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首页> 外文期刊>AIDS care. >To use or not to use: A stage-based approach to understanding condom use among homeless youth
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To use or not to use: A stage-based approach to understanding condom use among homeless youth

机译：使用或不使用：一种基于阶段的方法来了解无家可归的年轻人中避孕套的使用

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This study used a stage-based approach to understand condom use behavior in a representative sample of 309 sexually active homeless youth recruited from shelters, drop-in centers, and street sites in Los Angeles County. Focusing on the youth's most recent sexual event, the three stages of condom use examined were: (1) whether the partners decided prior to the event about using condoms; (2) whether a condom was available at the event; and (3) whether a condom was used at the event. Logistic regression analysis was used to identify attitudinal, relationship, and contextual correlates of each of these three stages. Deciding ahead of time about condom use was associated with being Hispanic, level of education, condom attitudes, and various relationship characteristics (e.g., partner type, monogamy, relationship abuse), with the nature of these associations varying depending on the type of decision (i.e., deciding to use, deciding to not use). Condom availability was more likely to be reported by males, if the event was described as being special in some way, or if the event lacked privacy. Condom use was more likely among youth with more positive condom attitudes and among youth who decide ahead of time to use a condom, but less likely among those in monogamous relationships or when hard drugs were used prior to sex. Whether sexual intercourse is protected or unprotected is the end result of a series of decisions and actions by sexual partners. Results from this study illustrate how condom use can be better understood by unpacking the stages and identifying influential factors at each stage. Each stage may, in and of itself, be an important target for intervention with homeless youth.
机译：这项研究使用了一种基于阶段的方法来了解从洛杉矶县的避难所，收容中心和街头场所招募的309名有性活跃的无家可归青年的代表性样本中的避孕套使用行为。针对青少年最近发生的性行为，检查了使用安全套的三个阶段：（1）伴侣是否在事件发生前就使用安全套做出过决定; （2）活动中是否有安全套; （3）活动中是否使用了避孕套。 Logistic回归分析用于确定这三个阶段中每个阶段的态度，关系和背景相关性。提前决定使用安全套与西班牙裔，受教育程度，安全套态度以及各种关系特征（例如伴侣类型，一夫一妻制，滥用关系）有关，这些协会的性质取决于决定的类型（也就是说，决定使用，决定不使用）。如果该事件在某种程度上被描述为特殊事件，或者该事件缺乏隐私，则男性更有可能报告避孕套的可用性。在使用安全套态度更积极的年轻人中和提前决定使用安全套的年轻人中，使用避孕套的可能性更高，但在一夫一妻制关系中或性行为发生前使用硬性药物的年轻人中，避孕套的使用可能性较小。性交是受到保护还是不受保护，是性伴侣一系列决定和行动的最终结果。这项研究的结果说明，如何通过分解各个阶段并确定每个阶段的影响因素，可以更好地理解避孕套的使用。每个阶段本身可能是干预无家可归青年的重要目标。

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