坦桑尼亚达累斯萨拉姆市HIV阳性性活跃成年人的避孕套使用情况及性伴侣的HIV感染状况
Condom use among HIV-positive sexually active adults and partner's HIV status in Dar es Salaam, Tanzania.
作者信息
Conserve Donaldson, Sevilla Luis, Younge Sinead, Mbwambo Jessie, King Gary
机构信息
Department of Biobehavioral Health, The Pennsylvania State University (Penn State), USA.
出版信息
J Health Care Poor Underserved. 2012 Feb;23(1):191-203. doi: 10.1353/hpu.2012.0010.
Abstract
Consistent and proper use of condoms has been found to be effective in preventing HIV transmission and other sexually transmitted diseases. We examined the predictors of condom use and knowledge of partner's HIV status among 731 HIV-positive individuals who had sex in the past six months. Data are from an incoming service form administered to clients who visited the Muhimbili University College of Health Sciences' Voluntary Counseling and Testing (VCT) site in Dar es Salaam, Tanzania between 1997-2008 (N=45,071). Sixteen percent reported always using a condom in the past six months. Multivariate logistic regression revealed that age, and knowledge of partner's HIV status were the strongest predictors of consistent condom use. The risk of future HIV infections in this region remains high. Future efforts to prevent new HIV infections should aim to increase condom use, and prevention practices that facilitate HIV-positive individuals to communicate their HIV status with partners.
摘要
研究发现，持续且正确地使用避孕套能有效预防艾滋病毒传播及其他性传播疾病。我们调查了731名在过去六个月内有过性行为的艾滋病毒呈阳性者使用避孕套的预测因素以及对性伴侣艾滋病毒感染状况的了解情况。数据来自1997年至2008年期间在坦桑尼亚达累斯萨拉姆访问穆希姆比利大学健康科学学院自愿咨询检测（VCT）站点的客户所填写的一份进站服务表格（N = 45,071）。16%的人报告称在过去六个月内始终使用避孕套。多变量逻辑回归分析显示，年龄以及对性伴侣艾滋病毒感染状况的了解是持续使用避孕套的最强预测因素。该地区未来感染艾滋病毒的风险仍然很高。未来预防新的艾滋病毒感染的努力应旨在增加避孕套的使用，并促进艾滋病毒呈阳性者与性伴侣交流其艾滋病毒感染状况的预防措施。
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