Determinants of Preference/Intention to Use Condoms Among Unmarried Youths in Vietnam Public Deposited

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  • March 20, 2019
Creator
  • Trinh, Thang Van
    • Affiliation: Gillings School of Global Public Health, Department of Health Behavior
Abstract
  • Introduction: This dissertation examined determinants of "condom preference/intention" by unmarried youths in Vietnam. Method: Data were collected in August 2004 using interviews with structured questionnaires. Analysis involved 1337 young unmarried people aged 15-24 years. Logistic regression models were used to examine associations of the following independent variables: perceived accessibility to contraceptive and HIV information; exposure to information about contraceptives, HIV and STIs; and discussion about contraceptives, HIV and STIs with "condom preference/intention". Logistic regression models, together with plotting techniques, were used to examine moderation effects of perceived availability and perceived accessibility to contraceptives on the relationships between conception knowledge, contraceptive awareness, and HIV/STIs knowledge with "condom preference/intention". Finally, Structural Equation Modeling technique (SEM) was used to examine mediation effects of conception knowledge, contraceptive awareness, and HIV/STIs knowledge on the relationships between each of the independent variables with "condom preference/intention". Results: Perceived accessibility to contraceptive information, perceived accessibility to HIV information, and exposure to contraceptive information were found as the strongest determinants of "condom preference/intention". Conception knowledge was found to mediate the relationships between perceived accessibility to contraceptive information, perceived accessibility to HIV information, and exposure to contraceptive information with "condom preference/intention". Contraceptive awareness was found to mediate the relationship between perceived accessibility to HIV information, and exposure to contraceptive information with "condom preference/intention". HIV/STIs knowledge was found to mediate the relationships between perceived accessibility to contraceptive information, and between perceived accessibility to HIV information with condom preference/intention. Finally, perceived availability of contraceptives was found to moderate the relationship between conception knowledge and condom preference/intention. Implications: Evaluation needs to pay close attention to the mediation and moderation relationships among factors explaining intended condom use. Interventions should address multiple channels to disseminate and make highly accessible and available the amount of information about conception, contraceptives, HIV, and STIs. Close attention should be paid in order to ensure effective discussions about these topics through different sources. Condoms should be highly available within an effective communication system.
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  • Steckler, Allan B.
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