Disco funerals: a risk situation for HIV infection among youth in Kisumu, Kenya
Disco funerals: a risk situation for HIV infection among youth in Kisumu, Kenya
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DOI：
10.1097/qad.0b013e32832605d0
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发表时间：
2009-02-20
期刊：
影响因子：
3.8
通讯作者：
Remes, Pieter
中科院分区：
文献类型：
--
作者：
Njue, Carolyne;Voeten, Helene A. C. M.;Remes, Pieter
目的：我们调查了肯尼亚基苏木所谓的“迪斯科葬礼”现象，包括青少年在内的社区成员在死者家中聚集数天，伴随着音乐和舞蹈。我们探讨了迪斯科葬礼是否是青少年感染艾滋病毒/性传播感染的风险情况。设计：横断面定性研究。方法：我们对肯尼亚尼安萨省基苏木市 15-20 岁的男女青少年进行了 44 名深度访谈。我们还对六场迪斯科葬礼进行了观察。结果：迪斯科葬礼是年轻人闲逛的重要场所；他们增加了见面和从事（危险的）性活动的机会。许多青少年报告说，他们在这些场合发生过随意性行为，有时与多个伴侣发生性关系，而且大多没有使用安全套。一些女孩被迫发生性关系，还有多起轮奸事件。以性换取金钱的报道屡见不鲜。毒品和酒精似乎助长了无保护、多伴侣、强迫和交易性性行为。结论：在基苏木这个艾滋病毒/艾滋病广泛流行的城镇，艾滋病死亡率高导致迪斯科葬礼频繁发生。由于许多青少年在这些场合发生无保护、交易或强迫的性行为，迪斯科葬礼可能会导致青少年，尤其是青春期女孩中艾滋病毒的高流行。艾滋病毒干预措施迫切需要包括对参加迪斯科葬礼的年轻人进行外展活动，并与父母和葬礼组织者建立联系，以减少风险情况。 (C) 2009 年 Wolters Kluwer Health 垂直条 Lippincott Williams & Wilkins
Objective: We investigated the so-called 'disco funeral' phenomenon in Kisumu, Kenya, whereby community members including adolescents congregate at the home of the deceased for several days, accompanied by music and dancing. We explored whether disco funerals are a risk situation for HIV/sexually transmitted infection infection among youth.Design: Cross-sectional qualitative study.Methods: We conducted 44 in-depth interviews with male and female adolescents aged 15-20 years in Kisumu municipality in Nyanza Province, Kenya. We also made observations during six disco funerals.Results: Disco funerals were an important place for young people to hang out; they increased the opportunities to meet and engage in (risky) sexual activities. Many adolescents reported having casual sex on these occasions, sometimes with multiple partners, and mostly without condoms. Some girls were forced into sex, and there were several accounts of gang rape. Sex in exchange for money was reported frequently. Drugs and alcohol seemed to facilitate unprotected, multiple-partner, coerced, and transactional sex.Conclusion: In Kisumu, a town with a generalized HIV/AIDS epidemic, the high AIDS mortality leads to frequent disco funerals. Because many adolescents are having unprotected, transactional, or coerced sex at these occasions, disco funerals might contribute to the high HIV prevalence among youth, especially among adolescent girls. HIV interventions urgently need to include outreach actions to youth who hang out at disco funerals and link up with parents and funeral organizers to reduce risk situations. (C) 2009 Wolters Kluwer Health vertical bar Lippincott Williams & Wilkins