Advanced

A multilevel analysis of condom use among adolescents in the European Union.

Lazarus, Jeffrey LU ; Moghaddassi, Mahnaz LU ; Godeau, E; Ross, J; Vignes, C; Östergren, Per-Olof LU and Liljestrand, Jerker LU (2009) In Public Health 123. p.138-144
Abstract
OBJECTIVES: This study examined which individual and national factors affect condom use among adolescents. STUDY DESIGN: Multilevel analysis. METHODS: This study reviewed the data on bullying, alcohol use and condom use provided by 18 European countries and subnational entities in the Health Behaviour in School-Aged Children survey. Another eight contextual variables were also analysed. Three multilevel logistic regression models were applied consecutively (analysing for crude geographical and school variance in condom use, adjusting for gender and adjusting all variables for one another). RESULTS: Among the 15-year-olds studied, 7.0% of the total variance in condom use was explained by school-related factors (intraschool-level... (More)
OBJECTIVES: This study examined which individual and national factors affect condom use among adolescents. STUDY DESIGN: Multilevel analysis. METHODS: This study reviewed the data on bullying, alcohol use and condom use provided by 18 European countries and subnational entities in the Health Behaviour in School-Aged Children survey. Another eight contextual variables were also analysed. Three multilevel logistic regression models were applied consecutively (analysing for crude geographical and school variance in condom use, adjusting for gender and adjusting all variables for one another). RESULTS: Among the 15-year-olds studied, 7.0% of the total variance in condom use was explained by school-related factors (intraschool-level correlation) and 5.8% by national/subnational factors. In the empty model, condom use was significantly associated with gender, alcohol consumption, predominant national religion and national prevalence of human immunodeficiency virus (HIV). In the full model, there was also a significant association with the Human Development Index ranking, gross domestic product, Gini coefficient and the Gender-related Development Index. CONCLUSIONS: This study suggests that while alcohol, gender, human development level, income, religion and HIV prevalence affect condom use in young Europeans, these factors do not explain all or even most of the variation. Nonetheless, since some of these factors are not traditionally associated with young people's sexual and reproductive health, these findings should enable more nuanced health policy programming. (Less)
Please use this url to cite or link to this publication:
author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Public Health
volume
123
pages
138 - 144
publisher
Elsevier
external identifiers
  • WOS:000264322600008
  • PMID:19152952
  • Scopus:59949102619
ISSN
1476-5616
DOI
10.1016/j.puhe.2008.10.014
language
English
LU publication?
yes
id
2664a4e0-4fc0-42aa-a0cd-65bd1e39bf22 (old id 1289579)
alternative location
http://www.ncbi.nlm.nih.gov/pubmed/19152952?dopt=Abstract
date added to LUP
2009-02-04 11:09:08
date last changed
2016-10-13 04:23:18
@misc{2664a4e0-4fc0-42aa-a0cd-65bd1e39bf22,
  abstract     = {OBJECTIVES: This study examined which individual and national factors affect condom use among adolescents. STUDY DESIGN: Multilevel analysis. METHODS: This study reviewed the data on bullying, alcohol use and condom use provided by 18 European countries and subnational entities in the Health Behaviour in School-Aged Children survey. Another eight contextual variables were also analysed. Three multilevel logistic regression models were applied consecutively (analysing for crude geographical and school variance in condom use, adjusting for gender and adjusting all variables for one another). RESULTS: Among the 15-year-olds studied, 7.0% of the total variance in condom use was explained by school-related factors (intraschool-level correlation) and 5.8% by national/subnational factors. In the empty model, condom use was significantly associated with gender, alcohol consumption, predominant national religion and national prevalence of human immunodeficiency virus (HIV). In the full model, there was also a significant association with the Human Development Index ranking, gross domestic product, Gini coefficient and the Gender-related Development Index. CONCLUSIONS: This study suggests that while alcohol, gender, human development level, income, religion and HIV prevalence affect condom use in young Europeans, these factors do not explain all or even most of the variation. Nonetheless, since some of these factors are not traditionally associated with young people's sexual and reproductive health, these findings should enable more nuanced health policy programming.},
  author       = {Lazarus, Jeffrey and Moghaddassi, Mahnaz and Godeau, E and Ross, J and Vignes, C and Östergren, Per-Olof and Liljestrand, Jerker},
  issn         = {1476-5616},
  language     = {eng},
  pages        = {138--144},
  publisher    = {ARRAY(0xa0d3978)},
  series       = {Public Health},
  title        = {A multilevel analysis of condom use among adolescents in the European Union.},
  url          = {http://dx.doi.org/10.1016/j.puhe.2008.10.014},
  volume       = {123},
  year         = {2009},
}