Condom use and alcohol consumption in adolescents and youth

Mola, Rachel; Pitangui, Ana Carolina Rodarti; Barbosa, Sháyra Anny Moura; Almeida, Layane Sá; Sousa, Mayara Ruth Marinho de; Pio, Wellypâmela Pauliny de Lima; Araújo, Rodrigo Cappato de

doi:10.1590/S1679-45082016AO3677

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Original Article • Einstein (São Paulo) 14 (2) • Apr-Jun 2016 • https://doi.org/10.1590/S1679-45082016AO3677 copy

Condom use and alcohol consumption in adolescents and youth

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

Objective

To determine the association between not using the male condom and alcohol consumption in adolescents and schoolchildren.

Methods

An epidemiological study, with a cross-sectional, descriptive, and correlation design carried out from March to July 2014. The sample consisted of students in public primary and secondary education, aged between 12 and 24 years. The social and demographic survey and the Youth Risk Behavior Survey questionnaire were used.

Results

The study included 1,275 students, of these; 37.0% reported having had sexual relations. The prevalent age of sexual initiation was 14-16 years 55.7% and 65.6% used condom in the last sexual intercourse. Regarding the lack of condom use at the last intercourse, girls showed an association with drunkenness in the previous 30 days (2.19; 95%CI: 1.06-4.54).

Conclusion

In females, the non-use of condoms was associated with drunkenness in the previous 30 days.

Risk-taking; Alcoholism; Binge drinking; Contraception; Sexual behavior

Variables	Female	Male	Total
Variables	n (%); 95%CI	n (%); 95%CI	n (%); 95%CI
Age
12-13	177 (24.8); 21.6-28.0	135 (24.2); 20.7-28.0	312 (24.5); 22.2-27.0
14-16	382 (53.4); 49.7-57.1	279 (50.1); 45.8-54.3	661 (52.0); 49.2-54.7
≥17	156 (21.8); 18.8-25.0	143 (25.7); 22.0-29.5	299 (23.5); 21.2-25.9
Skin color
White	143 (20.1); 17.2-23.3	116 (20.9); 17.5-24.4	256 (20.5); 18.1-22.6
Black	79 (11.1); 8.9-13.6	95 (17.1); 14.0-20.4	174 (13.7); 11.9-15.8
Mulatto	409 (57.6); 53.8-61.2	288 (51.8); 47.5-56.0	697 (55.1); 52.4-57.9
Other	79 (11.1); 8.9-13.6	57 (10.3); 7.8-13.0	136 (10.7); 9.1-12.6
Religion
Catholic	385 (54.4); 50.6-58.0	245 (45); 40.8-49.3	630 (50.3); 47.5-53.1
Evangelical	193 (27.3); 24.0-30.7	162 (29.8); 25.9-33.8	355 (28.4); 25.8-30.9
Other	23 (3.2); 2.0-4.8	25 (4.6); 3.0-6.7	48 (3.8); 2.8-5.0
None	107 (15.1); 12.5-17.9	112 (20.6); 17.2-24.2	219 (17.5); 15.4-19.2
Marital status
Single	670 (94.5); 93.0-96.1	515 (94.7); 92.4-96.4	1.185 (94.6); 93.2-95.8
Married	38 (5.4); 3.8-7.3	22 (4.0); 2.5-6.1	60 (4.8); 3.7-6.1
Other	1 (0.1); 0.0-0.8	7 (1.3); 0.5-2.6	8 (0.6); 0.3-1.2
Grade/level
7^th/Primary Education	59 (8.3); 6.4-10.6	65 (11.7); 9.3-15.0	124 (9.8); 8.2-11.5
8^th/Primary Education	137 (19.2); 16.5-22.3	118 (21.3); 18.3-25.3	255 (20.1); 17.9-22.4
9^th/Primary Education	105 (14.7); 12.2-17.6	106 (19.1); 16.2-23.1	211 (16.6); 14.6-18.8
1^st/Secondary Education	146 (20.4); 17.7-23.8	81 (14.6); 11.3-19.1	227 (17.9); 15.8-20.1
2^nd/Secondary Education	134 (18.7); 16.1-22.0	84 (15.2); 12.5-18.8	218 (17.2); 15.1-19.4
3^rd/Secondary Education	134 (18.7); 16.1-22.0	100 (18.1); 15.2-21.9	234 (18.4); 16.3-20.7
Father’s schooling level
Illiterate or incomplete Primary Education	160 (33.1); 28.9-37.5	112 (28.4); 23.9-33.1	272 (31.0); 27.9-34.2
Complete Primary Education or incomplete Secondary Education	157 (32.5); 28.3-36.8	145 (36.7); 31.9-41.7	302 (34.4); 31.2-37.6
Complete Secondary Education or incomplete Further Education	108 (22.4); 17.7-27.5	80 (20.3); 16.4-24.6	188 (21.4); 18.7-24.3
Complete Further Education	58 (12.0); 9.2-15.2	58 (14.7); 11.3-18.6	116 (13.2); 11.0-15.6
Father’s schooling level
Illiterate or incomplete Primary Education	122 (21.9); 18.5-25.5	78 (18.1); 14.6-22.1	200 (20.2); 17.7-22.8
Complete Primary Education or incomplete Secondary Education	184 (33.0); 29.1-37.0	144 (33.4); 29.0-38.1	328 (33.2); 30.2-36.2
Complete Secondary Education or incomplete Further Education	168 (30.1); 26.3-34.1	131 (30.4); 26.1-35.0	299 (30.2); 27.3-33.2
Complete Further Education	84 (15.1); 12.2-18.3	78 (18.1); 14.6-22.1	162 (16.4); 14.1-18.8
Monthly family income*
1-2	304 (70.5); 66.0-75.0	194 (59.7); 54.1-65.1	498 (65.9); 62.3-69.2
3-5	97 (22.5); 18.7-26.8	103 (31.7); 26.7-37.1	200 (26.5); 23.3-29.7
>5	30 (7.0); 4.8-9.8	28 (8.6); 5.8-12.2	58 (7.7); 5.8-9.8

Variables	Female	Male	Total
Variables	n (%); 95%CI	n (%); 95%CI	n (%); 95%CI
Age of sexual initiation
≤13	45 (21.7); 16.3-27.9	133 (50.6); 44.3-56.7	178 (37.9); 33.4-42.4
14-16	142 (68.6); 61.8-74.8	120 (45.6); 39.5-51.8	262 (55.7); 51.1-60.2
≥17	20 (9.7); 6.0-14.5	10 (3.8); 1.8-6.8	30 (6.4); 4.3-8.9
Consumption of alcoholic beverage in the last intercourse
Yes	22 (10.2); 6.5-15.0	37 (14.2); 10.2-19.0	59 (12.4); 9.5-15.7
No	193 (89.8); 84.9-93.4	223 (85.8); 80.9-89.7	416 (87.6); 84.2-90.4
Use of male condom in the last intercourse
Yes	127 (62.0); 54.9-68.6	184 (68.4); 62.4-73.9	311 (65.6); 61.1-69.8
No	78 (38.0); 31.3-45.0	85 (31.6); 26.0-37.5	163 (34.4); 30.1-38.8
Contraceptive method used in the last sexual intercourse
None	31 (15.2); 10.5-20.8	49 (18.8); 14.3-24.1	80 (17.2); 13.9-21.0
Oral contraceptive	32 (15.7); 10.9-21.4	20 (7.7); 4.8-11.6	52 (11.2); 8.5-14.4
Male condom	92 (45.1); 38.1-52.2	155 (59.6); 53.4-65.6	247 (53.2); 48.6-57.9
Injectable contraceptive	15 (7.4); 4.1-11.8	2 (0.8); 0.0-2.8	17 (3.7); 2.2-5.8
Coitus interruptus	10 (4.9); 2.3-8.8	15 (5.8); 3.2-9.3	25 (5.4); 3.5-7.8
Another oral	2 (1.0); 0.1-3.5	5 (1.9); 0.6-4.4	7 (1.5); 0.6-3.1
Contraceptive + male condom	22 (10.8); 6.9-15.9	14 (5.4); 2.9-8.9	36 (7.8); 5.5-10.6

Variables	Female	Male	Total
Variables	n (%); 95%CI	n (%); 95%CI	n (%); 95%CI
Age at first dose
≤12	147 (36.1); 31.4-41.0	136 (44.0); 38.4-49.7	283 (39.5); 35.9-43.2
13-14	134 (32.9); 28.4-37.7	83 (26.9); 22.0-32.2	217 (30.3); 26.9-33.8
≥15	126 (31.0); 26.5-35.7	90 (29.1); 24.1-34.5	216 (30.2); 26.8-33.7
Days that have drunk in life
Non-user	333 (46.9); 43.2-50.7	267 (47.9); 43.7-52.2	600 (47.4); 44.6-50.2
New user/experimenting	260 (36.6); 33.1-40.3	190 (34.1); 30.2-38.2	450 (35.5); 32.9-38.2
Moderate user	83 (11.7); 9.4-14.3	59 (10.6); 8.1-13.5	142 (11.2); 9.5-13.1
Heavy user	34 (4.8); 3.3-6.6	41(7.4); 5.3-9.9	75 (5.9); 4.7-7.4
Doses that has drunk in the last 30 days
0	582 (81.9); 78.8-84.6	404 (72.8); 68.9-76.5	918 (72.5); 69.9-74.9
1-9	116 (16.3); 13.7-19.2	133 (24); 20.5-27.7	314 (24.8); 22.4-27.3
10-29	16 (2.3); 1.3-3.6	14 (2.5); 1.4-4.2	30 (2.4); 1.6-3.4
≥30	-	4 (0.7); 0.2-1.8	4 (0.3); 0.1-0.8
Drunkenness in the last 30 days
0	582 (81.9); 78.8-84.6	442 (79.5); 75.9-82.8	1,024 (80.8); 78.5-82.9
1-5	116 (16.3); 13.7-19.2	100 (18.0); 14.9-21.4	216 (17.0); 15.0-19.2
6-19	8 (1.1); 0.4-2.2	8 (1.4); 0.6-2.8	16 (1.3); 0.7-2.0
≥20	5 (0.7); 0.2-1.6	6 (1.1); 0.4-2.3	11 (0.9); 0.4-1.5

Independent variables	Use of male condom

	Yes	No	Total	p value
	n (%)	n (%)	n (%)	p value
Age
≤14	49 (15.9)	33 (20.2)	82 (17.4)	0.285
≥15	260 (84.1)	130 (79.8)	390 (82.6)
Gender
Female	127 (40.8)	78 (47.9)	205 (43.2)	0.172^*
Male	184 (59.2)	85 (52.1)	269 (56.8)
Religion
Yes	70 (23.4)	33 (20.4)	103 (22.3)	0.528
No	229 (76.6)	129 (79.6)	358 (77.7)
Involvement in drunkenness in the last 30 days
Yes	122 (39.4)	188 (60.6)	172 (36.4)	0.086^*
No	50 (30.9)	112 (69.1)	300 (63.6)
Family income, minimal wages
1-3	164 (83.2)	81 (77.9)	245 (81.4)	0.326
>3	33 (16.8)	23 (22.1)	56 (18.6)
Age at first dose
≤14	158 (62.7)	81 (66.9)	239 (64.1)	0.494
≥15	94 (37.3)	40 (33.1)	134 (35.9)
Mother’s schooling level
Incomplete Secondary Education or less	153 (61.2)	71 (53.8)	224 (58.6)	0.197^*
Complete Secondary Education or further	97 (38.8)	61 (46.2)	158 (41.4)
Father’s schooling level
Incomplete Secondary Education or less	154 (66.7)	80 (70.2)	234 (67.8)	0.594
Complete Secondary Education or further	77 (33.3)	34 (29.8)	111 (32.2)
Use of alcoholic beverage in the last 30 days
No	159 (51.5)	91 (55.8)	250 (53.0)	0.419
Yes	150 (48.5)	72 (44.2)	222 (47.0)
Use of alcoholic beverage during life, days
0-9	215 (69.4)	101 (62.0)	316 (66.8)	0.076^*
10-99	62 (20.0)	37 (22.7)	99 (20.9)
≥100	33 (10.6)	25 (15.3)	58 (12.3)

Independent variables	Non-use of male condom

	Gender female		Gender male

	OR (95%CI)	p value	OR (95%CI)	p value
Involvement in drunkenness in the last 30 days
Yes	2.19 (1.06-4.54)	0.034*	1.90 (0.98-3.68)	0.057
No	1		1
Mother’s schooling level
Incomplete Secondary Education or less	1.36 (0.75-2.45)	0.309	1.22 (0.70-2.12)	0.477
Complete Secondary Education or further	1		1
Use of alcoholic beverage during life, days
0-9	0.36 (0.12-1.01)	0.054	0.45 (0.18-1.08)	0.076
10-99	0.57 (0.20-1.65)	0.306	0.68 (0.26-1.77)	0.432
≥100	1		1

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[1] Corresponding author
: Ana Carolina Rodarti Pitangui – BR 203, Km 2, s/n – Campus Universitário – Vila Eduardo – Zip code: 56328-903 – Petrolina, PE, Brazil – Phone: (55 87) 3966-6496 E-mail: carolina.pitangui@upe.br