Makerere University, Department of Population Studies, School of Statistics and Planning, College of Business and Management Sciences.
Department of Health, Aging and Society, McMaster University, Hamilton, Canada.
Afr J Reprod Health. 2024 Aug 31;28(8):48-56. doi: 10.29063/ajrh2024/v28i8.5.
Artisanal and small-scale mining (ASM) is a significant source of income for tens of millions of people worldwide. Consistent condom use is pivotal in the prevention of HIV/AIDS and other STIs. This study assessed sexual behaviors and factors associated with consistent condom use among young male artisanal miners in Kassanda District, Uganda. A cross-sectional survey was conducted with 304 miners aged 15-24 years. Data -analysis included frequency distributions, chi-squared tests, and binary logistic regression. 89% had sexual intercourse in the past year, 55% had multiple partners, 11% engaged in transactional sex, and only 42% used condoms consistently. Married/cohabiting young men (OR=0.41; CI=0.19-0.87), those with a neutral attitude towards condom use (OR=0.30; CI=0.11-0.85), and those with only their mothers as parents (OR=0.37; CI=0.19-0.73) were less likely to use condoms consistently. The study highlights the need for targeted interventions promoting condom use among married young men and those raised by single mothers to reduce the risk of STI transmission.
个体采矿（ASM）是全球数千万人重要的收入来源。坚持使用安全套对于预防艾滋病毒/艾滋病和其他性传播感染至关重要。本研究评估了乌干达卡桑达地区年轻男性个体采矿工人的性行为和与坚持使用安全套相关的因素。采用横断面调查方法，对 304 名年龄在 15-24 岁的矿工进行了调查。数据分析包括频率分布、卡方检验和二项逻辑回归。89%的人在过去一年中有过性行为，55%的人有多个性伴侣，11%的人从事过交易性性行为，只有 42%的人坚持使用安全套。已婚/同居的年轻男性（OR=0.41；CI=0.19-0.87）、对安全套使用持中立态度的男性（OR=0.30；CI=0.11-0.85）以及仅母亲为其父母的男性（OR=0.37；CI=0.19-0.73）更不可能坚持使用安全套。研究强调需要采取有针对性的干预措施，促进已婚年轻男性和由单身母亲抚养的男性使用安全套，以降低性传播感染的风险。
