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Erschienen in: Journal of Urban Health 6/2015

01.12.2015

Trends in Inequalities in the Use of Condom by Urban Teenagers in Spain

verfasst von: Laia Alvarez-Bruned, Xavier Garcia-Continente, Mercè Gotsens, Anna Pérez, Gloria Pérez

Erschienen in: Journal of Urban Health | Ausgabe 6/2015

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Abstract

Social and economic inequalities in condom use by adolescents have been reported previously. Also, condom use has declined during the last decade. The aim of the study was to describe trends in the use of condoms in our setting, and how these trends may differ between socioeconomic groups in boys, and separately in girls, aged 17-19 years attending school in Barcelona between 2004 and 2012. We analyzed data from three annual surveys on risk factors in secondary students, which included a representative sample of the city’s population; individuals who had previously had sexual intercourse (n = 1570) were included in the study. We calculated adjusted prevalence ratios (aPR) and their confidence intervals (95 % CI) using robust Poisson regression models. The prevalence of condom use among boys was 87.0 % in 2004 and 76.2 % in 2012, and 76.7 and 64.7 % among girls, respectively. This decrease was greater in adolescents with a low socioeconomic level, both in boys (aPR = 0.80) and girls (aPR = 0.84). The observed increase of socioeconomic inequalities in condom use in adolescents highlights a possible deterioration in good sexual practices and policies during the studied period.
Literatur
2.
Zurück zum Zitat Clark T, Fleming T, Bullen P, et al. Health and well-being of secondary school students in New Zealand: trends between 2001, 2007 and 2012. J Paediatr Child Health. 2013; 49(11): 925–34. doi:10.1111/jpc.12427.CrossRefPubMed Clark T, Fleming T, Bullen P, et al. Health and well-being of secondary school students in New Zealand: trends between 2001, 2007 and 2012. J Paediatr Child Health. 2013; 49(11): 925–34. doi:10.​1111/​jpc.​12427.CrossRefPubMed
3.
Zurück zum Zitat Kann L, Lowry R, Eaton D, Wechsler H. Trends in HIV-related risk behaviors among high school students—United States, 1991–2011. Morb Mortal Wkly Rep. 2012; 61(29): 556–60. Kann L, Lowry R, Eaton D, Wechsler H. Trends in HIV-related risk behaviors among high school students—United States, 1991–2011. Morb Mortal Wkly Rep. 2012; 61(29): 556–60.
4.
Zurück zum Zitat Moreno A, Rodríguez E. Informe de la juventud en España 2012. Madrid: Instituto de la Juventud (INJUVE). Gobierno de España. Observatorio de la Juventud en España; 2012. Moreno A, Rodríguez E. Informe de la juventud en España 2012. Madrid: Instituto de la Juventud (INJUVE). Gobierno de España. Observatorio de la Juventud en España; 2012.
5.
Zurück zum Zitat Holmes KK, Levine R, Weaver M. Effectiveness of condoms in preventing sexually transmitted infections. Bull World Health Organ. 2004; 82(6): 454–61.PubMedCentralPubMed Holmes KK, Levine R, Weaver M. Effectiveness of condoms in preventing sexually transmitted infections. Bull World Health Organ. 2004; 82(6): 454–61.PubMedCentralPubMed
8.
9.
Zurück zum Zitat Bimbela JL, Jiménez JM, Alfaro N, Gutiérrez P, March JC. Uso del profiláctico entre la juventud en sus relaciones de coito vaginal. Gac Sanit. 2002; 16(4): 298–307.CrossRefPubMed Bimbela JL, Jiménez JM, Alfaro N, Gutiérrez P, March JC. Uso del profiláctico entre la juventud en sus relaciones de coito vaginal. Gac Sanit. 2002; 16(4): 298–307.CrossRefPubMed
11.
Zurück zum Zitat Halpern CT, Hallfors D, Bauer DJ, Iritani B, Waller MW, Cho H. Implications of racial and gender differences in patterns of adolescent risk behavior for HIV and other sexually transmitted diseases. Perspect Sex Reprod Health. 2004; 36(6): 239–47.CrossRefPubMed Halpern CT, Hallfors D, Bauer DJ, Iritani B, Waller MW, Cho H. Implications of racial and gender differences in patterns of adolescent risk behavior for HIV and other sexually transmitted diseases. Perspect Sex Reprod Health. 2004; 36(6): 239–47.CrossRefPubMed
12.
Zurück zum Zitat Papaharitou S, Nakopoulou E, Hatzichristou D, Moraitou M. The experience of first sexual intercourse: an exploratory study in Greek women. Int J Caring Sci. 2011; 4: 164–9. Papaharitou S, Nakopoulou E, Hatzichristou D, Moraitou M. The experience of first sexual intercourse: an exploratory study in Greek women. Int J Caring Sci. 2011; 4: 164–9.
13.
Zurück zum Zitat Stone N, Ingham R. Factors affecting British teenagers’ contraceptive use at first intercourse: the importance of partner communication. Perspect Sex Reprod Health. 2002; 34(4): 191–7.CrossRefPubMed Stone N, Ingham R. Factors affecting British teenagers’ contraceptive use at first intercourse: the importance of partner communication. Perspect Sex Reprod Health. 2002; 34(4): 191–7.CrossRefPubMed
15.
Zurück zum Zitat López-Amorós M, Schiaffino A, Moncada A, Pérez G. Factores asociados al uso autodeclarado de la anticoncepción de emergencia en la población escolarizada de 14 a 18 años de edad. Gac Sanit. 2010;24(5):404–409. doi:10.1016/j.gaceta.2010.05.010. López-Amorós M, Schiaffino A, Moncada A, Pérez G. Factores asociados al uso autodeclarado de la anticoncepción de emergencia en la población escolarizada de 14 a 18 años de edad. Gac Sanit. 2010;24(5):404–409. doi:10.​1016/​j.​gaceta.​2010.​05.​010.
16.
Zurück zum Zitat Teva I, Bermúdez MP, Buela-Casal G. Characteristics of sexual behavior in Spanish adolescents. Span J Psychol. 2009; 12(2): 471–84.CrossRefPubMed Teva I, Bermúdez MP, Buela-Casal G. Characteristics of sexual behavior in Spanish adolescents. Span J Psychol. 2009; 12(2): 471–84.CrossRefPubMed
18.
Zurück zum Zitat Ingham R. The importance of context in understanding and seeking to promote sexual health. In: Ingham R, Aggleton P, eds. Promoting young people’s sexual health: international perspectives. London: Routledge; 2006: 41–60. Ingham R. The importance of context in understanding and seeking to promote sexual health. In: Ingham R, Aggleton P, eds. Promoting young people’s sexual health: international perspectives. London: Routledge; 2006: 41–60.
19.
Zurück zum Zitat Hoyos RC, Sierra AV. El estrato socioeconómico como factor predictor del uso constante de condón en adolescentes. Rev Saude Publica. 2001; 35(6): 531–8.CrossRef Hoyos RC, Sierra AV. El estrato socioeconómico como factor predictor del uso constante de condón en adolescentes. Rev Saude Publica. 2001; 35(6): 531–8.CrossRef
21.
Zurück zum Zitat Fernández R, Muñiz M. Colegios concertados y selección de escuela en España: un círculo vicioso. Presupuesto Gasto Público. 2012; 67: 97–118. Fernández R, Muñiz M. Colegios concertados y selección de escuela en España: un círculo vicioso. Presupuesto Gasto Público. 2012; 67: 97–118.
22.
Zurück zum Zitat Valois R, Thatcher W, Drane D, Reininger B. Comparison of selected health risk behaviors between adolescents in public and private high schools in South Carolina. J Sch Health. 1997; 67: 434–41.CrossRefPubMed Valois R, Thatcher W, Drane D, Reininger B. Comparison of selected health risk behaviors between adolescents in public and private high schools in South Carolina. J Sch Health. 1997; 67: 434–41.CrossRefPubMed
23.
Zurück zum Zitat Hidalgo I, Garrido G, Hernandez M. Health status and risk behavior of adolescents in the north of Madrid, Spain. J Adolesc Health. 2000; 27(5): 351–60.CrossRefPubMed Hidalgo I, Garrido G, Hernandez M. Health status and risk behavior of adolescents in the north of Madrid, Spain. J Adolesc Health. 2000; 27(5): 351–60.CrossRefPubMed
24.
Zurück zum Zitat Ruiz-Muñoz D, Pérez G, Garcia-Subirats I, Díez E. Social and economic inequalities in the use of contraception among women in Spain. J Womens Health. 2011; 20(3): 403–11. doi:10.1089/jwh.2010.2004.CrossRef Ruiz-Muñoz D, Pérez G, Garcia-Subirats I, Díez E. Social and economic inequalities in the use of contraception among women in Spain. J Womens Health. 2011; 20(3): 403–11. doi:10.​1089/​jwh.​2010.​2004.CrossRef
25.
Zurück zum Zitat Besharov DJ, Gardiner KN. Trends in teen sexual behavior. Child Youth Serv Rev. 1997; 19(5–6): 341–67.CrossRefPubMed Besharov DJ, Gardiner KN. Trends in teen sexual behavior. Child Youth Serv Rev. 1997; 19(5–6): 341–67.CrossRefPubMed
29.
30.
Zurück zum Zitat Rotermann M. Sexual behavior and condom use of 15- to 24-year-olds in 2003 and 2009/2010. Health Rep. 2012; 23(1): 41–5.PubMed Rotermann M. Sexual behavior and condom use of 15- to 24-year-olds in 2003 and 2009/2010. Health Rep. 2012; 23(1): 41–5.PubMed
33.
Zurück zum Zitat Seoane L, Diezma JC, García P. Las concepciones de salud de los jóvenes. v. 2. Prácticas y comportamientos relativos a los hábitos saludables. Madrid (Comunidad Autónoma), Servicio de Documentación y Publicaciones; 2005. 282 p. Seoane L, Diezma JC, García P. Las concepciones de salud de los jóvenes. v. 2. Prácticas y comportamientos relativos a los hábitos saludables. Madrid (Comunidad Autónoma), Servicio de Documentación y Publicaciones; 2005. 282 p.
34.
Zurück zum Zitat Samartzis EP, Merki-Feld GS, Seifert B, Kut E, Imthurn B. Six years after deregulation of emergency contraception in Switzerland: has free access induced changes in the profile of clients attending an emergency pharmacy in Zürich? Eur J Contracept Reprod Health Care. 2012; 17(3): 197–204. doi:10.3109/13625187.2012.661108.CrossRefPubMed Samartzis EP, Merki-Feld GS, Seifert B, Kut E, Imthurn B. Six years after deregulation of emergency contraception in Switzerland: has free access induced changes in the profile of clients attending an emergency pharmacy in Zürich? Eur J Contracept Reprod Health Care. 2012; 17(3): 197–204. doi:10.​3109/​13625187.​2012.​661108.CrossRefPubMed
35.
Zurück zum Zitat Arai L. Low expectations, sexual attitudes and knowledge: explaining teenage pregnancy and fertility in English communities. Insights from qualitative research. Sociol Rev. 2003; 51(2): 199–217.CrossRef Arai L. Low expectations, sexual attitudes and knowledge: explaining teenage pregnancy and fertility in English communities. Insights from qualitative research. Sociol Rev. 2003; 51(2): 199–217.CrossRef
38.
Zurück zum Zitat Conrad D. Deprivation-based inequalities in under-18 conception rates and the proportion of under-18 conceptions leading to abortion in England, 1998-2010. J Public Health Oxf Engl. 2012; 34(4): 609–14. doi:10.1093/pubmed/fds031.CrossRef Conrad D. Deprivation-based inequalities in under-18 conception rates and the proportion of under-18 conceptions leading to abortion in England, 1998-2010. J Public Health Oxf Engl. 2012; 34(4): 609–14. doi:10.​1093/​pubmed/​fds031.CrossRef
40.
Zurück zum Zitat Browning CR, Burrington LA, Leventhal T, Brooks-Gunn J. Neighborhood structural inequality, collective efficacy, and sexual risk behavior among urban youth. J Health Soc Behav. 2008;49:269–285. Available at: http://jstor.org/stable/27638756. Browning CR, Burrington LA, Leventhal T, Brooks-Gunn J. Neighborhood structural inequality, collective efficacy, and sexual risk behavior among urban youth. J Health Soc Behav. 2008;49:269–285. Available at: http://​jstor.​org/​stable/​27638756.
45.
Zurück zum Zitat Megías I, Rodríguez E, Méndez S, Pallarés J. Jóvenes y sexo. El estereotipo que obliga y el rito que identifica. Madrid: Fundación de Ayuda contra la Drogadicción (FAD), Instituto de la Juventud (INJUVE); 2005. Megías I, Rodríguez E, Méndez S, Pallarés J. Jóvenes y sexo. El estereotipo que obliga y el rito que identifica. Madrid: Fundación de Ayuda contra la Drogadicción (FAD), Instituto de la Juventud (INJUVE); 2005.
46.
Zurück zum Zitat Faílde Garrido JM, Lameiras Fernández M, Bimbela Pedrola JL. Prácticas sexuales de chicos y chicas españoles de 14-24 años de edad. Gac Sanit. 2008; 22(6): 511–9.CrossRefPubMed Faílde Garrido JM, Lameiras Fernández M, Bimbela Pedrola JL. Prácticas sexuales de chicos y chicas españoles de 14-24 años de edad. Gac Sanit. 2008; 22(6): 511–9.CrossRefPubMed
47.
Zurück zum Zitat Van Empelen P, Kok G. Condom use in steady and casual sexual relationships: planning, preparation and willingness to take risks among adolescents. Psychol Health. 2006; 21(2): 165–81.CrossRefPubMed Van Empelen P, Kok G. Condom use in steady and casual sexual relationships: planning, preparation and willingness to take risks among adolescents. Psychol Health. 2006; 21(2): 165–81.CrossRefPubMed
48.
Zurück zum Zitat Vives N, Lugo R, López E, et al. Increase in gonorrhoea among very young adolescents, Catalonia, Spain, January 2012 to June 2013. Euro Surveill Bull Eur Sur Mal Transm Eur Commun Dis Bull. 2013; 18(33): 20560. Vives N, Lugo R, López E, et al. Increase in gonorrhoea among very young adolescents, Catalonia, Spain, January 2012 to June 2013. Euro Surveill Bull Eur Sur Mal Transm Eur Commun Dis Bull. 2013; 18(33): 20560.
53.
Zurück zum Zitat Brener ND, Billy JOG, Grady WR. Assessment of factors affecting the validity of self-reported health-risk behavior among adolescents: evidence from the scientific literature. J Adolesc Health. 2003; 33(6): 436–57. doi:10.1016/S1054-139X(03)00052-1.CrossRefPubMed Brener ND, Billy JOG, Grady WR. Assessment of factors affecting the validity of self-reported health-risk behavior among adolescents: evidence from the scientific literature. J Adolesc Health. 2003; 33(6): 436–57. doi:10.​1016/​S1054-139X(03)00052-1.CrossRefPubMed
54.
Zurück zum Zitat Rose E, Diclemente RJ, Wingood GM, et al. The validity of teens’ and young adults’ self-reported condom use. Arch Pediatr Adolesc Med. 2009; 163(1): 61–4.CrossRefPubMed Rose E, Diclemente RJ, Wingood GM, et al. The validity of teens’ and young adults’ self-reported condom use. Arch Pediatr Adolesc Med. 2009; 163(1): 61–4.CrossRefPubMed
55.
Zurück zum Zitat Ley orgánica 2/2010, de 3 de marzo, de salud sexual y reproductiva y de la interrupción voluntaria del embarazo (Boletín Oficial del Estado, número 55, de 4-03-2010). Ley orgánica 2/2010, de 3 de marzo, de salud sexual y reproductiva y de la interrupción voluntaria del embarazo (Boletín Oficial del Estado, número 55, de 4-03-2010).
Metadaten
Titel
Trends in Inequalities in the Use of Condom by Urban Teenagers in Spain
verfasst von
Laia Alvarez-Bruned
Xavier Garcia-Continente
Mercè Gotsens
Anna Pérez
Gloria Pérez
Publikationsdatum
01.12.2015
Verlag
Springer US
Erschienen in
Journal of Urban Health / Ausgabe 6/2015
Print ISSN: 1099-3460
Elektronische ISSN: 1468-2869
DOI
https://doi.org/10.1007/s11524-015-9985-9

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