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Potential markers of female condom use among inner city African-American women.

机译:内城区的非洲裔美国妇女中女性使用安全套的潜在标志。

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Despite the availability of the female condoms and theoretically based interventions to promote its use, studies have indicated a low level of acceptability of their use among women in most populations. We aimed to determine female condom use prevalence and the potential markers among African-American women. In an intervention trial to test the efficacy of the Information-Motivation-Behavioral Skills model in increasing condom use, we utilized the baseline data of 280 subjects and examined the potential predictors of female condom use. Chi square statistic and unconditional logistic regression were used to test for group independence among users and non-users of the female condom and to assess the potential markers of female condom use respectively. After adjustment for relevant covariates associated independently with female condom use, the significant potential markers for female condom use were age, multiple sexual relationships, knowledge of female condom, and educational status. Women having multiple sexual relationships compared with a monogamous relationship were five times more likely to use the female condom, while women with high school education were three times more likely to use the female condom; prevalence odds ratio, POR=5.32, 95% CI=1.79-15.83 and POR=3.01, 95% CI=1.01-8.93. Women who were not knowledgeable of the female condom, compared to those who were, were 81% less likely to use the female condom, POR=0.19, 95% CI=0.08-0.45. Among African-American women in this sample, knowledge of female condom use, age, educational status, and multiple sexual relationships were significant markers of female condom use. This study is therefore suggestive of the need to educate African-American women on female condom use, given the obstacles in male condom negotiation, especially among the socio-economically challenged.
机译:尽管有女用安全套,并且在理论上有干预措施以促进其使用,但研究表明,大多数人群中妇女对安全套使用的接受程度较低。我们旨在确定女性使用安全套的患病率以及非洲裔美国妇女中的潜在标志。在一项旨在测试信息动机行为技能模型在增加安全套使用中的功效的干预试验中,我们利用了280名受试者的基线数据,并检查了女性使用安全套的潜在预测因素。卡方统计和无条件逻辑回归用于检验女性避孕套使用者和非使用者之间的群体独立性,并分别评估使用女性避孕套的潜在标志。在对独立于女性安全套使用的相关协变量进行调整后,女性安全套使用的重要潜在标志是年龄,多重性关系,女性安全套知识和受教育程度。与具有一夫一妻制关系的女性发生多重性关系的女性使用安全套的可能性是女性的五倍,而接受过高中教育的女性使用女性安全套的可能性是三倍。患病几率比,POR = 5.32,95%CI = 1.79-15.83,POR = 3.01,95%CI = 1.01-8.93。与不了解女用避孕套的女性相比,不懂女用避孕套的女性使用女用避孕套的可能性要低81%,POR = 0.19,95%CI = 0.08-0.45。在本样本中的非洲裔美国妇女中,女性使用安全套的知识,年龄,受教育程度以及多种性关系是女性使用安全套的重要标志。因此,鉴于男性安全套谈判中的障碍,特别是在受到社会经济挑战的人群中,这种研究表明有必要对非洲裔美国妇女进行关于女性使用安全套的教育。

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