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津巴布韦青少年男性的性行为与艾滋病知识

Sexual behaviour and HIV knowledge among adolescent boys in Zimbabwe.

作者信息

Campbell B, Mbizvo M T

机构信息

Department of Obstetrics and Gynaecology, University of Zimbabwe Medical School, Avondale.

出版信息

Cent Afr J Med. 1994 Sep;40(9):245-50.

PMID:7834713
Abstract

A study on sexual behaviour and knowledge of HIV risk was undertaken amongst 511 male students in Zimbabwe. The study was conducted amongst pupils aged 11 to 19 years drawn from urban and rural secondary schools using a self-administered questionnaire. Thirty seven pc of the students reported that they had experienced sexual intercourse, with up to 63 pc reporting having had more than one partner. Twenty one pc of boys aged 12 years reported having had intercourse and the proportion increased with age. Knowledge about AIDS was high (93 pc) with up to 75 pc of the boys reporting that they received the information through the media and only 31 pc got it from their teachers. Logistic regression used to analyse reasons for variation in HIV/AIDS knowledge and of modes of its transmission determined that educational level, actual school attended, access to information from magazines and educational aspirations were significant predictors (p values = 0,005) of knowledge. Individual risk assessment was higher amongst students who reported sexual experience (p = 0,0001). Sixty pc of the sexually experienced boys reported having used condoms. Six pc of the boys reported having intercourse with a commercial sex worker and of these, 85 pc used condoms. Compared with previous studies there appeared to be a reduction in high risk behaviours amongst male secondary school students. However, there is need for increased HIV preventive information through school educational programmes, as increase and variation in HIV information and modes of transmission was seen depending on access to information.

摘要

在津巴布韦对511名男学生进行了一项关于性行为及艾滋病病毒感染风险知识的研究。该研究在年龄为11至19岁、来自城乡中学的学生中开展,采用自填式问卷。37%的学生报告称他们有过性交经历,高达63%的学生报告称有不止一个性伴侣。12岁的男孩中有21%报告有过性交,且这一比例随年龄增长而上升。对艾滋病的知晓率较高(93%),高达75%的男孩报告称他们是通过媒体获得信息的,只有31%是从老师那里得到信息的。采用逻辑回归分析艾滋病病毒/艾滋病知识差异及传播方式的原因,结果表明教育水平、实际就读学校、获取杂志信息的机会以及教育抱负是知识的重要预测因素(p值 = 0.005)。报告有性经历的学生中个人风险评估更高(p = 0.0001)。60%有性经历的男孩报告称使用过避孕套。6%的男孩报告与商业性工作者有过性交,其中85%使用了避孕套。与之前的研究相比,中学男生中的高风险行为似乎有所减少。然而,由于根据获取信息的情况,艾滋病病毒信息及传播方式存在增加和差异,因此需要通过学校教育项目增加艾滋病预防信息。

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