Perception of the risk of sexual transmission of HIV among Congolese and Japanese university students
Perception of the risk of sexual transmission of HIV among Congolese and Japanese university students
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DOI：
10.1007/s12199-011-0232-z
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发表时间：
2012-03-01
影响因子：
4.7
通讯作者：
Suganuma, Narufumi
中科院分区：
文献类型：
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作者：
Ngatu, Nlandu Roger;Hirota, Ryoji;Suganuma, Narufumi
撒哈拉以南非洲仍然是受艾滋病毒感染最严重的区域。本研究旨在评估刚果学生与日本学生对艾滋病毒性传播危险行为的知识、态度和行为的比较。方法在参与调查的1,747名大学生中，有1,326名受访者（752名日本人，574刚果人）自愿和完全填写了自动-结果刚果受访者中，与偶尔的性伴侣不总是使用避孕套的比例明显较高，为57%，与日本同行相比（15%; p < 0.001）。不到40%（9.9-39.7%）的刚果受访者对多重性伙伴关系（MSP）、男男性行为（MSM）、早熟性行为和商业性工作（CSW）是艾滋病毒感染性传播的高危行为（p < 0.001）有准确的认识。然而，接受艾滋病毒检测或愿意接受艾滋病毒检测的刚果人比例（97.2%）明显高于日本人（72.4%，p < 0.001）。在刚果学生中，我们观察到没有坚持预防措施，如使用避孕套与偶尔的性伴侣，和更大比例的学生有不准确的知识，主要的风险行为，如男男性接触，早熟性行为，和MSP，与他们的日本people.Conclusions这项研究表明，虽然性接触仍然是该地区艾滋病毒传播的主要方式，刚果学生往往对使人们暴露于艾滋病毒性传播的风险行为有不准确的认识。这表明，针对这些危险行为的持续教育对减少艾滋病毒流行病的传播至关重要。
Objective Sub-Saharan Africa remains the region most heavily affected by HIV infection. This study aimed to evaluate the knowledge, attitudes, and practices of Congolese students of risk behaviors for sexual transmission of HIV in comparison with their Japanese counterparts.Methods Of the 1,747 undergraduate students who participated in the survey, there were 1,326 respondents (752 Japanese, 574 Congolese) who voluntarily and fully filled out the auto-administered questionnaire.Results The proportion of Congolese respondents who do not always use condoms with an occasional sex partner was significantly higher, 57%, as compared with their Japanese counterparts (15%; p < 0.001). Fewer than 40% (9.9-39.7%) of Congolese respondents had accurate knowledge about multiple sex partnership (MSP), men sex with men (MSM), precocious sex, and commercial sex work (CSW) being high-risk behaviors (p < 0.001) for the sexual transmission of HIV infection. However, the proportion of Congolese tested or willing to get tested for HIV was significantly higher (97.2%) than that in the Japanese group (72.4%, p < 0.001). In Congolese students, we observed an absence of adherence to preventive measures such as condom use with an occasional sex partner, and a greater proportion of students having inaccurate knowledge of major risk behaviors such as MSM, precocious sex, and MSP, compared with their Japanese counterparts.Conclusions This study showed that, though sexual contact remains the main mode of HIV transmission in the region, Congolese students tend to have inaccurate knowledge of risk behaviors that expose people to the sexual transmission of HIV. This suggests that continuous education targeting those risk behaviors is of great importance to reduce the spread of the HIV epidemic.