Sociodemographic drivers of multiple sexual partnerships among women in three rural districts of Tanzania
Sociodemographic drivers of multiple sexual partnerships among women in three rural districts of Tanzania
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DOI：
10.2147/hiv.s76694
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发表时间：
2015-01-01
影响因子：
1.5
通讯作者：
Phillips, James F.
中科院分区：
文献类型：
--
作者：
Exavery, Amon;Kante, Almamy Malick;Phillips, James F.
背景资料：本研究探讨的患病率和多个性伙伴关系（MSP）之间的妇女年龄在15岁以上的Rufiji，基隆贝罗，和Ulanga districts of Tanzania.Materials and Methods：数据收集在一个横断面家庭调查在Rufiji，基隆贝罗，和Ulanga districts在坦桑尼亚，在2011年。从调查中，共有2，643名年龄在15岁以上的性活跃女性被选中进行这项分析。虽然卡方检验被用来测试MSP和每个独立变量之间的关联，Logistic回归被用于多变量analysis.Results：报告的性伴侣的数量范围从1到7，与7.8%的妇女报告多个性伴侣（2+）在过去的一年。已婚女性（调整后的比值比[AOR] = 3.83，95%置信区间[CI] 1.40-10.49）和单身女性（AOR = 6.13，95% CI 2.45-15.34）中MSP的可能性高于已婚女性。婚姻状况和教育之间存在相互作用，与没有受过教育的已婚妇女相比，受过中等或高等教育的单身妇女中MSP的可能性低85%（AOR = 0.15，95% CI 0.03-0.61）。此外，与最年轻的女性（20岁）相比，40岁以上的女性报告MSP的可能性低56%（AOR = 0.44，95% CI 0.24-0.80）。穆斯林妇女中MSP的几率是基督徒妇女的1.56倍（AOR = 1.56，95%CI 1.11-2.21）。与Pogoro妇女相比，Ndengereko妇女报告MSP的可能性低67%（AOR = 0.33，95% CI 0.18-0.59）。结论：坦桑尼亚Rufiji，Kilombero和Ulanga地区15岁以上的妇女中有8%从事MSP。鼓励实现正规教育，特别是在中学或更高的水平，可能是一个可行的战略，减少未婚妇女的合作伙伴。年龄、宗教和种族也是减少性伙伴努力的重要方面。
Background: This study examines prevalence and correlates of multiple sexual partnerships (MSP) among women aged 15+ years in Rufiji, Kilombero, and Ulanga districts of Tanzania.Materials and methods: Data were collected in a cross-sectional household survey in Rufiji, Kilombero, and Ulanga districts in Tanzania in 2011. From the survey, a total of 2,643 sexually active women ages 15+ years were selected for this analysis. While the chi-square test was used for testing association between MSP and each of the independent variables, logistic regression was used for multivariate analysis.Results: Number of sexual partners reported ranged from 1 to 7, with 7.8% of the women reporting multiple sexual partners (2+) in the past year. MSP was more likely among both ever married women (adjusted odds ratio [AOR] = 3.83, 95% confidence interval [CI] 1.40-10.49) and single women (AOR = 6.13, 95% CI 2.45-15.34) than currently married women. There was an interaction between marital status and education, whereby MSP was 85% less likely among single women with secondary or higher education compared to married women with no education (AOR = 0.15, 95% CI 0.03-0.61). Furthermore, women aged 40+ years were 56% less likely compared to the youngest women (, 20 years) to report MSP (AOR = 0.44, 95% CI 0.24-0.80). The odds of MSP among Muslim women was 1.56 times as high as that for Christians women (AOR = 1.56, 95% CI 1.11-2.21). Ndengereko women were 67% less likely to report MSP compared to Pogoro women (AOR = 0.33, 95% CI 0.18-0.59).Conclusion: Eight percent of the women aged 15+ in Rufiji, Kilombero, and Ulanga districts of Tanzania are engaged in MSP. Encouraging achievement of formal education, especially at secondary level or beyond, may be a viable strategy toward partner reduction among unmarried women. Age, religion, and ethnicity are also important dimensions for partner reduction efforts.