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尼日利亚15至24岁年轻女性中与艾滋病毒/艾滋病性风险相关的因素

Factors Associated with HIV/AIDS Sexual Risk Among Young Women Aged 15-24 Years in Nigeria.

作者信息

Obidoa Chinekwu A, M'Lan Cyr E, Schensul Stephen L

机构信息

Department of Community Medicine and Health Care, University of Connecticut , USA.

出版信息

J Public Health Afr. 2012 Mar 7;3(1):e15. doi: 10.4081/jphia.2012.e15.

Abstract

The growing rate of sexual risk-taking among young people contributes significantly to the spread of the HIV/AIDS epidemic in Nigeria. This study, explores the influence of socio-demographic, HIV/AIDS awareness and female empowerment on the sexual risk behaviors of unmarried Nigerian women aged 15-24. The data presented in this paper was drawn from the 2003 Nigeria National Demographic and Health Survey. The sample consisted of unmarried women aged 15-24 in the dataset. Data was collected through a structured and interviewer administered questionnaire. Multivariate logistic regression models were used to identify the most important predictors of sexual risk behaviors. Sexual risk-taking is relatively high among unmarried young women. Among those who are sexually active, 80% indicated that they did not use a condom during their first sexual encounter. Regression analysis revealed that younger age, lower HIV/AIDS prevention and transmission knowledge, lower knowledge of where to obtain condoms, lower material standard of living and greater intimate partner violence were significantly associated with sexual risk-taking in this population. Findings revealed that the sexual behavior of unmarried Nigerian women aged 15-24 is influenced by a complex matrix of factors. Identifying specific processes and contexts that promote the concentration of risk among sub-sections of young unmarried women aged 15-24 years in Nigeria should be a research and intervention priority.

摘要

年轻人中危险性行为发生率的不断上升,在很大程度上推动了尼日利亚艾滋病毒/艾滋病疫情的蔓延。本研究探讨了社会人口统计学因素、对艾滋病毒/艾滋病的认知以及女性赋权对15至24岁未婚尼日利亚女性性行为风险的影响。本文所呈现的数据取自2003年尼日利亚全国人口与健康调查。样本包括数据集中15至24岁的未婚女性。数据通过结构化的、由访谈员实施的问卷收集。多元逻辑回归模型用于确定性行为风险的最重要预测因素。未婚年轻女性中的危险性行为相对较高。在有性行为的人群中,80%表示她们在首次性行为时未使用避孕套。回归分析显示,年龄较小、对艾滋病毒/艾滋病预防和传播的知识较少、对获取避孕套地点的了解较少、物质生活水平较低以及亲密伴侣暴力程度较高,与该人群的危险性行为显著相关。研究结果表明,15至24岁未婚尼日利亚女性的性行为受到一系列复杂因素的影响。确定促使尼日利亚15至24岁未婚年轻女性群体中风险集中的具体过程和背景,应成为研究和干预的重点。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5c5a/5345444/a38ee06dc8ba/jphia-2012-1-e15-g001.jpg

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