Sithole Mkhombiseni Zamani, Batidzirai Jesca Mercy, Yirga Ashenafi Argaw, Musekiwa Alfred
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.
Pan Afr Med J. 2023 Dec 28;46:121. doi: 10.11604/pamj.2023.46.121.41640. eCollection 2023.
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.
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。
Sex Transm Dis. 1993
Sex Transm Dis. 1999-10
J Racial Ethn Health Disparities. 2023-8
Int J Adolesc Med Health. 2018-11-29