Muula Adamson S, Thomas James C, Pettifor Audrey E, Strauss Ronald P, Suchindran Chirayath M, Meshnick Steve R
Department of Epidemiology, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, USA.
World Health Popul. 2011;12(4):35-47. doi: 10.12927/whp.2011.22346.
Correct and consistent condom use within an HIV-discordant partnership could prevent sexual transmission of human immunodeficiency virus (HIV).
Data on ever-married women from rural Malawi were obtained from the Malawi Diffusion and Ideational Change Project (MDICP) of 2006. We assessed the strength of association between religion and acceptability of condom use within marriage in general and also when one of the partners is suspected or known to be HIV infected.
A total of 1,664 ever-married women participated in the MDICP 2006. Of these, 66.7% believed condom use was acceptable within marriage when one partner suspects or knows that the other was HIV infected; 38.2% believed condoms were acceptable within marriage generally. Only 13.8% reported ever having used condoms within the current or most recent marriage. Multivariate analysis found no difference in acceptability of condoms within marriage between Christians and Muslims, or between Catholics and all but one of the individual denominations assessed.
Christian women in rural Malawi were no more or no less likely to accept condom use than Muslim women; there was also no difference in attitude toward condom use within marriage among Malawian women.
在一方感染艾滋病毒而另一方未感染的伴侣关系中，正确且始终如一地使用避孕套可预防性传播人类免疫缺陷病毒（HIV）。
有关马拉维农村地区已婚妇女的数据来自2006年的马拉维传播与观念转变项目（MDICP）。我们评估了宗教与一般婚姻中避孕套使用可接受性之间的关联强度，以及当一方伴侣疑似或已知感染HIV时的关联强度。
共有1664名已婚妇女参与了2006年的MDICP。其中，66.7%的人认为当一方怀疑或知道另一方感染HIV时，在婚姻中使用避孕套是可以接受的；38.2%的人认为在婚姻中一般使用避孕套是可以接受的。只有13.8%的人报告在当前或最近的婚姻中曾使用过避孕套。多变量分析发现，基督徒和穆斯林之间，以及天主教徒与除一个被评估的个别教派之外的所有教派之间，在婚姻中对避孕套的接受程度没有差异。
马拉维农村地区的基督教女性接受使用避孕套的可能性并不高于或低于穆斯林女性；马拉维女性在婚姻中对使用避孕套的态度也没有差异。
