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    "titulo" => "Uso del profiláctico entre la juventud en sus relaciones de coito vaginal"
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        "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Describir el uso del profil&#225;ctico entre j&#243;venes en sus relaciones de coito vaginal e identificar los factores asociados a dicho uso&#46;</p> <span class="elsevierStyleSectionTitle">M&#233;todo</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">La informaci&#243;n se recogi&#243; mediante un cuestionario realizado en domicilio y con presencia del entrevistador&#44; a 1&#46;000 j&#243;venes &#40;14-24 a&#241;os&#41; residentes en Andaluc&#237;a &#40;Espa&#241;a&#41;&#46; Se llev&#243; a cabo un an&#225;lisis bifactorial y se ajustaron las ecuaciones de regresi&#243;n log&#237;stica jer&#225;rquica para verificar asociaciones entre la variable dependiente &#171;uso del profil&#225;ctico en el coito vaginal &#187; y las variables clasificadas por el modelo PRECEDE &#40;predisponentes&#44; facilitadores y reforzantes&#41;&#46; El ajuste del modelo fue de un 38&#37; seg&#250;n el estad&#237;stico de Nagelkerke&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">750 j&#243;venes mantuvieron relaciones afectivas y&#47;o sexuales con contacto f&#237;sico y un 63&#37; de ellos practic&#243; el coito vaginal &#40;47&#37; del total de la muestra&#41;&#46; Los que tuvieron una sola relaci&#243;n de coito vaginal &#40;12&#37; del total de la muestra&#41; usaron profil&#225;ctico el 83&#37; &#40;un 10&#44;3&#37; del total de la muestra&#41;&#44; y entre los que tuvieron m&#225;s de una relaci&#243;n con coito vaginal &#40;34&#37; del total de la muestra&#41;&#44; utilizaron siempre profil&#225;ctico un 49&#37; &#40;16&#44;9&#37; del total de la muestra&#41;&#46; Las variables asociadas a su utilizaci&#243;n siempre fueron dos&#58; tener una intenci&#243;n de conducta &#171;segura&#187; con la pareja habitual y una baja frecuencia de la pr&#225;ctica&#46; Las variables asociadas a no utilizarlo nunca fueron&#58; estar emancipado&#44; pensar que infectarse depende de factores externos &#40;locus de control externo&#41;&#44; identificar pocas zonas del cuerpo como sensibles al placer&#44; pensar que no es necesario usar profil&#225;ctico si se conf&#237;a en la pareja&#44; tener una intenci&#243;n de conducta &#171;insegura&#187; con la pareja habitual y no hablar con la pareja sobre m&#233;todos preventivos antes de llevar a cabo la pr&#225;ctica sexual&#46;</p> <span class="elsevierStyleSectionTitle">Discusi&#243;n</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Los factores m&#225;s asociados con el uso o no del profil&#225;ctico en el coito vaginal son predisponentes &#40;actitudes&#44; valores y creencias&#41; relacionados con el tipo de pareja con la que llevan a cabo la pr&#225;ctica&#46; Se sugieren intervenciones basadas en la participaci&#243;n activa de los j&#243;venes encaminadas a conseguir que perciban la compatibilidad entre la confianza en la pareja y el uso del cond&#243;n&#44; y a que cuestionen la &#171;falsa seguridad&#187; que parece proporcionarles una pareja percibida como habitual&#46;</p>"
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        "titulo" => "Abstract"
        "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">To describe young people&#39;s use of condoms in penetrative vaginal intercourse&#44; and to identify the factors associated with this use&#46;</p> <span class="elsevierStyleSectionTitle">Method</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">The information was collected using a self-administered questionnaire put in 1&#44;000 people between 14 and 24 years of age resident in the region of Andalusia &#40;Spain&#41;&#46; The results of the sample were representative and the trust interval was 95&#37;&#46; A bivariante analysis was carried out and hierarchical logistic regression equations were adjusted to verify associations between the dependent variable &#171;use of the condom in the vaginal intercourse&#187; and the variables proposed from PRECEDE model &#40;predisposing&#44; enabling&#44; and reinforcing&#41;&#46; The adjustment of the model was of a 38&#37;&#44; according to the Nagelkerke&#39;s statistic&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Of the people surveyed&#44; 750 had affective and&#47;or sexual relations with physical contact&#44; and 63&#37; of these had vaginal intercourse &#40;47&#37; of all surveyed&#41;&#46; Of those&#44; people that only had vaginal intercourse once &#40;12&#37; of all surveyed&#41;&#44; 83&#37; &#40;10&#44;3&#37; of all surveyed&#41; used a condom&#44; whereas&#44; people that had sex more than once &#40;34&#37; of all surveyed&#41;&#44; 49&#37; always used a condom &#40;16&#44;9&#37; of all surveyed&#41;&#46; The variables associated with always using a condom were&#58; intention of &#171;safe&#187; behaviour with their regular partner and low frequency of practice&#46; The variables associated with never using a condom were&#58; living emancipated&#44; having an external locus of control &#40;thinking that becoming infected depends upon external factors&#41;&#44; low number of zones of the body identified as pleasure-sensitive&#44; thinking that a condom is not necessary if one trusts his or her partner&#44; intention of &#171;unsafe&#187; behaviour with their regular partner&#44; and not talking with the partner about preventive methods before having sex&#46;</p> <span class="elsevierStyleSectionTitle">Discussion</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">The most associated factors with using or not a condom in vaginal intercourse are predisposing &#40;attitudes&#44; values and believes&#41; that are related with the kind of sexual partner&#46; Interventions &#40;based on the young active participation&#41; are suggested to make them perceived the compatibility between the trust with the partner and the use of condom&#44; and put in doubt the &#171;false safety&#187; given by a partner perceived as habitual&#46;</p>"
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Vol. 16. Núm. 4.
Páginas 298-307 (julio - agosto 2002)
Open Access
Uso del profiláctico entre la juventud en sus relaciones de coito vaginal
(Condom use among the young engaging in vaginal intercourse)
Visitas
6659
J.L. Bimbela
Autor para correspondencia
bimbela@easp.es

Correspondencia: J.L. Bimbela Pedrola. Escuela Andaluza de Salud Pública. Campus Universitario de Cartuja. Apartado de Correos 2070. 18080 Granada.
, J.M. Jiménez, N. Alfaro, P. Gutiérrez, J.C. March
Escuela Andaluza de Salud Pública. Granada
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Estadísticas
Resumen
Objetivo

Describir el uso del profiláctico entre jóvenes en sus relaciones de coito vaginal e identificar los factores asociados a dicho uso.

Método

La información se recogió mediante un cuestionario realizado en domicilio y con presencia del entrevistador, a 1.000 jóvenes (14-24 años) residentes en Andalucía (España). Se llevó a cabo un análisis bifactorial y se ajustaron las ecuaciones de regresión logística jerárquica para verificar asociaciones entre la variable dependiente «uso del profiláctico en el coito vaginal » y las variables clasificadas por el modelo PRECEDE (predisponentes, facilitadores y reforzantes). El ajuste del modelo fue de un 38% según el estadístico de Nagelkerke.

Resultados

750 jóvenes mantuvieron relaciones afectivas y/o sexuales con contacto físico y un 63% de ellos practicó el coito vaginal (47% del total de la muestra). Los que tuvieron una sola relación de coito vaginal (12% del total de la muestra) usaron profiláctico el 83% (un 10,3% del total de la muestra), y entre los que tuvieron más de una relación con coito vaginal (34% del total de la muestra), utilizaron siempre profiláctico un 49% (16,9% del total de la muestra). Las variables asociadas a su utilización siempre fueron dos: tener una intención de conducta «segura» con la pareja habitual y una baja frecuencia de la práctica. Las variables asociadas a no utilizarlo nunca fueron: estar emancipado, pensar que infectarse depende de factores externos (locus de control externo), identificar pocas zonas del cuerpo como sensibles al placer, pensar que no es necesario usar profiláctico si se confía en la pareja, tener una intención de conducta «insegura» con la pareja habitual y no hablar con la pareja sobre métodos preventivos antes de llevar a cabo la práctica sexual.

Discusión

Los factores más asociados con el uso o no del profiláctico en el coito vaginal son predisponentes (actitudes, valores y creencias) relacionados con el tipo de pareja con la que llevan a cabo la práctica. Se sugieren intervenciones basadas en la participación activa de los jóvenes encaminadas a conseguir que perciban la compatibilidad entre la confianza en la pareja y el uso del condón, y a que cuestionen la «falsa seguridad» que parece proporcionarles una pareja percibida como habitual.

Palabras clave:
Jóvenes
Coito vaginal
Uso de profiláctico
Prevención VIH
Sida
Abstract
Objective

To describe young people's use of condoms in penetrative vaginal intercourse, and to identify the factors associated with this use.

Method

The information was collected using a self-administered questionnaire put in 1,000 people between 14 and 24 years of age resident in the region of Andalusia (Spain). The results of the sample were representative and the trust interval was 95%. A bivariante analysis was carried out and hierarchical logistic regression equations were adjusted to verify associations between the dependent variable «use of the condom in the vaginal intercourse» and the variables proposed from PRECEDE model (predisposing, enabling, and reinforcing). The adjustment of the model was of a 38%, according to the Nagelkerke's statistic.

Results

Of the people surveyed, 750 had affective and/or sexual relations with physical contact, and 63% of these had vaginal intercourse (47% of all surveyed). Of those, people that only had vaginal intercourse once (12% of all surveyed), 83% (10,3% of all surveyed) used a condom, whereas, people that had sex more than once (34% of all surveyed), 49% always used a condom (16,9% of all surveyed). The variables associated with always using a condom were: intention of «safe» behaviour with their regular partner and low frequency of practice. The variables associated with never using a condom were: living emancipated, having an external locus of control (thinking that becoming infected depends upon external factors), low number of zones of the body identified as pleasure-sensitive, thinking that a condom is not necessary if one trusts his or her partner, intention of «unsafe» behaviour with their regular partner, and not talking with the partner about preventive methods before having sex.

Discussion

The most associated factors with using or not a condom in vaginal intercourse are predisposing (attitudes, values and believes) that are related with the kind of sexual partner. Interventions (based on the young active participation) are suggested to make them perceived the compatibility between the trust with the partner and the use of condom, and put in doubt the «false safety» given by a partner perceived as habitual.

Key words:
Young
Vaginal intercourse
Condom
HIV prevention
AIDS
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