Spark-du Preez N, Zaba B, Nyamukapa C, Mlilo M, Gregson S
Afr J AIDS Res. 2004 May;3(1):81-91. doi: 10.2989/16085900409490321.
A cross-sectional study of 7 667 non-virgins between 15 and 54 years of age was carried out to assess the protective effect of marriage against HIV acquisition in a rural population in Zimbabwe, whilst taking into account gender-differentials in risk factors for seroconversion. Persons in stable first marriages and long-term consensual cohabiting unions had higher odds of HIV infection than never-married people but a lower risk than those who had been divorced or widowed, even after adjusting for known confounders and significant risk factors for infection. Partner-related risk factors appear to play a more pivotal role in determining HIV prevalence in females than for males, for whom personal sexual behaviour risk factors are more dominant.
对津巴布韦农村地区7667名15至54岁的非处女进行了一项横断面研究,以评估婚姻对预防艾滋病毒感染的保护作用,同时考虑到血清转化风险因素中的性别差异。即使在对已知的混杂因素和重要感染风险因素进行调整之后,处于稳定初婚和长期自愿同居关系中的人感染艾滋病毒的几率高于从未结婚的人,但低于离婚或丧偶的人。伴侣相关的风险因素在决定女性艾滋病毒感染率方面似乎比男性发挥着更关键的作用,而个人性行为风险因素在男性中更为突出。