尼日利亚拉各斯一家二级转诊医院接受艾滋病毒检测和咨询服务的客户中与危险性行为相关的因素。

Factors associated with risky sexual behaviour among clients undertaking HIV testing and counselling services at a secondary referral hospital Lagos, Nigeria.

机构信息

Department of Community Health and Primary Health Care Lagos State University Teaching Hospital Ikeja Lagos Nigeria.

Mainland Hospital Yaba Lagos Nigeria.

出版信息

Afr Health Sci. 2022 Mar;22(1):51-61. doi: 10.4314/ahs.v22i1.7.

DOI:10.4314/ahs.v22i1.7

PMID:36032429

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9382506/

Abstract

BACKGROUND

This study determined the prevalence of risky sexual behaviour and its associated factors among clients who accessed HIV counselling and testing services at a secondary referral hospital in Lagos, Nigeria.

METHODS

A retrospective review of clients' records was conducted. The Client Intake Form of people who accessed HIV counselling and testing services at Mainland Hospital in Lagos, Nigeria between July 1, 2016, and December 31, 2017, were reviewed. Multivariate analysis was conducted to determine the associated factors of risky sexual behaviour.

RESULTS

A total of 4273 client's records were analyzed, 3884 (90.9%) reported having sex before HIV counselling and testing (HCT). The prevalence of risky sexual behaviour among clients was 41.5%. More males and HIV positive clients had unprotected sex with a casual partner three months before HIV counselling and testing (p < 0.05). More singles than the married had unprotected sex with casual partners (p <0.001) and multiple sexual partners (p =0.002). The prevalence of risky sexual behaviour reduced with advancing age. Being single and having an HIV infection were associated with risky sexual behaviour in this study.

CONCLUSION

Age, marital status and HIV status were associated factors of risky sexual behaviour.

摘要

背景

本研究旨在确定在尼日利亚拉各斯的一家二级转诊医院接受艾滋病咨询和检测服务的患者中，危险性行为的流行情况及其相关因素。

方法

对患者记录进行回顾性审查。审查了 2016 年 7 月 1 日至 2017 年 12 月 31 日期间在尼日利亚拉各斯大陆医院接受艾滋病咨询和检测服务的患者的《客户入院表》。进行多变量分析以确定危险性行为的相关因素。

结果

共分析了 4273 份患者记录，其中 3884 份（90.9%）报告在接受艾滋病咨询和检测（HCT）前有过性行为。患者中危险性行为的流行率为 41.5%。与女性和 HIV 阴性患者相比，男性和 HIV 阳性患者在接受艾滋病咨询和检测前三个月与偶然伴侣发生无保护性行为的比例更高（p<0.05）。单身者与已婚者相比，与偶然伴侣发生无保护性行为（p<0.001）和多个性伴侣（p=0.002）的比例更高。危险性行为的流行率随年龄的增长而降低。在本研究中，单身和 HIV 感染是危险性行为的相关因素。