在尼加拉瓜高风险环境中促进避孕套使用:一项随机对照试验
M Egger1, J Pauw, A Lopatatzidis
1Department of Social Medicine, University of Bristol, UK. m.egger@bristol.ac.uk
Lancet (London, England)
|July 21, 2000
概括
在汽车旅馆房间提供避孕套显著增加了尼加拉瓜的避孕套使用. 卫生教育材料是无效的,强调了可访问的避孕套对公共卫生战略的重要性.
科学领域:
- 公共卫生 公共卫生
- 性健康 性的健康
- 行为科学 行为科学
背景情况:
- 拉丁美洲的汽车旅馆被用于商业和非商业性接触.
- 研究了健康教育材料和避孕套供应对尼加拉瓜马纳瓜避孕套使用的影响.
研究的目的:
- 评估不同避孕套分发策略的有效性和关于在汽车旅馆使用避孕套的健康教育材料.
- 为了确定最佳的干预措施,以增加安全套的使用在一个关键的城市环境.
主要方法:
- 在马纳瓜的19家汽车旅馆中进行了一项随机对照试验.
- 干预措施包括根据要求提供避孕套,在房间内提供避孕套,或直接分发给夫妇,有或没有健康教育材料.
- 避孕套的使用是通过通过室内搜查直接观察来评估的.
主要成果:
- 总体而言,避孕套的使用率为48.0%,商业性行为的使用率更高 (60.5%),而非商业性行为的使用率更高 (20.2%).
- 房间内安全套的可用性显著增加了商业性和非商业性对安全套的使用.
- 卫生教育材料没有改善避孕套的使用,甚至在商业性接触中略有减少了避孕套的使用.
结论:
- 汽车旅馆是促进拉丁美洲避孕套使用的关键场所.
- 增加避孕套使用的最有效策略是让避孕套在汽车旅馆的房间里随时可用.
- 调查结果强调了可访问的避孕套分发对于艾滋病毒预防政策的重要性.
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