Condom non-use among adolescents: Prevalence and associated factors among school-going adolescents from 58 countries

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2024-09-30 DOI:10.1016/j.srhc.2024.101035

Nazifa Nawal Huda , Rashawan Raziur Rouf , Md Shajedur Rahman Shawon

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引用次数: 0

Abstract

Objectives

Studies in several resource-limited settings have investigated the prevalence and potential factors associated with condom non-use among adolescents, showing inconsistent and varied findings, owing to methodological inconsistencies. Thus, this study aimed to investigate the prevalence and associated factors of condom non-use among a global sample of adolescents and their differences based on sex and region.

Methods

We conducted a cross-sectional study using the 2009–2018 Global School-based Health Survey data from 58 countries which included 183,100 adolescents aged 12–15 years. Random-effects meta-analysis was used to estimate the overall and regional pooled prevalence of condom non-use. Multilevel mixed-effect logistic regressions were used to investigate the correlates of condom non-use.

Results

Overall, 26.2% of the total sample reported being sexually active and of these, 27.6% did not use condoms during last intercourse, with boys reporting higher than girls (27.9% vs. 25.6%). The prevalence of condom non-use was the highest in the African region (29.2%) and the lowest in the South-East Asia region (21.1%). There were variations in prevalence across countries, regions, and sex. Female gender, older age, loneliness, suicidal ideation, being bullied, parental support and supervision, truancy, smoking, illicit drug use, early sexual initiation, and having multiple sex partners were associated with condom non-use. There was evidence of heterogeneity of correlates across regions and sex.

Conclusions

In this analysis, we found variations in the prevalence and associated factors of condom non-use among adolescents by sex and region. These findings can shape effective sexual health initiatives and improve resource distribution across regions.

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青少年不使用安全套的情况：来自 58 个国家的在校青少年中不使用安全套的情况及其相关因素。

研究目的在一些资源有限的环境中进行的研究调查了青少年不使用安全套的普遍程度和潜在相关因素，由于方法不一致，研究结果也不一致且各不相同。因此，本研究旨在调查全球青少年样本中不使用安全套的流行率和相关因素，以及不同性别和地区的差异：我们利用来自 58 个国家的 2009-2018 年全球学校健康调查数据开展了一项横断面研究，其中包括 183100 名 12-15 岁的青少年。研究采用随机效应荟萃分析法估算不使用安全套的总体流行率和地区流行率。多层次混合效应逻辑回归用于研究不使用安全套的相关因素：总体而言，26.2%的样本报告性生活活跃，其中 27.6%的样本在最后一次性交时没有使用安全套，男生报告的比例高于女生（27.9% 对 25.6%）。非洲地区不使用安全套的比例最高（29.2%），东南亚地区最低（21.1%）。不同国家、不同地区和不同性别的感染率存在差异。女性性别、年龄较大、孤独、自杀倾向、被欺凌、父母的支持和监督、逃学、吸烟、使用非法药物、过早开始性行为以及有多个性伴侣与不使用安全套有关。有证据表明，不同地区和不同性别的相关因素存在异质性：在这项分析中，我们发现不同性别和地区的青少年不使用安全套的发生率和相关因素存在差异。这些发现可以帮助我们制定有效的性健康计划，并改善各地区的资源分配。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.