Pilapil Mariecel, Morris Lee, Saito Kohta, Kouya Francine, Maku Vivian, Kwalar Rene, Palmer Nancy, Tih Pius Muffih, Jao Jennifer
Division of General Internal Medicine, Department of Medicine and Division of General Pediatrics, Department of Pediatrics, Hofstra Northwell School of Medicine, Lake Success, NY, USA.
Division of Pediatric Infectious Disease and Immunology, Department of Pediatrics, Levine Children's Hospital, Carolinas Healthcare System, Charlotte, NC, USA.
SAGE Open Med. 2016 Jan 14;4:2050312115626432. doi: 10.1177/2050312115626432. eCollection 2016.
Young women are more likely to be infected with HIV globally, in sub-Saharan Africa, and in Cameroon. Despite its clear clinical and public health benefits, condom use among HIV-infected women continues to be low. The objective of this study was to describe the prevalence of inconsistent condom use among HIV-infected women in Cameroon and the factors associated with it.
We conducted a cross-sectional study of HIV-infected young women aged 17-26 years from three semi-urban HIV clinics in the Northwest Region of Cameroon. This study was a subgroup analysis of a previously reported study on inconsistent condom use in HIV-infected and -uninfected youth. Inconsistent condom use was defined as reporting "sometimes" or "never" to questions regarding frequency of condom use. Logistic regression modeling was used to determine factors associated with inconsistent condom use.
A total of 84 participants were recruited and submitted completed questionnaires for analysis. Median age was 24 years (interquartile range = 22-25) and the median age at HIV diagnosis was 21 years (interquartile range = 20-23). Fifty percent of the participants reported no prior schooling or only primary school education. Overall, 61/84 (73%) reported inconsistent condom use. After adjusting for potential confounders, education to the secondary school level was protective against inconsistent condom use (odds ratio = 0.19; confidence interval: 0.04-0.95), and having ≥2 pregnancies was associated with inconsistent condom use (odds ratio = 7.52; confidence interval: 1.67-34.00).
There is a high prevalence of inconsistent condom use among young HIV-infected women in Cameroon, which appears to be associated with lower levels of educational attainment and higher parity. Further larger studies assessing the factors associated with poor condom use in this population are warranted and may inform public health policy in resource-limited settings with high HIV prevalence.
在全球、撒哈拉以南非洲地区以及喀麦隆，年轻女性感染艾滋病毒的可能性更高。尽管使用避孕套具有明确的临床和公共卫生益处，但艾滋病毒感染女性中的避孕套使用率仍然很低。本研究的目的是描述喀麦隆艾滋病毒感染女性中避孕套使用不一致的患病率及其相关因素。
我们对喀麦隆西北地区三个半城市艾滋病毒诊所中17至26岁的艾滋病毒感染年轻女性进行了一项横断面研究。本研究是先前一项关于艾滋病毒感染和未感染青年中避孕套使用不一致的研究的亚组分析。避孕套使用不一致被定义为在关于避孕套使用频率的问题上回答“有时”或“从不”。采用逻辑回归模型来确定与避孕套使用不一致相关的因素。
共招募了84名参与者并提交了完整问卷用于分析。中位年龄为24岁（四分位间距=22-25），艾滋病毒诊断时的中位年龄为21岁（四分位间距=20-23）。50%的参与者报告没有接受过正规教育或仅接受过小学教育。总体而言，61/84（73%）报告避孕套使用不一致。在对潜在混杂因素进行调整后，接受中学教育可预防避孕套使用不一致（比值比=0.19；置信区间：0.04-0.95），且怀孕≥2次与避孕套使用不一致相关（比值比=7.52；置信区间：1.67-34.00）。
喀麦隆年轻艾滋病毒感染女性中避孕套使用不一致的患病率很高，这似乎与较低的教育程度和较高的生育次数有关。有必要进一步开展更大规模的研究，评估该人群中避孕套使用不佳的相关因素，这可能为艾滋病毒高流行的资源有限环境中的公共卫生政策提供参考。
