Oakley D, Bogue E L
School of Nursing, University of Michigan, Ann Arbor 48109-0482, USA.
Am J Public Health. 1995 Nov;85(11):1526-30. doi: 10.2105/ajph.85.11.1526.
This study analyzed the prevalence and determinants of the quality of condom use after a woman's first visit to a family planning clinic.
This report presents data from 360 female family planning clients who reported using condoms as their primary method of contraception for at least 1 sexually active month during the study's follow-up period after their first clinic visit.
Only 1% always engaged in all five use behaviors studied: using a condom for each sexual intercourse, putting the condom on before first entry, withdrawal after intercourse while there is still an erection, holding on to the condom's rim during withdrawal, and using foam. Multiple linear regression indicated that more effective condom use was reported by women who had not had an induced abortion, were not using condoms just because they were starting oral contraceptive pill regimens, had more knowledge about birth control in general, had received a nursing intervention, and had more communication with their partner.
Increasing attention needs to be devoted to understanding determinants of the specific actions that differentiate between more and less effective contraceptive use.
本研究分析了女性首次就诊计划生育诊所后安全套使用质量的患病率及决定因素。
本报告呈现了360名计划生育女性服务对象的数据，这些对象报告在首次就诊诊所后的研究随访期内，至少有1个性活跃月将安全套作为主要避孕方法。
只有1%的人始终践行所研究的全部五种使用行为：每次性交都使用安全套、在首次插入前戴上安全套、性交后阴茎仍勃起时抽出、抽出时捏住安全套边缘以及使用泡沫剂。多元线性回归表明，未进行人工流产、不是仅因开始口服避孕药方案而使用安全套、对总体避孕知识了解更多、接受过护理干预以及与伴侣沟通更多的女性报告的安全套使用效果更佳。
需要更多关注以了解区分有效和无效避孕使用的具体行为的决定因素。
