Factors associated with condom use among at-risk women students and nonstudents seen in managed care.

作者: Kimberly SH Yarnall , Colleen M McBride , Pauline Lyna , Laura J Fish , Diane Civic

DOI: 10.1016/S0091-7435(03)00109-9

关键词:

摘要: Objectives. Sexually transmitted diseases (STD) research has focused on high-risk populations such as STD clinic patients and college students. This report examines predictors of unprotected sex among nonstudent women seen in primary care. Study design. Data are taken from the baseline survey an intervention trial testing tailored print materials to encourage condom use. Population. Eligible were identified automated databases two managed care organizations ages 18-25 unmarried heterosexually active prior 6 months not a long-term monogamous relationship. Outcomes. The frequency relative contribution risk behaviors occurrences vaginal compared non-full-time students (n = 711) full-time 390). Results. prevalent had similar associations with both subsamples. Older age using hormonal or no usual contraception having “primary” partner increased sex; approval condoms bought carried decreased sex. Conclusion. While sexually single perceive themselves at low their profiles those higher populations. Clinic-based interventions that include proactive identification at-risk systems for encouraging safer practices needed.

参考文章(50)
Susheela Singh, Akinrinola Bankole, Jacqueline E. Darroch, Determinants of Trends in Condom Use in the United States, 1988-1995 Family Planning Perspectives. ,vol. 31, pp. 264- ,(1999) , 10.2307/2991536
John S. Santelli, Charles W. Warren, Richard Lowry, Ellen Sogolow, Janet Collins, Laura Kann, Rachel B. Kaufmann, David D.Celentano, The use of condoms with other contraceptive methods among young men and women. Family Planning Perspectives. ,vol. 29, pp. 261- 267 ,(1997) , 10.2307/2953414
Theresa M. Exner, Anke A. Ehrhardt, Prevention of sexual risk behavior for HIV infection with women. AIDS. ,vol. 14, pp. 53- 58 ,(2000)
Evelyn P Whitlock, C Tracy Orleans, Nola Pender, Janet Allan, Evaluating primary care behavioral counseling interventions: An evidence-based approach American Journal of Preventive Medicine. ,vol. 22, pp. 267- 284 ,(2002) , 10.1016/S0749-3797(02)00415-4
Naomi J. Kuznets, Arthur B. Elster, AMA guidelines for adolescent preventive services (GAPS) : recommendations and rationale Williams & Wilkins. ,(1994)
Kipke M, Anderson Je, Toomey K, Faruque S, Cheney R, Long A, Wiebel W, Mills S, Clatts M, HIV risk behavior, street outreach, and condom use in eight high-risk populations. Aids Education and Prevention. ,vol. 8, pp. 191- 204 ,(1996)
Annette E. Maxwell, Roshan Bastani, Umme S. Warda, Condom use in young blacks and Hispanics in public STD clinics. Sexually Transmitted Diseases. ,vol. 26, pp. 463- 471 ,(1999) , 10.1097/00007435-199909000-00008
Lawrence D. Simkins, Update on AIDS and sexual behavior of college students: seven years later. Psychological Reports. ,vol. 74, pp. 208- 210 ,(1994) , 10.2466/PR0.1994.74.1.208
Edward W. Campion, A symptom of discontent. The New England Journal of Medicine. ,vol. 344, pp. 223- 225 ,(2001) , 10.1056/NEJM200101183440311
Stephen Rollnick, Chris C. Butler, Nigel Stott, Helping smokers make decisions: the enhancement of brief intervention for general medical practice Patient Education and Counseling. ,vol. 31, pp. 191- 203 ,(1997) , 10.1016/S0738-3991(97)01004-5