School of Health and Allied Sciences, Pokhara University, Kaski, Nepal.
PLoS One. 2021 Dec 30;16(12):e0261501. doi: 10.1371/journal.pone.0261501. eCollection 2021.
The National Family Planning program of Nepal has introduced the condom as an important family planning method. Despite the continuous effort from the public and private sectors at various levels, its use among youth remains low. Therefore, this study aimed to assess the factors associated with condom use during the last sexual intercourse among male college youth.
We conducted a cross-sectional study and analyzed the responses of 361 male college youth (aged 19 to 24 years who reported being sexually active preceding six months of the survey), among the 903 participants who reported being involved in vaginal and anal sexual intercourse. The chi-square test was primarily used to find the associated factors and then, stepwise logistic regression was performed by selecting the covariates after the multicollinearity test followed by adjustment of confounders.
We found that more than one-fourth (27.4%) of the sexually active male youth had used the condoms during their last sexual intercourse. Postgraduate male youth were four times more likely to use the condoms during the last sexual intercourse than undergraduate male youth (AOR = 4.09, 95% CI; 2.08-8.06). Similarly, married youth were less likely to use the condoms during the last sexual intercourse with 95% lower odds than their counterparts (AOR = 0.05, 95% CI; 0.01-0.38). Male youth with adequate knowledge about the condoms were 8 times more likely to use them compared to those with inadequate knowledge (AOR = 8.42, 95% CI; 4.34-16.33). Likewise, male youth with favorable attitude towards the condoms were 2.5 times more likely to use them compared to their counterparts (AOR = 2.58, 95% CI; 1.23-5.42). Similarly, male youth having two or more sex partners were 4.5 times more likely to use the condoms than the youth having only a sex partner (AOR = 4.57, 95% CI; 2.38-8.76).
The study concluded that slightly more than one-fourth (27.4%) of male college youth in Kaski district used the condoms during their last sexual intercourse. Level of education, marital status, knowledge about condoms, attitude toward condoms, and number of sex partners are the determinants of condom use among male college youth so recommended for early behavioral interventions, especially in knowledge and attitude. Further studies focusing on including the rural youth and larger geography may help to reach a firmer conclusion.
尼泊尔国家计划生育项目将避孕套作为一种重要的计划生育方法。尽管公共和私营部门在各个层面都做出了持续的努力，但青年群体对其的使用率仍然很低。因此，本研究旨在评估与男大学生最近一次性行为中使用避孕套相关的因素。
我们进行了一项横断面研究，分析了 903 名报告曾进行过阴道和肛门性交的参与者中 361 名报告在过去六个月内有过性行为的 19 至 24 岁男大学生的反应。我们主要使用卡方检验来发现相关因素，然后在进行多变量线性回归时，在经过共线性检验后选择协变量，并调整混杂因素。
我们发现，超过四分之一（27.4%）有过性行为的男大学生在最近一次性行为中使用了避孕套。与本科生相比，研究生更有可能在最近一次性行为中使用避孕套（AOR=4.09，95%CI：2.08-8.06）。同样，已婚青年使用避孕套的可能性比同龄人低 95%（AOR=0.05，95%CI：0.01-0.38）。与知识不足的男性相比，避孕套知识充足的男性使用避孕套的可能性高 8 倍（AOR=8.42，95%CI：4.34-16.33）。同样，对避孕套持有利态度的男性使用避孕套的可能性是其对应者的 2.5 倍（AOR=2.58，95%CI：1.23-5.42）。同样，有两个或两个以上性伴侣的男性使用避孕套的可能性是只有一个性伴侣的男性的 4.5 倍（AOR=4.57，95%CI：2.38-8.76）。
研究得出的结论是，在卡斯基地区，略多于四分之一（27.4%）的男大学生在最近一次性行为中使用了避孕套。教育程度、婚姻状况、避孕套知识、对避孕套的态度和性伴侣的数量是男大学生使用避孕套的决定因素，因此建议进行早期行为干预，特别是在知识和态度方面。进一步关注农村青年和更大地理范围的研究可能有助于得出更确凿的结论。
