Background. Unsafe sexual behavior among adolescents still represents a public health challenge. To have safe sex, effective condom utilization is needed. Condom use remains relatively low among adolescents in sub-Saharan Africa. Even though adolescents have good knowledge about condom use, they are still engaged in risky sexual behavior. Objective. To assess condom use and attitude toward condom use among college students in southwest Ethiopia. Methods. A cross-sectional study was conducted among 453 students at Mizan-Aman Polytechnic College in southwest Ethiopia. Data were collected using a structured self-administered questionnaire. The collected data were entered using EpiData version 4.2.0.0 and analyzed using SPSS version 20 statistical software. Binary logistic regression was computed. Independent variables with a value of less than 0.05 in the multivariable logistic regression model were considered significant. Results. Of the 453, 180 were sexually active. Among those sexually active, 119 (66.1%) used condoms in their last sexual intercourse. The proportion of positive attitude toward condom use was 53.4%, and the mean attitude score for condom use was 28.6 (±9.99 SD) ranging from 10 to 50. The study also found that being male (, 95% CI [1.19-2.65]), rural resident (, 95% CI [1.47-3.30]), ever had sex (, 95% CI [1.23-2.85]), and knowledge of STIs (, 95% CI [1.10-2.51]) were factors associated with a positive attitude toward condom use. Conclusion. The proportion of positive attitude toward condom use among college students in Ethiopia was low. The study also found that being male, rural resident, ever had sex, and knowledge of STIs were factors associated with a positive attitude toward condom use. Therefore, strengthening information, education, and communication (IEC) on condom self-efficacy; providing condoms on campuses; and imparting education about sexually transmitted infections for young adults are central for improving condom use and attitudes toward condom use. Besides, inculcating sexual and reproductive health in the educational curriculum plays paramount importance.

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埃塞俄比亚西南部大学生对安全套使用的行为概况和态度

背景。青少年中不安全的性行为仍然是一项公共卫生挑战。为了进行安全的性行为，需要有效地使用安全套。撒哈拉以南非洲青少年的避孕套使用率仍然相对较低。尽管青少年对安全套的使用有很好的了解，但他们仍然从事危险的性行为。客观。评估埃塞俄比亚西南部大学生的安全套使用情况和对安全套使用的态度。方法. 在埃塞俄比亚西南部的米赞-阿曼理工学院对 453 名学生进行了一项横断面研究。使用结构化的自我管理问卷收集数据。收集的数据使用 EpiData 4.2.0.0 版输入，并使用 SPSS 20 版统计软件进行分析。计算二元逻辑回归。在多变量逻辑回归模型中，自变量值小于 0.05 被认为是显着的。结果。在 453 人中，有 180 人性活跃。在性活跃的人群中，119 人（66.1%）在最后一次性交中使用了安全套。对使用安全套持积极态度的比例为 53.4%，使用安全套的平均态度得分为 28.6（±9.99 SD），范围从 10 到 50。研究还发现，男性（, 95% CI [1.19-2.65]), 农村居民 (, 95% CI [1.47-3.30]), 曾经有过性行为 (, 95% CI [1.23-2.85]) 和 STI 知识 (, 95% CI [1.10-2.51]) 是与对安全套使用持积极态度相关的因素。结论。埃塞俄比亚大学生对使用安全套持积极态度的比例较低。该研究还发现，男性、农村居民、曾经发生过性行为以及对性传播感染的了解是与对使用安全套持积极态度相关的因素。因此，加强安全套自我效能的信息、教育和交流（IEC）；在校园内提供安全套；以及对年轻人进行性传播感染教育是改善安全套使用和对安全套使用态度的核心。此外，在教育课程中灌输性健康和生殖健康至关重要。