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首页> 外文期刊>BMC International Health and Human Rights >A multilevel analysis of effect of neighbourhood and individual wealth status on sexual behaviour among women: evidence from Nigeria 2003 Demographic and Health Survey
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A multilevel analysis of effect of neighbourhood and individual wealth status on sexual behaviour among women: evidence from Nigeria 2003 Demographic and Health Survey

机译：邻里和个人财富状况对妇女性行为影响的多层次分析：尼日利亚2003年人口与健康调查的证据

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Background Nigeria is home to more people living with HIV than any other country in the world, except South Africa and India – where an estimated 2.9 million [1.7 million – 4.2 million] people were living with the virus in 2005. Women bear the greatest burden of frequent high-risk pregnancies, raising large families, and increasingly, the AIDS epidemic. Thus, there is a need for better understanding of the determinants of high risk sexual behaviour among women. In this study, we examined factors associated with extra-marital sex among women in Nigeria and investigated how much variation in reported extra-marital sex can be attributed to individual-, and community-level factors. Methods We analyzed data from 6362 sexually active women aged 15 – 49 years who participated in the Nigeria 2003 Demographic and Health Survey using multilevel logistic regression models. Results are presented as odds ratio with 95% confidence interval. Results Independent of other factors, compared to women aged 15–24 years, those 25 – 34 years (odds ratio [OR] 0.59; 95% CI: 0.44 – 0.79) and 35 years or older (OR 0.36; 95% CI: 0.24 – 0.54) were less likely to have reported multiple concurrent sex partners in the last 12 years. As expected, women currently or formerly married were less likely to have reported multiple concurrent sex partners than women never married. Women who drank alcohol in the last three months were more likely to have reported multiple concurrent sex partners. Compared to women from richest household, women from poorest and middle household were 83% and 51% more likely to multiple concurrent sex partners in the last 12 month respectively. After individual compositional and contextual factors, community wealth status was statistically significant with sexual behaviour. Conclusion The study has demonstrated that individual and community wealth status are independent predictors of women's sexual behaviour, and that there is significant neighbourhood variation in odds of multiple concurrent sex partners, even after controlling for effects of both individual- and community-level characteristics. Scholars trying to understand variation individual high risk sexual behaviour should pay attention to the characteristics of both individuals and places of residence.
机译：背景尼日利亚是世界上艾滋病病毒感染者最多的国家，南非和印度除外，在南非，印度在2005年估计有290万人[170万– 420万]感染艾滋病毒。妇女承担着最大的负担频繁的高风险怀孕，养育大家庭以及艾滋病流行。因此，需要更好地了解妇女中高风险性行为的决定因素。在这项研究中，我们检查了尼日利亚女性婚外性行为的相关因素，并调查了报告的婚外性行为的差异可归因于个人和社区层面的因素。方法我们使用多层logistic回归模型分析了6362名15-49岁的性活跃妇女的数据，这些妇女参加了2003年尼日利亚人口与健康调查。结果以具有95％置信区间的优势比表示。结果与其他因素相比，与15至24岁的女性相比，年龄在25至34岁（优势比[OR]为0.59; 95％CI：0.44 – 0.79）和35岁以上（OR为0.36; 95％CI：0.24）的女性– 0.54）在过去12年中较少报告有多个并发性伴侣。正如预期的那样，与从未结婚的妇女相比，目前或以前已婚的妇女报告有多个并发性伴侣的可能性较小。在过去三个月中饮酒的女性更有可能报告有多个并发性伴侣。与最富裕家庭的妇女相比，最近12个月来自最贫穷家庭和中等家庭的妇女分别有多个同性伴侣的可能性分别高83％和51％。除去个人构成和背景因素，社区财富状况的性行为在统计学上是显着的。结论该研究表明，个人和社区的财富状况是女性性行为的独立预测因子，即使同时控制了个人和社区层面特征的影响，多个并发性伴侣的几率也存在明显的邻里差异。试图了解个体高风险性行为变异的学者应注意个体和居住地的特征。

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