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个体和社区层面因素对性活跃未婚男性危险性行为的影响:基于 2016 年埃塞俄比亚人口与健康调查的多水平分析。

Individual and community-level determinates of risky sexual behaviors among sexually active unmarried men: A multilevel analysis of 2016 Ethiopian Demographic and Health Survey.

机构信息

Department of Public Health, College of Health Science, Debre Markos University, Debre Markos, Ethiopia.

School of Public Health, College of Health Science, Woldia University, Woldia, Ethiopia.

出版信息

PLoS One. 2022 Jul 21;17(7):e0270083. doi: 10.1371/journal.pone.0270083. eCollection 2022.


DOI:10.1371/journal.pone.0270083
PMID:35862425
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9302804/
Abstract

BACKGROUND: In Ethiopia, HIV/AIDS continues to be a major public health problem mostly due to the high prevalence of risky sexual behaviors. However, research on risky sexual behavior and its determinants among unmarried men (never married, widowed, and divorced) who are highly vulnerable to risky sexual behavior was limited. Therefore, this study aimed to assess the magnitude of risky sexual behavior and its determinants among non-married men using a nationally representative sample. METHODS: The analysis was done on 5680 sexually active unmarried men aged 15-59 years using data from the 2016 Ethiopia Demographic Health Survey (EDHS). The main outcome variable was risky sexual behavior which defined as having at least one of the following: multiple sexual partners; initiation of sex before the age of 18 years; inconsistent condom use in the last 12 months; alcohol consumption at last sex. Multivariable generalized linear mixed-effects regression was employed to identify variables associated with risky sexual behavior. RESULT: The overall magnitude of risky sexual behavior was 26.9% (95% CI; 25.7, 28.0). Currently employed (AOR = 2.49, 95% CI = 1.64-3.77), history of HIV testing (AOR = 2.51, 95% C = 1.95-3.23), drinking alcohol almost every day (AOR = 5.49, 95 CI = 2.73-11.02), and using Internet daily (AOR = 1.99, 95% CI = 1.06-3.74) increase the odds of risky sexual behavior. Whereas, primary education (AOR = 0.44, 95% CI = 0.32-0.61), secondary education level (AOR = 0.46, 95% CI = 0.29-0.72) and a high proportion of community-level media exposure (AOR = 0.42, 95% CI = 0.12-0.75) decrease the odds of risky sexual behavior. CONCLUSION: In general, a significant proportion of sexually active unmarried men in Ethiopia have practiced risky sexual behavior. An intervention should be designed which are against the factors found to increase the odds of risky sexual behavior to reduce the incidence of HIV and other sexually transmitted infections.

摘要

背景:在埃塞俄比亚,艾滋病毒/艾滋病仍然是一个主要的公共卫生问题,主要原因是高危性行为的普遍存在。然而,针对未婚男性(未婚、丧偶和离婚)中高危性行为及其决定因素的研究有限,这些男性极易发生高危性行为。因此,本研究旨在使用全国代表性样本评估未婚男性高危性行为的程度及其决定因素。

方法:本分析使用了来自 2016 年埃塞俄比亚人口与健康调查(EDHS)的 5680 名 15-59 岁的活跃未婚男性的数据。主要结局变量是高危性行为,定义为至少有以下一种行为:多个性伴侣;18 岁之前开始性行为;过去 12 个月内未坚持使用安全套;上次性行为时饮酒。采用多变量广义线性混合效应回归来确定与高危性行为相关的变量。

结果:高危性行为的总体发生率为 26.9%(95%CI;25.7,28.0)。目前就业(AOR=2.49,95%CI=1.64-3.77)、有过艾滋病毒检测史(AOR=2.51,95%CI=1.95-3.23)、几乎每天饮酒(AOR=5.49,95%CI=2.73-11.02)和每天使用互联网(AOR=1.99,95%CI=1.06-3.74)会增加高危性行为的可能性。而接受过小学教育(AOR=0.44,95%CI=0.32-0.61)、中学教育(AOR=0.46,95%CI=0.29-0.72)和较高的社区级媒体暴露率(AOR=0.42,95%CI=0.12-0.75)则降低了高危性行为的可能性。

结论:总的来说,埃塞俄比亚相当一部分活跃的未婚男性存在高危性行为。应设计一项干预措施,针对增加高危性行为可能性的因素,以降低艾滋病毒和其他性传播感染的发病率。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/582a/9302804/f59e2802f0b9/pone.0270083.g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/582a/9302804/f59e2802f0b9/pone.0270083.g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/582a/9302804/f59e2802f0b9/pone.0270083.g001.jpg

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本文引用的文献

[1]
Determinants of Higher-Risk Sexual Behavior in Some Selected African Countries.

Scientifica (Cairo). 2021-9-3

[2]
Youth Risky Sexual Behavior: Prevalence and Socio-Demographic Factors in North-West Ethiopia: A Community-Based Cross-Sectional Study.

Community Health Equity Res Policy. 2022-1

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