Factors associated with the knowledge and attitude of adolescents regarding male condom use

Rodrigues, Vitória Caroline da Cunha; Lopes, Gabriella Farias; Silveira, Giovanna Evelyn Luna; Sousa, Isabelle Barros; Sena, Marcela Matias; Lopes, Thays Silva de Souza; Aquino, Priscila de Souza

doi:10.1590/0034-7167-2019-0452

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Revista Brasileira de Enfermagem

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ORIGINAL ARTICLE • Rev. Bras. Enferm. 74 (suppl 4) • 2021 • https://doi.org/10.1590/0034-7167-2019-0452 copy

Factors associated with the knowledge and attitude of adolescents regarding male condom use

Factores relacionados al conocimiento y conducta de adolescentes cuanto al uso del preservativo masculino

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

Objective:

Identify factors associated with the knowledge and attitude regarding male condom use in school adolescents.

Methods:

Cross-sectional, quantitative, Knowledge, Attitude, and Practice survey, conducted with 114 adolescents from a public state high school from August to October 2017, in Fortaleza, Ceará, Brazil.

Results:

The assumption of having sufficient knowledge regarding safe sex, not having a casual/dating partner, and having had three or more sexual partners in the last three months affected adequate knowledge. Higher education of the mother and not talking to the mother about sex were factors that influenced the inappropriate attitude of the participants.

Conclusion:

The knowledge and attitude of adolescents are influenced both by their previous sexual relations and by their relationship with their mother and the level of her schooling. Thus, it is essential that health institutions promote actions aimed at sex education, with support from schools and health professionals in general.

Descriptors:
Sexuality; Nursing; Knowledge; Attitude; Condoms

Sociodemographic Variables	Knowledge				p	Attitude				p
	Adequate		Inadequate			Adequate		Inadequate
	n	%	n	%		n	%	n	%
Age
Up to 17 years	42	49.4	43	50.6	0.063^‡ ‡ Chi-squared test.	12	14.1	73	85.9	0.486^‡ ‡ Chi-squared test.
≥ 18 years	17	70.8	7	29.2	0.063^‡ ‡ Chi-squared test.	4	16.7	20	83.3	0.486^‡ ‡ Chi-squared test.
Enrolment
First year	23	47.9	25	52.1		7	14.6	41	85.4
Second year	22	53.7	19	46.3	0.254	4	9.8	37	90.2	0.506
Third year	17	68	8	32		5	20	20	80
Gender
Female	32	64	18	36	0.057^‡ ‡ Chi-squared test.	5	10	45	90	0.259^‡ ‡ Chi-squared test.
Male	29	46	34	54	0.057^‡ ‡ Chi-squared test.	11	17.5	52	82.5	0.259^‡ ‡ Chi-squared test.
Family income
Up to 1 minimum wage salary	6	75	2	25	0.463^* * Fischer Test	2	25	6	75	0.234^* * Fischer Test
≥ minimum wage	40	58	29	42	0.463^* * Fischer Test	7	10.1	62	89.9	0.234^* * Fischer Test
Lives with parents
With both	35	57.4	26	42.6	0.615^ Likelihood ratio	10	16.4	51	83.6	0.102^ Likelihood ratio
With only one	21	53.8	18	46.2		6	33	33	84.6
With others	6	42.9	8	57.1		0	0	14	100
Father's number of years in education
Up to 9 years	7	63.6	4	36.4	0.806^ Likelihood ratio	3	27.3	8	72.7	0.200^ Likelihood ratio
10 to 12 years	26	53.1	23	46.9		4	8.2	45	91.8
≥ 12 years	29	53.7	25	46.3		9	16.7	45	83.3
Mothers's number of years in education
Up to 9 years	5	38.5	8	61.5	0.231^ Likelihood ratio	2	15.4	11	84.6	0.023^ Likelihood ratio
10 to 12 years	39	60.9	25	39.1		13	20.3	51	79.7
> 12 years	18	48.6	19	51.4		1	2.7	36	97.3

Social influence variables	Knowledge				p	Attitude				p
	Adequate		Inadequate			Adequate		Inadequate
	n	%	n	%		n	%	n	%
Knowledge self-assessment on safe sex
Sufficient	49	63.6	12	33.6	0.003^‡	8	10.4	69	89.6	0.093*
Insufficient	28	36.3	24	66.7	0.003^‡	8	22.2	28	77.8	0.093*
Speaks to the father about sex
Yes	9	60	6	40	0.755^‡	2	13.3	13	86.7	1.000*
No	49	55.7	39	44.3	0.755^‡	13	14.8	75	85.2	1.000*
Speaks to the mother about sex
Yes	27	58.7	19	41.3	0.553^‡	11	23.9	35	76.1	0.015^‡
No	35	53	31	47	0.553^‡	5	7.6	61	92.4	0.015^‡
Speaks to friends about sex
Yes	53	85.5	9	14.5	0.897^‡	15	15.5	82	84.5	0.459*
No	44	84.6	8	15.4	0.897^‡	1	5.9	16	94.1	0.459*

Sexual variables	Knowledge				p	Attitude				p
	Adequate		Inadequate			Adequate		Inadequate
	n	%	n	%		n	%	n	%
Sexual initiation
Yes	31	52.5	28	47.5	0.682^‡ ‡ Chi-squared test.	7	11.9	52	88.1	0.490^‡ ‡ Chi-squared test.
No	31	56.4	24	43.6		9	16.4	46	83.6
Use of condom on the first sexual relation
Yes	18	58.1	13	41.9	0.450^‡ ‡ Chi-squared test.	4	12.9	27	87.1	1.000^* * Fischer Test
No	13	48.1	14	51.9		3	11.1	24	88.9
Sexual orientation
Heterosexual	20	47.6	22	52.4	0.151^ Likelihood ratio	3	7.1	39	92.9	0.105^ Likelihood ratio
Homosexual	3	50	3	50		1	16.7	5	83.3
Bisexual	5	71.4	2	28.6		3	42.9	4	57.1
Other	3	100	0	0		0	0	3	100
Regular/fixed partner
Yes	18	58.1	13	41.9	0.370^‡ ‡ Chi-squared test.	5	16.1	26	83.9	0.436^* * Fischer Test
No	12	46.2	14	53.8	0.370^‡ ‡ Chi-squared test.	2	7.7	24	92.3	0.436^* * Fischer Test
Casual/dating partner
Yes	9	34.6	17	65.4	0.017^‡ ‡ Chi-squared test.	3	11.5	23	88.5	1.000^* * Fischer Test
No	20	66.7	10	33.3	0.017^‡ ‡ Chi-squared test.	4	13.3	26	86.7	1.000^* * Fischer Test
Number of partners in life
Zero	0	0	1	100	0.463^ Likelihood ratio	0	0	1	100	0.799^ Likelihood ratio
1 to 3	19	52.8	17	47.2		5	13.9	31	86.1
Above 3	11	55	9	45		2	10	18	90
Number of partners in the past 3 months
Zero	7	63.6	4	36.4	0.032^ Likelihood ratio	1	9.1	10	90.9	0.507^ Likelihood ratio
1 to 3	18	43.9	23	56.1		6	14.6	35	85.4
Above 3	4	100	0	0		0	0	4	100

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[1] Corresponding author: Vitoria Caroline da Cunha Rodrigues. E-mail: vitoriaccrenf@gmail.com