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喀麦隆对避孕套的认知与艾滋病毒/艾滋病感染预防:对雅温得大学一年级学生知识、态度和行为的评估

Condom perception and prevention of HIV/AIDS infection in Cameroon: appraisal of knowledge, attitudes and practices among level one students of the University of Dschang.

作者信息

Sobze Sanou Martin, Fokam Joseph, Guetiya Wadoum Raoul, Russo Gianluca, Onohiol James-Francis, Djeunang Dongho Bruna, Nkamedjie Pete Patrick, Zambou Ngoufack François, Zefack Yannick, Galletta Allessia, Arduini Marcello, Franca Elisabetta, Panà Augusto, Colizzi Vittorio

机构信息

Faculty of Science, University of Dschang, Dschang, Cameroon.

出版信息

Ig Sanita Pubbl. 2013 Mar-Apr;69(2):183-94.

PMID:23743699
Abstract

BACKGROUND

With the decreasing HIV epidemiology in Cameroon (5.5% in 2004 to 4.3% in 2011), HIV/AIDS remains a major public health concern, affecting mostly the sexually active population, among which the young University students represent an important target. Since sexual intercourses represent about 90% of HIV transmission, understanding the sexual behaviors of youth could relevantly optimize the design of HIV prevention strategies, through updated and adapted communication strategies for healthy sexual behavioral changes.

METHODOLOGY

A qualitative, descriptive and cross-sectional study was conducted in November 2010, among 518 newly registered students in the various faculties of the University of Dschang, Cameroon. In order to evaluate Knowledge, Attitudes and Practices (KAP) toward HIV/AIDS prevention among the study participants, a structured questionnaire was administered to each participant, on the basic knowledge about HIV/AIDS and condoms. Data analysis was performed using Epi Info version 3.5.0 software.

RESULTS

The mean age of participants was 20 years, with a slight female predominance (52%). 98.6% of students voted familiar with the theme "condom", with 88.9% giving a satisfactory definition. However, 41.1% do not know the appropriate transmission route of HIV, while 5.4% do not master the correct use of condom; with up to 75.7% being aware of the female condom existence. Although 97.8% of students consider the proper use of condoms as an effective HIV preventive tool, up to 34.5% of them fail to use condoms during sexual intercourses and 69% were not in favor of the use of female condom, mainly due to a decreasing sexual pleasure.

CONCLUSION

Despite the existing sensitization campaigns, the perception of condoms is still very poor among young Cameroonian academics; with the non-systematic use of condoms being the major setback. The lack of familiarity to female condom, both among female and male, would also be a contributing drawback. These major sexual behavioral risk factors to HIV infection appear as key points to address during the campaigns to ensure owning of healthy sexual habits, a leading component to reduce HIV incidence among young Cameroonian/Africans.

摘要

背景

随着喀麦隆艾滋病病毒流行病学情况的下降(从2004年的5.5%降至2011年的4.3%),艾滋病毒/艾滋病仍然是一个主要的公共卫生问题,主要影响性活跃人群,其中年轻大学生是一个重要目标群体。由于性行为约占艾滋病毒传播的90%,了解年轻人的性行为可以通过更新和调整促进健康性行为改变的沟通策略,切实优化艾滋病毒预防策略的设计。

方法

2010年11月,在喀麦隆雅温得大学各学院新注册的518名学生中进行了一项定性、描述性横断面研究。为了评估研究参与者对艾滋病毒/艾滋病预防的知识、态度和行为,向每位参与者发放了一份关于艾滋病毒/艾滋病和避孕套基本知识的结构化问卷。使用Epi Info 3.5.0版软件进行数据分析。

结果

参与者的平均年龄为20岁,女性略占多数(52%)。98.6%的学生表示熟悉“避孕套”主题,88.9%给出了令人满意的定义。然而,41.1%的学生不知道艾滋病毒的正确传播途径,5.4%的学生不会正确使用避孕套;多达75.7%的学生知道女用避孕套的存在。尽管97.8%的学生认为正确使用避孕套是一种有效的艾滋病毒预防工具,但高达34.5%的学生在性行为中不使用避孕套,69%的学生不赞成使用女用避孕套,主要原因是性快感降低。

结论

尽管开展了现有的宣传活动,但喀麦隆年轻学者对避孕套的认知仍然很差;不经常使用避孕套是主要障碍。男女对女用避孕套缺乏了解也将是一个不利因素。这些艾滋病毒感染的主要性行为风险因素似乎是宣传活动中需要解决的关键点,以确保养成健康的性行为习惯,这是降低喀麦隆/非洲年轻人中艾滋病毒发病率的一个主要因素。

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