Maswanya Edward S, Moji Kazuhiko, Yamamoto Taro, Aoyagi Kiyoshi, Yahata Yuichiro, Takemoto Tai-Ichiro
National Institule for Medical Research, P.O. Box 9653 Dar-es-Salaam, Tanzania.
East Afr J Public Health. 2012 Mar;9(1):39-43.
The objective of this quantitative study was to identifying factors that influence young men to participate in risky sexual behavior that place them at risk of HIV infection, as young people are at higher risk for HIV infection than adults.
A cross-sectional study design that employed face-to-face interview questionnaire to identify socio-demographic characteristics, sexual behavior, knowledge of HIV, STD, attitudes towards condoms was administered to 175 sexually active male students between 17 and 24 years old in college settings of Dar-es-Salaam city, Tanzania.
In the previous 12 months, 80% of students had at least one steady sex partner (girlfriend), 71% had sex with a barmaid, 33% had sex with a casual partner and 83% had multiple sex partners. Condoms had been used at some time by 83% of students, and in the latest sexual encounter by 56%. However, only 37%, 22%, and 11% consistently used condoms during sex with girlfriends, casual partners and barmaids, respectively. Condom use was least popular during sex with barmaids, and 94% and 91% of students had experienced oral and anal sex with barmaids, respectively. STD infection was reported by 42% of students. Sex with barmaids was associated with alcohol and illicit drug intake, sex under their respective influences, and STD infection. Despite the high prevalence of these risky behaviors, 64% of students replied that they were at low or no risk of HIV infection.
Our findings suggest that HIV prevention programs for male students should emphasize risks associated with multiple sexual partners, and sex with barmaids and casual partners, to increase the risk perception of HIV/AIDS. Condom use needs to be promoted.
本定量研究的目的是确定影响年轻男性参与高风险性行为从而使其面临感染艾滋病毒风险的因素，因为年轻人感染艾滋病毒的风险高于成年人。
采用横断面研究设计，通过面对面访谈问卷来确定社会人口学特征、性行为、艾滋病毒知识、性传播感染、对避孕套的态度。该问卷对坦桑尼亚达累斯萨拉姆市大学环境中17至24岁的175名有性行为的男学生进行了调查。
在过去12个月中，80%的学生至少有一个固定性伴侣（女朋友），71%与酒吧女招待发生过性行为，33%与临时伴侣发生过性行为，83%有多个性伴侣。83%的学生在某些时候使用过避孕套，在最近一次性行为中使用避孕套的比例为56%。然而，分别只有37%、22%和11%的学生在与女朋友、临时伴侣和酒吧女招待发生性行为时始终使用避孕套。在与酒吧女招待发生性行为时，避孕套的使用最不普遍，94%和91%的学生分别与酒吧女招待有过口交和肛交经历。42%的学生报告感染了性传播感染。与酒吧女招待发生性行为与饮酒和吸食非法药物、在各自影响下发生性行为以及感染性传播感染有关。尽管这些高风险行为的发生率很高，但64%的学生回答说他们感染艾滋病毒的风险很低或没有风险。
我们的研究结果表明，针对男学生的艾滋病毒预防项目应强调与多个性伴侣、与酒吧女招待和临时伴侣发生性行为相关的风险，以提高对艾滋病毒/艾滋病的风险认知。需要推广避孕套的使用。
