Abdool Karim Q, Abdool Karim S S, Nkomokazi J
Research Institute for Diseases, Tropical Environment of the South African Medical Research Council, Durban.
S Afr Med J. 1991 Oct 5;80(7):340-3.
Questionnaires were administered to 122 urban black mothers of teenagers in order to: (i) understand aspects of their sexual behaviour and knowledge of the acquired immunodeficiency syndrome (AIDS); and (ii) assess their communication with their teenage children with regard to AIDS and sexual behaviour. The subjects comprised a 12.5% random sample of all houses in Lamontville, a black township south of Durban. The level of AIDS knowledge among mothers was high, while their sexual behaviour, characterised by a high pregnancy rate and a high proportion who have had children by more than one consort, placed them at high risk of acquiring human immunodeficiency virus (HIV) infection. No mother had experienced sexual intercourse during which her partner used a condom. Communication with their teenage children was poor; none of the mothers had spoken with them about AIDS and 89.3% had not discussed contraceptive methods with their teenage children. We found that urban black mothers were at high risk of acquiring HIV and, despite their knowledge of the modes of transmission and prevention of HIV infection, they had not begun using condoms as a risk-reducing measure, nor had they communicated the risk of unprotected sex to their teenage children. We recommend that AIDS intervention strategies should not concentrate only on passing on knowledge but also on providing women with the communication skills to negotiate the use of condoms with their partners and to convey the risk of HIV infection to their teenage children.
（i）了解122名城市黑人青少年母亲的性行为方面以及对获得性免疫缺陷综合征（艾滋病）的认识；（ii）评估她们与青少年子女在艾滋病和性行为方面的沟通情况，对这些母亲进行了问卷调查。研究对象是德班以南黑人城镇拉蒙特维尔所有房屋的12.5%随机样本。母亲们对艾滋病的知晓程度较高，然而她们的性行为特点是怀孕率高，且有很大比例的孩子是由多个配偶所生，这使她们感染人类免疫缺陷病毒（HIV）的风险很高。没有一位母亲在与伴侣发生性行为时伴侣使用过安全套。她们与青少年子女的沟通情况很差；没有一位母亲与子女谈论过艾滋病，89.3%的母亲没有与青少年子女讨论过避孕方法。我们发现城市黑人母亲感染HIV的风险很高，尽管她们了解HIV感染的传播和预防方式，但她们尚未开始将使用安全套作为降低风险的措施，也没有向青少年子女传达无保护性行为的风险。我们建议艾滋病干预策略不应只专注于传播知识，还应向女性提供沟通技巧，以便她们与伴侣协商使用安全套，并向青少年子女传达HIV感染的风险。
