異性戀男性偶發性交行爲與保險套使用傾向：以軍人爲例

Casual Sex and Condom Use of Heterosexual Men: A Study of Conscripts

10.6784/FJS.200803.0037

傅麗安(Li-An Fu)；趙運植(Yun-Chih Chao)；李思賢(Tony Szu-Hsien Lee)

保險套使用 ； 軍人 ； 男性 ； 偶發性伴侶 ； condom use ； conscript ； male ； occasional partner

台灣性學學刊

14卷1期（2008 / 03 / 01）

37 - 48

繁體中文

Purpose This study intended to understand the intention of using condoms as protection from sexually transmitted diseases during casual sex amongst heterosexual male conscripts. Method This study recruited 751 male conscripts in 2002 from a military camp in Taiwan. The secondary data analysis related to the casual sex and condom was used in this study. Results A total of 751 conscripts were recruited and 72% (n=541) had sexual experience. Among 541 participants who had sex experience, 27% representd that they always used condoms or used them often; 53% self-reported having sexual intercourse at least four times a month; more than half of them traded money for sex, and 45% had one night stand experience. The three main reasons for use or nonuse of condoms were the same for sexually experienced or unexperienced conscripts: avoiding diseases, avoiding pregnancy, and request of the partner. The results from multiple regression analysis indicated that past condom use, number of occasional partner, and experience of one night stand were significantly associated with intention of condom use with casual partners. Conclusion The findings of the study indicated that male conscripts had a substantial percentage of casual sex, and only a few used condoms with casual sex partners. The results can provide evidence for reasons of using or not using condoms while having sex and can be considered for designing condom use intervention program in increasing rates of condom use among men.

Purpose This study intended to understand the intention of using condoms as protection from sexually transmitted diseases during casual sex amongst heterosexual male conscripts. Method This study recruited 751 male conscripts in 2002 from a military camp in Taiwan. The secondary data analysis related to the casual sex and condom was used in this study. Results A total of 751 conscripts were recruited and 72% (n=541) had sexual experience. Among 541 participants who had sex experience, 27% representd that they always used condoms or used them often; 53% self-reported having sexual intercourse at least four times a month; more than half of them traded money for sex, and 45% had one night stand experience. The three main reasons for use or nonuse of condoms were the same for sexually experienced or unexperienced conscripts: avoiding diseases, avoiding pregnancy, and request of the partner. The results from multiple regression analysis indicated that past condom use, number of occasional partner, and experience of one night stand were significantly associated with intention of condom use with casual partners. Conclusion The findings of the study indicated that male conscripts had a substantial percentage of casual sex, and only a few used condoms with casual sex partners. The results can provide evidence for reasons of using or not using condoms while having sex and can be considered for designing condom use intervention program in increasing rates of condom use among men.

1. Lee, T. S.-H.(2006).Condom use and sexual violence victimization in relation to exchange of sexual services by female amphetamine prisoners in Taiwan.Taiwan Journal of Public Health,25(3),214-222.
   連結：
2. 李思賢、趙運植(2003)。台灣地區某單位軍人愛滋相關知識與高危險性行爲之探討。台灣性學學刊，9，63-75。
   連結：
3. Amamoo, N. A.(1996).Working with Men for Change: Gender and HIV Prevention in the African Community in the UK.London:Akina Mama wa Afrika.
4. Bhusal, B. K.(2001).Assessment of sexual risk behaviour regarding HIV/AIDS infection among Royal Thai Army conscripts in Bangkok.Nakhorn Pathom:University of Mahidol.
5. Browne, J.,Minichiello, V.(1996).Condoms: Dilemmas of caring and autonomy in heterosexual safe sex practices.Venereology,9,24-33.
6. Carter, J. A.,McNair, L. D.,Corbin, W. R.,Williams, M.(1999).Gender differences related to heterosexual condom use: The influence of negotiation styles.Journal of Sex Marital Therapy,25,217-225.
7. Choi, K.-H.,Rickman, R.,Catana, J. A.(2001).What heterosexual adults believe about condoms.New England Journal of Medicine,331,406-407.
8. DiClemente, R. J.,Forrest, K. A.,Mickler, S.(1990).College students' knowledge and attitudes about AIDS and changes in HIV-preventive behaviors.AIDS Education and Prevention,2,201-212.
9. Fisher, J. D.,Fisher, W. A.(1992).Changing AIDS-risk behavior.Psychology Bulletin,11,455-474.
10. Gray, L. R.,Saracino, M.(1989).AIDS on campus: A preliminary study of colledge students' knowledge and behaviors.Journal of Counseling Deviation,68,199-202.
11. Hulton, L.,Falkingham, J.(1996).Male contraceptive knowledge and practice: what do we know.Reproductive Health Matters,7,90-99.
12. Ishii, K. M.,Whitbeck, L. B.(1990).AIDS and perceived change in sexual practice: An analysis of a college student sample from California and Iowa.Journal of Applied Social Psychology,20,1301-1321.
13. Kanuga, M.,Rosenfeld, W. D.(2004).Adolescent sexuality and the internet: the good, the bad, and the URL.Journal of Pediatric and Adolescent Gynecology,17(2),117-124.
14. Kegeles, S. M.,Adler, N. E.,Irwin, C. E.(1988).Sexually active adolescents and condoms: Changes over one year in knowledge, attitudes and use.American Journal of Public Health,78,460-461.
15. Kim, A. A.,Kent, C.,McFarland, W.,Klausner, J. D.(2001).Cruising on the internet Highway.Journal of Acquired Immune Deficiency Syndromes,28(1),89-93.
16. Ku, L. C.,Sonenstein, F. L.,Pleck, J. H.(1992).The association of AIDS education and sex education with sexual behavior and condom use among teenage men.Family Planning Perspect,24,100-106.
17. Lee, T. S.-H.,Fu, L.-A.,Fleming, P.(2006).Using Focus Groups to Investigate the Educational Needs of Female Heroin Injection Users in Taiwan in Relation to HIV/AIDS Prevention.Health Education Research,25(3),55-65.
18. McFarlane, M.,Bull, S. S.,Rietmeijer, C. A.(2000).The Internet as a Newly Emerging Risk Environment for Sexually Transmitted Diseases.Journal of the American Medical Association,284,443-446.
19. Messersmith, L. J.,Kane, T. T. Odebiyi, A. I.,Adewuyi, A. A.(2000).Who's at Risk? Men's STD Experience and Condom Use in Southwest Nigeria.Studies in Family Planning,31(3),203-216.
20. Moore, S. M.,Rosenthal, D. A.(1991).Condoms and coitus: Adolescents' attitudes to AIDS and safer sex.Journal of Adolescence,14,211-227.
21. Niang, C.,Benga, H.,Camara, A. D.(1997).AIDS Research Program Report-in-Brief.Washing D.C.:International Research Center for Women.
22. Norris, A. E.,Phillips, R. E.,Statton, M. A.,Pearson, T. A.(2005).Condom Use by Male, Enlisted, Deployed Navy Personnel with Multiple Partners.Military Medicine,170(10),898-904.
23. Oncale, R. M.,King, B. M.(2001).Comparison of Men's and Women's attempts to dissuade sexual partners from the couple using condoms.Archives of Sexual Behavior,30(4),379-391.
24. Oo, H. T.(2000).Safe sex behaviour among conscripts in Royal Thai Army, Southern Thailand.University of Mahidol:Nakhorn Pathom.
25. Rietmeijer, C. A.,Bull, S. S.,McFarlane, M.(2001).Sex and the Internet.AIDS,15(11),1433-1434.
26. Traeen, B.,Holmen, K.,Stigum, H.(2007).Extradyadic Sexual Relationship in Norway.Archives of Sexual Behavior,36,55-65.
27. Turtle, A. M.,Ford, B.,Habgood, R.,Grant, M.,Bekiaris, J.,Constantinou, C.,Macek, M.,Polyzoidis, H.(1989).AIDS-related beliefs and behaviors of Australian university students.Medical Journal of Australia,150,371-376.
28. UNAIDS(2002).Young People and HIV/AIDS-Opportunity in Crisis.New York, USA:UNICEF.
29. Behaviour Change
30. 李思賢(2007)。行政院國家科學委員會未發表成果報告行政院國家科學委員會未發表成果報告,未出版
31. 李思賢、趙育慧、黃沛銓、吳慶蘭、呂瑩純(2002)。全國醫學生性知識來源、性態度與性行爲調查。台灣性學學刊，8(2)，15-27。
32. 李思賢、趙運植、吳藹薇(2007)。台灣地區有性經驗軍人使用保險套的行爲與意向：計畫行爲理論之結構模式檢定。台灣公共衛生雜誌，26，312-323。
33. 林育妃(2004)。網路一夜情族群網路之使用對其性態度、性行爲之影響研究。高雄市:國立中山大學。
34. 林燕卿、張利中(2001)。大學院校學生保險套使用情形及其影響因素－以高雄地區爲例。台灣性學學刊，7(2)，54-67。
35. 段藍媞、林瑞發(2001)。教學介入對高護女生愛滋病預防行爲意向之影響研究。台灣性學學刊，7(2)，35-53。