Oswalt Sara B, Butler Scott, Sundstrom Beth, Hughes Charmayne M L, Robbins Charlotte Petonic
From the Department of Public Health, University of Texas at San Antonio, San Antonio, TX.
School of Health & Human Performance, Georgia College and State University, Milledgeville, GA.
Sex Transm Dis. 2023 Nov 1;50(11):720-725. doi: 10.1097/OLQ.0000000000001856. Epub 2023 Aug 16.
Condom distribution programs are a structural-level intervention implemented on college campuses to reduce sexually transmitted infections and unplanned pregnancies. Understanding students' beliefs about these programs and attitudes that can affect condom use is critical.
Students at 6 different universities (n = 2809) completed items related to beliefs about campus condom distribution programs and their personal condom embarrassment and condom self-efficacy levels. Surveys were completed both in classroom and online. T Tests and analysis of variance were used to examine differences based on demographics. Logistic regression was used to examine predictors of condom use.
College students support the distribution of condoms on campus (97.4%) but express moderate levels of embarrassment in condom acquisition and possession (mean, 19.37). Lower rates of embarrassment were reported for condom negotiation (mean, 9.13) and actual condom use (mean, 8.48). Lower overall rates of embarrassment were reported by condom users, men and individuals in relationships compared with noncondom users, women, and single individuals. Heterosexual students were more embarrassed than bisexual students about acquiring condoms and negotiating condom use. Condom users, men, and individuals in relationships had higher rates of condom self-efficacy compared with nonusers, women, and single students. There were no differences in self-efficacy based on sexual orientation. Embarrassment about acquiring and actual use of condoms, condom self-efficacy and demographics were all significant predictors of condom use.
Campus condom distribution programs are supported by college students. Interventions to address embarrassment and increase condom self-efficacy need to be tailored to different students based on gender, experience with condoms, and relationship status.
避孕套发放项目是在大学校园实施的一种结构层面的干预措施，旨在减少性传播感染和意外怀孕。了解学生对这些项目的看法以及可能影响避孕套使用的态度至关重要。
6所不同大学的学生（n = 2809）完成了与校园避孕套发放项目看法、个人对避孕套的尴尬感受及避孕套自我效能水平相关的项目。调查在课堂和网上完成。采用t检验和方差分析来检验基于人口统计学的差异。采用逻辑回归分析来检验避孕套使用的预测因素。
大学生支持在校园发放避孕套（97.4%），但在获取和持有避孕套时表现出中等程度的尴尬（平均分为19.37）。在避孕套协商（平均分为9.13）和实际使用避孕套（平均分为8.48）方面，尴尬程度较低。与非避孕套使用者、女性和单身者相比，避孕套使用者、男性和处于恋爱关系中的人报告的总体尴尬程度较低。异性恋学生在获取避孕套和协商使用避孕套方面比双性恋学生更尴尬。与非使用者、女性和单身学生相比，避孕套使用者、男性和处于恋爱关系中的人避孕套自我效能率更高。基于性取向的自我效能没有差异。获取和实际使用避孕套时的尴尬、避孕套自我效能和人口统计学特征都是避孕套使用的重要预测因素。
校园避孕套发放项目得到大学生的支持。需要根据性别、避孕套使用经验和恋爱状况，为不同学生量身定制解决尴尬和提高避孕套自我效能的干预措施。
