Kilian Albert H D, Kipp Walter, Jhangri Gian S, Saunders L Duncan, Ndyanabangi Bannet, O'Connor Hélène, Baryomunsi Chris, Rubaale Tom, Kabagambe Geoffrey
Deutsche Gesellschaft für Technische Zusammenarbeit Basic Health Services Project, Fort Portal, Uganda.
J Acquir Immune Defic Syndr. 2007 Apr 15;44(5):586-93. doi: 10.1097/QAI.0b013e318032b2ba.
To monitor trends in the attitudes and behaviors of youth in western Uganda with respect to prevention of HIV/AIDS.
Annual data collection in a group of sentinel secondary schools in 3 districts using a short, self-administered, and anonymous questionnaire.
Fifteen secondary schools were randomly selected, and a cross-sectional survey of students was carried out each year between 1995 and 2001. All students from S (senior level) 2 to S4 were invited to complete the questionnaire. For data analysis, all completed questionnaires of students between the ages of 12 and 20 years were considered.
In total, 6 surveys were carried out yielding 6231 valid questionnaires. Ever use of condoms among sexually active youth increased significantly from 48.8% in 1995 to 1996 to 72.8% in 2000 to 2001. Male students were more likely to report increased sexual abstinence during the time period than female students. Conversely, female students over the same time period reported having fewer sexual partners than male students. The number of sexually active students reporting sexual intercourse in the past 3 months remained the same.
These data show that significant positive changes in the sexual behavior of secondary school students in western Uganda have occurred. This could explain, in part, the decline of HIV prevalence rates among young people observed in this region.
监测乌干达西部青少年在预防艾滋病毒/艾滋病方面的态度和行为趋势。
使用简短、自我填写且匿名的问卷，对3个地区的一组定点中学进行年度数据收集。
随机选择15所中学，在1995年至2001年期间每年对学生进行横断面调查。邀请所有二年级至四年级的学生填写问卷。数据分析时，考虑所有年龄在12岁至20岁之间学生填写完整的问卷。
总共进行了6次调查，共获得6231份有效问卷。性活跃青少年中避孕套的使用比例从1995年至1996年的48.8%显著增加到2000年至2001年的72.8%。在此期间，男生报告性禁欲增加的可能性高于女生。相反，在同一时期，女生报告的性伴侣数量少于男生。报告在过去3个月内有性行为的性活跃学生人数保持不变。
这些数据表明，乌干达西部中学生的性行为发生了显著的积极变化。这可能部分解释了该地区青少年艾滋病毒感染率下降的原因。
