Ankomah A
Centre for Development Studies, University of Wales, Swansea.
AIDS Educ Prev. 1998 Aug;10(4):303-16.
This article discusses some personal and situational factors which hinder the use of condoms among young single adults ages 18 to 25 years engaged in sexual exchange relationships in a Ghanaian town. Based on focus group discussions and in-depth interviews, this article highlights some key impediments often not adequately discussed in the discourse on condom use but considered vital in any attempt to increase condom use and ultimately reduce HIV transmission. The includes the dilemma facing women who want to use condoms for HIV prevention in premarital sexual exchange relationships (quite different from prostitution) contracted with material gain in mind. Women may face the risk of losing material benefits from sexual exchange relationships if the man is unwilling to use condoms. It is recommended that HIV health educators must increase the involvement of young single adults in exploring these and situational impediments and together design interventions to improve condom use.
本文探讨了一些个人和情境因素，这些因素阻碍了加纳一个城镇中年龄在18至25岁之间、处于性交易关系中的年轻单身成年人使用避孕套。基于焦点小组讨论和深入访谈，本文强调了一些关键障碍，这些障碍在关于避孕套使用的讨论中往往没有得到充分讨论，但在任何旨在增加避孕套使用并最终减少艾滋病毒传播的努力中都被认为至关重要。其中包括女性在出于物质利益考虑而建立的婚前性交易关系（与卖淫有很大不同）中想要使用避孕套预防艾滋病毒时所面临的困境。如果男性不愿意使用避孕套，女性可能会面临失去性交易关系中物质利益的风险。建议艾滋病毒健康教育工作者必须让年轻单身成年人更多地参与探讨这些个人和情境障碍，并共同设计干预措施以促进避孕套的使用。
