title: Factors associated with condom use among male college students in Wuhan, China.
abstract: BACKGROUND
  Using condoms consistently could prevent unintended pregnancy among young people. This study highlights multiple domains of inﬂuence on condom use among male college students in China, including knowledge, attitudes, health services utility on condom use and reproductive health information sources.
  
  
  RESULTS
  To identify factors associated with condom use in Chinese male college students, we examined a sample of 870 sexually experienced male students in seven colleges in Wuhan, China, 2009. 535 (61.5%) of 870 male students reported condom use during their most recent sexual encounter. Male students with steady partners were more likely to use condoms than students with casual partners (adjusted OR = 3.11, 95%CI 2.30-4.20). And positive attitudes toward contraceptive responsibility were associated with greater odds of condom use (adjusted OR = 1.40, 95%CI 1.02-1.92). Only 54(6.2%) and 83(9.5%) of respondents reported that free condoms and reproductive health counseling were available at the student health center. Providing free condoms and reproductive health counseling at the student health central were associated with increased condom use among college students (both P<0.05). In addition, students who gained reproductive health information mainly through websites, television and radio programs were more likely to use condoms than through school education (all P<0.05).
  
  
  CONCLUSIONS
  Improving attitudes of male students toward contraceptive responsibility, providing proper reproductive health information through mass media and making free condoms and reproductive health counseling available in school may help increase condom use among college students in China.
authors.affiliation: Department of Epidemiology and Biostatistics, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
authors.forename: Lu
authors.initials: L
authors.lastname: Long
authors.forename: Ting
authors.initials: T
authors.lastname: Yuan
authors.forename: Min
authors.initials: M
authors.lastname: Wang
authors.forename: Chuan
authors.initials: C
authors.lastname: Xu
authors.forename: Jieyun
authors.initials: J
authors.lastname: Yin
authors.forename: Chengliang
authors.initials: C
authors.lastname: Xiong
authors.forename: Sheng
authors.initials: S
authors.lastname: Wei
authors.forename: Shaofa
authors.initials: S
authors.lastname: Nie
mesh_terms: D000293:Adolescent; D000328:Adult; D002681:China; D017280:Condoms; D003268:Contraception Behavior; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D021841:Safe Sex; D012725:Sexual Behavior; D012747:Sexual Partners; D013334:Students; D011795:Surveys and Questionnaires; D014495:Universities; D055815:Young Adult