Aboagye Richard Gyan, Ahinkorah Bright Opoku, Seidu Abdul-Aziz, Adu Collins, Hagan John Elvis, Amu Hubert, Yaya Sanni
School of Public Health, University of Health and Allied Sciences, Ho PMB 31, Ghana.
School of Public Health, Faculty of Health, University of Technology Sydney, Sydney, NSW 2007, Australia.
Behav Sci (Basel). 2021 Apr 28;11(5):63. doi: 10.3390/bs11050063.
(1) Background: Improving sexual autonomy among women in sexual unions comes with various benefits, including the reduction of sexually transmitted and blood-borne infections. We examined the relationship between mass media exposure and safer sex negotiation among women in sub-Saharan Africa (SSA). (2) Methods: The study involved a cross-sectional analysis of Demographic and Health Survey (DHS) data of 29 sub-Saharan African countries. A total of 224,647 women aged 15-49 were included in our analyses. We examined the association between mass media exposure and safer sex negotiation using binary logistic regression analysis. The results are presented using a crude odds ratio (cOR) and adjusted odds ratio (aOR), with their respective confidence intervals (CIs). Statistical significance was set at < 0.05. (3) Results: The overall prevalence of safer sex negotiation among women in sexual unions in SSA was 71.6% (71.4-71.8). Women exposed to mass media had higher odds of negotiating for safer sex compared with those who had no exposure (aOR = 1.94; 95% CI = 1.86-2.02), and this persisted after controlling for covariates (maternal age, wealth index, maternal educational level, partner's age, partner's educational level, sex of household head, religion, place of residence, and marital status) (aOR = 1.40; 95% CI = 1.35-1.46). The disaggregated results showed higher odds of safer sex negotiation among women exposed to mass media in all the individual countries, except Ghana, Comoros, Rwanda, and Namibia. (4) Conclusions: The findings could inform policies (e.g., transformative mass media educational seminars) and interventions (e.g., face-to-face counselling; small group sensitization sessions) in SSA on the crucial role of mass media in increasing safer sex practice among women in sexual unions. To accelerate progress towards the achievement of the Sustainable Development Goal five's targets on empowering all women and safeguarding their reproductive rights, the study recommends that countries such as Ghana, Comoros, Rwanda, and Namibia need to intensify their efforts (e.g., regular sensitization campaigns) in increasing safer sex negotiation among women to counter power imbalances in sexual behaviour.
(1) 背景：提高处于性伴侣关系中的女性的性自主权有诸多益处，包括减少性传播感染和血源性感染。我们研究了撒哈拉以南非洲地区（SSA）女性接触大众媒体与进行安全性行为协商之间的关系。(2) 方法：该研究对29个撒哈拉以南非洲国家的人口与健康调查（DHS）数据进行了横断面分析。我们的分析纳入了总共224,647名年龄在15至49岁之间的女性。我们使用二元逻辑回归分析来研究接触大众媒体与进行安全性行为协商之间的关联。结果以粗比值比（cOR）和调整后比值比（aOR）及其各自的置信区间（CIs）呈现。统计学显著性设定为<0.05。(3) 结果：SSA处于性伴侣关系中的女性进行安全性行为协商的总体患病率为7
