Chiao Chi, Mishra Vinod
Institute of Health and Welfare Policy, National Yang-Ming University, Taipei, Taiwan.
AIDS Care. 2009 Jul;21(7):881-92. doi: 10.1080/09540120802537856.
We used data from Kenya Demographic and Health Surveys in 1993, 1998, and 2003 to examine 10-year trends in primary and secondary abstinence among never-married youth aged 15-24 and to explore the role of HIV prevention knowledge, schooling, and contextual factors in affecting their abstinence behaviors. Our analysis shows that both primary and secondary abstinence levels have risen in the past 10 years, with the abstinence levels higher among females than among males. Logistic regression models indicate that knowledge that abstinence can prevent HIV infection was positively associated with the likelihood of practicing abstinence. However, knowledge that condom use can prevent HIV infection was associated with lower abstinence practice. In-school youth were more likely to abstain from sex than those working. Effects of the contextual variables were only significant on the likelihood of primary abstinence among female youth. These findings suggest abstinence programs needed to be gender sensitive and culturally appropriate.
我们利用1993年、1998年和2003年肯尼亚人口与健康调查的数据，研究15至24岁未婚青年初次和再次禁欲的十年趋势，并探讨预防艾滋病毒知识、受教育程度和背景因素在影响其禁欲行为方面的作用。我们的分析表明，在过去十年中，初次和再次禁欲水平均有所上升，女性的禁欲水平高于男性。逻辑回归模型表明，了解禁欲可预防艾滋病毒感染与实行禁欲的可能性呈正相关。然而，了解使用避孕套可预防艾滋病毒感染与较低的禁欲行为相关。在校青年比在职青年更有可能 abstain from sex（此处英文有误，推测为“ abstain from sexual intercourse”，意为“ abstain from sexual intercourse”）。背景变量的影响仅对女性青年初次禁欲的可能性有显著影响。这些发现表明，禁欲项目需要对性别敏感且符合文化背景。
