Sexual patterning and condom use among a group of HIV vulnerable men in Thika, Kenya
Sexual patterning and condom use among a group of HIV vulnerable men in Thika, Kenya
复制标题
DOI：
10.1136/sti.2004.010462
复制
发表时间：
2004-12-01
影响因子：
3.6
通讯作者：
Moses, S
中科院分区：
文献类型：
--
作者：
Ferguson, A;Pere, M;Moses, S
背景/目的：在肯尼亚锡卡，37名同伴教育者和215名男性非正式部门工作者自助小组的成员以预防艾滋病毒/艾滋病为目标，作为更广泛的性别态度和同伴压力调查的一部分，他们使用定制的模板对他们的性行为进行了采访。方法：在12个月的回忆期内，每个男性报告的每个性伴侣的详细信息包括伴侣类型、发生性关系的月份和避孕套的使用。结果：在召回期内，男性报告了471个性伴侣，范围为0-16个伴侣，平均不到两个伴侣。8%的男性没有性伴侣，一半是一夫一妻制，3%的男性有多个伴侣，只和他们一起使用避孕套，39%的男性面临不同程度的风险。安全套的使用量随着伴侣的亲密程度的降低而显著增加。16%的男性报告至少与女性性工作者有过一次联系，其中三分之二的联系完全是通过使用避孕套来保护的。年轻的单身男性有更多的伴侣，但更有可能使用避孕套。在自助团体中的成员资格持续时间与与临时或FSW伴侣单独使用避孕套密切相关。记录的态度与实践有一定的一致性，但数据显示两者之间存在巨大差距，性别敏感度较低。结论：有一些证据表明，团体成员身份导致避孕套使用量增加和伴侣减少，但对“ABC”策略在遏制艾滋病毒/艾滋病流行方面的成功程度存在疑问。如果该方法要更成功，可能有必要针对背景问题进行干预，特别是性别关系。
Background/aim: A composite sample of 37 peer educators and 215 members of self help groups of male informal sector workers in Thika, Kenya, targeting HIV/ AIDS prevention, were interviewed about their sexual behaviour, using a customised template, as part of a broader survey on gender attitudes and peer pressure.Method: Details on each sexual partner reported by each man over a 12 month recall period included type of partner, months during which sexual relations took place, and condom use.Results: The men reported 471 sexual partners over the recall period, with a range of 0 - 16 partners, and an average of just under two partners. 8% of men had had no sexual partner, half were monogamous, and 3% had multiple partners with whom they used condoms exclusively, leaving 39% at varying degrees of risk. Condom use increased significantly with reduced intimacy of partner. 16% of men reported having at least one liaison with a female sex worker and two thirds of such liaisons were exclusively protected by condom use. Younger, single men had significantly more partners, but were more likely to use condoms. Duration of membership in self help groups was strongly associated with exclusive use of condoms with casual or FSW partners. Recorded attitudes corresponded somewhat with practice, but the data showed large gaps between the two, and low levels of gender sensitivity.Conclusion: There is some evidence that group membership has resulted in increased condom use and partner reduction, but there are doubts as to the extent to which the "ABC'' strategy can be successful in stemming the HIV/ AIDS epidemic. It may be necessary for interventions to target contextual issues, particularly gender relations, if the approach is to be more successful.