Vaz F S, Ferreira A M, Kulkarni M S, Motghare D D
Department of Preventive & Social Medicine, Goa Medical College, Bambolim, Goa. 403 202.
J Commun Dis. 2006 Mar;38(1):74-8.
To study the heterosexual risk behaviors and to study the level of HIV/ AIDS awareness among males in a rural community in Goa. Survey was cross-sectional and community based. A sample of 300 males aged 15-49 years selected by stratified random sampling. An "UNAIDS protocol for measurement of HIV/STD prevention indicators" was used. SPSS software package was used for statistical analysis. One hundred and ninety eight (66%) males reported ever having sexual intercourse, of these 17% were single. Fifty three (17.7%) males reported intercourse with a non-regular partner in the past 12 months, of these 90.6% had intercourse with strangers, 92.5% had paid for sex and only 43.4% had used a condom for the last sexual encounter with a non-regular partner. Less educated males (<10th class), single and those employed have higher sexual indulgence with non-regular sexual partners. The level of knowledge about HIV/ AIDS was very high in all areas of causation and prevention. Although the awareness about sexual risk behavior was high, condom use was very low resulting in high risk behavior related to HIV/ AIDS and STDs among males. The study highlights the need for more effective behaviour change communication (BCC) strategies in the community as well as innovative methods like village level peer education.
为研究果阿邦一个农村社区男性的异性风险行为以及他们对艾滋病毒/艾滋病的认知水平。调查采用横断面社区为基础的方式。通过分层随机抽样选取了300名年龄在15至49岁之间的男性。使用了“联合国艾滋病规划署艾滋病毒/性传播感染预防指标测量方案”。采用SPSS软件包进行统计分析。198名（66%）男性报告曾有过性行为，其中17%为单身。53名（17.7%）男性报告在过去12个月内与非固定性伴侣发生过性行为，其中90.6%与陌生人发生过性行为，92.5%有过付费性行为，而在与非固定性伴侣的最后一次性行为中，只有43.4%使用了避孕套。受教育程度较低（低于十年级）、单身以及就业男性与非固定性伴侣的性接触更为频繁。在艾滋病毒/艾滋病的病因和预防的所有方面，相关知识水平都很高。尽管对性风险行为的认知度较高，但避孕套使用率很低，导致男性中存在与艾滋病毒/艾滋病和性传播感染相关的高风险行为。该研究强调了在社区中需要更有效的行为改变沟通（BCC）策略以及像村级同伴教育这样的创新方法。
