Original articleDeterminants and Correlates of Preventive Behaviors at First Sex With a First Partner and Second Partner: Analysis of the FECOND Study
Section snippets
Methods
The FECOND study, a national probability survey conducted in France in 2010, addresses sexual and reproductive health in the French population. A sample of 8,645 individuals aged 15–49 years was identified using random digit dialing (including landlines and cellphones). One individual per phone number was selected for participation. After orally consenting, participants responded to telephone interviews, which lasted an average of 41 minutes. The FECOND study was approved by the French agency
Description of study sample and contraceptive use
The sociodemographic characteristics of “population 2” (n = 1,823) and the “population switch” (n = 1,593) were similar to the larger population (n = 2,657) (Table 1) (less than 1% of either males or females had missing data for any variable). The mean age of “population 2” was 23.2 years; 31% had not completed high school at the time of the survey, and 29% had some college or graduate education; 47% reported it had been easy to talk with their mother about sexuality, whereas a little over a
Discussion
This study reveals changes in preventive behaviors during the early stages of sexual life. Over time, young people in France move toward use of more effective contraceptive methods but are less likely to use condoms—including at first intercourse with their second partner. This is a positive shift for the purpose of pregnancy prevention but a challenge in terms of STI prevention. The decline in condom use is concerning as the risks of STIs are high in this age group [14], [15] while switching
Funding Sources
H.L. was supported by the National Institute of Allergy and Infectious Disease (T32 AI050056-12). C.M. was supported by the William Robertson endowment funds.
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