NDLI: Associated factors and sex differences in condom non-use among adolescents: Brazilian National School Health Survey (PeNSE)

Content Provider	Springer Nature : BioMed Central
Author	Noll, Matias Noll, Priscilla Rayanne E Silva Gomes, Jéssica Menezes Soares Júnior, José Maria Silveira, Erika Aparecida Sorpreso, Isabel Cristina Esposito
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.
Related Links	https://reproductive-health-journal.biomedcentral.com/counter/pdf/10.1186/s12978-020-00987-8.pdf
Ending Page	13
Page Count	13
Starting Page	1
File Format	HTM / HTML
ISSN	17424755
DOI	10.1186/s12978-020-00987-8
Journal	Reproductive Health
Issue Number	1
Volume Number	17
Language	English
Publisher	BioMed Central
Publisher Date	2020-09-07
Access Restriction	Open
Subject Keyword	Reproductive Medicine Public Health Maternal and Child Health Students Condom use Sexual risk behavior Adolescent health
Content Type	Text
Resource Type	Article
Subject	Obstetrics and Gynecology Reproductive Medicine
Journal Impact Factor	3.6/2023
5-Year Journal Impact Factor	4/2023

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1	Ministry of Education (GoI), Department of Higher Education	Sanctioning Authority	https://www.education.gov.in/ict-initiatives
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