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运用调查逻辑回归模型分析卢旺达15至49岁女性使用避孕套的流行情况及相关因素:来自2019/20卢旺达人口与健康调查的证据

Prevalence and factors associated with condom use among women aged 15-49 years in Rwanda using a survey logistic regression model: evidence from the 2019/20 Rwanda Demographic and Health Survey.

作者信息

Sithole Mkhombiseni Zamani, Batidzirai Jesca Mercy, Yirga Ashenafi Argaw, Musekiwa Alfred

机构信息

School of Mathematics, Statistics and Computer Science, College of Agriculture, Engineering and Science, University of KwaZulu-Natal, Pietermaritzburg, South Africa.

School of Nursing and Public Health, College of Health Sciences, University of KwaZulu-Natal, Durban, South Africa.

出版信息

Pan Afr Med J. 2023 Dec 28;46:121. doi: 10.11604/pamj.2023.46.121.41640. eCollection 2023.


DOI:10.11604/pamj.2023.46.121.41640
PMID:38465006
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10924606/
Abstract

INTRODUCTION: although Rwanda's HIV prevalence has declined, many people are still acquiring or living with it. Among other methods of HIV prevention, condoms are a safe and reliable method in addition to preventing pregnancy and other sexually transmitted infections, especially when used properly. This study aimed to determine the prevalence and determinants of condom use during last sexual intercourse among reproductive-aged women in Rwanda. METHODS: using data from the cross-sectional, nationally representative Rwanda Demographic and Health Survey (RDHS) conducted in 2019/2020, we carried out secondary data analysis. A multivariable logistic regression model was applied to determine the factors associated with condom use. All analyses from the model were adjusted for unequal sampling probabilities using survey weights. RESULTS: results showed a 10.8% prevalence of condom use. The odds of condom use during last sex were significantly lower for women who lived with a man (adjusted odds ratio [aOR]= 0.10, CI=0.08: 0.13) and those from the Southern region (aOR=0.69, CI= 0.52 to 0.92) but were significantly higher for those with primary education (aOR=1.38, CI= 1.00: 1.88). Also, the rich were more significantly associated with condom use compared to the poor (aOR=1.53, 95% CI= 1.20: 1.93). Those who had three or more sexual partners had higher odds of condom use than those with one partner (aOR=3.12, CI= 2.50: 3.89). CONCLUSION: based on the results, health promotion interventions aimed at raising awareness on HIV prevention should, therefore, target the groups that were found to have a high risk of not using condoms.

摘要

引言:尽管卢旺达的艾滋病毒感染率有所下降,但仍有许多人感染或携带该病毒。在艾滋病毒预防的其他方法中,避孕套是一种安全可靠的方法,除了能预防怀孕和其他性传播感染外,尤其是在正确使用的情况下。本研究旨在确定卢旺达育龄妇女上次性交时使用避孕套的流行率及其决定因素。 方法:利用2019/2020年进行的具有全国代表性的卢旺达人口与健康横断面调查(RDHS)的数据,我们进行了二次数据分析。应用多变量逻辑回归模型来确定与避孕套使用相关的因素。使用调查权重对模型的所有分析进行了不等抽样概率调整。 结果:结果显示避孕套使用率为10.8%。与男性同居的女性(调整后的优势比[aOR]=0.10,置信区间[CI]=0.08:0.13)以及来自南部地区的女性(aOR=0.69,CI=0.52至0.92)上次性交时使用避孕套的几率显著较低,但小学文化程度的女性使用避孕套的几率显著较高(aOR=1.38,CI=1.00:1.88)。此外,与穷人相比,富人使用避孕套的关联更为显著(aOR=1.53,95%CI=1.20:1.93)。有三个或更多性伴侣的人使用避孕套的几率高于只有一个性伴侣的人(aOR=3.12,CI=2.50:3.89)。 结论:基于这些结果,因此,旨在提高艾滋病毒预防意识的健康促进干预措施应针对那些被发现不使用避孕套风险较高的群体。

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Prevalence and factors associated with condom use among women aged 15-49 years in Rwanda using a survey logistic regression model: evidence from the 2019/20 Rwanda Demographic and Health Survey.

Pan Afr Med J. 2023-12-28

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本文引用的文献

[1]
Modern contraceptive method utilization and determinant factors among women in Ethiopia: Multinomial logistic regression mini- EDHS-2019 analysis.

Contracept Reprod Med. 2023-7-25

[2]
Modeling Survival Time to Death Among TB and HIV Co-infected Adult Patients: an Institution-Based Retrospective Cohort Study.

J Racial Ethn Health Disparities. 2023-8

[3]
Sexual behaviors and condom use in the Brazilian population: analysis of the National Health Survey, 2019.

Rev Bras Epidemiol. 2021

[4]
Ending the Global HIV Epidemic Begins at the Individual National Level: An Update from the United States.

China CDC Wkly. 2020-9-25

[5]
Individual and community-level factors associated with lifetime number of sexual partners among women aged 15-49 in Eswatini.

PLoS One. 2021

[6]
Co-creation of a health education program for improving the uptake of HIV self-testing among men in Rwanda: nominal group technique.

Heliyon. 2020-10-30

[7]
Preexposure Prophylaxis for Prevention of HIV Acquisition Among Adolescents: Clinical Considerations, 2020.

MMWR Recomm Rep. 2020-4-24

[8]
Should condoms be available in secondary schools? Discourse and policy dilemma for safeguarding adolescent reproductive and sexual health in Rwanda.

Pan Afr Med J. 2018-11-13

[9]
Correction: Perceptions of HIV transmission and pre-exposure prophylaxis among health care workers and community members in Rwanda.

PLoS One. 2019-2-22

[10]
Prevalence and determinants of condom use among male adolescents in Indonesia.

Int J Adolesc Med Health. 2018-11-29

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