Variations in Condom Use by Type of Partner in 13 Sub-Saharan African Countries
Variations in Condom Use by Type of Partner in 13 Sub-Saharan African Countries
复制标题
DOI：
10.1111/j.1728-4465.2011.00259.x
复制
发表时间：
2011-03-01
影响因子：
2.1
通讯作者：
Kline, Rachel
中科院分区：
文献类型：
--
作者：
de Walque, Damien;Kline, Rachel
使用来自13个撒哈拉以南非洲国家的全国代表性数据，我们加强和扩大了以前的研究结果，男性报告使用避孕套比女性更频繁，未婚受访者报告说，他们使用避孕套与临时合作伙伴比已婚个人报告使用它们与他们的配偶。基于描述性，双变量和多变量分析，我们还表明，在一定程度上，以前没有显示在当前的文献中，已婚男性报告使用避孕套与婚外伴侣的未婚男性报告使用它们与临时合作伙伴的频率。研究中所包括的大多数国家的已婚妇女报告说，与婚外伴侣一起使用避孕套的频率低于未婚妇女报告说与临时伴侣一起使用避孕套的频率。这一结果尤其令人不安，因为婚姻通常确保定期性交，从而为一个人将艾滋病毒感染从婚外伴侣传染给他或她的配偶提供了更多机会。这些关于高危行为的发现可以用来更好地针对未来的艾滋病毒传播预防工作。
Using nationally representative data from 13 sub-Saharan African countries, we reinforce and expand upon previous findings that men report using condoms more frequently than women do and that unmarried respondents report that they use condoms with casual partners more frequently than married individuals report using them with their spouses. Based on descriptive, bivariate, and multivariate analyses, we also demonstrate to a degree not previously shown in the current literature that married men from most countries report using condoms with extramarital partners about as frequently as unmarried men report using them with casual partners. Married women from most of the countries included in the study reported using condoms with extramarital partners less frequently than unmarried women reported using them with casual partners. This result is especially troubling because marriage usually ensures regular sexual intercourse, thereby providing more opportunities for a person to pass HIV infection from an extramarital partner to his or her spouse. These findings about high-risk behaviors can be used to better target future HIV-transmission-prevention efforts.