthening information, education, and communication (IEC) on condom self-efficacy; providing condoms on campuses; and imparting education about sexually transmitted infections for young adults are central for improving condom use and attitudes toward condom use. Besides, inculcating sexual and reproductive health in the educational curriculum plays paramount importance.
青少年不安全的性行为仍然是一个公共卫生挑战。为了进行安全性行为，需要有效地使用避孕套。在撒哈拉以南非洲地区，青少年使用避孕套的比例仍然相对较低。尽管青少年对避孕套的使用有很好的了解，但他们仍在从事危险的性行为。
评估埃塞俄比亚西南部大学生的避孕套使用情况和对避孕套使用的态度。
在埃塞俄比亚西南部的米赞-阿曼理工学院对 453 名学生进行了横断面研究。使用结构化的自我管理问卷收集数据。使用 EpiData 版本 4.2.0.0 输入收集的数据，并使用 SPSS 版本 20 统计软件进行分析。进行了二元逻辑回归分析。多变量逻辑回归模型中 值小于 0.05 的自变量被认为具有显著性。
在 453 名学生中，有 180 名有过性行为。在有过性行为的学生中，有 119 名（66.1%）在最近一次性行为中使用了避孕套。对避孕套使用的态度比例为 53.4%，避孕套使用态度的平均得分为 28.6（±9.99 SD），范围从 10 到 50。研究还发现，男性（AOR = 1.77，95%CI [1.19-2.65]）、农村居民（AOR = 2.20，95%CI [1.47-3.30]）、有过性行为（AOR = 1.87，95%CI [1.23-2.85]）和性传播感染知识（AOR = 1.66，95%CI [1.10-2.51]）是与对避孕套使用的积极态度相关的因素。
埃塞俄比亚大学生对避孕套使用的积极态度比例较低。研究还发现，男性、农村居民、有过性行为和性传播感染知识是与对避孕套使用的积极态度相关的因素。因此，加强避孕套自我效能的信息、教育和宣传（IEC）；在校园提供避孕套；并为年轻人提供性传播感染教育，对于提高避孕套的使用和对避孕套使用的态度至关重要。此外，将性与生殖健康纳入教育课程至关重要。
