Santelli J S, Davis M, Celentano D D, Crump A D, Burwell L G
Baltimore City Health Department, Department of Health Policy Management, Johns Hopkins School of Hygiene and Public Health, Baltimore, MD, USA.
Fam Plann Perspect. 1995 Mar-Apr;27(2):74-8.
Data from a street survey conducted among 717 women aged 17-35 in two inner-city Baltimore communities in 1991-1992 indicate that 17% of the entire sample, 38% of women using the pill and 11% of users of methods other than the pill used a condom in addition to another method the last time they had intercourse. Although adolescents reported the highest rate of combined condom and pill use (22% of 17-19-year-olds), condom use was significantly associated with pill use among adult women (odds ratio of 1.57) but not among adolescents (odds ratio of 1.03). Condom use was negatively associated with use of methods such as the diaphragm, the IUD, the implant and the sponge (odds ratio of 0.21) among both adolescents and adults. Logistic regression analyses show that positive attitudes toward safer sex, ever having refused sex without a condom and believing in condom efficacy all significantly predicted use of the condom with another method. Having ever been tested for HIV was negatively related to combined use, while behavioral risk factors showed no association.
1991年至1992年在巴尔的摩两个市中心社区对717名17至35岁女性进行的街头调查数据表明，在整个样本中，17%的人、使用避孕药的女性中有38%以及使用避孕药以外其他避孕方法的使用者中有11%，在她们最后一次性交时除使用另一种避孕方法外还使用了避孕套。尽管青少年报告的避孕套和避孕药联合使用率最高（17至19岁的青少年中有22%），但在成年女性中，避孕套使用与避孕药使用显著相关（优势比为1.57），而在青少年中则不然（优势比为1.03）。在青少年和成年人中，避孕套使用与子宫帽、宫内节育器、皮下埋植剂和海绵等避孕方法的使用呈负相关（优势比为0.21）。逻辑回归分析表明，对安全性行为持积极态度、曾拒绝无避孕套性行为以及相信避孕套的有效性，均显著预测会将避孕套与另一种避孕方法联合使用。曾经接受过艾滋病毒检测与联合使用呈负相关，而行为风险因素则无关联。
