Concurrency and other sexual partnership patterns reported in a survey of young people in rural Northern Tanzania
Concurrency and other sexual partnership patterns reported in a survey of young people in rural Northern Tanzania
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DOI：
10.1371/journal.pone.0182567
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发表时间：
2017-08-24
期刊：
影响因子：
3.7
通讯作者：
Ross, David A.
中科院分区：
文献类型：
--
作者：
Doyle, Aoife M.;Plummer, Mary L.;Ross, David A.
非洲青少年和年轻人仍然面临感染艾滋病毒和其他性传播感染 (STI) 的巨大风险，艾滋病是非洲青少年（10-19 岁）死亡的主要原因。性伴侣模式影响性传播感染的传播风险。我们描述了坦桑尼亚青少年（15-30 岁）在一项基于社区的调查中报告的模式。在报告多个合作伙伴的参与者中，我们调查了与报告的并发性相关的因素。女性 (N = 6513) 和男性 (N = 7301) 参与者的中位年龄分别为 21 岁和 22 岁。大多数参与者 (92%) 表示以前曾有过性行为，其中 15% 为男性，并且在过去一年有过 4 个伴侣。女性并发点患病率为 2.3% (95% CI 1.9-2.9)，男性为 10.6% (95% CI 9.3-12.1)。那些已婚人士报告说，多重伴侣关系和同时伴侣关系的比例很高。女性比男性更有可能拥有配偶/固定伴侣以及更长的伴侣关系。与男性相比，女性报告的伙伴关系不太可能是新的伙伴关系，而更有可能被受访者定义为仍在“持续”。报告首次性行为较早的女性更有可能报告同时有性伴侣。报告多重和同时性伙伴关系的年轻女性要少得多，但我们不能明确地得出结论，同时性对女性来说并不常见，因为对女性多重性伙伴关系的耻辱可能会导致严重的漏报，正如对研究人群的广泛定性研究所发现的那样。这项研究提供了对非洲年轻人伙伴关系模式最全面的定量描述之一。解决青少年性风险的干预措施应让男性伴侣参与，赋予妇女在不同类型的伙伴关系中保护自己的权力，并鼓励对青少年的性关系更加开放。
African adolescents and young adults remain at substantial risk of infection with HIV and other sexually transmitted infections (STIs), and AIDS is the leading cause of death among African adolescents (10-19 years). Sexual partnership patterns influence transmission risk of sexually transmitted infections. We describe patterns reported by youth (15-30y) in a community-based survey in Tanzania. Among participants reporting multiple partners, we investigated factors associated with reported concurrency. Female (N = 6513) and male (N = 7301) participants had median ages of 21 and 22 years, respectively. Most participants (92%) reported having previously been sexually active, of whom 15% of males and = 4 partners in the past year. The point prevalence of concurrency was 2.3% (95% CI 1.9-2.9) for females and 10.6% (95% CI 9.3-12.1) for males. High levels of multiple and concurrent partnerships were reported by those previously married. Females were more likely than males to report having spousal/regular partners and longer partnership lengths. Compared to males, the partnerships reported by females were less likely to be new partnerships, and more likely to be defined by the respondent as still 'ongoing'. Females reporting younger sexual debut were more likely to report concurrent sexual partners. Far fewer young women reported multiple and concurrent partnerships, but we cannot definitively conclude that concurrency was uncommon for women, because stigma towards women's multiple sexual partnerships might contribute to substantial under-reporting, as was found in extensive qualitative research in the study population. This study provides one of the most comprehensive quantitative descriptions of partnership patterns of young people in an African setting. Interventions addressing sexual risk among youth should involve male partners, empower women to protect themselves within different types of partnerships, and encourage a greater openness about young people's sexual relationships.