Conserve Donaldson F, Middelkoop Keren, King Gary, Bekker Linda-Gail
Department of Health Behavior, University of North Carolina.
Desmond Tutu HIV Centre, University of Cape Town, Cape Town, South Africa.
J Health Care Poor Underserved. 2016 Feb;27(1):131-144. doi: 10.1353/hpu.2016.0015.
We examined factors associated with discussing HIV and condom use with a sexual partner. Two cross-sectional surveys were conducted in 2004 prior to the implementation of an HIV awareness campaign in a South African community and in 2008 after a three-year education program. Overall, the proportion of individuals who had discussed HIV with a sexual partner increased from 76% in 2004 to 89% in 2008 (p < .001). Among respondents who had sex six months before completing the surveys, condom use significantly increased from 64% in 2004 to 79% in 2008 (p < .05). Respondents who discussed HIV with a sexual partner were more likely to use condoms than respondents who had not discussed HIV with a sexual partner (OR=2.08, 95% CI=1.16, 3.72). These findings indicate the importance of interventions aimed at promoting HIV awareness and discussion of HIV in communities with individuals at risk of acquiring HIV.
我们研究了与性伴侣讨论艾滋病毒及使用避孕套相关的因素。在南非一个社区开展艾滋病毒宣传活动之前的2004年以及经过三年教育项目后的2008年，分别进行了两次横断面调查。总体而言，与性伴侣讨论过艾滋病毒的个体比例从2004年的76%增至2008年的89%（p <.001）。在完成调查前六个月有过性行为的受访者中，避孕套的使用比例从2004年的64%显著增至2008年的79%（p <.05）。与未与性伴侣讨论过艾滋病毒的受访者相比，与性伴侣讨论过艾滋病毒的受访者更有可能使用避孕套（比值比=2.08，95%置信区间=1.16，3.72）。这些发现表明，针对有感染艾滋病毒风险的个体在社区中促进艾滋病毒认知及艾滋病毒讨论的干预措施具有重要意义。
