Department of Epidemiology, Faculty of Medicine, Pavol Jozef Šafárik University in Košice, 041 80 Košice, Slovakia.
Department of Health Psychology, Faculty of Medicine, Pavol Jozef Šafárik University in Košice, 040 11 Košice, Slovakia.
Int J Environ Res Public Health. 2017 Dec 14;14(12):1579. doi: 10.3390/ijerph14121579.
The aim of the study was to explore sexual behaviour and the occurrence of (CT) infection in the population living in Roma settlements compared to the majority population in Slovakia and to assess the association between alcohol use and sexual behaviour within both populations. A cross-sectional population-based Hepa-Meta study was conducted in Slovakia in 2011. The final sample comprised 452 Roma and 403 non-Roma respondents. The occurrence of CT was detected by direct proof of the pathogen by PCR. The association between alcohol use and the prevalence of risky sexual behaviour were assessed using a logistic regression. First intercourse at age 15 or younger was reported by 27.9% of Roma (vs. 4.5% of non-Roma); 93.4% of Roma (vs. 77.9% of non-Roma) used condom inconsistently, 22.8% of Roma (vs. 43.9% of non-Roma) used a condom for protection from unwanted pregnancies and only 8.8% of Roma (vs. 21.8% of non-Roma) due to protection against infectious diseases. However, Roma reported having had five or more sexual partners less often compared to the majority (11.5% of Roma vs. 20.6% of non-Roma). Binge drinking at least once a month was associated with a higher number of sexual partners in both groups, but not with condom non-use. The prevalence of CT infection in the Roma population was higher (3.8%) compared to non-Roma (2.7%); however, the difference was not statistically significant. Our study found no differences in the prevalence of CT infection between Roma and non-Roma despite differences in sexual behaviour. Roma begin their sexual life earlier and have unprotected sex more often, but on the other hand, they seem to be much more restrained in terms of the number of sexual partners compared to the majority population.
本研究旨在探索居住在罗姆人定居点的人群与斯洛伐克多数人群的性行为和 CT 感染发生率，并评估这两个群体中饮酒与性行为之间的关联。2011 年，斯洛伐克进行了一项基于人群的 HEPAMA 横断面研究。最终样本包括 452 名罗姆人和 403 名非罗姆人。通过聚合酶链反应（PCR）直接检测病原体来检测 CT 的发生情况。使用逻辑回归评估饮酒与危险性行为发生率之间的关联。27.9%的罗姆人（而非 4.5%的非罗姆人）在 15 岁或 15 岁以下发生初次性行为；93.4%的罗姆人（而非 77.9%的非罗姆人）不规律使用避孕套，22.8%的罗姆人（而非 43.9%的非罗姆人）使用避孕套是为了避免意外怀孕，只有 8.8%的罗姆人（而非 21.8%的非罗姆人）是为了预防传染病。然而，与多数人相比，罗姆人报告的性伴侣数量较少，仅有 11.5%的罗姆人（而非 20.6%的非罗姆人）报告有五个或更多性伴侣。两组人群中，每月至少狂饮一次与性伴侣数量较多相关，但与不使用避孕套无关。罗姆人人群中 CT 感染的流行率较高（3.8%），而非罗姆人（2.7%）；然而，差异无统计学意义。尽管性行为存在差异，但本研究未发现罗姆人和非罗姆人之间 CT 感染的流行率存在差异。罗姆人开始性生活的时间更早，无保护性行为更频繁，但另一方面，与多数人群相比，他们在性伴侣数量方面似乎更为克制。
