Matovu J K B, Ssebadduka N B
School of Public Health, College of Health Sciences, Makerere University, P. O. Box 7072, Kampala, Uganda.
International Organization for Migration, P.O. Box 11431, Kampala, Uganda.
Afr Health Sci. 2013 Dec;13(4):1027-33. doi: 10.4314/ahs.v13i4.24.
There is limited documentation on knowledge, attitudes and barriers to condom use among female sex workers (FSWs) and truck drivers (truckers).
To explore knowledge, attitudes and barriers to condom use among FSWs and truckers operating along major transport corridors in Uganda.
Structured questionnaires were administered to explore FSWs' and truckers' knowledge of and attitudes towards condom use among 259 FSWs and 261 truckers. Qualitative data were collected on barriers to condom use using focus group discussions. Quantitative data were analyzed using SPSS while qualitative data were audio-recorded, transcribed and thematically analyzed.
Condom knowledge was high with 97% of FSWs and 95% of truckers agreeing with the statement, "using condoms properly and consistently reduces risk of HIV infection". Attitudes towards condom use were generally favorable with 91% of FSWs and 82% of truckers agreeing with the statement, "condom use is the best method of HIV prevention". Qualitative findings show that poverty, refusal to use condoms by male partners, alcohol use before sex and beliefs that condoms 'kill the mood for sex' remain key barriers to consistent condom use.
Consistent condom use among FSWs and truckers is still hampered by economic and relationship factors.
关于女性性工作者（FSW）和卡车司机使用避孕套的知识、态度及障碍的文献资料有限。
探讨乌干达主要交通走廊沿线的女性性工作者和卡车司机使用避孕套的知识、态度及障碍。
采用结构化问卷对259名女性性工作者和261名卡车司机进行调查，以了解他们对使用避孕套的知识和态度。通过焦点小组讨论收集关于使用避孕套障碍的定性数据。定量数据使用SPSS进行分析，而定性数据则进行录音、转录并进行主题分析。
避孕套知识知晓率较高，97%的女性性工作者和95%的卡车司机认同“正确且持续使用避孕套可降低感染艾滋病毒的风险”这一说法。对使用避孕套的态度总体上较为积极，91%的女性性工作者和82%的卡车司机认同“使用避孕套是预防艾滋病毒的最佳方法”这一说法。定性研究结果表明，贫困、男性伴侣拒绝使用避孕套、性行为前饮酒以及认为避孕套“会破坏性趣”仍然是持续使用避孕套的主要障碍。
女性性工作者和卡车司机持续使用避孕套仍受到经济和人际关系因素的阻碍。
