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与南非索韦托地区男性中未进行 HIV 检测和持续使用避孕套相关的因素。

Factors associated with not testing for HIV and consistent condom use among men in Soweto, South Africa.

机构信息

Perinatal HIV Research Unit, University of the Witwatersrand, Johannesburg, Gauteng, South Africa.

出版信息

PLoS One. 2013 May 16;8(5):e62637. doi: 10.1371/journal.pone.0062637. Print 2013.


DOI:10.1371/journal.pone.0062637
PMID:23696786
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3656000/
Abstract

BACKGROUND: Besides access to medical male circumcision, HIV testing, access to condoms and consistent condom use are additional strategies men can use to prevent HIV acquisition. We examine male behavior toward testing and condom use. OBJECTIVE: To determine factors associated with never testing for HIV and consistent condom use among men who never test in Soweto. METHODS: A cross-sectional survey in Soweto was conducted in 1539 men aged 18-32 years in 2007. Data were collected on socio-demographic and behavioral characteristics to determine factors associated with not testing and consistent condom use. RESULTS: Over two thirds (71%) of men had not had an HIV test and the majority (55%, n = 602) were young (18-23). Of those not testing, condom use was poor (44%, n = 304). Men who were 18-23 years (aOR: 2.261, CI: 1.534-3.331), with primary (aOR: 2.096, CI: 1.058-4.153) or high school (aOR: 1.622, CI: 1.078-2.439) education, had sex in the last 6 months (aOR: 1.703, CI: 1.055-2.751), and had ≥1 sexual partner (aOR: 1.749, CI: 1.196-2.557) were more likely not to test. Of those reporting condom use (n = 1036, 67%), consistent condom use was 43% (n = 451). HIV testing did not correlate with condom use. CONCLUSION: Low rates of both condom use and HIV testing among men in a high HIV prevalence setting are worrisome and indicate an urgent need to develop innovative behavioral strategies to address this shortfall. Condom use is poor in this population whether tested or not tested for HIV, indicating no association between condom use and HIV testing.

摘要

背景:除了获得医学男性割礼,艾滋病毒检测、获得避孕套和坚持使用避孕套也是男性预防艾滋病毒感染的额外策略。我们研究了男性对检测和避孕套使用的行为。

目的:确定与在索韦托从未接受过艾滋病毒检测的男性从未检测过的艾滋病毒检测和坚持使用避孕套相关的因素。

方法:2007 年,在索韦托进行了一项横断面调查,共纳入了 1539 名年龄在 18-32 岁的男性。收集了社会人口统计学和行为特征数据,以确定与未接受检测和坚持使用避孕套相关的因素。

结果:超过三分之二(71%)的男性从未接受过艾滋病毒检测,大多数(55%,n=602)年龄在 18-23 岁之间。在未接受检测的男性中,避孕套使用情况较差(44%,n=304)。年龄在 18-23 岁的男性(OR:2.261,CI:1.534-3.331)、接受过小学(OR:2.096,CI:1.058-4.153)或中学(OR:1.622,CI:1.078-2.439)教育、在过去 6 个月内有过性行为(OR:1.703,CI:1.055-2.751)、有≥1个性伴侣(OR:1.749,CI:1.196-2.557)的男性更不可能接受检测。在报告使用避孕套的男性中(n=1036,67%),坚持使用避孕套的比例为 43%(n=451)。艾滋病毒检测与避孕套使用无关。

结论:在艾滋病毒高流行地区,男性中避孕套使用和艾滋病毒检测的低比例令人担忧,表明迫切需要制定创新的行为策略来解决这一不足。在该人群中,无论是否接受过艾滋病毒检测,避孕套使用情况都很差,表明避孕套使用与艾滋病毒检测之间没有关联。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c451/3656000/0f95018deca8/pone.0062637.g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c451/3656000/0f95018deca8/pone.0062637.g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c451/3656000/0f95018deca8/pone.0062637.g001.jpg

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PLoS One. 2016-2-22

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