Moses S, Muia E, Bradley J E, Nagelkerke N J, Ngugi E N, Njeru E K, Eldridge G, Olenja J, Wotton K, Plummer F A
Department of Community Health, University of Nairobi, Kenya.
Soc Sci Med. 1994 Dec;39(12):1649-56. doi: 10.1016/0277-9536(94)90079-5.
Sexual behaviour in Kenya in relation to STD transmission was investigated with a view to forming a basis for the more rational design of STD/HIV control interventions. Questionnaires were administered to a sample of 762 men and women attending eight health facilities in two urban centres. Equal numbers of STD patients (cases) and non-STD related clinic attenders (clinic controls) were selected, matched by gender and clinic. Another sample of 427 men and women was obtained from a random sampling of households in a slum area in Nairobi (community controls). Male STD patients who were unmarried, or married but living apart from their wives, reported a higher mean number of sex partners in the previous three months than did male clinic or community controls. Unmarried female STD patients reported a higher mean number of sex partners in the previous three months than did unmarried female clinic or community controls. Both male and female STD patients were more likely to report having been involved in commercial sex transactions in the previous three months than clinic or community controls. Considerable heterogeneity in sexual behaviour was apparent. In multivariate analysis, the most important predictor of STD acquisition for both men and women was the number of reported sex partners in the previous three months. In addition, for men only, marital status (unmarried, or married but living apart from their wives) and purchasing sex were significant predictors of being an STD patient. These data confirm the importance of commercial sex in STD transmission, and suggest that men play a bridging role between female sex workers and the general population of women.(ABSTRACT TRUNCATED AT 250 WORDS)
对肯尼亚与性传播感染传播相关的性行为进行了调查，以期为更合理地设计性传播感染/艾滋病毒控制干预措施奠定基础。对来自两个城市中心八家医疗机构的762名男性和女性样本进行了问卷调查。选取了数量相等的性传播感染患者（病例）和与性传播感染无关的门诊就诊者（门诊对照），按性别和诊所进行匹配。另一个由427名男性和女性组成的样本是从内罗毕一个贫民窟地区的家庭随机抽样中获得的（社区对照）。未婚或已婚但与妻子分居的男性性传播感染患者报告称，在前三个月中其性伴侣的平均数量高于男性门诊或社区对照。未婚女性性传播感染患者报告称，在前三个月中其性伴侣的平均数量高于未婚女性门诊或社区对照。与门诊或社区对照相比，男性和女性性传播感染患者在前三个月中更有可能报告参与过商业性交易。性行为存在明显的异质性。在多变量分析中，对男性和女性而言，感染性传播感染的最重要预测因素是前三个月报告的性伴侣数量。此外，仅对男性而言，婚姻状况（未婚或已婚但与妻子分居）和购买性服务是成为性传播感染患者的重要预测因素。这些数据证实了商业性交易在性传播感染传播中的重要性，并表明男性在女性性工作者和普通女性群体之间起到了桥梁作用。（摘要截选至250词）
