Factors Associated with Condom Use Among HIV Clients in Stable Relationships with Partners at Varying Risk for HIV in Uganda
Factors Associated with Condom Use Among HIV Clients in Stable Relationships with Partners at Varying Risk for HIV in Uganda
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DOI：
10.1007/s10461-010-9673-4
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发表时间：
2010-10-01
影响因子：
4.4
通讯作者：
Mugyenyi, Peter
中科院分区：
文献类型：
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作者：
Wagner, Glenn J.;Holloway, Ian;Mugyenyi, Peter
在非洲，艾滋病毒感染大多发生在稳定的关系中，但人们对这种情况下使用安全套的决定因素知之甚少。我们调查了乌干达 272 名刚刚接受 ART 资格筛查的艾滋病毒感染者的安全套使用情况； 128 人的伴侣艾滋病毒呈阳性，47 人的伴侣艾滋病毒呈阴性，97 人的伴侣艾滋病毒状况未知。 66% 的人报告在过去 6 个月内与伴侣发生了无保护的性行为（三个亚组中 57-70%）。在双变量分析中，社会经济特征、身体健康、社会支持和社会心理适应等多个变量与安全套使用相关，但在多变量分析中，安全套使用自我效能是总样本和亚组中安全套使用的唯一预测因素；去教堂的次数和身体机能也是身份不明的夫妇的预测因素。该分析显示，无论伴侣的艾滋病毒状况如何，艾滋病毒感染者中无保护性行为的比例很高，并提出了多个预防目标。
In Africa, HIV infections occur mostly in stable relationships, yet little is known about the determinants of condom use in this context. We examined condom use among 272 coupled HIV clients in Uganda who had just screened for ART eligibility; 128 had an HIV-positive partner, 47 HIV-negative, and 97 a partner with unknown HIV status. Sixty-six percent reported unprotected sex with their partner over the past 6 months (57-70% across the three subgroups). Multiple variables among socioeconomic characteristics, physical health, social support, and psychosocial adjustment were correlated with condom use in bivariate analysis, but in multivariate analysis, condom use self-efficacy was the only predictor of condom use in the total sample and subgroups; church attendance and physical functioning were also predictors among unknown status couples. This analysis reveals high rates of unprotected sex among coupled HIV clients, regardless of partner's HIV status, and suggests multiple targets for prevention.