Borgdorff M W, Barongo L R, Newell J N, Senkoro K P, Devillé W, Velema J P, Gabone R M
National Institute for Medical Research, Mwanza, Tanzania.
Genitourin Med. 1994 Dec;70(6):378-83. doi: 10.1136/sti.70.6.378.
To describe sexual partner change and condom use at the intake of a cohort study of urban factory workers in Tanzania.
From October 1991 to March 1992, 926 male and 170 female factory workers were interviewed using a structured, pre-coded questionnaire. Questionnaire reliability was assessed by pre-testing and comparison with results of unstructured interviews and carrying out repeat questionnaires on a sub-sample.
Almost half of both men and women had had sexual intercourse by their 17th birthday. The period of premarital sex had an interquartile range of 2 to 10 years in men and 0 to 2.5 years in women. Having had sexual intercourse in the past month with more than one partner was reported by 22% of the men and 5% of the women. Factors associated with multiple partners in men were being born in or near Mwanza Region, having low education and low income, and being married. Condoms had been used in the past month by 3% only, mainly with casual partners. Condom use in men was associated with being young, living in town, being born in Kagera Region, high education and high income, being circumcised, and having causal or steady (non- martial) partners.
Information, education and communication (IEC) on sexual relationships and condom use should start at an early age, and include education at primary schools. Much sexual partner change appears to occur through steady (non-marital) partnerships, indicating the need for IEC to be expanded beyond groups such as commercial sex workers and their clients.
描述坦桑尼亚城市工厂工人队列研究入组时性伴侣的更换情况及避孕套使用情况。
1991年10月至1992年3月，采用结构化、预编码问卷对926名男性和170名女性工厂工人进行访谈。通过预测试、与非结构化访谈结果进行比较以及对一个子样本进行重复问卷调查来评估问卷的可靠性。
几乎一半的男性和女性在17岁生日前就有过性行为。婚前性行为的时间跨度在男性中为2至10年，女性中为0至2.5年。据报告，22%的男性和5%的女性在过去一个月内与多个伴侣发生过性行为。男性中与多个伴侣相关的因素包括出生在姆万扎地区或其附近、教育程度低、收入低以及已婚。过去一个月内仅3%的人使用过避孕套，主要是与临时伴侣使用。男性使用避孕套与年轻、居住在城镇、出生在卡盖拉地区、高学历和高收入、接受过包皮环切术以及有临时或稳定（非婚姻）伴侣有关。
关于性关系和避孕套使用的信息、教育和宣传（IEC）应从早年开始，包括在小学开展教育。许多性伴侣的更换似乎是通过稳定（非婚姻）伴侣关系发生的，这表明IEC需要扩大到商业性工作者及其客户等群体之外。
