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首页> 外文期刊>Journal of health communication >Spousal communication about HIV prevention in Kenya.
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Spousal communication about HIV prevention in Kenya.

机译：关于肯尼亚预防艾滋病的配偶交流。

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High HIV rates among cohabiting couples in many African countries have led to greater programmatic emphasis on spousal communication in HIV prevention. This study examines how demographic and socioeconomic characteristics of cohabiting adults influence their dyadic communication about HIV. A central focus of this research is on how the position of women relative to their male partners influences spousal communication about HIV prevention. The authors analyze gaps in spousal age and education and females' participation in household decision making as key factors influencing spousal communication about HIV, while controlling for sexual behaviors of both partners as well as other individual and contextual factors. Data were obtained from the 2003 Kenya Demographic and Health Survey for 1,388 cohabiting couples. Information regarding spousal communication was self-reported, assessing whether both, either, or neither partner ever discussed HIV prevention with the other. Analyses showed higher levels of education for the female partner and participation in household decision making are positively associated with spousal communication about HIV prevention. With females' education and other factors controlled, couples with more educated male partners were more likely to have discussed HIV prevention than couples in which both partners have the same level of education. Spousal communication was also positively associated with household wealth status and exposure to the mass media, but couples in which male partners reported having nonspousal sex in the past year were less likely to have discussed HIV prevention with their spouses. Findings suggest HIV prevention programs should promote female empowerment and encourage male participation in sexual health discussion.
机译：在许多非洲国家，同居伴侣中的艾滋病毒感染率很高，导致在艾滋病毒预防中更加重视配偶交流。这项研究探讨了同居成年人的人口统计学和社会经济特征如何影响他们关于艾滋病毒的二元交流。这项研究的重点是女性相对于男性伴侣的地位如何影响有关预防艾滋病的配偶沟通。作者分析了配偶年龄和受教育程度的差距以及女性在家庭决策中的参与，这些是影响配偶之间关于HIV传播的关键因素，同时控制了双方的性行为以及其他个人和背景因素。数据来自2003年肯尼亚人口与健康调查，涉及1,388对同居夫妇。有关配偶交流的信息是自我报告的，评估了双方（或没有一方）是否曾讨论过艾滋病毒的预防。分析表明，女性伴侣的受教育程度较高，参与家庭决策与有关艾滋病毒预防的配偶沟通正相关。在女性受教育程度和其他因素得到控制的情况下，男性和男性伴侣受教育程度较高的夫妇比男性伴侣受过相同教育的夫妇更有可能讨论艾滋病毒的预防。夫妻之间的交流也与家庭财富状况和对大众媒体的接触呈正相关，但是，在过去一年中男性伴侣报告称具有非配偶性的夫妇，很少与配偶讨论艾滋病毒的预防问题。调查结果表明，艾滋病毒预防计划应促进赋予女性权力，并鼓励男性参与性健康讨论。

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