South African Field Epidemiology Training Programme (SAFETP), National Institute For Communicable Disease (NICD), Sandringham, Johannesburg, South Africa.
South African National Aids Council (SANAC), Pretoria, South Africa.
BMC Public Health. 2018 Sep 24;18(1):1137. doi: 10.1186/s12889-018-6039-8.
In South Africa, young women are at disproportionate risk of HIV infection with about 2363 new infections per week in 2015. Proper condom use is one of the most effective HIV/AIDS prevention strategies among sexually active persons. Understanding factors associated with male condom use in this key population group is important to curb the spread of HIV. This study determined practices and predictors of male condom use among sexually active young women in South Africa.
The 2012 National HIV Communication Survey measured the extent of exposure to communication activities for HIV prevention among men and women aged 16-55 years in South Africa. We performed a secondary data analysis on a subset of this survey, focussing on 1031 women aged 16-24 years who reported having had sex in the past 12 months. We determined predictors of male condom use using the unconditional multivariable logistic regression model.
Of the 1031 young women, 595 (57.8%) reported using a male condom at last sex, 68.4% in women aged 16-19 years and 54.5% in women aged 20-24 years (p < 0.001). Delayed sexual debut [20 years or above] (Adjusted Odds Ratio [aOR] 2.1, 95% CI: 1.2 to 3.7, p = 0.006); being a student (aOR 1.6, 95% CI: 1.2 to 2.3, p = 0.005); and exposure to HIV communication programmes (aOR 3.1, 95% CI: 1.2 to 8.6, p = 0.025) were significantly associated with male condom use at last sex.
Male condom use was a common practice among young women and was associated with delayed sexual debut and exposure to HIV communication programmes. Behavioral interventions and HIV communication programmes should therefore encourage young women to delay initiation of sex and promote usage of male condoms.
在南非，年轻女性感染 HIV 的风险不成比例，2015 年每周有 2363 例新感染。正确使用避孕套是性活跃人群中预防 HIV/AIDS 的最有效策略之一。了解这一关键人群中男性使用避孕套的相关因素对于遏制 HIV 的传播非常重要。本研究旨在确定南非性活跃年轻女性使用男用避孕套的情况和预测因素。
2012 年全国 HIV 传播情况调查衡量了在南非 16-55 岁男性和女性中预防 HIV 的传播活动的接触程度。我们对该调查的一个子样本进行了二次数据分析，重点是在过去 12 个月中有过性行为的 1031 名 16-24 岁的女性。我们使用无条件多变量逻辑回归模型确定了男性使用避孕套的预测因素。
在 1031 名年轻女性中，595 名（57.8%）报告在上一次性行为中使用了男用避孕套，16-19 岁女性中为 68.4%，20-24 岁女性中为 54.5%（p<0.001）。延迟性初潮[20 岁及以上]（调整后的优势比[aOR] 2.1，95%置信区间：1.2 至 3.7，p=0.006）；学生身份（aOR 1.6，95%CI：1.2 至 2.3，p=0.005）；和接触 HIV 传播计划（aOR 3.1，95%CI：1.2 至 8.6，p=0.025）与上一次性行为中使用男用避孕套显著相关。
男用避孕套在年轻女性中是一种常见做法，与延迟性初潮和接触 HIV 传播计划有关。因此，行为干预和 HIV 传播计划应鼓励年轻女性延迟开始性行为，并促进男用避孕套的使用。
