scholarly journals Determinants of condom use during last sexual intercourse among male college youth of Kaski, Nepal: A cross-sectional survey

PLoS ONE ◽  
2021 ◽  
Vol 16 (12) ◽  
pp. e0261501
Author(s):  
Bijaya Parajuli ◽  
Chiranjivi Adhikari ◽  
Narayan Tripathi

Background The National Family Planning program of Nepal has introduced the condom as an important family planning method. Despite the continuous effort from the public and private sectors at various levels, its use among youth remains low. Therefore, this study aimed to assess the factors associated with condom use during the last sexual intercourse among male college youth. Methods We conducted a cross-sectional study and analyzed the responses of 361 male college youth (aged 19 to 24 years who reported being sexually active preceding six months of the survey), among the 903 participants who reported being involved in vaginal and anal sexual intercourse. The chi-square test was primarily used to find the associated factors and then, stepwise logistic regression was performed by selecting the covariates after the multicollinearity test followed by adjustment of confounders. Results We found that more than one-fourth (27.4%) of the sexually active male youth had used the condoms during their last sexual intercourse. Postgraduate male youth were four times more likely to use the condoms during the last sexual intercourse than undergraduate male youth (AOR = 4.09, 95% CI; 2.08–8.06). Similarly, married youth were less likely to use the condoms during the last sexual intercourse with 95% lower odds than their counterparts (AOR = 0.05, 95% CI; 0.01–0.38). Male youth with adequate knowledge about the condoms were 8 times more likely to use them compared to those with inadequate knowledge (AOR = 8.42, 95% CI; 4.34–16.33). Likewise, male youth with favorable attitude towards the condoms were 2.5 times more likely to use them compared to their counterparts (AOR = 2.58, 95% CI; 1.23–5.42). Similarly, male youth having two or more sex partners were 4.5 times more likely to use the condoms than the youth having only a sex partner (AOR = 4.57, 95% CI; 2.38–8.76). Conclusion The study concluded that slightly more than one-fourth (27.4%) of male college youth in Kaski district used the condoms during their last sexual intercourse. Level of education, marital status, knowledge about condoms, attitude toward condoms, and number of sex partners are the determinants of condom use among male college youth so recommended for early behavioral interventions, especially in knowledge and attitude. Further studies focusing on including the rural youth and larger geography may help to reach a firmer conclusion.

Author(s):  
I Gusti Ngurah Edi Putra ◽  
Desri Astuti ◽  
Dyah Anantalia Widyastari ◽  
Dusita Phuengsamran

AbstractAdolescent sexual and reproductive health problems remain a public health concern in Indonesia. An increase of premarital sex as well as early sexual debut among adolescents without any protection leads to a high risk of adverse sexual and reproductive health consequences. This study aimed to assess condom use prevalence and identify its determinants among male adolescents who are sexually active in Indonesia. This was a cross-sectional study using secondary data from the Adolescent Reproductive Health component of the Indonesia Demographic and Health Survey (IDHS) 2012. The sample for this study was 1341 sexually active male adolescents aged 15–24 years old. Data were analyzed descriptively and using binary logistic regression for bivariate and multivariate analysis. This study found that condom use prevalence among male adolescents at first and last sex accounted for 25.0% and 27.4%, respectively. Determinants of condom use varied by time of sexual intercourse. Knowledge of sexual and reproductive health and obtaining information about condoms were consistently related to condom use at first and last sexual encounter. Meanwhile, residential type, age at first sex, and sexual partner were significant determinants of condom use at sexual debut whilst educational level was only associated with condom use at last sex. As the level of protected sex among male adolescents was very low, providing comprehensive sexuality education (CSE) is suggested in order to develop the capacity among adolescents in making informed decisions and preventing unsafe sex.


2017 ◽  
Vol 12 (1) ◽  
pp. 134
Author(s):  
Ratna Dewi Handayani ◽  
Zahroh Shaluhiyah ◽  
Kusyogo Cahyo

ABSTRAKPenelitian pencegahan penularan IMS dan HIV/AIDS melalui hubungan seksual pada pengguna napza suntik yang dilakukan oleh Pusat penelitan Unika Atmajaya menjelaskan bahwa penasun menyadari bahwa menggunakan kondom saat berhubungan seksual merupakan pencegahan terbaik, tetapi penggunaan kondom secara konsisten baru mencapai 19-40% dan dilakukan hanya pada pasangan komersial, sedangkan pada pasangan tetap tidak dilakukan. Pada penelitian ini subyek penelitian dikhususkan pada pengguna napza stimulan mengingat efek yang ditimbulkan salah satunya adalah peningkatan gairah seksual dan perilaku seksual bebas, tujuan penelitian mengetahui faktor-faktor yang mempengaruhi perilaku pemakaian kondom konsisten saat melakukan hubungan seksual pada laki-laki pengguna napza stimulan  di kota Semarang.   Penelitian dilaksanakan dengan metode kuantitatif-explanatory research pendekatan cross sectional kepada seluruh pengguna napza stimulan yang ada dikota Semarang- dibawah binaan HR LSM Graha Mitra.Hasil penelitian menunjukkan 43 orang responden pengguna shabu-sabu dan extacy dimana 36 diantaranya hanya menggunakan extacy saja.  Mereka menggunakan kondom secara konsisten 55.8%, dan tidak menggunakan kondom secara konsisten sebanyak 44.2%. Analisis bivariat penelitian bermakna pada sikap, persepsi manfaat, persepsi kemampuan diri, dan dukungan pasangan seksual. Sedangkan penelitian tidak bermakna pada karakteristik (umur, pendidikan, pekerjaan, status pernikahan, tempat tinggal, status HIV, pengetahuan, persepsi kerentanan, persepsi keparahan, keterjangkauan akses kondom dan ketrampilan pemakaian kondom.  Analisis multivariat memperlihatkan adannya pengaruh variabel independen kepada variabel dependen yaitu sikap dan dukungan pasangan seksual dengan probabilitas penggunaan kondom secara konsisten pada pengguna napza stimulan 13.9%. Kata Kunci: Perilaku, Kondom Konsisten, Napza stimulant. Factors That Affect The Behavior Of Consistent Condom Use During Sexual Intercourse On A Male Stimulant Drugs Users In The City Of Semarang: Research on the prevention of the transmission of STI and HIV/AIDS through sexual intercourse on people who use drugs by injection the study centre Unika Atmajaya explained that IDU’s realized that using condoms during sexual intercourse is the best prevention, but condom use is consistently achieving new 19-40% and is done only on the commercial, while couples on couples still isn't done. On the research subject of research is devoted to users who use drugs stimulants given effect posed one is an increase in sexual arousal and sexual behaviour, the research objectives knowing the factors that affect the behavior of consistent condom use during sexual intercourse on a male stimulant drugs users in the city of Semarang. Research carried out by quantitative methods-explanatory research approach of cross sectional to all users who use drugs stimulants that exists in the city of Semarang-under the patronage of HR NGOS Graha Mitra.The results showed 43 people respondents shabu shabu users sabu and extacy where 36 of them only use the extacy only. They use condoms consistently 55.8%, and not using condoms consistently as much of 44.2%. Analysis of meaningful research on bivariat attitude, perception, perception of the ability of self benefit, and support sexual partners. While the research does not mean on the characteristics (age, education, occupation, marital status, place of residence, HIV status), knowledge, perception, perception of the severity of the vulnerability, the affordability of access condoms and condom use skills. Multivariate analysis shows that influence the dependent variable to the independent variable i.e. attitude and sexual partner support with a probability of use condoms consistently on people who use drugs stimulants 13.9%.Key Words; behavior, Condom Consistently, stimulant Drugs


Author(s):  
Adisso Sostène ◽  
Mukanire N. ◽  
Ogoudjobi Ogourindé Mathieu ◽  
Gnonlonfin N. ◽  
Mulongo Mbarambara P.

Background: Precociousness and abuse of unprotected sexual intercourses among teenagers promote sexually transmitted infections and unwanted pregnancies that often result in illegal induced abortions. The goal of this work is to study the knowledge, attitude and practice of students about sexuality.Methods: This is a cross-sectional and analytical study that took place from 1st March to 30th May 2015. All registered secondary students in both secondary schools Behanzin and Toffa 1er from Porto-Novo city are included. We used a multiple choice and open questions.Results: The survey concerns 1304 students. Among them, 57% are female and 43% are male. The students’ average age is 18.71±2.31years with extremes of 13 and 25 years. The majority of students in our sample (66.9%), the ideal age for first sexual intercourse is between 15 and 19 years with 60.4% for boys and 65.0% for girls. In our sample, 6 to 7 students out of 10 have at least one sexual intercourse. Among boys, we estimated 7 to 8 cases out of 10 and among girls 5 to 6 out of 10 cases. On the whole, 44.9% of students agreed to have sexual intercourse before marriage. Out of 1304 students, 50.0% have their first sexual intercourse between 15 and 19 years old and 47.2% of these sexual intercourses were unprotected. Having many sexual partners is more observed among boys. Sexually transmitted diseases are known by students of our sample in the following proportions: HIV/AIDS (93.2%), Gonorrhoea (44.2%), Syphilis (21.2%), Chancroid (6.2%), Genital trichomoniasis (5.4%). Out of 433 sexually active girls who were involved in the present study, 165 (38.1%) had at least one unwished pregnancy and 144 which is 87.3% resulted in induced abortions.Conclusions: Present study showed that the majority of students are sexually active and most of sexual intercourses are unprotected despite the knowledge about sexually transmitted diseases. This attitude is revealed in a certain rate of unwished pregnancies resulting in a significant proportion of induced abortions.


2016 ◽  
Vol 4 (1) ◽  
pp. 87
Author(s):  
Septiana Ningtiyas ◽  
Prijono Satyabakti

HIV prevalence among transgender in Surabaya based STBP in 2011 has reached 24%. The high prevalence in the transgender group caused by risky sexual behavior that is not consistent in using condoms and changing sex partners. Transgender sex couples not only client, but transgender have a regular partner also called a boyfriend or husband. Program at transgender condom use has not been effective or has not reached the target. Condom use among transgender is determined by sex partners. The study aimed to describe the differences of condom use among transgender to regular partner and clients. This study used cross sectional design research descriptive with qualitative approach. There were 9 informants to accomplish this study by purposive sampling with certain criteria such as transgenders prostitutes who are associated with association of transgender in Surabaya (Perwakos) that were actively doing prostitution, transgender prostitutes who had a regular partner and transgender prostitutes who performed those sexual activities in Surabaya. The variables studied were knowledge, attitudes, perceptions, condom use. Data were analyzed using transcripts of data, data reduction, data display, verification. The results showed that condom use in regular partner lower than the clients. This is caused by the bad attitude and perception, accompanied domination emotional factors. There were no differences of condom use between regular partner with clients. Therefore necessary to motivate transgender Perwakos to always use a condom during sex with regular partner and clients, as well as increased knowledge of HIV-AIDS and the benefits of condoms to regular partner and transgender clients.Keywords: condom use, transgender, HIV-AIDS, regular partner, clients


2011 ◽  
Vol 5 (1) ◽  
pp. 125-134 ◽  
Author(s):  
Tom Oluoch ◽  
Ibrahim Mohammed ◽  
Rebecca Bunnell ◽  
Reinhard Kaiser ◽  
Andrea A Kim ◽  
...  

Objective: To identify factors associated with prevalent HIV in a national HIV survey in Kenya. Methods: The Kenya AIDS Indicator Survey was a nationally representative population-based sero-survey that examined demographic and behavioral factors and serologic testing for HIV, HSV-2 and syphilis in adults aged 15-64 years. We analyzed questionnaire and blood testing data to identify significant correlates of HIV infection among sexually active adults. Results: Of 10,957 eligible women and 8,883 men, we interviewed 10,239 (93%) women and 7,731 (87%) men. We collected blood specimens from 9,049 women and 6,804 men of which 6,447 women and 5,112 men were sexually active during the 12 months prior to the survey. HIV prevalence among sexually active adults was 7.4%. Factors independently associated with HIV among women were region (Nyanza vs Nairobi: adjusted OR [AOR] 1.6, 95%CI 1.1-2.3), number of lifetime sex partners (6-9 vs 0-1 partners: AOR 3.0, 95%CI 1.6-5.9), HSV-2 (AOR 6.5, 95%CI 4.9-8.8), marital status (widowed vs never married: AOR 2.7, 95%CI 1.5-4.8) and consistent condom use with last sex partner (AOR 2.3, 95%CI 1.6-3.4). Among men, correlates of HIV infection were 30-to-39-year-old age group (AOR 5.2, 95%CI 2.6-10.5), number of lifetime sex partners (10+ vs 0-1 partners, AOR 3.5, 95%CI 1.4-9.0), HSV-2 (AOR 4.7, 95%CI 3.2-6.8), syphilis (AOR 2.4, 95%CI 1.4-4.0), consistent condom use with last sex partner (AOR 2.1, 95% CI 1.5-3.1) and lack of circumcision (AOR 4.0, 95%CI 2.8 - 5.5). Conclusion: Kenya’s heterogeneous epidemic will require regional and gender-specific prevention approaches.


2022 ◽  
Author(s):  
Nkechi C. Obisie-Nmehielle ◽  
Ishmael Kalule-Sabiti ◽  
Martin Palamuleni

Abstract Background: For countries to achieve the Sustainable Development Goals (SDGs) especially SDG3.7- universal access to Sexual and Reproductive Health (SRH) care services including information and education for family planning, immigrant youth must be ensured access to SRH services. This study examines the determinants of knowledge about family planning (KFP) and access to SRH services by sexually active immigrant youth in Hillbrow, South Africa.Methods: This cross-sectional study of 467 immigrant youth aged 18-34 years used a multistage-sampling technique. Data were collected using interviewer-administered questionnaires on socio-demographic, migration, KFP and access to SRH services from government health facilities. Unadjusted and adjusted logistic regression models were used to determine levels of KFP and access to SRH services among 437 sexually active youth. Results: The main sources of information on SRH issues were radio/television (38.7%) and friends (22.8%). Over half of the respondents have adequate KFP, while two out of five indicated a lack of access to SRH services from government health facilities. In the adjusted models, the determinants of having KFP were being a female (AOR= 3.85, CI: 2.33–6.35, belonging to the age groups 25–29 years (AOR=2.13, CI: 1.12–4.04; and 30–34 years (AOR=3.88, CI: 2.00–7.53); belonging to the middle and rich wealth index (AOR=1.84, CI: 1.05–3.20) and (AOR=2.61 (1.34–5.08) respectively. Not having received information about family planning (AOR=0.16, CI=0.09–0.28) and not using a contraceptive at the time of the survey (AOR=0.36, CI: 0.18–0.70) were associated with reduced odds of KFP. The determinants of having access to government health facility for SRH services were being a female (AOR=2.95, CI: 1.87–4.65), being 30–34 years of age (AOR=1.91, CI: 1.08–3.39), and not having received information about family planning (AOR=0.44, CI=0.27–0.73). Conclusion: Majority of the survey respondents lack access to information about family and SRH services provided by government health facilities, which resulted in them depending on unreliable sources of information about SRH issues. There is a need to advocate for universal access to SRH services, inclusive of immigrant youth in South Africa, to curb negative SRH outcomes and to achieve SDG 3.7.


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