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尼日利亚中北部科吉州阿贝朱科洛综合医院的艾滋病毒/艾滋病感染者的避孕套使用情况。

Condom use among people living with HIV/AIDS attending Abejukolo General Hospital in Kogi State, North Central Nigeria.

作者信息

Salaudeen Adekunle G, Musa Omotosho I, Ojotule Austin, Yusuf Ayodeji S, Durowade Kabir A, Omokanye Lukman O

机构信息

Department of Epidemiology and Community Health, University of Ilorin, Ilorin, Nigeria.

出版信息

Ann Afr Med. 2014 Jul-Sep;13(3):99-103. doi: 10.4103/1596-3519.134378.

Abstract

BACKGROUND

Condom programming is an integral component in a range of HIV/AIDS prevention strategies and with repeated sexual contact among HIV-discordant couples, 98-100% of those who used latex condoms correctly and consistently did not become infected. The objective of this study is to determine condom use among people living with HIV/AIDS (PLWHA).

METHODS

This is a cross-sectional survey carried out among 231 PLWHA and receiving care and treatment at General Hospital Abejukolo in Kogi State, Nigeria. The research instrument was interviewer-administered questionnaire. The data obtained were analysed using EPI-INFO version 3.4.1 software and P-value of < 0.05 was significant for the study.

RESULTS

About three-quarters (70.6%) of the respondents had ever used condom. Reasons given by respondents who did not use condom were: Desire for children (39.7%), and reduction of sexual pleasure (17.7%) and partner preference. More than half (56.0%) of the respondents with multiple partners did not use condom. About half 119 (51.5%) have used condom in the last sexual encounter. Gender, literacy level and disclosure of HIV status to partners significantly influence condom use during sexual intercourse.

CONCLUSION

The poor uptake of condom among PLWHA underscores the need for government and other stakeholders in the management of HIV/AIDS to provide more enlightenment opportunities to address the gaps in condom use and disclosure of HIV status to partners.

摘要

背景

避孕套推广是一系列艾滋病毒/艾滋病预防策略的重要组成部分,在艾滋病毒抗体不一致的伴侣之间反复进行性接触时,98 - 100%正确且持续使用乳胶避孕套的人未被感染。本研究的目的是确定艾滋病毒/艾滋病感染者(PLWHA)的避孕套使用情况。

方法

这是一项横断面调查,在尼日利亚科吉州阿贝朱科洛综合医院接受护理和治疗的231名艾滋病毒/艾滋病感染者中进行。研究工具是由访谈者管理的问卷。使用EPI - INFO 3.4.1版软件对获得的数据进行分析,P值<0.05对本研究具有显著性。

结果

约四分之三(70.6%)的受访者曾使用过避孕套。未使用避孕套的受访者给出的原因是:想要孩子(39.7%)、性快感降低(17.7%)以及伴侣偏好。超过一半(56.0%)有多个性伴侣的受访者未使用避孕套。约一半119人(51.5%)在最近一次性接触中使用了避孕套。性别、识字水平以及向伴侣披露艾滋病毒感染状况显著影响性交期间的避孕套使用情况。

结论

艾滋病毒/艾滋病感染者对避孕套的使用率较低,这突出表明政府和艾滋病毒/艾滋病管理中的其他利益相关者需要提供更多宣传机会,以弥补避孕套使用和向伴侣披露艾滋病毒感染状况方面的差距。

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