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南非夸祖鲁-纳塔尔省小型巴士出租车司机与艾滋病毒感染和艾滋病相关的性观念及行为

Minibus taxi drivers' sexual beliefs and practices associated with HIV infection and AIDS in KwaZulu- Natal, South Africa.

作者信息

Ncama Busisiwe, Mchunu Gugu, Naidoo Joanne, Majeke Sisana, Pillay Padmini, Myeza Thandazile, Ndebele Thandiwe

机构信息

Department of Nursing, University of KwaZulu-Natal.

出版信息

Curationis. 2013 Jan 8;36(1):E1-6. doi: 10.4102/curationis.v36i1.59.

DOI:10.4102/curationis.v36i1.59
PMID:23327117
Abstract

Risky sexual behaviours in South Africa are a major contributing factor to the spread of HIV infection and AIDS. HIV infection amongst minibus taxi drivers is a concern, because these people belong to an occupational group that exhibits risky behaviours due to the demands of their work. Given the high vulnerability of minibus taxi drivers, exploring the sexual beliefs and health-related sexual practices of this group will assist in planning targeted interventions. The objectives of this study were to assess the level of knowledge, beliefs and practices regarding HIV infection and AIDS amongst minibus taxi drivers. An exploratory descriptive study was conducted using a pre-tested questionnaire to explore and describe sexual beliefs and practices associated with HIV infection and AIDS in a convenience sample of 175 minibus taxi drivers. Permission to undertake the study was obtained from the KwaZulu-Natal Taxi Alliance and individuals who participated in the study. Data analysis were analysed using the Statistical Package for Social Sciences 13.0. The study revealed that minibus taxi drivers are one of the high- risk groups in the spread of HIV infection and AIDS; they lack necessary education and need attention in relation to control and prevention of the spread of HIV and AIDS. Multiple sexual partners are relatively common amongst the minibus taxi drivers. Violence against women and even forceful sexual intercourse in the belief that women should tolerate it to keep the family together was reported. There is a need for intervention programmes with a focus on minibus taxi drivers and similar high-risk groups. Prevention activities should incorporate the distribution of condoms amongst this group and HIV prevention educational programmes, as well as creating mechanisms for accessing circumcision by the minibus taxi drivers.

摘要

在南非,危险的性行为是导致艾滋病毒感染和艾滋病传播的一个主要因素。小型巴士出租车司机中的艾滋病毒感染情况令人担忧,因为这些人属于一个因工作需求而表现出危险行为的职业群体。鉴于小型巴士出租车司机的高脆弱性,探索该群体的性观念和与健康相关的性行为将有助于规划有针对性的干预措施。本研究的目的是评估小型巴士出租车司机对艾滋病毒感染和艾滋病的知识、观念及行为水平。采用一份经过预测试的问卷进行了一项探索性描述性研究,以在175名小型巴士出租车司机的便利样本中探索和描述与艾滋病毒感染和艾滋病相关的性观念及行为。已获得夸祖鲁 - 纳塔尔出租车联盟及参与研究的个人对开展该研究的许可。使用社会科学统计软件包13.0进行数据分析。研究表明,小型巴士出租车司机是艾滋病毒感染和艾滋病传播的高危群体之一;他们缺乏必要的教育,在艾滋病毒和艾滋病传播的控制与预防方面需要得到关注。小型巴士出租车司机中拥有多个性伴侣的情况相对普遍。据报告,存在针对女性的暴力行为,甚至存在认为女性为了维持家庭完整应容忍的强迫性行为。需要针对小型巴士出租车司机及类似高危群体开展干预项目。预防活动应包括在该群体中分发避孕套和开展艾滋病毒预防教育项目,以及为小型巴士出租车司机创造获得包皮环切手术的途径。

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