Menna Takele, Ali Ahmed, Worku Alemayehu
School of Public Health, College of Health Sciences Addis Ababa University, Addis Ababa, P,O, Box 33412, Ethiopia.
BMC Public Health. 2014 Oct 30;14:1120. doi: 10.1186/1471-2458-14-1120.
Human immunodeficiency virus infection is a global crisis that represents a serious health threat, particularly among younger people. Various studies show that both orphan and non-orphan adolescents and youths experience vulnerability to HIV. Nevertheless, the findings hitherto are mixed and inconclusive. The aim of this study, therefore, was to assess the prevalence of parental death and its association with multiple sexual partners among secondary school students for evidence based interventions.
A cross-sectional study was conducted among secondary school youth in Addis Ababa, Ethiopia. A multistage sampling technique was used to select a representative sample of 2,169 school youths. Sexual health behavior related data were collected using self-administered questionnaire. Binary logistic regression was employed to examine the relation between parental death and multiple sexual partners.
Among the 2,169 eligible study participants 1948 (90%) completed the self-administered questionnaires. Of those 1,182(60.7%) were females. The overall prevalence of parental death was 347(17.8%.) with 95% CI (16.2%, 19.6%). The HIV/AIDS proportionate mortality ratio was 28% (97/347).A multivariate logistic regression analysis showed that high HIV/AIDS related knowledge (AOR = 0.39; 95% CI, 0.18-0.84), positive attitude towards HIV prevention methods (AOR = 0.48; 95% CI, 0.23-0.97), being tested for HIV (AOR = 0.52; 95% CI, 0.31-0.87) and chewing Khat (AOR = 2.59; 95% CI,1.28-5.26)] were significantly associated with having multiple sexual partners among secondary school youths.
Significant proportion of secondary school youths had lost at least one parent due to various causes. High knowledge of HIV/AIDS, positive attitude towards 'ABC' rules for HIV prevention, being tested for HIV and chewing khat are more likely to be factors associated with multiple sexual partnership among secondary school students in Addis Ababa.Therefore, the school based interventions against the HIV/AIDS epidemic should be strengthened with particular emphasis on the effects of HIV/AIDS related knowledge, attitude towards preventive measures, mechanisms for improving HIV Counseling and Testing coverage and the associated prevailing risk factors.
人类免疫缺陷病毒感染是一场全球危机，对健康构成严重威胁，在年轻人中尤为如此。多项研究表明，孤儿和非孤儿青少年都易感染艾滋病毒。然而，迄今为止的研究结果不一，尚无定论。因此，本研究旨在评估中学生中父母死亡的患病率及其与多个性伴侣之间的关联，以便采取循证干预措施。
在埃塞俄比亚亚的斯亚贝巴的中学生中开展了一项横断面研究。采用多阶段抽样技术选取了2169名具有代表性的青年学生作为样本。使用自填式问卷收集与性健康行为相关的数据。采用二元逻辑回归分析父母死亡与多个性伴侣之间的关系。
在2169名符合条件的研究参与者中，1948人（90%）完成了自填式问卷。其中1182人（60.7%）为女性。父母死亡的总体患病率为347人（17.8%），95%置信区间为（16.2%，19.6%）。艾滋病毒/艾滋病的比例死亡率为28%（97/347）。多变量逻辑回归分析显示，与艾滋病毒/艾滋病相关的知识水平较高（比值比=0.39；95%置信区间为0.18-0.84）、对艾滋病毒预防方法持积极态度（比值比=0.48；95%置信区间为0.23-0.97）、接受过艾滋病毒检测（比值比=0.52；95%置信区间为0.31-0.87）以及咀嚼恰特草（比值比=2.59；95%置信区间为1.28-5.26）与中学生中有多个性伴侣显著相关。
相当比例的中学生因各种原因失去了至少一位父母。对艾滋病毒/艾滋病的高知晓率、对艾滋病毒预防“ABC”原则的积极态度、接受艾滋病毒检测以及咀嚼恰特草更有可能是亚的斯亚贝巴中学生中有多个性伴侣的相关因素。因此，应加强针对艾滋病毒/艾滋病疫情的学校干预措施，尤其要强调艾滋病毒/艾滋病相关知识的影响、对预防措施的态度、提高艾滋病毒咨询和检测覆盖率的机制以及相关的主要风险因素。
