沙特阿拉伯吉达市布里曼监狱女性囚犯的性行为以及人类免疫缺陷病毒/艾滋病和性传播感染的知识

Sexual behavior and knowledge of human immunodeficiency virus/aids and sexually transmitted infections among women inmates of Briman Prison, Jeddah, Saudi Arabia.

作者信息

Fageeh Wafa M K

机构信息

Department of Obstetrics and Gynecology, King Abdulaziz University, King Abdullah Road, PO Box 80215, Jeddah 21589, Saudi Arabia.

出版信息

BMC Infect Dis. 2014 May 24;14:290. doi: 10.1186/1471-2334-14-290.

DOI:10.1186/1471-2334-14-290

PMID:24884734

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4048581/

Abstract

BACKGROUND

To reduce the incidence of HIV and sexually transmitted infections (STIs), it is necessary to target high-risk populations such as prison inmates. This study aims to explore the range of knowledge on HIV and STIs, sexual behaviors, and adoption of preventive measures among women inmates.

METHODS

This was a survey conducted between July 1, 2012 and July 29, 2012 among women inmates at Briman Prison, Jeddah, Saudi Arabia. The author gave an educational lecture on STIs in a conference room at the prison. Educational material was distributed to the attendees after the lecture, and the survey was conducted one week later. All the participants were asked to complete an anonymous 40-item self-administered questionnaire in the presence of a professional health assistant and a translator, for non-Arabic speakers. Data collected included the personal data of the respondent, her alleged criminal background, penal status, accumulative time in prison, history of smoking, alcohol or drug addiction, knowledge about the seven most common STIs, symptoms, modes of transmission, prevention, sexual activity, addiction, and means of protection. Descriptive analysis was performed using Microsoft Excel.

RESULTS

We interviewed 204 women aged 16-60 years (mean, 33.3 years). Most of the respondents (n = 170; 83 · 0%) were not aware of STIs; 117 respondents (57 · 4%) did not undergo screening for STIs before marriage or intercourse, while only 59 (28 · 9%) did. Over half of the respondents (n = 107; 52.5%) thought they knew how to protect themselves from STIs. Nevertheless, 87 (42.6%) were uncertain about the role of condoms in protection from STIs and (n = 41; 20.1%) thought condoms provide 100% protection against STIs, while 72 respondents (35.3%) thought condoms did not confer 100% protection against STIs. Only 10 respondents (4.9%) used condoms to protect themselves from STIs. Saudi women (P = 0.033) and those with a higher level of education (P < 0.01) were significantly more likely to have better knowledge.

CONCLUSION

Women inmates at Briman Prison have poor knowledge of STIs as well as risky sexual behaviors. Campaigns aimed at increasing awareness of STIs should also target prison inmates, who in general constitute high-risk populations.

摘要

背景

为降低艾滋病毒和性传播感染（STIs）的发病率，有必要针对高危人群，如监狱囚犯。本研究旨在探讨女性囚犯对艾滋病毒和性传播感染的了解范围、性行为以及预防措施的采用情况。

方法

这是一项于2012年7月1日至2012年7月29日在沙特阿拉伯吉达市布里曼监狱对女性囚犯进行的调查。作者在监狱的会议室就性传播感染进行了一次教育讲座。讲座结束后向与会者分发了教育材料，并在一周后进行了调查。所有参与者被要求在专业健康助理和翻译（针对非阿拉伯语使用者）在场的情况下完成一份40项的匿名自填问卷。收集的数据包括受访者的个人数据、其所谓的犯罪背景、刑罚状况、在监狱的累计时间、吸烟、酗酒或吸毒史、对七种最常见性传播感染的了解、症状、传播方式、预防措施、性活动、成瘾情况以及保护手段。使用微软Excel进行描述性分析。

结果

我们采访了204名年龄在16 - 60岁（平均33.3岁）的女性。大多数受访者（n = 170；83.0%）不了解性传播感染；117名受访者（57.4%）在婚前或性交前未进行性传播感染筛查，而只有59名（28.9%）进行了筛查。超过一半的受访者（n = 107；52.5%）认为她们知道如何保护自己免受性传播感染。然而，87名（42.6%）不确定避孕套在预防性传播感染中的作用，41名（20.1%）认为避孕套能提供100%的性传播感染防护，而72名受访者（35.3%）认为避孕套不能提供100%的性传播感染防护。只有10名受访者（4.9%）使用避孕套来预防性传播感染。沙特女性（P = 0.033）和教育程度较高的女性（P < 0.01）更有可能有更好的认知。