Kelly Angela, Kupul Martha, Frankland Andrew, Worth H, Nosi Somu, Mek Agnes, Kepa Barbara, Walizopa Lucy, Emori Rebecca, Pirpir Lawrencia, Akuani Frances, Cangah Brenda, Siba Peter
Papua New Guinea Institute of Medical Research, Papua New Guinea.
AIDS Care. 2011 Jun;23(6):734-40. doi: 10.1080/09540121.2010.532533.
This paper examines condom use in intimate relationships amongst Papua New Guineans on antiretroviral therapy (ART). These findings are from a mixed-method study in six provinces throughout Papua New Guinea (PNG). A total of 374 HIV-positive adult Papua New Guineans, over the age of 16 and on ART for more than two weeks were recruited using a non-probability, convenience sampling methodology. Participants were recruited through ART prescribing sites, People Living with HIV/AIDS (PLWHA) drop-in clinics and support groups. A small number (36) also participated in in-depth interviews. Of the sample 226 (60.4%) were women and 148 (39.6%) were men. The majority of the sample was aged below 40 years, with a median age of 30 years. Of the sample who were in a regular relationship 64.7% identified themselves as being in a relationship where both they and their partner were HIV-positive (seroconcordant). Smaller proportions (21.0%) reported being in a relationship with a HIV-negative partner (serodiscordant), or in a relationship where they were not aware of their partner's HIV status (14.3%). The majority of participants who reported having a regular partner also reported having disclosed their HIV serostatus to their partner (91.8%). A significantly greater proportion of participants who reported being in relationships where they did not know the status of their partner, also reported living in the Southern Region of PNG (52.9%), while the majority of those in seroconcordant relationships lived in the Highlands Region (71.2%). There did not appear to be any differences in sexual practice of using condoms between the three groups. Knowledge of serostatus is important for "positive prevention".
本文考察了巴布亚新几内亚接受抗逆转录病毒疗法（ART）的人群在亲密关系中使用避孕套的情况。这些发现来自于在巴布亚新几内亚全国六个省份开展的一项混合方法研究。采用非概率便利抽样方法，共招募了374名16岁以上且接受ART治疗超过两周的巴布亚新几内亚成年HIV阳性患者。参与者通过ART处方点、艾滋病毒/艾滋病感染者（PLWHA）门诊和支持小组招募。少数人（36名）还参与了深度访谈。样本中226人（60.4%）为女性，148人（39.6%）为男性。样本中的大多数年龄在40岁以下，中位年龄为30岁。在处于固定关系的样本中，64.7%的人表示他们和伴侣双方均为HIV阳性（血清学一致）。较小比例（21.0%）的人报告称其伴侣为HIV阴性（血清学不一致），或者表示不清楚伴侣的HIV感染状况（14.3%）。大多数报告有固定伴侣的参与者还表示已向伴侣披露了自己的HIV血清学状态（91.8%）。报告称不清楚伴侣感染状况的参与者中，有显著更高比例的人也报告称居住在巴布亚新几内亚南部地区（52.9%），而血清学一致关系中的大多数人居住在高地地区（71.2%）。三组之间在使用避孕套的性行为方面似乎没有任何差异。血清学状态的知晓对于“积极预防”很重要。
