Associated factors and sex differences in condom non-use among adolescents: Brazilian National School Health Survey (PeNSE)
Abstract Background Condom non-use among sexually active adolescents is a major cause of unintended pregnancy and sexually transmitted infections. In order to promote condom use, it is essential to understand factors associated with condom non-use. Aim Our aim was to evaluate sex differences and ass...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2020-09-01
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| Series: | Reproductive Health |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s12978-020-00987-8 |
| _version_ | 1818613916646768640 |
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| author | Matias Noll Priscilla Rayanne E Silva Noll Jéssica Menezes Gomes José Maria Soares Júnior Erika Aparecida Silveira Isabel Cristina Esposito Sorpreso |
| author_facet | Matias Noll Priscilla Rayanne E Silva Noll Jéssica Menezes Gomes José Maria Soares Júnior Erika Aparecida Silveira Isabel Cristina Esposito Sorpreso |
| author_sort | Matias Noll |
| collection | DOAJ |
| description | Abstract Background Condom non-use among sexually active adolescents is a major cause of unintended pregnancy and sexually transmitted infections. In order to promote condom use, it is essential to understand factors associated with condom non-use. Aim Our aim was to evaluate sex differences and associated factors of condom non-use based on the nationally representative Brazilian National School Health Survey. Methods The study participants were 100,962 adolescents 13–18 years old, 9th graders from both public and private schools throughout Brazil. The following factors were considered as explanatory group variables for the outcome of condom non-use among adolescents: school and health service, sexual behavior, substance use, and self-reported body and health perception. Poisson regression model was performed. Results Of the total students, 28% (n = 28,157) had had sexual intercourse at least once. (boys, 37.1%; girls, 19.5%). Of these, 69.2% had used condoms the last time they had intercourse (girls: 68%; boys: 69.9%). The variables associated with condom non-use for both sexes were not having accessed a health service or approached a health professional for health-related care; not having received pregnancy prevention counseling or guidance on AIDS or STI prevention at school; early sexual initiation; no additional contraception method; substance use; feeling alone; not being satisfied with their own body; feeling fat or thin; and poor self-reported health. The number of sexual partners was also associated with condom non-use; however, contrasting behavior was indicated between sexes. A higher number of sexual partners indicated less use of condoms among girls, while for boys, a higher number of sexual partners indicated higher condom use. Conclusion High condom non-use appears to be associated with lack of health care access and sexual health education, poor sexual practices, substance use, and poor self-perception, indicating areas for health promotion programs. |
| first_indexed | 2024-12-16T16:09:43Z |
| format | Article |
| id | doaj.art-ccc185a1549c4b868730b1cac31989c4 |
| institution | Directory Open Access Journal |
| issn | 1742-4755 |
| language | English |
| last_indexed | 2024-12-16T16:09:43Z |
| publishDate | 2020-09-01 |
| publisher | BMC |
| record_format | Article |
| series | Reproductive Health |
| spelling | doaj.art-ccc185a1549c4b868730b1cac31989c42022-12-21T22:25:15ZengBMCReproductive Health1742-47552020-09-0117111310.1186/s12978-020-00987-8Associated factors and sex differences in condom non-use among adolescents: Brazilian National School Health Survey (PeNSE)Matias Noll0Priscilla Rayanne E Silva Noll1Jéssica Menezes Gomes2José Maria Soares Júnior3Erika Aparecida Silveira4Isabel Cristina Esposito Sorpreso5Instituto Federal Goiano (IF Goiano)Instituto Federal Goiano (IF Goiano)Disciplina de Ginecologia, Departamento de Obstetrícia e Ginecologia, Faculdade de Medicina FMUSP, Universidade de São PauloDisciplina de Ginecologia, Departamento de Obstetrícia e Ginecologia, Faculdade de Medicina FMUSP, Universidade de São PauloDepartamento de Clínica Médica, Faculdade de Medicina, Universidade Federal de Goiás (UFG)Disciplina de Ginecologia, Departamento de Obstetrícia e Ginecologia, Faculdade de Medicina FMUSP, Universidade de São PauloAbstract Background Condom non-use among sexually active adolescents is a major cause of unintended pregnancy and sexually transmitted infections. In order to promote condom use, it is essential to understand factors associated with condom non-use. Aim Our aim was to evaluate sex differences and associated factors of condom non-use based on the nationally representative Brazilian National School Health Survey. Methods The study participants were 100,962 adolescents 13–18 years old, 9th graders from both public and private schools throughout Brazil. The following factors were considered as explanatory group variables for the outcome of condom non-use among adolescents: school and health service, sexual behavior, substance use, and self-reported body and health perception. Poisson regression model was performed. Results Of the total students, 28% (n = 28,157) had had sexual intercourse at least once. (boys, 37.1%; girls, 19.5%). Of these, 69.2% had used condoms the last time they had intercourse (girls: 68%; boys: 69.9%). The variables associated with condom non-use for both sexes were not having accessed a health service or approached a health professional for health-related care; not having received pregnancy prevention counseling or guidance on AIDS or STI prevention at school; early sexual initiation; no additional contraception method; substance use; feeling alone; not being satisfied with their own body; feeling fat or thin; and poor self-reported health. The number of sexual partners was also associated with condom non-use; however, contrasting behavior was indicated between sexes. A higher number of sexual partners indicated less use of condoms among girls, while for boys, a higher number of sexual partners indicated higher condom use. Conclusion High condom non-use appears to be associated with lack of health care access and sexual health education, poor sexual practices, substance use, and poor self-perception, indicating areas for health promotion programs.http://link.springer.com/article/10.1186/s12978-020-00987-8StudentsCondom useSexual risk behaviorAdolescent health |
| spellingShingle | Matias Noll Priscilla Rayanne E Silva Noll Jéssica Menezes Gomes José Maria Soares Júnior Erika Aparecida Silveira Isabel Cristina Esposito Sorpreso Associated factors and sex differences in condom non-use among adolescents: Brazilian National School Health Survey (PeNSE) Reproductive Health Students Condom use Sexual risk behavior Adolescent health |
| title | Associated factors and sex differences in condom non-use among adolescents: Brazilian National School Health Survey (PeNSE) |
| title_full | Associated factors and sex differences in condom non-use among adolescents: Brazilian National School Health Survey (PeNSE) |
| title_fullStr | Associated factors and sex differences in condom non-use among adolescents: Brazilian National School Health Survey (PeNSE) |
| title_full_unstemmed | Associated factors and sex differences in condom non-use among adolescents: Brazilian National School Health Survey (PeNSE) |
| title_short | Associated factors and sex differences in condom non-use among adolescents: Brazilian National School Health Survey (PeNSE) |
| title_sort | associated factors and sex differences in condom non use among adolescents brazilian national school health survey pense |
| topic | Students Condom use Sexual risk behavior Adolescent health |
| url | http://link.springer.com/article/10.1186/s12978-020-00987-8 |
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