ArticleBMC public health2019
Inequities in consistent condom use among sexually experienced undergraduates in mainland China: implications for planning interventions.
Article in BMC public health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed, 23 citations in OpenAlex.
- Evidence-Based Contraceptive Guidance for Young Women Following Induced Abortion: A Systematic Summary.Patient preference and adherence · 2026Review
- Decisional Needs of Young Women (Aged 15-24 Years) in Contraceptive Choice: A Systematic Review.Patient preference and adherence · 2026Review
- Changes in knowledge of safe sex and sexual behaviour among male vocational high school students in Zhejiang Province, China: a 6-year cross-sectional comparison (2015-2021).Frontiers in reproductive health · 2025Article
- Predicting HIV self-testing intentions among Chinese college students: a dual-model analysis integrating health belief constructs and machine learning prioritization.Frontiers in public health · 2025Article
- Prevalence and factors associated with condom use among sexually active young women in Haiti: evidence from the 2016/17 Haiti demographic and health survey.BMC women's health · 2023Article
- Focusing on Safety or Pleasure Determine Condom Use Intentions Differently Depending on Condom Availability and STI Risk.International journal of sexual health : official journal of the World Association for Sexual Health · 2023Article
- Ecological factors associated with child sexual abuse among 15- to 17-year-old adolescents in mainland China: implications for intervention.Frontiers in public health · 2023Article
- Prevalence of and factors associated with unintended pregnancies among sexually active undergraduates in mainland China.Reproductive health · 2022Article
- Discordance between perceived risk and actual risky sexual behaviors among undergraduate university students in mainland China: a cross-sectional study.BMC public health · 2022Article
- Perceptions of Pornography and Attitudes Toward Condom Use in Heterosexual Chinese Adults: The Effect of Sexual Pleasure, Safer Sex Communication Apprehension, and Shared Pornography Use During Sex.Archives of sexual behavior · 2022Article
- Inequities in the utilization of HIV counseling and testing services among undergraduates in mainland China.BMC public health · 2021Article
- Identify Key Determinants of Contraceptive Use for Sexually Active Young People: A Hybrid Ensemble of Machine Learning Methods.Children (Basel, Switzerland) · 2021Article
- HIV/AIDS related perception and behavior: A comparative study among college students of different majors in China.International journal of nursing sciences · 2020Article
- Article
- Application of the Chinese version of Zelaya's HIV-related stigma scale to undergraduates in mainland China.BMC public health · 2019Article
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Authors and funding
15 authors at 1 institution in 1 country.
Funding
Abstract
backgroundSince pre-exposure prophylaxis (PrEP) is mainly prescribed to high-risk uninfected individuals, consistent condom use (CCU) continues to be recommended as an inexpensive, feasible, practical and acceptable way to prevent the general population from acquiring and transmitting HIV through sexual intercourse. The objective of this cross-sectional study was to compare the relative importance of various determinants of CCU among sexually experienced undergraduates in mainland China so as to assess and subsequently to suggest ways to eliminate inequities in its use.
methodFrom September 10, 2018, to January 9, 2019, an anonymous self-administered online questionnaire was voluntarily completed by 12,750 participants distributed across 30 provinces in mainland China (except for Tibet). The present analysis was restricted to 2054 sexually experienced undergraduates. Pearson's chi-square test and Logistic regression models were chosen to analyze the factors associated with CCU.
resultsThe overall rate of CCU was 61.3% [95% confidence interval (CI) = 59.2-63.4%]. CCU was inequitably distributed since enabling factors exerted greater effects than predisposing and need variables. Compared with heterosexual men, heterosexual women [adjusted odds ratio (AOR) = 0.78, 95% confidence interval (CI):0.64-0.96)], non-heterosexuals men (AOR = 0.64, 95% CI:0.45-0.92) and women (AOR = 0.68, 95% CI:0.47-0.99) were less prone to using condoms consistently. Those with more resources [i.e., higher levels of self- efficacy for condom use (AOR = 2.86, 95% CI:2.35-3.49) and being knowledgeable of the national AIDS policy (AOR = 1.50, 95% CI:1.23-1.82)], and those with lower need for condoms [i.e., late initiation of sexual activity (AOR = 1.34, 95% CI:1.09-1.64) and single sexual partner (AOR = 1.68,95% CI:1.21-2.33)] were more likely to be consistent condom users.
conclusionsIn order to increase consistency of condom use and simultaneously reduce the remaining inequities, a comprehensive intervention measure should be taken to target heterosexual women, non-heterosexual men and women, and those with higher need for condoms, improve their condom use self- efficacy and raise their awareness of the national AIDS policy.
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