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首页> 外文期刊>AIDS care. >Ineffective use of condoms among young women in managed care.
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Ineffective use of condoms among young women in managed care.

机译：年轻妇女在管理照护中使用避孕套的效率低下。

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Condoms must be used effectively in order to prevent pregnancy and the spread of HIV/STD. This study investigated two types of ineffective condom use, delayed condom use (initiated after penetration has occurred) and condom slippage and/or breakage. We estimated prevalence and identified predictors of ineffective condom use among young women at risk of STDs. The study used baseline survey data from a randomized trial of women 18-24 years old at two managed care sites; 779 participants who were recent condom users were included in this analysis. Forty-four per cent of the sample reported delayed condom use in the past three months and 19% reported condom slippage and/or breakage. In multivariate logistic regression, younger age, primary partner, lack of partner support, multiple recent sexual partners and using condoms for contraception were positively associated with delayed condom use. Correlates of condom slippage and/or breakage were non-white race/ethnicity and history of any STD. Greater frequencyof condom use independently predicted both outcomes. Ineffective condom use was common in this sample of experienced condom users and predictors were different for each outcome. HIV/STD prevention interventions must address more specific aspects of condom use than have previously been their focus, especially when condom use is already high.
机译：必须有效使用避孕套，以防止怀孕和艾滋病毒/性病的传播。这项研究调查了两种无效的避孕套使用方式：延迟使用避孕套（发生渗透后开始使用）以及避孕套打滑和/或破损。我们估计了罹患性病风险的年轻妇女的患病率并确定了避孕套使用不当的预测因素。该研究使用了来自两个管理性照护地点的18-24岁女性的随机试验的基线调查数据。该分析包括最近使用安全套的779名参与者。样本中有百分之四十四报告说在过去三个月中避孕套使用延迟，百分之十九报告了避孕套打滑和/或破裂。在多元逻辑回归分析中，年龄较小，主要伴侣，缺乏伴侣支持，近期有多个性伴侣以及使用避孕套避孕与延迟使用避孕套呈正相关。避孕套打滑和/或折断的相关因素是非白人种族/种族和任何性病史。使用安全套的频率更高，可以独立预测两个结果。在这个有经验的避孕套使用者样本中，使用避孕套的效率低下很普遍，并且每种结果的预测因素都不同。预防艾滋病毒/性病的干预措施必须比以前更加关注安全套使用的特定方面，尤其是当安全套使用量已经很高时。

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