伊朗无家可归青年中的婚前性行为和避孕套使用情况。

Sex out of marriage and condom use among homeless youth in Iran.

机构信息

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.

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; Department of Epidemiology and Biostatistics, Institute for Global Health Sciences, University of California San Francisco, San Francisco, CA, USA.

出版信息

Public Health. 2021 May;194:116-120. doi: 10.1016/j.puhe.2021.02.021. Epub 2021 Apr 19.

DOI:10.1016/j.puhe.2021.02.021

PMID:33887599

Abstract

OBJECTIVES

Sexual behaviors of homeless youth in Iran have not been well studied. This study aimed to measure the frequency and associated factors of sex out of marriage and condom use among homeless youth in Kerman, Iran.

STUDY DESIGN

In this cross-sectional study, we recruited 202 homeless youth (age: 15-29 years who experienced 30 or more days of homelessness in the last 12 months) from 11 street locations between September to December 2017.

METHODS

Of 202 participants, 169 (83.7%) reported sex in the last 12 months and were include in this analysis. We assessed the prevalence of sex out of marriage in the last 12 months, condom use in last sex, and then evaluated their covariates in multivariable logistic regression analysis.

RESULTS

The prevalence of sex out of marriage was 19.6% (95% confidence intervals [CIs]: 13.8%, 26.3%) and the prevalence of condom use was 43.8% (95% CI: 36.2%, 51.6%). Sex out of marriage was significantly correlated with male gender (adjusted odds ratio [AOR]: 24.38; 95% CI: 3.1-192.1) and being unmarried (AOR: 5.94; 95% CI: 2.3-15.5). Condom use was significantly correlated with male gender (AOR: 2.16; 95% CI: 1.1-4.2) and higher educational status (AOR: 4.30; 95% CI: 2.1-8.8).

CONCLUSION

Our findings indicate that one in five homeless youth had sex out of marriage, and less than half did no use condom. These should be addressed by adapting education and harm reduction programs targeting this specific population in Iran.

摘要

目的

伊朗无家可归青年的性行为尚未得到充分研究。本研究旨在衡量伊朗克尔曼无家可归青年中婚外性行为的频率及其相关因素，以及避孕套的使用情况。

研究设计

在这项横断面研究中，我们于 2017 年 9 月至 12 月期间从 11 个街道地点招募了 202 名经历了 12 个月或以上无家可归经历的年龄在 15-29 岁的无家可归青年。

方法

在 202 名参与者中，有 169 名（83.7%）报告在过去 12 个月内有过性行为，他们被纳入本分析。我们评估了过去 12 个月内婚外性行为的流行率、上次性行为中使用避孕套的情况，并在多变量逻辑回归分析中评估了它们的协变量。

结果

婚外性行为的流行率为 19.6%（95%置信区间[CI]：13.8%，26.3%），避孕套的使用流行率为 43.8%（95%CI：36.2%，51.6%）。婚外性行为与男性性别显著相关（调整后的优势比[AOR]：24.38；95%CI：3.1-192.1）和未婚状态（AOR：5.94；95%CI：2.3-15.5）。避孕套的使用与男性性别显著相关（AOR：2.16；95%CI：1.1-4.2）和较高的教育程度（AOR：4.30；95%CI：2.1-8.8）显著相关。