Kapiga S H
Department of Epidemiology and Biostatlatics, Munimbill University College of Health Sciences, Dar es Saiaam, Tanzania.
East Afr Med J. 1996 Jul;73(7):435-42.
This paper is based on the analyses of data collected in the Tanzania Demographic and Health Survey (TDHS). The TDHS national sample was obtained by using 1988 population census list of enumeration areas. Information about sexual behaviour and condom use was obtained from sexually active women (N = 4620) and men (N = 1440) reporting sexual activity during the period of four weeks preceding the survey. Univariate and multivariate (using logistic regression model) analyses were done to identify predictors of condom use and highrisk sexual behaviour. About 6% of women and 31% of men reported to have more than one sexual partner during the study period. Compared to respondents married once and in monogamous union, the tendency to have multiple partners was increased among never married women [OR 10.9, 95% CI (7.1-16.9)] and men [2.6 (1 7-3.9)], formerly married women [11.5 (7.3-17.9)], and among men in monogamous marriage reporting more than one marriage [12.4 (8.3-18.4)]. Occupation, residence, ever use of contraceptives, and AIDS knowledge were not associated with history of multiple sexual partners. Only 134 (9.3%) men and 173 (3.7%) women reported to have used condoms during the study period. After adjusting for other predictors of condom use, respondents reporting multiple sexual partners were more likely to have used condom among both women [3.4 (2.2-5.4)] and men [3.3 (2.3-6.0)]. Condom use was common in urban areas than rural areas and among unmarried respondents. These results show that high-risk sexual behaviour is common among men. Condom use was very low indicating that efforts to promote condom use has been less successful in Tanzania. More efforts are needed to promote safer sexual practices and condom use in Tanzania.
本文基于对坦桑尼亚人口与健康调查（TDHS）所收集数据的分析。TDHS全国样本是通过使用1988年人口普查枚举区域列表获取的。关于性行为和避孕套使用的信息来自在调查前四周内有性行为的性活跃女性（N = 4620）和男性（N = 1440）。进行了单变量和多变量（使用逻辑回归模型）分析，以确定避孕套使用和高危性行为的预测因素。在研究期间，约6%的女性和31%的男性报告有多个性伴侣。与只结过一次婚且处于一夫一妻制婚姻关系的受访者相比，从未结婚的女性[比值比（OR）10.9，95%置信区间（CI）（7.1 - 16.9）]和男性[2.6（1.7 - 3.9）]、曾经结婚的女性[11.5（7.3 - 17.9）]以及报告有不止一次婚姻的一夫一妻制婚姻中的男性[12.4（8.3 - 18.4）]有多个性伴侣的倾向增加。职业、居住地点、是否曾使用避孕药具以及艾滋病知识与多个性伴侣史无关。在研究期间，只有134名（9.3%）男性和173名（3.7%）女性报告使用过避孕套。在对避孕套使用的其他预测因素进行调整后，报告有多个性伴侣的受访者在女性[3.4（2.2 - 5.4）]和男性[3.3（2.3 - 6.0）]中更有可能使用避孕套。避孕套在城市地区比农村地区以及未婚受访者中使用更为普遍。这些结果表明，高危性行为在男性中很常见。避孕套使用率非常低，这表明在坦桑尼亚推广避孕套使用的努力不太成功。需要在坦桑尼亚做出更多努力来推广更安全的性行为和避孕套使用。
