ArticleReproductive health2020
Associated factors and sex differences in condom non-use among adolescents: Brazilian National School Health Survey (PeNSE).
Article in Reproductive health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed.
- Syphilis in pregnant women living with HIV/AIDS in Brazil and the relationship between coinfection and mother-to-child transmission of HIV.BMC public health · 2025Article
- Breaking barriers: predictors of condom use negotiation among adolescent girls and young women in Mozambique.BMC public health · 2025Article
- Age-related associations between heavy drinking and inconsistent condom use among unmarried adults: results from the Brazilian National Health Survey.Cadernos de saude publica · 2025Article
- Factors associated with condom use among unmarried sexually active adolescent girls and young women (AGYW) aged 15-24 years: analysis of the Uganda Demographic Health Survey 2016.Frontiers in reproductive 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
- Prevalence of sexual initiation and associated factors in school adolescents in Piauí, Brazil, 2015.Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil · 2023Article
- Characterization of adolescent sexual practices.Revista latino-americana de enfermagem · 2022Observational
- Dating Applications, Sexual Behaviors, and Attitudes of College Students in Brazil's Legal Amazon.International journal of environmental research and public health · 2020Article
- Prevalence and Factors Associated with Early Sexual Initiation among College Students in Southwest Ethiopia.BioMed research international · 2020Article
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Authors and funding
6 authors.
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Abstract
backgroundCondom 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.
aimOur aim was to evaluate sex differences and associated factors of condom non-use based on the nationally representative Brazilian National School Health Survey.
methodsThe 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.
resultsOf 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.
conclusionHigh 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.
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