HIV risk and condom use in the adult heterosexual population in France between 1992 and 2001:: return to the starting point?
HIV risk and condom use in the adult heterosexual population in France between 1992 and 2001:: return to the starting point?
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DOI：
10.1097/00002030-200403260-00013
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发表时间：
2004-03-26
期刊：
影响因子：
3.8
通讯作者：
Beltzer, N
中科院分区：
文献类型：
--
作者：
Grémy, I;Beltzer, N
目的：本文的目的是测量1992年至2001年间保护行为的变化，以评估异性恋成年人群中避孕套使用的趋势。设计：这些变化是通过反复的艾滋病KABP调查来衡量的，随着时间的推移，比较调查前12个月内避孕套的使用情况以及艾滋病开始流行前后首次性交时避孕套的使用情况。方法：分别于1992年、1994年、1998年和2001年进行全国电话调查。共有7026名异性恋者，年龄在18-54岁之间。结果：避孕套使用中存在明显的两个时间阶段。第一项调查显示，1985年至1998年首次性交时使用避孕套的人数增加，以及1992年至1998年调查前12个月内使用避孕套的人数增加，这表明性健康宣传信息可能增加了预防艾滋病毒/艾滋病的行为。第二阶段显示避孕套使用的减少。与1998年相比，2001年调查中首次性交时避孕套的使用率仍然很高；然而，在调查之前的12个月内，避孕套的使用明显减少，特别是在过去12个月内有多个性伴侣的人群中。结论：在一般人群中，避孕套使用复发的原因包括：由于高活性抗逆转录病毒治疗的引入，社会和个人代表性的变化，维持长期预防行为的困难，以及人群中意识水平的提高和/或大规模艾滋病毒预防运动的减少。(C) 2004利平科特·威廉姆斯·威尔金斯。
Objective: The aim of this paper is to measure changes in protection behaviours from 1992 to 2001, in assessing trends in condom use over time in the heterosexual adult population.Design: These changes are measured through repeated AIDS KABP surveys comparing, over time, condom use during the 12 months prior to the surveys and condom use at first sexual intercourse before and after the beginning of the AIDS epidemic.Method: National telephone surveys were conducted in 1992, 1994, 1998 and 2001. A total sample of 7026 heterosexual individuals, aged 18-54 years, was obtained.Results: Two temporal phases are highlighted in condom use. The first shows an increase in both condom use at first sexual intercourse from 1985 to 1998, and in condom use during the 12 months prior to the surveys between 1992 and 1998, suggesting that sexual health promotion messages may have increased HIV/AIDS preventive behaviours. The second phase shows a decrease in condom use. Compared with 1998, condom use at first sexual intercourse in the 2001 survey still remains high; however, condom use in the 12 months prior to the survey is clearly decreasing, particularly among those with multiple sexual partners during the past 12 months.Conclusions: Reasons for this relapse in condom use in the general population include changes in social and individual representation due to the introduction of highly active antiretroviral therapy, the difficulties in sustaining long-term preventive behaviours, and a high level of awareness in the population and/or the decrease of large HIV prevention campaigns. (C) 2004 Lippincott Williams Wilkins.