Asiimwe-Okiror G, Opio A A, Musinguzi J, Madraa E, Tembo G, Caraël M
Sexually Transmitted Disease/AIDS Control Programme, Ministry of Health, Entebbe, Uganda.
AIDS. 1997 Nov 15;11(14):1757-63. doi: 10.1097/00002030-199714000-00013.
To describe sexual behaviour that may partly explain a decline in HIV seroprevalence in pregnant women in urban settings in Uganda, East Africa.
Two major urban districts in Uganda.
Repeated population-based behavioural surveys in 1989 and 1995, and repeated HIV serological surveys in consecutive pregnant women attending antenatal clinics from 1989 to 1995.
During the study period, a 2-year delay in the onset of sexual intercourse among youths aged 15-24 years and a 9% decrease in casual sex in the past year in male youths aged 15-24 years were reported. Men and women reported a 40% and 30% increase in experience of condom use, respectively. In the same study area, over the same period, there was an overall 40% decline in the rates of HIV seroprevalence among pregnant women attending antenatal clinics. It can be hypothesized that the observed declining trends in HIV correspond to a change in sexual behaviour and condom use, especially among youths.
This is the first report of a change over a period of 6 years in male and female sexual behaviour, assessed at the population level, that may partly explain the observed decline in HIV seroprevalence in young pregnant women in urban Uganda. This result should encourage AIDS control programmes to pursue their prevention activities.
描述性行为，这些行为可能部分解释了东非乌干达城市地区孕妇中艾滋病毒血清阳性率下降的原因。
乌干达的两个主要城市地区。
1989年和1995年基于人群的重复行为调查，以及1989年至1995年期间对连续到产前诊所就诊的孕妇进行的重复艾滋病毒血清学调查。
在研究期间，报告称15至24岁青年开始性行为的时间推迟了两年，15至24岁男性青年过去一年的随意性行为减少了9%。男性和女性报告使用避孕套的经历分别增加了40%和30%。在同一研究地区，同一时期，到产前诊所就诊的孕妇中艾滋病毒血清阳性率总体下降了40%。可以假设，观察到的艾滋病毒下降趋势与性行为和避孕套使用的变化相对应，尤其是在青年中。
这是第一份在人群层面评估的关于男女性行为在6年期间变化的报告，这些变化可能部分解释了在乌干达城市地区年轻孕妇中观察到的艾滋病毒血清阳性率下降的情况。这一结果应鼓励艾滋病控制项目继续开展预防活动。
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