Knowledge of HIV status, sexual risk behaviors and contraceptive need among people living with HIV in Kenya and Malawi
Knowledge of HIV status, sexual risk behaviors and contraceptive need among people living with HIV in Kenya and Malawi
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DOI：
10.1097/qad.0b013e32832cb10c
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发表时间：
2009-07-31
期刊：
影响因子：
3.8
通讯作者：
Diaz, Theresa
中科院分区：
文献类型：
--
作者：
Anand, Abhijeet;Shiraishi, Ray W.;Diaz, Theresa
背景：一些研究支持需要有效的干预措施来减少艾滋病毒/艾滋病感染者（PLWHAs）的艾滋病毒传播风险行为。设计：对肯尼亚（2003年）和马拉维（2004-2005年）进行具有全国代表性的横断面人口健康调查，包括对同意的成年人进行艾滋病毒检测。方法：我们分析人口健康调查数据，了解艾滋病病毒感染状况和性行为（肯尼亚：412；马拉维：664）。分析经过调整（加权）以设计调查，结果具有全国代表性。调查结果：在过去的12个月中，肯尼亚84%的艾滋病感染者和马拉维86%的艾滋病感染者发生过性行为，两国均有10%的艾滋病感染者报告在最后一次性行为中使用安全套。在性活跃的艾滋病毒感染者中，86%的肯尼亚人和96%的马拉维人报告其配偶或同居伴侣是其最近的伴侣。在多元逻辑回归模型中，已婚或同居的PLWHAs明显更可能性活跃，更不可能使用避孕套。超过80%的艾滋病感染者不知道自己的艾滋病毒状况。在感染艾滋病毒的妇女中，近四分之三的人在未来两年内或永远不想要更多的孩子，但肯尼亚32%和马拉维20%的人正在采取避孕措施。解释：2003-2005年，肯尼亚和马拉维的大多数艾滋病感染者不知道自己的艾滋病毒状况，性生活活跃，尤其是已婚或同居的艾滋病感染者。在不想要更多孩子的感染艾滋病毒的妇女中，很少有人采取避孕措施。应扩大艾滋病毒检测，预防方案应针对已婚或同居夫妇，计划生育服务应与艾滋病毒服务相结合。(C) 2009年威科集团（Wolters Kluwer Health）收购利平科特威廉姆斯&威尔金斯公司
Background: Several studies support the need for effective interventions to reduce HIV transmission risk behaviors among people living with HIV/AIDS (PLWHAs).Design: Cross-sectional nationally representative demographic health survey of Kenya (2003) and Malawi (2004-2005) that included HIV testing for consenting adults.Methods: We analyzed demographic health survey data for awareness of HIV status and sexual behaviors of PLWHAs (Kenya: 412; Malawi: 664). The analysis was adjusted (weighted) for the design of the survey and the results are nationally representative.Findings: Eighty-four percent of PLWHAs in Kenya and 86% in Malawi had sex in the past 12 months and in each country, 10% reported using condoms at last intercourse. Among sexually active PLWHAs, 86% in Kenya and 96% in Malawi reported their spouse or cohabiting partner as their most recent partner. In multivariate logistic regression models, married or cohabiting PLWHAs were significantly more likely to be sexually active and less likely to use condoms. Over 80% of PLWHAs were unaware of their HIV status. Of HIV-infected women, nearly three-quarters did not want more children either within the next 2 years or ever, but 32% in Kenya and 20% in Malawi were using contraception.Interpretation: In 2003-2005, majority of PLWHAs in Kenya and Malawi were unaware of their HIV status and were sexually active, especially married or cohabiting PLWHAs. Of HIV-infected women not wanting more children, few used contraception. HIV testing should be expanded, prevention programs should target married or cohabiting Couples and family planning services should be integrated with HIV services. (C) 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins