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Meta-analysis on risky sexual behaviour of men: Consistent findings from different parts of the world

机译：男性危险性行为的荟萃分析：来自世界各地的一致发现

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The aim of this analysis was to determine the consistency of higher-risk sex practice among educated and/or wealthy men in different parts of the world. Meta-analysis was done on risky sexual behaviour of men using the recent Demographic and Health Surveys (DHS 2003-2009) data from 26 countries in and outside Africa. DHS data were accessed through electronic databases. In this analysis, since there was significant heterogeneity (I 250%) among surveys findings, random effects analytic model was applied. Mantel-Haenszel statistical method was used to calculate the pooled odds ratios across countries. Out of 79,736 men aged 15-49 years who had sexual intercourse in 12 months preceding the respective survey, 35.7% reported to have higher-risk sex. The proportion of higher-risk sex was found positively correlated with increased wealth index. In 24 countries, higher-risk sex was found to have highly statistically significant association with men living in urban areas, educated to secondary and above, and owned middle to highest wealth index. The overall condom use during the last higher-risk sexual encounter was 47% but condom use was better practiced by educated men. Nearly in two-thirds of countries reported HIV-prevalence, the proportion of HIV infection was highest among better educated. In conclusion, this meta-analysis has shown that risk taking sexual behaviour is invariably associated with high educational attainment, urban residence and better wealth index regardless of geographic location of men participated in the surveys. ? 2013
机译：该分析的目的是确定世界不同地区受过教育和/或有钱人中较高风险的性行为的一致性。荟萃分析是使用来自非洲和国外26个国家的最新人口与健康调查（DHS 2003-2009）数据对男性的危险性行为进行的。 DHS数据通过电子数据库访问。在此分析中，由于调查结果之间存在显着的异质性（I 2> 50％），因此应用了随机效应分析模型。使用Mantel-Haenszel统计方法来计算各个国家/地区的合并赔率比率。在调查之前的12个月内，有79736名15-49岁的男性发生过性行为，其中35.7％的人报告说自己有较高的性行为风险。发现较高风险的性别比例与财富指数增加呈正相关。在24个国家/地区中，发现高风险的性别与生活在城市地区，受过中学和以上教育，并拥有中等至最高财富指数的男性有高度统计学意义的关联。在上一次较高风险的性接触中，使用安全套的总体比例为47％，但受过良好教育的男子更倾向于使用安全套。在将近三分之二的国家报告说艾滋病毒感染率很高，在受过良好教育的国家中，艾滋病毒感染的比例最高。总之，这项荟萃分析表明，冒险的性行为总是与高学历，城市居住和更好的财富指​​数相关联，而与参加调查的男性地理位置无关。 ？ 2013年

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