Division of Family Medicine, Faculty of Health Sciences, University of Cape Town, South Africa; and Metro Health Services (Western Cape), Cape Town.
S Afr Fam Pract (2004). 2024 Mar 19;66(1):e1-e8. doi: 10.4102/safp.v66i1.5794.
In South Africa, sexually transmitted infections (STIs) represent a significant public health issue. Sexually transmitted infections contribute significantly to the burden of disease in South Africa and are recognised as one of the main causes of the human immunodeficiency virus (HIV) epidemic. The aim of this study was to investigate the potential causes of the high prevalence of STIs in the Du Noon population.
A mixed methodology study involving 40 participants between the ages of 18 years and 45 years was conducted at Du Noon community health centre from 01 May 2021 to 15 May 2021. Both structured questionnaires and one-on-one patient interviews with open-ended questions were utilised to collect data.
Cultural beliefs, having multiple partners, a lack of partner notification, alcohol consumption, and a lack of condom usage were found to be the main contributing factors to the high incidence of STIs. Sex education appears to be lacking. Our findings reflected the other well-known cultural and socioeconomic issues confronting South African communities, for example, poverty, age-disparate relationships, and polygamous relationships.
The cultural perspectives and understandings of sexual interactions of older men appear to have an impact on younger generations; as do peer pressure, social media and other socio-economic factors. There is an urgent need to shift cultural ideologies and norms among the youth. More research is needed to understand the views and misconceptions of the general public about STIs.Contribution: This study highlighted how health education challenges, interpersonal relationships, and socioeconomic barriers are still important factors in STI transmission.
在南非,性传播感染(STIs)是一个重大的公共卫生问题。性传播感染在南非疾病负担中占很大比重,被认为是人类免疫缺陷病毒(HIV)流行的主要原因之一。本研究旨在探讨杜诺恩(Du Noon)人群中 STI 高发的潜在原因。
本研究采用混合方法,于 2021 年 5 月 1 日至 5 月 15 日在杜诺恩社区卫生中心对 40 名 18 至 45 岁的参与者进行研究。采用结构化问卷和一对一的患者访谈(开放式问题)收集数据。
研究发现,文化信仰、多个性伴侣、缺乏伴侣通知、饮酒和缺乏使用安全套是导致 STI 高发的主要因素。性教育似乎缺乏。我们的研究结果反映了南非社区面临的其他一些众所周知的文化和社会经济问题,例如贫困、年龄差距大的关系和一夫多妻关系。
老一辈男性对性互动的文化观念和理解似乎对年轻一代产生了影响;同龄人的压力、社交媒体和其他社会经济因素也是如此。迫切需要改变青年的文化观念和规范。需要进一步研究以了解公众对 STI 的看法和误解。
本研究强调了健康教育挑战、人际关系和社会经济障碍仍然是 STI 传播的重要因素。