Escola Anna Nery Revista de Enfermagem
https://eanjournal.org/article/doi/10.1590/2177-9465-EAN-2025-0103en
Escola Anna Nery Revista de Enfermagem
Pesquisa

Factors associated with young women’s adequate attitudes toward external condom use

Factores asociados a la actitud adecuada me mujeres jóvenes hacia el uso del condón externo

Fatores associados à atitude adequada de mulheres jovens sobre o uso do preservativo externo

Clicia de Andrade Lima; Vitoria Maria de Arruda Passos; Thayse Gomes de Almeida; Andrey Ferreira da Silva; Bruna Rykelly Ramos dos Santos; Pedro Henrique Ferreira dos Santos; Tatiane Gomes Guedes

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Abstract

Objective  to identify factors associated with young women's appropriate attitudes toward external condom use.

Method  cross-sectional, with Random Forest analysis, using the infinite population proportion method to define sample size: 95% significance; 0.5% margin of error. Data were collected remotely from March to August 2022 using a structured questionnaire. Young women aged 18 to 29 years old, who reported being sexually active and literate, participated in the study. The study was approved under nº 5,289,396.

Results  the sample consisted of 159 women, 51% of whom were mixed race, and 83% were childless. The variables for appropriate attitudes were: whether they considered that external condom use is always necessary during anal sex, and their understanding of aspects such as expiration date, storage, and decreased effectiveness of external condoms.

Conclusion and implications for practices  sociodemographic factors associated with young women's appropriate attitude regarding external condoms were identified, thus highlighting the need for sexual educational strategies, with nurses being essential promoters in health education, family planning and sexually transmitted infections prevention.

Keywords

Attitude; Women; Condoms; Reproductive Health; Sexual Health

Resumen

Objetivo: identificar los factores asociados con las actitudes apropiadas de las mujeres jóvenes hacia el uso del condón externo.

Método: estudio transversal, Random Forest, con el método de proporción poblacional infinita para definir el tamaño de la muestra: 95% de significancia; 0.5% de margen de error. Los datos se recolectaron de forma remota de marzo a agosto de 2022 mediante un cuestionario estructurado. Mujeres jóvenes de 18 a 29 años, que reportaron ser sexualmente activas y alfabetizadas, participaron en el estudio. El estudio fue aprobado bajo el nº 5.289.396.

Resultados: la muestra consistió en 159 mujeres, 51% de las cuales eran de raza mixta y 83% no tenían hijos. Las variables para las actitudes apropiadas fueron: si consideraban que el uso del condón externo siempre es necesario durante el sexo anal y su comprensión de aspectos como la fecha de vencimiento, el almacenamiento y la disminución de la efectividad de los condones externos.

Conclusión e implicaciones para la práctica: se identificaron factores sociodemográficos asociados a la actitud adecuada de las mujeres jóvenes frente al condón externo, destacando la necesidad de estrategias de educación sexual, siendo las enfermeras promotoras esenciales en la educación en salud, planificación familiar y prevención de infecciones de transmisión sexual.
 

Palabras clave

Actitud; Mujeres; Condones; Salud Reproductiva; Salud Sexual

Resumo

Objetivo: identificar os fatores associados à atitude adequada de mulheres jovens sobre o uso do preservativo externo.

Método: estudo transversal, com análise por Random Forest, com método de proporção em população infinita para definir o tamanho da amostra: significância de 95%; margem de erro de 0,5%. Os dados foram coletados de março a agosto de 2022, de forma remota, por meio de questionário estruturado. Participaram 159 mulheres jovens de 18 a 29 anos, que declararam início de vida sexual e alfabetização. Pesquisa aprovada sob protocolo nº 5.289.396.

Resultados: das 159 mulheres, 51% eram pardas e 83% não tinham filhos. As variáveis associadas à atitude adequada foram: considerar que durante o sexo anal é sempre necessário o uso do preservativo, em todas as relações sexuais, além de apresentarem ideia adequada sobre os aspectos como validade, armazenamento e diminuição da eficácia do preservativo externo.

Conclusão e implicações para a prática: identificaram-se fatores sociodemográficos associados à atitude adequada de mulheres jovens sobre o preservativo externo, desse modo, destaca-se a necessidade de estratégias educativas sexuais, sendo o enfermeiro um promotor essencial na educação em saúde, planejamento reprodutivo e prevenção de infecções sexualmente transmissíveis.

Palavras-chave

Atitude; Mulheres; Preservativos; Saúde Reprodutiva; Saúde Sexual

Referências

1 Machado JSA, Penna CMM. Public health policies and the fragmentation of the female body into uterus and breast. Physis. 2022;32(2):e320221. https://doi.org/10.1590/s0103-73312022320221.

2 Ferrera APC, Barreto ACM, Santos JL, Couto LL, Knupp VMAO. (Lack of) knowledge of women on the use of contraceptive methods. Rev Enferm UFPE on line. 2019;13(5):1354-60. https://doi.org/10.5205/1981-8963-v13i05a239109p1354-1360-2019.

3 Moraes LX, Andrade CAA, Silva FMV, Costa AM, Abrão FMS, Sousa FS. Family planning: bioethical dilemmas found in the literature. Rev Bioet. 2021 Jul;29(3):578-87. https://doi.org/10.1590/1983-80422021293493.

4 Moreira AS, Paixão JTS, Melo GC. University students and the use of condom as a method to prevent sexually transmitted infections. Rev Psicol Saúde. 2022;14(4):127-42. https://doi.org/10.20435/pssa.v14i4.2108.

5 Garnett C, Pollack L, Rodriguez F, Renteria R, Puffer M, Tebb KP. The association between nonbarrier contraceptive use and condom use among sexually active latina adolescents. J Adolesc Health. 2021;68(5):985-90. https://doi.org/10.1016/j.jadohealth.2020.07.044. PMid:32933838.

6 Rodrigues DL. Focusing on safety or pleasure determine condom use intentions differently depending on condom availability and STI risk. Int J Sex Health. 2023;35(3):341-51. https://doi.org/10.1080/19317611.2023.2212651. PMid:38601730.

7 Felisbino-Mendes MS, Araújo FG, Oliveira LVA, Vasconcelos NM, Vieira MLFP, Malta DC. Sexual behaviors and condom use in the Brazilian population: analysis of the National Health Survey, 2019. Rev Bras Epidemiol. 2021;24(suppl 2):e210018. https://doi.org/10.1590/1980-549720210018.supl.2. PMid:34910072.

8 Decreto-lei n. 12.852, de 5 agosto 2013 (BR). Institui o Estatuto da Juventude e dispõe sobre os direitos dos jovens, os princípios e diretrizes das políticas públicas de juventude e o Sistema Nacional de Juventude – SINAJUVE. Diário Oficial da União [periódico na internet], Brasília (DF), 6 ago 2013 [citado 2025 out 22]. Disponível em: https://www.planalto.gov.br/ccivil_03/_ato2011-2014/2013/lei/l12852.htm

9 Chinedu AI, Enebe ON. Risky sexual behaviour among students of a Nigerian tertiary institution. Afr Health Sci. 2023;23(4):425-31. https://doi.org/10.4314/ahs.v23i4.46.

10 Monteiro SS, Leal AF, Barbosa RM, Magno L, Neves ALM, Honorato IB et al. Sexual and reproductive health of adolescents and young people: identification of demands and experiences based on a qualitative study in communities in five Brazilian cities. Cad Saude Publica. 2025;41(4):e00047824. https://doi.org/10.1590/0102-311xpt047824. PMid:40396813.

11 Elm EV, Altman DG, Egger M, Pocock SJ, Gøtzsche PC, Vandenbroucke JP et al. The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: guidelines for reporting observational studies. J Clin Epidemiol. 2008;61(4):344-9. https://doi.org/10.1016/j.jclinepi.2007.11.008. PMid:18313558.

12 Manoochehri Z, Barati M, Faradmal J, Manoochehri S. Random forest model to identify factors associated with anabolic-androgenic steroid use. BMC Sports Sci Med Rehabil. 2021;13(1):30. https://doi.org/10.1186/s13102-021-00257-5. PMid:33757585.

13 Stewart J, Douglas G, O’Rourke T, Gammel C. Promoting safer sex in the context of heterosexual anal intercourse: a scoping review. J Clin Nurs. 2021;30(15-16):2111-30. https://doi.org/10.1111/jocn.15628. PMid:33377555.

14 Santa-Bárbara RC, Hueso-Montoro C, Martín-Salvador A, Álvarez-Serrano MA, Gázquez-López M, Pérez-Morente MÁ. Association between Sexual Habits and Sexually Transmitted Infections at a Specialised Centre in Granada (Spain). Int J Environ Res Public Health. 2020;17(18):6881. https://doi.org/10.3390/ijerph17186881. PMid:32967101.

15 Power J, Kauer S, Fisher C, Bourne A. Acceptance and use of condoms among school-aged young people in Australia. Sex Health. 2024;21(2):SH23173. https://doi.org/10.1071/SH23173. PMid:38507903.

16 Choi EPH, Fong DYT, Wong JYH. The use of the Multidimensional Condom Attitude Scale in Chinese young adults. Health Qual Life Outcomes. 2020;18(1):331. https://doi.org/10.1186/s12955-020-01577-9. PMid:33032622.

17 Cobo B, Cruz C, Dick PC. Desigualdades de gênero e raciais no acesso e uso dos serviços de atenção primária à saúde no Brasil. Ciênc saúde coletiva. 2021;26(9):4021-32. https://doi.org/10.1590/1413-81232021269.05732021.

18 Duby Z, Bergh K, Jonas K, Reddy T, Bunce B, Fowler C, et al. “Men Rule… this is the Normal Thing. We Normalise it and it’s Wrong”: gendered power in decision-making around sex and condom use in heterosexual relationships amongst adolescents and young people in South Africa. AIDS Behav. 2022;27:2015-29. https://doi.org/10.1007/s10461-022-03935-8.

19 Widman L, Evans-Paulson R, Maheux AJ, McCrimmon J, Brasileiro J, Stout CD et al. Identifying the strongest correlates of condom use among US adolescents. JAMA Pediatr. 2025;179(3):273-81. https://doi.org/10.1001/jamapediatrics.2024.5594. PMid:39869320.

20 Parmejiani EP, Queiroz ABA, Cunha MPL, Carvalho ALO, Santos GS, Bezerra JF et al. Riverside men’s knowledge and ways of acting regarding condom use. Texto Contexto Enferm. 2022;31:e20220155. https://doi.org/10.1590/1980-265x-tce-2022-0155en.

21 Mlandu C, Machisa M, Christofides N. Consistent condom use among Botswana’s female population and associated factors. Womens Health (Lond Engl). 2024;20:17455057241266453. https://doi.org/10.1177/17455057241266453. PMid:39135506.
 


Aceito em:
20/11/2025

69b05296a953956cd24e7687 ean Articles

Esc. Anna Nery

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