Division of Epidemiology and Biostatistics, School of Public Health, University of Illinois at Chicago, Chicago, IL 60612, USA.
AIDS Behav. 2010 Aug;14(4):949-59. doi: 10.1007/s10461-008-9458-1. Epub 2008 Sep 13.
To evaluate whether determinants of consistent condom use vary by partner type among young sexually active Kenyan men, we conducted a cross-sectional assessment of lifetime sexual histories from a sub-sample of men enrolled in a clinical trial of male circumcision. 7913 partnerships of 1370 men were analyzed. 262 men (19%) reported never, 1018 (74%) sometimes and 92 (7%) always using a condom with their partners. Condoms were always used in 2672 (34%) of the total relationships-212 (70%) of the relationships with sex workers, 1643 (40%) of the casual and 817 (23%) of the regular/marital relationships. Factors influencing condom use varied significantly by partner type, suggesting that HIV prevention messages promoting condom use with higher-risk partners have achieved a moderate level of acceptance. However, in populations of young, single men in generalized epidemic settings, interventions should promote consistent condom use in all sexual encounters, independently of partner type and characteristics.
为了评估在肯尼亚年轻活跃男性性活跃者中,不同性伴侣类型下坚持使用安全套的决定因素是否存在差异,我们对参加男性包皮环切术临床试验的男性进行了一项横断面评估,分析了其中的亚组人群的终生性史。对 1370 名男性中的 7913 对伴侣关系进行了分析。262 名男性(19%)报告从未、1018 名男性(74%)有时、92 名男性(7%)总是与伴侣使用安全套。在总共的关系中,安全套一直被使用的有 2672 次(34%),其中与性工作者的关系中有 212 次(70%),与随意性伴侣的关系中有 1643 次(40%),与固定性伴侣的关系中有 817 次(23%)。使用安全套的影响因素因伴侣类型而异,这表明针对高风险伴侣推广使用安全套的艾滋病毒预防信息已经得到了一定程度的认可。然而,在普遍流行的年轻人单身男性人群中,干预措施应该促进在所有性行为中都坚持使用安全套,而不考虑伴侣类型和特征。
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