Cherutich Peter, Brentlinger Paula, Nduati Ruth, Kiarie James N, Farquhar Carey
National AIDS/STD Control Programme, Ministry of Health-Kenya, P.O. Box 19361-00202, Nairobi, Kenya.
AIDS Behav. 2008 Nov;12(6):923-9. doi: 10.1007/s10461-008-9445-6. Epub 2008 Aug 8.
High rates of unintended pregnancy and HIV infection occur in sub-Saharan Africa yet few Kenyan studies have defined correlates of condom use in sexually active female adolescents. Female adolescents receiving reproductive health care and aged 15-19 were interviewed. The prevalence of ever-use of condom was 21.4% and 52 (7.3%) subjects were infected with HIV-1. Older age, higher levels of education, ever-use of hormonal contraceptives and higher numbers of sexual partners, non-consensual sex and exchange of sex for favours, were independent correlates of condom use. Condom use should be promoted in this population. Further exploration is needed on the developmental and contextual factors predisposing female adolescents to increased risk of HIV.
撒哈拉以南非洲地区意外怀孕和艾滋病毒感染率很高，但肯尼亚很少有研究确定性活跃女性青少年使用避孕套的相关因素。对接受生殖健康护理的15至19岁女性青少年进行了访谈。曾经使用过避孕套的比例为21.4%，52名（7.3%）受试者感染了HIV-1。年龄较大、教育程度较高、曾经使用过激素避孕药、性伴侣数量较多、非自愿性行为以及以性换利，都是使用避孕套的独立相关因素。应在这一人群中推广避孕套的使用。需要进一步探索导致女性青少年感染艾滋病毒风险增加的发育和背景因素。
