乌干达坎帕拉非正规住区年轻精神活性物质使用者中持续使用避孕套的预测因素。
Predictors of consistent condom use among young psychoactive substance users in Kampala's informal settlements, Uganda.
作者信息
Ssekamatte Tonny, Mugambe Richard K, Nalugya Aisha, Isunju John Bosco, Matovu Joseph K B, Kansiime Winnie K, Balugaba Bonny E, Oputan Patience, Tigaiza Arnold, Wafula Solomon Tsebeni, Kibira Simon P S, Wanyenze Rhodah K
机构信息
Makerere University College of Health Sciences, School of Public Health, Department of Disease Control and Environmental Health, New Mulago Gate Rd, P.o Box 7072, Kampala, Uganda.
Makerere University College of Health Sciences, School of Public Health, Department of Community Health and Behavioural Sciences, New Mulago Gate Rd, P.o Box 7072, Kampala, Uganda.
出版信息
Dialogues Health. 2022 Nov 24;1:100080. doi: 10.1016/j.dialog.2022.100080. eCollection 2022 Dec.
INTRODUCTION
The use of psychoactive substances increases the likelihood of unprotected sexual intercourse with individuals whose health status is not known, and consequently sexually transmitted infections, especially among young people. Despite this risk, there is limited evidence of the predictors of consistent condom use among young psychoactive substance users (YPSUs) in informal settings. This study examined the predictors of condom use among YPSUs in Kampala's informal settlements, Uganda.
METHODS
A cross-sectional study was conducted among 768 YPSUs. Respondent-driven sampling was used to recruit respondents. A structured questionnaire was used to collect respondent data on condom use. Data were analysed using Stata version 15.0. Prevalence ratios (PR) were used to determine the predictors of consistent condom use.
RESULTS
Out of the 744 YPSUs, only 37.4% of the respondents reported consistent condom use in the last 30 days. The prevalence of condom use was statistically lower among young people aged 20-24 years (35.4%) compared to those aged 18-19 years (43.7%), and among the married (17.3%) compared to respondents with a "single" marital status (43.0%). Being married (PR 0.42, 95% CI: 0.30-0.59), longer duration between meeting the most recent partner and having initial sexual contact with them (7 months to 1 year: PR 0.56, 95% CI: 0.36-0.88; more than a year: PR 0.36, 95% CI: 0.17-0.75) was negatively associated with consistent condom use. Spending less than 24 h between meeting the most recent partner and having initial sexual contact was positively associated with consistent condom use (PR 1.60, 95% CI: 1.24-2.08).
CONCLUSION
The prevalence of consistent condom use in the last 30 days among YPSUs was low. Marital status and the duration between meeting the most recent partner and initial sexual contact predicted consistent condom use. There is a need to intensify awareness on the importance of consistent condom use among young people.
引言
使用精神活性物质会增加与健康状况不明的人发生无保护性行为的可能性，进而增加性传播感染的风险，尤其是在年轻人当中。尽管存在这种风险，但在非正式环境中，关于年轻精神活性物质使用者（YPSUs）坚持使用避孕套的预测因素的证据有限。本研究调查了乌干达坎帕拉非正式定居点的年轻精神活性物质使用者中使用避孕套的预测因素。
方法
对768名年轻精神活性物质使用者进行了一项横断面研究。采用应答者驱动抽样法招募受访者。使用结构化问卷收集受访者关于避孕套使用的数据。数据采用Stata 15.0版本进行分析。患病率比（PR）用于确定坚持使用避孕套的预测因素。
结果
在744名年轻精神活性物质使用者中，只有37.4%的受访者报告在过去30天内坚持使用避孕套。20至24岁的年轻人（35.4%）使用避孕套的患病率在统计学上低于18至19岁的年轻人（43.7%），已婚者（17.3%）低于婚姻状况为“单身”的受访者（43.0%）。已婚（PR 0.42，95%置信区间：0.30 - 0.59）、与最近的性伴侣相识到首次发生性接触的时间间隔较长（7个月至1年：PR 0.56，95%置信区间：0.36 - 0.88；超过1年：PR 0.36，95%置信区间：0.17 - 0.75）与坚持使用避孕套呈负相关。从与最近的性伴侣相识到首次发生性接触的时间间隔少于24小时与坚持使用避孕套呈正相关（PR 1.60，95%置信区间：1.24 - 2.08）。
结论
年轻精神活性物质使用者在过去30天内坚持使用避孕套的患病率较低。婚姻状况以及与最近的性伴侣相识到首次发生性接触之间的时间间隔可预测是否坚持使用避孕套。有必要加强对年轻人坚持使用避孕套重要性的认识。
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