Sexual and reproductive health knowledge and behavior among adolescents living with HIV in Zambia: a case study.
Sexual and reproductive health knowledge and behavior among adolescents living with HIV in Zambia: a case study.
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DOI：
10.11604/pamj.2017.26.71.11312
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发表时间：
2017
期刊：
影响因子：
--
通讯作者：
Michelo C
中科院分区：
文献类型：
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作者：
Ndongmo TN;Ndongmo CB;Michelo C
随着感染艾滋病毒的青少年进入成年期，他们面临着与性和性生殖健康有关的问题。据估计，赞比亚有68 000名10至19岁的青少年感染艾滋病毒。目前的研究探讨了他们的性行为和性健康和生殖健康的经验和需求。这是一项混合方法分析性横断面研究。对一家三级医院的青少年进行了性行为和性健康和生殖健康经历的调查。使用SPSS软件进行双变量分析，以评估与选定行为相关的因素。使用内容分析探讨了开放式问题中出现的新主题和定性数据。共调查了148名15-19岁的青少年（63.5%为女性）。大多数人（77.0%）受过中等教育; 77.2%目前在上学; 40.1%有男孩或女朋友; 15.1%曾经发生过性行为，其中只有61.1%报告一贯使用安全套。约68.9%的女孩表示打算生孩子; 2.1%的女孩以前怀孕过。在52名受访者中，19.2%的人以前曾感染过性传播疾病（STI）。不上学是一个重要的预测因素，知道在哪里获得有关性的信息（OR= 2.53; 95%CI：1.10-5.82; p=0.02），也是曾经去过那里（OR=2.61; 95%CI：1.04-6.58; p=0.03）。对在赞比亚一家三级医院就诊的感染艾滋病毒的青少年进行的调查发现，在性问题咨询、计划生育和性传播感染服务方面，他们的性行为和性健康和生殖健康需求与一般青少年人口相似。需要作出更多努力，满足青少年，特别是艾滋病毒感染者的保健需求。
As HIV infected adolescents mature into adulthood, they are confronted with issues related to sexuality and sexual reproductive health (SRH). An estimated 68,000 adolescents aged 10-19 years are living with HIV in Zambia. The current study explores their sexuality and SRH experience and needs. This was a mixed method analytical cross-sectional study. Adolescents at a tertiary hospital were surveyed on their sexuality and SRH experiences. Bivariate analyses on SPSS were used to assess factors associated with selected behaviors. Emerging themes from open-ended questions qualitative data were explored using content analysis. A total of 148 adolescents (63.5% females) aged 15-19 years were surveyed. Majority (77.0%) had secondary education; 77.2% currently in school; 40.1 % had a boy or girlfriend; 15.1% have ever had sex, of whom only 61.1 % reported consistent condom use. About 68.9 % expressed intention to have children; 2.1% of girls had been pregnant before. Of 52 respondents, 19.2% had a sexually transmitted infection (STI) before. Not being in school was a significant predictor, for knowing where to access information about sex (OR= 2.53; 95% CI:1.10-5.82; p=0.02), and also for ever gone there (OR=2.61; 95% CI:1.04-6.58; p=0.03). The survey of HIV infected adolescents attending a tertiary hospital in Zambia found that their sexuality and SRH needs remain similar to those of the general adolescent population in terms of counseling in sexual matters, family planning and STI services. More efforts are needed to provide for adolescent health care needs, especially those living with HIV.