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首页> 外文期刊>The journal of sexual medicine >Sexual Risk History and Condom Use among People Living with HIV/AIDS in Ogun State, Nigeria
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Sexual Risk History and Condom Use among People Living with HIV/AIDS in Ogun State, Nigeria

机译：尼日利亚奥贡州艾滋病毒/艾滋病感染者的性风险史和使用避孕套

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Introduction. The majority of human immunodeficiency virus (HIV) infections are acquired through unprotected sex between partners; only male or female condoms can reduce the chances of infection with HIV during a sexual act. Aim. This study was therefore designed to describe sexual risk history and identify factors associated with condom use among people living with HIV/acquired immunodeficiency syndrome (AIDS) (PLWHAs) in Ogun State, Nigeria. Main Outcome Measures. Main outcome measures are sexual and HIV risk history, safe sex practices, and condom use. Methods. This study is an analytical cross-sectional study. A total sample of all people living with HIV/AIDS attending secondary health facilities in Ogun State were recruited into the study. Result. A total of 637 were interviewed; median age at first sexual intercourse among the study participants was 19 years (mean age=18.95, standard deviation [SD]=4.148) with a median of two lifetime sexual partners (mean=3.22, SD=3.57). Majority (71.4%) of the respondents had not been diagnosed with a sexually transmitted infection other than HIV. Precisely 47.7% of men and 52.3% of women had two or more sexual partners in the last 6 months. Men were statistically significantly more likely to have multiple sexual partners when compared with women (P=0.00). Significantly more women (69.8%) than men (30%) had sexual partners whose HIV status they did not know (P=0.006). Predictors of condom use were individuals who had multiple sexual partners (odds ratio [OR]=1.41, confidence interval [CI]=1.05-1.83) and married (OR=3.13, CI=1.15-8.51) with higher level of education (OR=2.78, CI=1.39-5.79), with knowledge of partner's serostatus (OR=2.53, CI=1.50-4.28), and awareness of reinfection (OR=1.90, CI=1.22-2.95). Conclusion. The study indicates that the establishment of effective safe sex practices and condom use behavior among PLWHAs in low-income countries such as the study population requires adequate health education on the transmission of HIV/AIDS and the understanding of the dynamics of family life and gender issues.
机译：介绍。大多数人类免疫缺陷病毒（HIV）感染是通过伴侣之间不受保护的性行为获得的;只有男性或女性安全套可以减少性行为期间感染艾滋病毒的机会。目标。因此，本研究旨在描述性风险史，并确定尼日利亚奥贡州艾滋病毒/后天免疫机能丧失综合症（AIDS）患者中使用安全套的相关因素。主要观察指标。主要结果指标是性和HIV风险史，安全的性行为以及使用安全套。方法。这项研究是分析性的横断面研究。招募了参加奥贡州二级保健机构的所有艾滋病毒/艾滋病感染者的总样本。结果。总共进行了637次访谈;研究参与者初次性交时的中位年龄为19岁（平均年龄= 18.95，标准差[SD] = 4.148），中位为两个终生性伴侣（平均= 3.22，SD = 3.57）。绝大多数（71.4％）的受访者没有被诊断出患有艾滋病以外的性传播感染。在过去的6个月中，有47.7％的男性和52.3％的女性有两个或多个性伴侣。与女性相比，男性在统计学上更可能具有多个性伴侣（P = 0.00）。有不知道自己的艾滋病毒性伴侣的女性（69.8％）比男性（30％）多（P = 0.006）。避孕套使用的预测者是具有多个性伴侣（比值[OR] = 1.41，置信区间[CI] = 1.05-1.83）和已婚（OR = 3.13，CI = 1.15-8.51）的人，其教育水平较高（OR = 2.78，CI = 1.39-5.79），了解伴侣的血清状况（OR = 2.53，CI = 1.50-4.28），并具有再感染的意识（OR = 1.90，CI = 1.22-2.95）。结论。研究表明，在低收入国家（如研究人群）的艾滋病毒/艾滋病感染者之间建立有效的安全性行为和避孕套使用行为，需要对艾滋病毒/艾滋病的传播进行充分的健康教育，并了解家庭生活和性别问题的动态。

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