The effects of religious affiliation on sexual initiation and condom use in Zambia
The effects of religious affiliation on sexual initiation and condom use in Zambia
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DOI：
10.1016/j.jadohealth.2005.04.012
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发表时间：
2006-05-01
影响因子：
7.6
通讯作者：
Kusanthan, T
中科院分区：
文献类型：
--
作者：
Agha, S;Hutchinson, P;Kusanthan, T
目的：确定宗教信仰是否能降低赞比亚年轻女性的艾滋病毒风险，并检查宗教信仰对性开始和第一次性经历中避孕套使用的影响。方法：对5534名13-20岁女性的代表性概率样本数据进行分析。该工具包括性行为开始、第一次性行为时使用避孕套、宗教信仰和受访者的社会人口特征等问题。在双变量和多变量水平上进行统计检验。在多变量水平上采用Cox比例风险和logistic回归。根据多阶段聚类样本数据中的“聚类”效应对标准误差进行了调整。结果：与那些因婚前性行为而被逐出教会、反对使用避孕套的宗教团体的联系对携带HIV感染风险的行为既有积极的影响，也有消极的影响；隶属于保守团体的年轻女性更有可能推迟开始性行为，但在第一次性行为中使用避孕套的可能性较小。结论：那些不仅强烈反对婚前性行为和使用避孕套，而且能够通过社会化或社会排斥的威胁来控制青少年的教派，很可能在青少年中产生冲突行为，从而在艾滋病毒风险方面相互抵消。总的来说，这些发现表明，与保守宗教团体的联系不太可能降低感染艾滋病毒的风险。建议进行更多的研究。(c) 2006年青少年医学学会。版权所有。
Purpose: To determine whether religious affiliation reduces HIV risk among young women in Zambia, and to examine the effects of religious affiliation on sexual initiation and on condom use during first Sexual experience.Methods: Data from a representative probability sample of 5534 women aged 13-20 years was analyzed. The instrument included questions on sexual initiation, condom use during first sex, religious affiliation, and sociodemographic characteristics of respondents. Statistical tests were performed at the bivariate and multivariate levels. Cox proportional hazards and logistic regression were used at the multivariate levels. Standard errors were adjusted for the "clustering" effect found in data from multistage Cluster samples.Results: Affiliation with religious groups that excommunicate members for engaging in premarital sex, and that oppose condom use has both positive and negative effects on behaviors that carry the risk of HIV infection; young women affiliated with conservative groups are more likely to delay sexual initiation but less likely to use condoms during first sex.Conclusions: Denominations that are not only strongly opposed to premarital sex and condom use, but are able to exercise control over adolescents through socialization or the threat of social exclusion, are likely to create conflicting behaviors among adolescents that cancel each other in terms of HIV risk. Overall, these findings Suggest that affiliation with conservative religious groups is unlikely to reduce the risk of HIV infection. Additional Studies are recommended. (c) 2006 Society for Adolescent Medicine. All rights reserved.