Perceptions of risk to HIV infection among adolescents in Uganda: are they related to sexual behaviour?
Perceptions of risk to HIV infection among adolescents in Uganda: are they related to sexual behaviour?
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DOI：
10.2307/25549738
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发表时间：
2007-12-01
影响因子：
1
通讯作者：
Ahmed, Fatima H
中科院分区：
文献类型：
--
作者：
Kibombo, Richard;Neema, Stella;Ahmed, Fatima H
乌干达被誉为抗击艾滋病毒的成功典范，其感染率已从 1991 年 15% 的峰值下降至目前的 6.5% 左右。自 1992 年以来，艾滋病毒感染率最大、最持续的下降发生在 15-19 岁人群中。虽然许多研究探讨了关键行为改变（禁欲、忠诚和使用安全套）如何导致艾滋病毒感染率下降，但很少有人研究性行为与风险感知之间的关系。使用 2004 年全国青少年调查的数据，拟合了多元逻辑回归模型来检验乌干达 12-19 岁青少年危险性行为与感知风险之间的关联强度。在控制了年龄、教育、居住地、地区和婚姻状况等与性行为相关的其他因素后，研究结果表明，男性感知风险与危险性行为之间存在高度显着的正相关关系，而女性则不然。研究结果表明，无论乌干达女性青少年目前的性行为如何，她们都感到感染艾滋病毒的风险很大。研究结果还表明，婚姻破裂的青少年比其他类别的青少年更容易发生高风险性行为。这些结果进一步强调需要采取整体方法来解决继续使许多青少年面临艾滋病毒感染风险的社会、经济和背景因素。
Uganda has been hailed as a success story in the fight against HIV that has seen a reversal in prevalence from a peak of 15% in 1991 to about 6.5% currently Since 1992, the largest and most consistent declines in HIV have occurred among the 15-19-year-olds. While many studies have examined how key behavior changes (Abstinence, Be faithful and Condom use) have contributed to the decline in HIV prevalence, few have studied the relationship between sexual behaviors and risk perception. Using data from the 2004 National Survey of Adolescents, multivariate logistic regression models were fitted to examine the strength of the association between risky sexual behavior and perceived risk among 12-19-year-old adolescents in Uganda. After controlling for other correlates of sexual behavior such as age, education, residence, region and marital status, the findings indicate highly significant positive association between perceived risk and risky sexual behavior among males but not females. The findings reveal that, regardless of their current sexual behavior, most female adolescents in Uganda feel at great risk of HIV infection. The findings also show that adolescents with broken marriages are much more vulnerable to high risk sexual behaviors than other categories of adolescents. These results further emphasize the need for a holistic approach in addressing the social, economic and contextual factors that continue to put many adolescents at risk of HIV infection.