Prevalence and determinants of condom use among male adolescents in Indonesia

Abstract

Adolescent 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.

Prevalence and predictors of HIV testing among young men in Papua New Guinea: a cross-sectional analysis of a nationally representative sample

“…Our study showed that less than a quarter (26.2%) of young men do not always use condoms during sex compared to their counterparts. Our findings are consistent with those from Brazil [14] and Indonesia [16], showing low rates of condom use among young people (22.8% and 27.4%, respectively). Low and sporadic use of condoms has been linked with poor knowledge of HIV and sexual health education, which are potential risk factors for HIV transmission [13,15].…”

“…Another reason accounting for this finding could be the result of the multifaceted array of individual- and interpersonal-level influences on condom use among young people. There is evidence that unequal gender and social norms, peer influences, negative perceptions about condoms and their use, and poor youth-friendly sexual and reproductive health services have been associated with low and inconsistent condom use among young people [16,65]. However, consistent condom use has been acknowledged as one of the most fundamental preventative measures against HIV acquisition and transmission [13].…”

“…Sexual risk behaviours such as having sex at an early age, having multiple sexual partners, having sex under the influence of alcohol or drugs, and having unprotected sex are welldocumented drivers for HIV and other STIs [12][13][14]. In addition, a lack of HIV knowledge and inconsistent condom use, especially among young people, significantly increase the risk of HIV transmission [15][16][17]. Efforts to increase knowledge of condom use and reduce HIV risks, as well as HIV testing, remain critical for young people.…”

Prevalence and determinants of condom use among youth in Malawi: Evidence from the 2015/16 Malawi Demographic and Health Survey

“…Understanding why youths practice unprotected sex which puts them at high risk of HIV and other sexually transmitted infections, as well as unwanted pregnancies is vital in addressing this public health challenge (1,10). Several studies have been conducted in the Western world and Africa related to the prevalence and determinants of condom use among the youth (11,12). Some of the documented determinants of condom use among the youths include age, sex, place of residence, drug and alcohol abuse, duration of the relationship, perceived con dence to use a condom, perceived susceptibility to STIs and pregnancy, refusing to have sex if a partner refuses to use a condom, intention to bargain over the use of condoms, religion, relationship intimacy, sex-stigma and accessibility to condoms (13)(14)(15).…”

The effect of adolescent reproductive health education on premarital sexual behavior

“…The protection of sex in Indonesian adolescents was at a low level. It was influenced that the socio-cultural issue that almost people assume that sexual behavior and reproductive health is something taboo and privation to discuss [8,9]. Education in adolescents has been suggested to improve knowledge  ISSN: 2252-8806 Int.…”