简要报告：2010 年至 2018 年期间，乌干达拉凯的手机、性行为与 HIV 感染率。

Brief Report: Mobile Phones, Sexual Behaviors, and HIV Incidence in Rakai, Uganda, From 2010 to 2018.

机构信息

HIV Center for Clinical and Behavioral Studies, New York State Psychiatric Institute and Columbia University, New York, NY.

Heilbrunn Department of Population and Family Health, Mailman School of Public Health, Columbia University, New York, NY.

出版信息

J Acquir Immune Defic Syndr. 2022 Apr 1;89(4):361-365. doi: 10.1097/QAI.0000000000002894.

DOI:10.1097/QAI.0000000000002894

PMID:34974468

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8881316/

Abstract

BACKGROUND

Sub-Saharan Africa has the highest HIV incidence and prevalence in the world. In the past decade, mobile phone ownership has doubled, affecting social and sexual practices. Using longitudinal follow-up data, this study examined whether mobile phone ownership was associated with sexual behaviors and HIV incidence for youth and adults.

METHODS

The Rakai Community Cohort Study gathers demographic and sexual health information and conducts HIV testing among an open cohort in southcentral Uganda every 12-18 months.

RESULTS

Of the 10,618 participants, 58% owned a mobile phone, 69% lived in rural locations, and 77% were sexually active. Analyses were adjusted for time, location, religion, and socioeconomic status. Phone ownership was associated with increased odds of ever having had sex act for 15- to 19-year-olds [men adjusted odds ratio (AOR): 2.12, 95% confidence interval (CI): 1.78 to 2.52; women AOR: 3.20, 95% CI: 2.45 to 4.17]. Among sexually active participants, owning a phone was associated with increased odds of having 2 or more concurrent sex partners (15- to 24-year-old men AOR: 1.76, 95% CI: 1.34 to 2.32; 25 to 49-year-old men: AOR 1.81, 95% CI: 1.54 to 2.13; 25- to 49-year-old women AOR: 1.81, 95% CI: 1.32 to 2.49). For men, phone ownership was associated with increased odds of circumcision (15- to 24-year-old men AOR: 1.24, 95% CI: 1.08 to 1.41; 25- to 49-year-old men AOR: 1.12, 95% CI: 1.01 to 1.24). Phone ownership was not associated with HIV incidence.

CONCLUSION

Although mobile phone ownership was associated with sexual risk behaviors, it was not associated with increased risk of HIV acquisition. Research should continue exploring how phones can be used for reducing sexual health risk.

摘要

背景

撒哈拉以南非洲地区是全球 HIV 发病率和流行率最高的地区。在过去十年中，移动电话拥有量翻了一番，这影响了社交和性行为。本研究使用纵向随访数据，调查了移动电话拥有情况是否与青年和成年人的性行为和 HIV 感染率相关。

方法

Rakai 社区队列研究在乌干达中南部的一个开放队列中，每 12-18 个月收集人口统计学和性健康信息并进行 HIV 检测。

结果

在 10618 名参与者中，58%拥有手机，69%居住在农村地区，77%有过性行为。分析结果根据时间、地点、宗教和社会经济地位进行了调整。对于 15-19 岁的青少年，拥有手机与发生性行为的可能性增加有关[男性调整后的优势比（AOR）：2.12，95%置信区间（CI）：1.78 至 2.52；女性 AOR：3.20，95% CI：2.45 至 4.17]。在有过性行为的参与者中，拥有手机与同时有 2 个或更多性伴侣的可能性增加有关（15-24 岁男性 AOR：1.76，95% CI：1.34 至 2.32；25-49 岁男性 AOR：1.81，95% CI：1.54 至 2.13；25-49 岁女性 AOR：1.81，95% CI：1.32 至 2.49）。对于男性，拥有手机与接受割礼的可能性增加有关（15-24 岁男性 AOR：1.24，95% CI：1.08 至 1.41；25-49 岁男性 AOR：1.12，95% CI：1.01 至 1.24）。手机拥有情况与 HIV 发病率无关。