Relationship between HIV risk perception and condom use: Evidence from a population-based survey in Mozambique
Relationship between HIV risk perception and condom use: Evidence from a population-based survey in Mozambique
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DOI：
10.1363/3219206
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发表时间：
2006-12-01
期刊：
影响因子：
--
通讯作者：
Stehr, Mark
中科院分区：
文献类型：
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作者：
Prata, Ndola;Morris, Lco;Stehr, Mark
上下文。人们对自己感染艾滋病毒风险的感知与避孕套的使用之间的关系还知之甚少。方法：使用2001年Mozombique青少年生殖健康和行为风险调查的数据，将15-24岁青少年对其艾滋病毒风险的评估与基于当前和过去性行为的评估进行比较。结果：27%的女性和80%的男性认为自己没有感染HIV的风险或感染HIV的小风险，实际上处于中或高风险。对于男性和女性来说，在最后一次性行为中，正确评估自己的风险(分别为30%和16%)的避孕套使用率是没有正确评估风险的人(74%和6%)的两倍多。多因素分析表明，正确的评估与避孕套的使用呈正相关，这种关联是由未婚个体的避孕套使用所驱动的。正确评估风险的未婚男性报告使用避孕套的可能性比其他男性高78%，未婚女性报告使用避孕套的可能性比其他女性高17%。结论：教育信息应该旨在使个人能够正确评估自己的艾滋病毒风险，并鼓励基于自我风险评估的行为改变。
CONTEXT. The relationship between individuals' perception of their risk for acquiring HIV and their use of condoms is poorly understood. Understanding this relationship is crucial to the development of effective strategies to fight HIV and AIDS.METHODS: Data from the Mozombique 2001 Adolescent and Young Adult Reproductive Health and Behavior Risk Survey are used to compare 15-24-year-olds' assessments of their HIV risk with assessments based on current and past sexual behavior. In bivariate and probit regression analyses, the relationship between correct risk assessment and the likelihood of condom use at last intercourse is examined.RESULTS: Twenty-seven percent of women and 80% of men who considered themselves to have no risk ora small risk of contracting HIV were actually at moderate or high risk. For both men and women, the prevalence of condom use at last sex was more than twice as high among those who assessed their risk correctly (30% and 16%, respectively) as among those who did not(74% and 6%). Multivariate analysis showed that correct assessment was positively associated with condom use, the association was driven by use among never-married individuals. Never-married males who assessed their risk correctly were 78% more likely than other males to report condom use, never-married females, 17% more likely than other females.CONCLUSIONS: Educational messages should aim at enabling individuals to correctly assess their own HIV risk and encouraging behovior change based on self-assessment of risk.