ArticleBMJ open2021
Rate of condom use among sexually active adolescents: a nationwide cross-sectional study in Taiwan from 2012 to 2016.
Article in BMJ open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 2 of them syntheses that pooled it.
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Who cites it
7 citing papers in PubMed, 2 syntheses or guidelines pooled it, 12 citations in OpenAlex.
- A systematic review of the association between history of sexually transmitted infections and subsequent condom use in adolescents.BMC public health · 2024Pooled it
- The use of condoms and other birth control methods among sexually active school-going adolescents in nine sub-Saharan African countries.BMC public health · 2022Pooled it
- Sexual awareness, high-risk sexual behaviors and HIV testing: a cross-sectional survey among university students in Xuzhou, Jiangsu.Frontiers in public health · 2025Article
- Determinants of condom use among sexually active youth in SBC intervention communities in Tanzania: A cross-sectional study.PloS one · 2025Article
- Risk of teenage pregnancy among adolescents with bipolar disorder: a cohort study of 35,398 adolescent girls.European child & adolescent psychiatry · 2023Article
- "Compared to COVID, HIV Is Nothing": Exploring How Onshore East Asian and Sub-Saharan African International Students in Sydney Navigate COVID-19 versus BBVs/STIs Risk Spectrum.International journal of environmental research and public health · 2022Article
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
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Abstract
objectiveAdolescents' sexual behaviours are associated with sexually transmitted infections and unwanted pregnancies. This study aimed to estimate the sexual intercourse and condom use rates at first and last sex among Taiwanese adolescents in grades 7-12.
designA secondary data analysis of the Taiwan Global School-Based Student Health Survey's 2012-2016 data. The survey was anonymous, cross-sectional and nationwide.
settingTaiwan high school students (grades 7-12).
participantsThe sample comprised 27 525 students from junior high schools (grades 7-9), and senior high schools, comprehensive schools, vocational high schools and night schools (grades 10-12).
main outcome measuresThe rate of ever having had sexual intercourse; the rates and factors of condom use at first and last sex.
resultsThe sexual intercourse rate in each school type (in ascending order) was junior high school (1.62%), senior high school (4.14%), comprehensive school (9.08%), vocational high school (14.03%) and night school (41.09%). Condom use rate decreased from 57.07% (95% CI=54.31% to 59.83%) at first sex to 25.72% (95% CI=23.34% to 28.10%) at last sex (p<0.0001). The condom use rate (in ascending order) was junior high school (first sex: 37.67%, last sex: 19.76%), night school (55.83%, 22.62%), vocational high school (61.13%, 25.78%), comprehensive school (62.83%, 28.61%) and senior high school (68.38%, 34.96%). Older age at sexual debut was associated with condom use at first and last sex, and having one sexual partner was associated with condom use at last sex, as revealed by logistic regression analysis.
conclusionsThis study highlights an urgent need to instil a proper understanding of protected sex while adolescents are still in their formative years. Despite the low sexual intercourse rate (4.95%), there is lower condom use at last sex than at first sex, which indicates that many sexually active adolescents are not practising protected sex, especially among junior high school students.
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