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在一个艾滋病病毒感染高危地区居住的大学生人群中,安全套使用模式。

Patterns of condom use in a university student population residing in a high-risk area for HIV infection.

机构信息

Department of Epidemiology, Faculty of Medicine, University of Pristina temporarily seated in Kosovska Mitrovica, Kosovska Mitrovica, Kosovo, Serbia.

Institute of Epidemiology, Faculty of Medicine, University of Belgrade, Belgrade, Serbia.

出版信息

Eur J Contracept Reprod Health Care. 2020 Aug;25(4):269-278. doi: 10.1080/13625187.2020.1766674. Epub 2020 May 21.

DOI:10.1080/13625187.2020.1766674
PMID:32436747
Abstract

OBJECTIVE

The study objective was to investigate factors associated with condom use among university students.

METHODS

During the 2013-2014 academic year, 1017 first and fourth year students from the University of Pristina temporarily seated in Kosovska Mitrovica, northern Kosovo, completed a questionnaire on sociodemographic data, HIV-related knowledge, attitudes and risky behaviours.

RESULTS

Condom use during the most recent sexual encounter and with casual partners was reported by just over half of participants. Factors associated with condom use during the most recent sexual encounter were: being male (35.1%), using medical sources of information about HIV (35.7%), having a positive approach to HIV testing (40.1%) and a positive attitude towards sex workers (17.7%), as well as not having had a sexually transmitted infection in the past year (54.2%). Factors associated with more frequent condom use with casual partners were: being single (28.9%), not living in a rented apartment or own home (32.1%), frequenting night clubs at the weekend (35.3%), not using drugs/opioids (54.1%), not being sure whether to keep a contact after learning of their HIV-positive status (10.1%), and having stronger opinions (either positive or negative) on homosexual individuals (15.5% and 32.1%, respectively), sex workers (18.7% and 23.9%, respectively) and drug users (13.2% and 36.5%, respectively).

CONCLUSION

Condom use among students in northern Kosovo was low. Strategies for HIV prevention should be focussed on promoting healthy behaviours, especially among female students and students who live alone while at university. Moreover, sexuality education should be carried out in schools and primary health care centres to provide support and enable young people to negotiate safe sex.

摘要

目的

本研究旨在探讨与大学生使用避孕套相关的因素。

方法

在 2013-2014 学年期间,来自科索沃北部普里什蒂纳大学的 1017 名一、四年级学生在科索沃米特罗维察暂时就座,完成了一份关于社会人口统计学数据、艾滋病毒相关知识、态度和危险行为的问卷。

结果

超过一半的参与者报告在最近一次性行为和与偶然伴侣发生性行为时使用了避孕套。与最近一次性行为时使用避孕套相关的因素包括:男性(35.1%)、使用医疗来源的艾滋病毒信息(35.7%)、对艾滋病毒检测持积极态度(40.1%)和对性工作者持积极态度(17.7%),以及过去一年中没有感染过性传播感染(54.2%)。与更频繁地与偶然伴侣使用避孕套相关的因素包括:单身(28.9%)、不住在出租公寓或自有住房(32.1%)、周末常去夜总会(35.3%)、不使用毒品/阿片类药物(54.1%)、不确定是否在得知自己艾滋病毒阳性后保留联系(10.1%),以及对同性恋者(分别为 15.5%和 32.1%)、性工作者(分别为 18.7%和 23.9%)和吸毒者(分别为 13.2%和 36.5%)持有更强的意见(无论是积极的还是消极的)。

结论

科索沃北部学生的避孕套使用率较低。艾滋病毒预防策略应侧重于促进健康行为,特别是在女学生和独自上大学的学生中。此外,应在学校和初级保健中心开展性教育,为年轻人提供支持,使他们能够协商安全性行为。

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