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首页> 外文期刊>AIDS care. >Factors associated with condom use: economic security and positive prevention among people living with HIV/AIDS in the Caribbean.
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Factors associated with condom use: economic security and positive prevention among people living with HIV/AIDS in the Caribbean.

机译：与使用安全套有关的因素：加勒比地区艾滋病毒/艾滋病感染者的经济安全和积极预防。

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In the Caribbean region, an estimated 1.1% of the population aged 15-49 is living with HIV. We aimed to measure factors associated with condom use, the primary form of positive prevention in the Caribbean, among people living with HIV (PLHIV) in its major agency advocating on behalf of PLHIV (the Caribbean Regional Network of People Living with HIV/AIDS, or CRN +). Condom use at last sex was selected for analysis from a broad-ranging cross-sectional survey (n=394) among PLHIV who were members of or received services from CRN+ in Antigua and Barbuda, Grenada, Trinidad and Tobago. PLHIV from CRN+ traced potential participants, administered informed consent procedures and carried out structured interviews. Fifty-four percent of respondents reported using a condom the last time they had sex. Condom use was positively associated with partner being HIV negative, disclosure of HIV status, alcohol use, economic security, education level and being employed. Multivariate logistic regression found independent associations between condom use and economic security (p=0.031; odds ratio (OR) for "enough" income 5.06; 95% CI 1.47-17.39), partner being HIV negative (p=0.036; OR 2.85; 95% CI 1.28-6.33) and being married (p=0.043; OR 2.86; 95% CI 1.03-7.91). Seventy-three percent of respondents reported inadequate family income, 26% reported an HIV-negative partner and 9% were married. Condom use appears to be motivated by protection of HIV-negative partners and spouses. Low socioeconomic status is associated with the overall percentage using condoms. Restriction to members of CRN+ limits generalisability of the findings. Nevertheless, the findings support the view that programmes for the socioeconomic empowerment of PLHIV are needed to slow the Caribbean HIV epidemic. Expectations for protection of different types of partners should be further explored in order to develop culturally appropriate interventions with couples.
机译：在加勒比地区，估计15-49岁的人口中有1.1％感染了艾滋病毒。我们的目标是在其主要机构代表PLHIV（加勒比地区艾滋病毒/艾滋病患者网络）倡导的主要机构中，测量与艾滋病毒感染者（PLHIV）中使用避孕套有关的因素，这是加勒比地区积极预防的主要形式。或CRN +）。从在安提瓜和巴布达，格林纳达，特立尼达和多巴哥的CRN +成员或接受过CRN +服务的PLHIV中，对广泛使用的横断面调查（n = 394）选择了最后一次使用避孕套的情况进行分析。来自CRN +的PLHIV追踪了潜在的参与者，执行了知情同意程序并进行了结构化访谈。 54％的受访者报告上次性交时使用安全套。避孕套的使用与艾滋病毒呈阴性，伴侣的艾滋病毒状况，饮酒，经济安全，教育程度和受雇程度呈正相关。多元逻辑回归分析发现安全套使用与经济安全之间存在独立关联（p = 0.031;“足够”收入的比值比（OR）为5.06; 95％CI为1.47-17.39），伴侣为HIV阴性（p = 0.036; OR 2.85; 95） ％CI 1.28-6.33）和已婚（p = 0.043; OR 2.86; 95％CI 1.03-7.91）。 73％的受访者报告家庭收入不足，26％的人报告艾滋病毒阴性伴侣，9％的人已婚。避孕套的使用似乎是受保护艾滋病毒阴性伴侣和配偶的动力。社会经济地位低下与使用避孕套的总体比例有关。对CRN +成员的限制限制了调查结果的普遍性。然而，这些发现支持了这样的观点，即需要有艾滋病毒/艾滋病感染者社会经济赋权计划，以减缓加勒比艾滋病毒的流行。应该进一步探索保护不同类型伴侣的期望，以便与夫妻在文化上进行适当的干预。

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