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CONDOM USE AT SEXUAL DEBUT AMONG CHINESE YOUTH

Published online by Cambridge University Press:  21 August 2013

WEI GUO ,
ZHENG WU ,
CHRISTOPH M. SCHIMMELE  and
XIAOYING ZHENG
WEI GUO
Affiliation:
Department of Social Work and Social Policy, School of Social and Behavioral Sciences, Nanjing University, P. R. China
ZHENG WU
Affiliation:
Department of Sociology, University of Victoria, Victoria, Canada
CHRISTOPH M. SCHIMMELE
Affiliation:
Department of Sociology, University of Victoria, Victoria, Canada
XIAOYING ZHENG*
Affiliation:
Institute of Population Research, Peking University, P. R. China
*
1Corresponding author. Email: [email protected]
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Summary

Chinese youth represent a high-risk group for sexually transmitted infections and unintended pregnancies, but there is little understanding of their sexual behaviours. Using nationally representative data, this study examines the social and demographic correlates of condom use by Chinese youth at sexual debut. It also examines the relationship context of condom use at sexual debut. The results indicate that condom use at sexual debut is very low in China, confirming that youth are a high-risk group. The results demonstrate that age and educational attainment are the primary indicators of condom use. Early sexual debut associates with a greater risk of unsafe sex at sexual debut and higher educational attainment increases the likelihood of self-protecting behaviours. The likelihood of self-protection also increases when sexual partners plan their sexual debut or discuss contraception beforehand. The results suggest that interventions are needed to provide youth with better knowledge about self-protection.

Type
Articles
Information
Journal of Biosocial Science , Volume 46 , Issue 2 , March 2014 , pp. 139 - 154
Copyright
Copyright © Cambridge University Press 2013 

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References

Abma, J. C., Martinez, G. M. & Copen, C. E. (2010) Teenagers in the United States: sexual activity, contraceptive use, and childbearing, national survey of family growth 2006–2008. National Center for Health Statistics: Vital Health Statistics 23, 1–57.Google Scholar
Beyrer, C. (2003) Hidden epidemic of sexually transmitted diseases in China. Journal of the American Medical Association 289, 1301–1305.Google Scholar
Blum, R. & Mmari, K. (2005) Risk and Protective Factors Affecting Adolescent Reproductive Health in Developing Countries. World Health Organization, Geneva.Google Scholar
Brauner-Otto, S. R. & Axinn, W. G. (2010) Parental family experiences, the timing of first sex, and contraception. Social Science Research 39, 875–893.CrossRefGoogle ScholarPubMed
Cates, W. Jr & Steiner, M. J. (2002) Dual protection against unintended pregnancy and sexually transmitted infections: what is the best contraceptive approach? Sexually Transmitted Diseases 29, 168–174.Google Scholar
Chen, X-S., Gong, X-D., Liang, G-J. & Zheng, G-C. (2000) Epidemiological trends of sexually transmitted diseases in China. Sexually Transmitted Diseases 27, 138–142.Google Scholar
Chen, X-S., Peeling, R. W., Yin, Y-P. & Mabey, D. C. (2011) The epidemic of sexually transmitted infections in China: implication for control and future perspectives. BMC Medicine 9, 111–118.Google Scholar
Chen, Z-D., Schilling, R. F., Wei, S-B., Cai, C.-Y., Zhou, W. & Shan, J-G. (2007) The 100% condom use program: a demonstration in Wuhan, China. Evaluation and Program Planning 31, 10–21.Google Scholar
Cooksey, E. C., Rindfuss, R. R. & Guilkey, D. K. (1996) The initiation of adolescent sexual and contraceptive behavior during changing times. Journal of Health and Social Behavior 37, 59–74.Google Scholar
Eggleston, E. (1998) Use of family planning at first sexual intercourse among young adults in Ecuador. Journal of Biosocial Science 30, 501–510.Google Scholar
Finer, L. B. & Henshaw, S. K. (2006) Disparities in rates of unintended pregnancy in the United States, 1994 and 2001. Perspectives on Sexual and Reproductive Health 38, 90–96.Google Scholar
Gerbase, A. C., Rowley, J. T. & Mertens, T. E. (1998) Global epidemiology of sexually transmitted diseases. The Lancet 351, S2–4.Google Scholar
Greene, W. H. (2012) Econometric Analysis. Seventh Edition. Prentice Hall, Upper Saddle River.Google Scholar
Hearst, N. & Chen, S. (2004) Condom promotion for AIDS prevention in the developing world: is it working? Studies in Family Planning 35, 39–47.Google Scholar
Heckman, J. J. (1979) Sample selection bias as a specification error. Econometrica 47, 153–161.Google Scholar
Juarez, F. & LeGrand, T. (2005) Factors influencing boys' age at first intercourse and condom use in the shantytowns of Recife, Brazil. Studies in Family Planning 36, 57–70.Google Scholar
Juarez, F. & Martin, T. C. (2006) Safe sex versus safe love? Relationship context and condom use among male adolescents in the favelas of Recife, Brazil. Archives of Sexual Behavior 35, 25–35.Google Scholar
Karim, A. M., Magnani, R. J., Morgan, G. T. & Bond, K. C. (2003) Reproductive and health risk and protective factors among unmarried youth in Ghana. International Family Planning Perspectives 29, 14–24.CrossRefGoogle ScholarPubMed
Lau, J. T. F., Zhang, J., Zhang, L., Wang, N., Cheng, F., Zhang, Y.et al. (2007) Comparing prevalence of condom use among 15,399 female sex workers injecting or non injecting drugs in China. Sexually Transmitted Diseases 34, 908–916.Google Scholar
Liu, Z. Q. (2005) Institution and inequality: the hukou system in China. Journal of Comparative Economics 33, 133–157.Google Scholar
Luster, T. & Small, S. A. (1994) Factors associated with sexual risk-taking behaviors among adolescents. Journal of Marriage and the Family 56, 622–632.Google Scholar
Madise, N., Zulu, E. & Ciera, J. (2007) Is poverty a driver for risky sexual behavior? Evidence from national surveys of adolescents in four African countries. African Journal of Reproductive Health 11, 83–98.Google Scholar
Manlove, J., Ikramullah, E. & Terry-Humen, E. (2008) Condom use and consistency among male adolescents in the United States. Journal of Adolescent Health 43, 325–333.Google Scholar
Manlove, J., Ryan, S. & Franzetta, K. (2003) Patterns of contraceptive use within teenagers' first sexual relationships. Perspectives in Sexual and Reproductive Health 35, 246–255.CrossRefGoogle ScholarPubMed
Manning, W. D., Longmore, M. & Giordano, P. C. (2000) The relationship context of contraceptive use at first intercourse. Family Planning Perspectives 32, 104–110.Google Scholar
Meekers, D. & Calvès, A-M. (1999) Gender differentials in adolescent sexual activity and reproductive health risks in Cameroon. African Journal of Reproductive Health 3, 51–67.Google Scholar
Meekers, D. & Klein, M. (2002) Determinants of condom use among young people in Cameroon. Studies in Family Planning 33, 335–346.Google Scholar
Miller, K. S., Levin, M. L., Whitaker, D. J. & Xu, X. (1998) Patterns of condom use among adolescents: the impact of mother–adolescent communication. American Journal of Public Health 88, 1542–1544.Google Scholar
Morris, N. M. (1992) Determinants of adolescent initiation of coitus. Adolescent Medicine State of the Art Reviews 3, 165–180.Google Scholar
National Bureau of Statistics China (2011) The 2000 Census of China. URL: http://www.stats.gov.cn/tjsj/ndsj/renkoupucha/2000pucha/pucha.htm (accessed 2nd December 2011).Google Scholar
Parish, W. L., Laumann, E. O. & Mojola, S. A. (2007) Sexual behavior in China: trends and comparisons. Population and Development Review 33, 729–756.Google Scholar
Parkes, A., Wight, D., Henderson, M. & Hart, G. (2007) Explaining associations between adolescent substance abuse and condom use. Journal of Adolescent Health 40, 180.e1–18.Google Scholar
Peking University (2010) Final Report on the 2009 National Youth Reproductive Health Survey. Institute of Population Research, Peking University, Beijing.Google Scholar
Shafii, T., Stovel, K., Davis, R. & Holmes, K. (2004) Is condom use habit forming? Sexually Transmitted Diseases 31, 366–372.Google Scholar
Shafii, T., Stovel, K. & Holmes, K. (2007) Association between condom use at sexual debut and subsequent sexual trajectories: a longitudinal study using biomarkers. American Journal of Public Health 97, 1090–1095.CrossRefGoogle ScholarPubMed
Siegel, D. M., Aten, M. J. & Roghmann, K. J. (1998) Self-reported honesty among middle and high school students responding to a sexual behavior questionnaire. Journal of Adolescent Health 23, 20–28.Google Scholar
Song, Y. & Ji, C-Y. (2010) Sexual intercourse and high-risk sexual behaviours among a national sample of urban adolescents in China. Journal of Public Health 32, 312–321.Google Scholar
Stone, N. & Ingham, R. (2002) Factors affecting British teenagers' contraceptive use at first intercourse: the importance of partner communication. Perspectives on Sexual and Reproductive Health 34, 191–197.Google Scholar
Tapert, S. F., Aarons, G. A., Sadlar, G. R. & Brown, S. A. (2001) Adolescent substance abuse and sexual risk-taking behavior. Journal of Adolescent Health 28, 181–189.Google Scholar
Wang, B. & Davidson, P. (2006) Sex, lies, and videos in rural China: a qualitative study of women's sexual debut and risky sexual debut. Journal of Sex Research 43, 227–235.Google Scholar
Wang, B., Hertog, S., Meier, A., Lou, C. & Gao, E. (2005) The potential of comprehensive sex education in China: findings from suburban Shanghai. International Family Planning Perspectives 31, 63–72.Google Scholar
Wang, B., Li, X., McGuire, J., Kamali, V., Fang, X. & Stanton, B. (2009) Understanding the dynamics of condom use among female sex workers in China. Sexually Transmitted Diseases 36, 134–140.Google Scholar
Wang, B., Lou, C. H., Gao, E. S. & Tu, X. W. (2001) Sexual and reproductive health (SHR) problems among unmarried youths in sub-urban Shanghai: need for RH education and services [in Chinese]. Reproduction and Contraception 12, 100–126.Google Scholar
World Health Organization (2005) Sexual and Reproductive Health of Adolescents and Youths in China. World Health Organization, Geneva.Google Scholar
Yu, J. (2010) An overview of the sexual behaviour of adolescents and young people in contemporary China. Australasian Medical Journal 3, 397–403.Google Scholar
Zhang, H., Stanton, B., Li, X., Mao, R., Sun, Z., Kaljee, L.et al. (2004) Perception and attitudes regarding sex and condom use among Chinese college students: a qualitative study. AIDS and Behavior 8, 105–117.CrossRefGoogle ScholarPubMed
Zhang, L., Li, X. & Shah, I. H. (2007) Where do Chinese adolescents obtain knowledge of sex education in China? Health Education 107, 351–363.Google Scholar
Zheng, X., Chen, G. & Gao, C. L. (2010) Preliminary findings of the first National Youth Reproductive Health Survey in China [in Chinese]. Population and Development 16, 2–15.Google Scholar
Zou, H., Xue, H., Wang, X. & Lu, D. (2012) Condom use in China: prevalence, policies, issues, and barriers. Sexual Health 9, 27–33.Google Scholar