Mnyika Kagoma S, Masatu Melkiory C, Klepp Knut-Inge
Department of Epidemiology & Biostatistics, Muhimbili University of Health and Allied Sciences, P.O. Box 65015, Dar es Salaam.
East Afr J Public Health. 2012 Jun;9(2):53-7.
To determine the magnitude of perceived AIDS risk among out-of-school adolescents in Moshi rural district of Kilimanjaro region, northern Tanzania.
A cross-sectional study involving face-to-face interviews with out-of-school adolescents in eleven rural villages in Moshi district, northern Tanzania.
We found that of the 668 adolescents (10-19 years of age) surveyed, 45.4% were sexually active and significantly more men than women reported being sexually active (55.85 versus 23.0%, OR = 0.24, 95% CI = 0.16 to 0.34). Adolescents who had travelled to Moshi town or out of Tanzania were significantly more likely to be sexually active compared with those who have never travelled. Despite perception of AIDS risk, a large majority (70.5%) of sexually active adolescents reported having multiple sexual partners. Adolescents who perceived being at AIDS risk were less likely to report having multiple sexual partners and were more likely to report having used a condom at the last sexual intercourse.
These findings indicate that adolescents in this rural population are still practising high risk sexual behaviours suggesting the need for youth-targeted intervention programmes in rural Tanzania.
确定坦桑尼亚北部乞力马扎罗地区莫希农村地区失学青少年感知到的艾滋病风险程度。
一项横断面研究，对坦桑尼亚北部莫希地区11个乡村的失学青少年进行面对面访谈。
我们发现，在接受调查的668名青少年（10 - 19岁）中，45.4%有性行为，报告有性行为的男性显著多于女性（55.85%对23.0%，比值比 = 0.24，95%置信区间 = 0.16至0.34）。与从未去过的青少年相比，去过莫希镇或坦桑尼亚境外的青少年有性行为的可能性显著更高。尽管感知到艾滋病风险，但绝大多数（70.5%）有性行为的青少年报告有多个性伴侣。认为自己有艾滋病风险的青少年报告有多个性伴侣的可能性较小，且更有可能报告在上一次性交时使用了避孕套。
这些发现表明，该农村人口中的青少年仍在进行高风险性行为，这表明坦桑尼亚农村地区需要针对青少年的干预项目。
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