Ray Sougat, Bhaskar V, Bhandari S, Kodange C
Associate Professor, Dept of Community Medicine, AFMC, Pune-40, India.
SO (H), HQWNC, Mumbai, India.
Med J Armed Forces India. 2012 Oct;68(4):316-21. doi: 10.1016/j.mjafi.2012.06.005. Epub 2012 Aug 24.
Studies have justified that social and cultural factors influence young people not to use condoms. Sexually active people associate condoms with lack of trust, while others believe carrying them could imply sexual inexperience. The aim of this study was to provide an intervention model based on this social perception and assess the impact of the intervention in improving condom use.
2083 personnel in the intervention group were subjected to behaviour change intervention based on perception and use of condoms. Using a cluster design, we randomly assigned 40 departments to department-based intervention (20) or assessment (20) groups. Around 100 persons in the same age group of 18-45 years were again randomly assigned to each group. Chi Square test was used to assess the effectiveness of the intervention.
Over 6% individuals in the control group (Table 2) had non-regular partners and out of them 23.5% had used a condom. Again, in the same group (Fig. 1), 45.36% individuals thought it is acceptable for single men to use condoms with their partners and 8.15% agreed that it is alright for married women to use condoms with their husbands. The perception significantly increased in the intervention group (p < 0.001).
This study thus highlights the importance of continued behavioural intervention in filling certain gaps in the social and structural perception to improve condom use for effective HIV prevention in the community.
研究表明,社会和文化因素影响年轻人不使用避孕套。性活跃人群将避孕套与缺乏信任联系在一起,而其他人则认为携带避孕套可能意味着性经验不足。本研究的目的是基于这种社会认知提供一种干预模式,并评估该干预对提高避孕套使用率的影响。
对干预组的2083名人员进行基于对避孕套的认知和使用的行为改变干预。采用整群设计,我们将40个部门随机分为部门干预组(20个)或评估组(20个)。在18 - 45岁的同一年龄组中,再将约100人随机分配到每个组。采用卡方检验评估干预的有效性。
对照组(表2)中超过6%的个体有非固定性伴侣,其中23.5%的人使用过避孕套。同样,在同一组中(图1),45.36%的个体认为单身男性与伴侣使用避孕套是可以接受的,8.15%的人同意已婚女性与丈夫使用避孕套是合适的。干预组的这种认知显著增加(p < 0.001)。
因此,本研究强调了持续行为干预在填补社会和结构认知中的某些空白以提高避孕套使用率从而在社区有效预防艾滋病毒方面的重要性。