Consistent condom use with different types of partners: Evidence from two Nigerian surveys
Consistent condom use with different types of partners: Evidence from two Nigerian surveys
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DOI：
10.1521/aeap.13.3.252.19745
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发表时间：
2001-06-01
影响因子：
1.8
通讯作者：
Akinyemi, Z
中科院分区：
文献类型：
--
作者：
Van Rossem, R;Meekers, D;Akinyemi, Z
尼日利亚的艾滋病毒流行率正在迅速上升。增加避孕套的使用是减缓或扭转这一趋势的最可行的解决办法。本文使用两波全国性调查的数据，每波都有超过5,000名受访者，以检查影响与各种类型的性伙伴使用安全套一致性的因素。结果表明，虽然持续使用安全套的总体水平仍然很低，但报告的与临时伴侣和商业性工作者持续使用安全套的比例超过60%。还有一些证据表明，即使在控制了样本成分和其他因素的差异之后，避孕套的持续使用也呈上升趋势。影响避孕套使用一致性的最重要因素是对避孕套有效预防艾滋病毒和预防意外怀孕的认识，对意外怀孕的担忧以及对艾滋病毒的担忧。尽管对意外怀孕的担忧对与稳定性伴使用安全套的一致性有很大影响，但对艾滋病毒感染的担忧对与不稳定性伴使用安全套的一致性有很大影响。结果表明，艾滋病预防计划需要做的不仅仅是提供有关传播方式和预防感染方法的教育。提高HN预防计划的有效性可能需要更明确地关注人们的个人风险认知和安全套功效。关注这些问题可能会进一步加速所观察到的安全套使用方面的积极趋势。
HIV prevalence in Nigeria is increasing rapidly. Increased condom use is the most viable solution to slow down or reverse this trend. This article uses data from two waves of a nation-wide survey, each with over 5,000 respondents, to examine factors that influence consistency of condom use with various types of partners. The results show that while the overall level of consistent condom use has remained low, reported consistent condom use with occasional partners and commercial sex workers exceeds 60%. There is also some evidence of an increasing trend in consistent condom use, even after controlling for differences in sample composition and other factors. The most important factors affecting consistency of condom use are awareness that condoms are effective at preventing HIV and that they are effective at preventing unwanted pregnancy, concern about unwanted pregnancy, and concern about HIV. although concern about unwanted pregnancy has a strong effect on consistency of condom use with stable partners, concern about HIV infection has a strong effect on consistency of condom use with nonstable partners. The results suggest that HIV prevention programs need to do more than provide education about the modes of transmission and the ways to prevent infection. Improving the effectiveness of HN prevention programs is likely to require focusing more explicitly on people's personal risk perception and condom efficacy. Focusing on these topics may further accelerate the observed positive trend in condom use.