BACKGROUND & AIMS:
:Using data from the 2004 National Adolescent Surveys, this paper undertook a detail analysis of knowledge of correct condom use and consistency of use, as well as their covariates, among adolescents in Burkina Faso, Ghana, Malawi and Uganda. The strongest predictor of knowledge of correct condom use among both male and female adolescents is exposure to a condom use demonstration. In Burkina Faso, Ghana and Uganda, adolescents who have seen a condom demonstration are 2 to 5 times as likely as those who have not to have good knowledge of correct condom use. Age, ever received sex education in school, ever attended school and exposure to the radio are also significant predictors of knowledge of correct use, particularly among men. As indicated by behavior among young men, the extent to which adolescents use the condom consistently varies across countries. Yet, it is nowhere near the required 100% level. The proportion reporting consistent use of the method in the 3 months preceding the survey is 38% in Burkina Faso, 47% in Ghana, 20% in Malawi and 36% in Uganda. Age difference between partners is a major determinant of consistent use of condoms: young men whose partner is 0-4 years younger are about two and a half times more likely to use condoms consistently than those who whose partner is 5-9 years younger. Other important predictors of consistent condom use are residence, education, living arrangement and exposure to mass media, specifically the radio and newspaper. Findings from this study point to areas that policy and program can address to provide adolescents access to the kinds of information and service they need to achieve healthy sexual and reproductive lives.
背景与目标:
: 本文利用2004次全国青少年调查的数据,对布基纳法索、加纳、马拉维和乌干达青少年正确使用避孕套和使用一致性的知识及其协变量进行了详细分析。在男性和女性青少年中,正确使用安全套知识的最强预测指标是暴露于安全套使用演示中。在布基纳法索,加纳和乌干达,看过避孕套示范的青少年是那些不了解正确使用避孕套的青少年的2至5倍。年龄,曾经在学校接受过性教育,曾经上学和接触广播也是正确使用知识的重要预测因素,尤其是在男性中。正如年轻人的行为所表明的那样,青少年使用避孕套的程度在不同国家之间一直存在差异。然而,它远没有达到所需的100% 水平。在调查前3个月报告一致使用该方法的比例38% 在布基纳法索,47% 在加纳,20% 在马拉维,36% 在乌干达。伴侣之间的年龄差异是持续使用安全套的主要决定因素: 伴侣年龄在0-4岁之间的年轻男性比伴侣年龄在5-9岁之间的年轻男性持续使用安全套的可能性高约2.5倍。持续使用安全套的其他重要预测因素是居住,教育,生活安排和接触大众媒体,特别是广播和报纸。这项研究的结果指出了政策和计划可以解决的领域,以使青少年获得实现健康的性生活和生殖生活所需的各种信息和服务。