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Published in: Journal of Public Health 1/2013

01-02-2013 | Original Article

Changes in knowledge, attitudes and behaviors of Italian university students regarding contraceptive methods and STDs (1998–2008): a cross-sectional study

Authors: Giuseppe La Torre, Brigid Unim, Silvia Miccoli, Elisa Langiano, Maria Ferrara, Elisabetta De Vito

Published in: Journal of Public Health | Issue 1/2013

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Abstract

Aim

The aim of the study is to evaluate changes in opinions and behaviors of university students about sexual attitudes, use and effectiveness of contraceptive methods and sexually transmitted diseases (STDs).

Subjects and methods

The study was carried out through three surveys in 1998, 2003 and 2008. A self-completion questionnaire, divided into three major sections, was administered. The groups were analyzed with the Chi-square test and the multiple logistic regression analysis; the significance level was set at p < 0.05.

Results

Contraceptive methods were not used by 12.0, 12.5, and 16.2 % of the sample in 1998, in 2003 and 2008 respectively. The condom was the most common method used by responders, followed by the pill; both methods of birth control are also considered the most effective. In 2008, students demonstrated to have a good knowledge about STDs transmission through sexual intercourse and contraceptive use was higher among responders with multiple partners (p = 0.028), lower in smokers (p= 0.003) and female gender (p = 0.001).

Conclusion

The results highlight the necessity to activate programs on sex education, on the use of contraceptives and STD prevention. Peer education should also be considered.
Literature
go back to reference Andrade HH, Mello MB, Sousa MH, Makuch MY, Bertoni N, Faúndes A (2009) Changes in sexual behavior following a sex education program in Brazilian public schools. Cad Saude Publica 25(5):1168–1176PubMedCrossRef Andrade HH, Mello MB, Sousa MH, Makuch MY, Bertoni N, Faúndes A (2009) Changes in sexual behavior following a sex education program in Brazilian public schools. Cad Saude Publica 25(5):1168–1176PubMedCrossRef
go back to reference Cafaro D (1998) IV Educazione e comportamento sessuale. In: Rapporto Asper Pianeta Giovani: una generazione allo specchio. ASPER, Rome, pp 99–124 Cafaro D (1998) IV Educazione e comportamento sessuale. In: Rapporto Asper Pianeta Giovani: una generazione allo specchio. ASPER, Rome, pp 99–124
go back to reference Cates W, McPheeters M (1997) Adolescents and sexually transmitted diseases, current risks and future consequences. Workshop on Adolescent Sexuality and Reproductive Health in Developing Countries: Trends and Innovations, National Research Council, Washington, DC Cates W, McPheeters M (1997) Adolescents and sexually transmitted diseases, current risks and future consequences. Workshop on Adolescent Sexuality and Reproductive Health in Developing Countries: Trends and Innovations, National Research Council, Washington, DC
go back to reference CDC (2011) Vital signs: teen pregnancy—United States, 1991–2009. Centers for Disease Control and Prevention. MMWR Morb Mortal Wkly Rep 60(13):414–420 CDC (2011) Vital signs: teen pregnancy—United States, 1991–2009. Centers for Disease Control and Prevention. MMWR Morb Mortal Wkly Rep 60(13):414–420
go back to reference Croce M, Gemmi A (2003) Peer education: adolescenti protagonisti nella prevenzione. [Peer education: adolescents as prevention actors]. Franco Angeli, Milano Croce M, Gemmi A (2003) Peer education: adolescenti protagonisti nella prevenzione. [Peer education: adolescents as prevention actors]. Franco Angeli, Milano
go back to reference Donati S, Grandolfo ME, Spinelli A, Medda E (1994) Esperienze di Educazione sessuale in alcune Scuole Medie Superiori di Roma. Contraccezione Fertilità Sessualità 21(1) Donati S, Grandolfo ME, Spinelli A, Medda E (1994) Esperienze di Educazione sessuale in alcune Scuole Medie Superiori di Roma. Contraccezione Fertilità Sessualità 21(1)
go back to reference Ferrara M, Langiano E, Di Thiene D, De Vito E (2010) The project “D.E.A.Th. by Eros to Thanatos AIDS and sexually transmitted diseases”: a multimedia exhibition as a means of prevention of sexually transmitted infections. Ital J Public Health 7(3):269–276 Ferrara M, Langiano E, Di Thiene D, De Vito E (2010) The project “D.E.A.Th. by Eros to Thanatos AIDS and sexually transmitted diseases”: a multimedia exhibition as a means of prevention of sexually transmitted infections. Ital J Public Health 7(3):269–276
go back to reference Finicelli C (1995) Fonti di informazione sessuale e contraccettiva, desiderio di maternità/paternità e sviluppo dell’identità adolescenziale. Dif Soc 74(1):109–129 Finicelli C (1995) Fonti di informazione sessuale e contraccettiva, desiderio di maternità/paternità e sviluppo dell’identità adolescenziale. Dif Soc 74(1):109–129
go back to reference Gayet C, Juárez F, Pedrosa LA, Magis C (2003) Condom use among Mexican adolescents to prevent sexually transmitted infections. Salud Publica Mex 45(5):632–640CrossRef Gayet C, Juárez F, Pedrosa LA, Magis C (2003) Condom use among Mexican adolescents to prevent sexually transmitted infections. Salud Publica Mex 45(5):632–640CrossRef
go back to reference Grandolfo M (1996) I consultori familiari: evoluzione storica e prospettive per la loro riqualificazione. Medico-Scientifiche, Milan, Italy Grandolfo M (1996) I consultori familiari: evoluzione storica e prospettive per la loro riqualificazione. Medico-Scientifiche, Milan, Italy
go back to reference Hosmer DW, Lemeshow S (1989) Applied logistic regression analysis. Wiley, New York Hosmer DW, Lemeshow S (1989) Applied logistic regression analysis. Wiley, New York
go back to reference Kirby D (1992) School based programs to reduce sexual risk taking behaviors. J Sch Health 62(7):280–287PubMedCrossRef Kirby D (1992) School based programs to reduce sexual risk taking behaviors. J Sch Health 62(7):280–287PubMedCrossRef
go back to reference Kusseling FS, Wenger NS, Shapiro MF (1995) Inconsistent contraceptive use among female college students: implications for intervention. J Am Coll Health 43(5):191–195PubMedCrossRef Kusseling FS, Wenger NS, Shapiro MF (1995) Inconsistent contraceptive use among female college students: implications for intervention. J Am Coll Health 43(5):191–195PubMedCrossRef
go back to reference Landi M (2004) Educazione paritaria [peer education]. In: Dalle Carbonare E, Ghiottoni E, Rosson S (eds) Peer educator. Istruzioni per l’uso. Adolescenza, educazione e affetti, vol 23. Franco Angeli, Milano, pp 1–158 Landi M (2004) Educazione paritaria [peer education]. In: Dalle Carbonare E, Ghiottoni E, Rosson S (eds) Peer educator. Istruzioni per l’uso. Adolescenza, educazione e affetti, vol 23. Franco Angeli, Milano, pp 1–158
go back to reference Matytsina LA (1996) Contraception and sexual activity among teenagers in Ukraine. 4th Congress of the European Society of Contraception, Barcelona. Eur J Contracept Reprod Health Care (2):121 Matytsina LA (1996) Contraception and sexual activity among teenagers in Ukraine. 4th Congress of the European Society of Contraception, Barcelona. Eur J Contracept Reprod Health Care (2):121
go back to reference Mayaud P, Mabey D (2004) Approaches to the control of sexually transmitted infections in developing countries: old problems and modern challenges. Sex Transm Infect 80:174–182PubMedCrossRef Mayaud P, Mabey D (2004) Approaches to the control of sexually transmitted infections in developing countries: old problems and modern challenges. Sex Transm Infect 80:174–182PubMedCrossRef
go back to reference Mcluhan M (1967) Gli strumenti per comunicare [communication tools]. Il Saggiatore, Milan, Italy Mcluhan M (1967) Gli strumenti per comunicare [communication tools]. Il Saggiatore, Milan, Italy
go back to reference Moore KA, Driscoll AK, Lindberg LD (1998) Sexual behaviour, contraceptive use, and childbearing. In: A statistical portrait of adolescent sex, contraception and childbearing. National Campaign to Prevent Teen Pregnancy, Washington, DC, pp 1–40 Moore KA, Driscoll AK, Lindberg LD (1998) Sexual behaviour, contraceptive use, and childbearing. In: A statistical portrait of adolescent sex, contraception and childbearing. National Campaign to Prevent Teen Pregnancy, Washington, DC, pp 1–40
go back to reference Ni Riain A (1998) Increasing the effectiveness of contraceptive usage in university students. Eur J Contracept Reprod Health Care 3(3):124–128PubMed Ni Riain A (1998) Increasing the effectiveness of contraceptive usage in university students. Eur J Contracept Reprod Health Care 3(3):124–128PubMed
go back to reference Oringanje C, Meremikwu MM, Eko H, Esu E, Meremikwu A, Ehiri JE (2009) Interventions for preventing unintended pregnancies among adolescents (review). Cochrane Database Syst Rev 7(4):CD005215 Oringanje C, Meremikwu MM, Eko H, Esu E, Meremikwu A, Ehiri JE (2009) Interventions for preventing unintended pregnancies among adolescents (review). Cochrane Database Syst Rev 7(4):CD005215
go back to reference Siegel DM, Klein DI, Roghmann KJ (1999) Sexual behavior, contraception, and risk among college students. J Adolesc Health 25(5):336–343CrossRef Siegel DM, Klein DI, Roghmann KJ (1999) Sexual behavior, contraception, and risk among college students. J Adolesc Health 25(5):336–343CrossRef
go back to reference Skouby SO (2004) Contraceptive use and behaviour in the 21st century: a comprehensive study across five European countries. Eur J Contracept Reprod Health Care 9(2):57–68PubMedCrossRef Skouby SO (2004) Contraceptive use and behaviour in the 21st century: a comprehensive study across five European countries. Eur J Contracept Reprod Health Care 9(2):57–68PubMedCrossRef
go back to reference Spinelli A, Grandolfo M, Donati S, Medda E (1993) Family planning in Italy. Adv Contracept 9(2):153–160PubMedCrossRef Spinelli A, Grandolfo M, Donati S, Medda E (1993) Family planning in Italy. Adv Contracept 9(2):153–160PubMedCrossRef
go back to reference Walker D, Gutierrez JP, Torres P, Bertozzi SM (2006) HIV prevention in Mexican schools: prospective randomised evaluation of intervention. BMJ 332(7551):1189–1194, Epub 2006PubMedCrossRef Walker D, Gutierrez JP, Torres P, Bertozzi SM (2006) HIV prevention in Mexican schools: prospective randomised evaluation of intervention. BMJ 332(7551):1189–1194, Epub 2006PubMedCrossRef
go back to reference Warren CW, Santelli JS, Everett SA, Kann L, Collins J, Cassell C, Morris L, Kolbe L (1998) Sexual behaviour among U.S. high school students, 1990–1995. Fam Plann Perspect 30(4):170–172, 200PubMedCrossRef Warren CW, Santelli JS, Everett SA, Kann L, Collins J, Cassell C, Morris L, Kolbe L (1998) Sexual behaviour among U.S. high school students, 1990–1995. Fam Plann Perspect 30(4):170–172, 200PubMedCrossRef
Metadata
Title
Changes in knowledge, attitudes and behaviors of Italian university students regarding contraceptive methods and STDs (1998–2008): a cross-sectional study
Authors
Giuseppe La Torre
Brigid Unim
Silvia Miccoli
Elisa Langiano
Maria Ferrara
Elisabetta De Vito
Publication date
01-02-2013
Publisher
Springer-Verlag
Published in
Journal of Public Health / Issue 1/2013
Print ISSN: 2198-1833
Electronic ISSN: 1613-2238
DOI
https://doi.org/10.1007/s10389-012-0519-6

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