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Abstract

Resumen ObjetivoEl estrato socioeconómico juega un rol importante en las desigualdades en salud. En México, la prevalencia más alta de casos de SIDA se encuentra en población de estratos más bajos. El propósito de lo estudio fue describir el estrato socioeconómico (ajustado por variables psicosociales, situacionales y demográficas) como un factor predictor del uso consistente del condón, en adolescentes. Métodos Se incluyó en el estudio una muestra de una encuesta previa aplicada a 1.410 adolescentes de 15 a 19 años y estratificada por edad, género y estrato socioeconómico de Guadalajara, México. El análisis fue aplicado sobre los 251 adolescentes que reportaron actividad sexual. El análisis estadístico se realizó mediante Ji Cuadrada, t-test, ANOVA y regresión logística. Resultados La frecuencia de uso consistente de condón fue 30,7% y hubo una prevalencia de uso irregular. El estrato socioeconómico alto fue el principal predictor (OR= 11,1, CI95%= 2,6-47,6). Otros predictores significativos fueron el género masculino, el soporte de los pares y el nivel alto de conocimientos sobre VIH/SIDA. Conclusión El estrato socioeconómico es un importante factor predictor del uso consistente del condón. Abstract Introduction

Predictors of Condom Use Among Mexican Adolescents

“…In regards to self-reported condom use behaviors, while the majority of adolescents reported inconsistent condom use, consistent condom use among this sample is higher compared to that of other studies conducted on Mexican adolescents (Caballero Hoyos & Villasenor Sierra, 2001; Villasenor-Sierra et al, 2002). In addition, unlike other studies, our sample reported higher use of condoms at first intercourse (Antrop et al, 2006; Gayet, Juarez, Pedrosa, & Magis, 2003; Tapia-Aguirre et al, 2004; Walker, Torres, Gutierrez, Flemming, & Bertozzi, 2004).…”

“…Findings from condom use studies (e.g., Antrop, Walker, Gutierrez, & Bertozzi, 2006; Caballero Hoyos & Villasenor Sierra, 2001; Givaudan, Van de Vijver, Poortinga, Leenen, & Pick, 2007; Martinez-Donate et al, 2004) consistently demonstrate that condom use among Mexican adolescents is inconsistent. In a sample of high school students 15 to 19 years old, less than one-third of the sample reported always using condoms (Caballero Hoyos & Villasenor Sierra, 2001).…”

“…In a sample of high school students 15 to 19 years old, less than one-third of the sample reported always using condoms (Caballero Hoyos & Villasenor Sierra, 2001). Within the same age group, consistent condom use was as low as 15.3% among females (Villasenor-Sierra, Caballero Hoyos, San Martin, & Santos-Preciado, 2002).…”

Male Circumcision: An Appraisal of Current Instrumentation

“…Critics of this approach cite the "ABC" policy (Abstinance, Behaviour, Condoms) (Coates et al, 2008) as being sufficient. While condoms are 80-90% effective if always used properly (Halperin et al, 2004), including during foreplay, the reality is that for a host of reasons such as passion over-riding common sense, dislike for condoms, reckless behaviour often fuelled by inebriation, and/or not having a condom available, many people either do not use them consistently or at all (Donovan & Ross, 2000;Szabo & Short, 2000;Caballero-Hoyos & Villasenor-Sierra, 2001;Ferrante et al, 2005;Jadack et al, 2006;Kang et al, 2006;Sanchez et al, 2006;Yahya-Malima et al, 2007;Munro et al, 2008;Wawer et al, 2009). This research included RCTs in which men were given counselling and free condoms .…”

Sexual behavior and practices of adolescent students in the city of Recife, Brazil

“…The girls had a smaller number of sexual partners when compared to boys. And although this pattern is explained due to the gender difference, some authors do not coverthis difference [21][22][23] . Similar results to ours were reported by Silva et al 24 , who in addition to verifying that same standard, they still infer that the chances of being exposed to sexually transmitted diseases (STDS) and to human immunodeficiency virus/acquired immunodeficiency syndrome (HIV/AIDS) is greater in adolescents who have a higher number of sexual partners, with the increased risk to each new partner.…”