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首页> 外文期刊>AIDS care. >Individual and community-level tolerance of spouse abuse and the association with the circumstances of first sex among youth from six sub-Saharan African countries.
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Individual and community-level tolerance of spouse abuse and the association with the circumstances of first sex among youth from six sub-Saharan African countries.

机译：来自撒哈拉以南非洲六个国家的年轻人对个人和社区的虐待配偶的容忍度以及与初恋情况的关联。

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摘要

Youth who engage in early and premarital sex are at risk of HIV and sexually transmitted infections. Most prevention programs ignore the mediating influence of the threat and experience of violence on these outcomes. Using nationally representative data from Lesotho, Malawi, Zimbabwe, Kenya, Tanzania, and Uganda, multivariate analyses examined the association between individual- and community-level tolerance of spouse abuse on the age and circumstances of sexual debut among female youth. The youth sample sizes ranged from a high of 5007 in Malawi to a low of 3050 in Lesotho. In the study countries, there were between 521 and 367 communities included in the analysis. Youth who approved of spouse abuse were more likely to have sexually debuted at each age. In Kenya, youth from communities with high female spouse abuse tolerance were more likely to have initiated sex at each age. In Malawi and Zimbabwe, youth from high tolerance communities were less likely to have sexually debuted at each age or to have had premarital sex; the same effect on premarital sex was found for men's tolerance in Kenya and Tanzania. Programs are needed to reduce violence risk and increase youth negotiating power and delayed sexual debut, with the objective of reducing young people's risk of negative outcomes.
机译：从事早婚和婚前性行为的青年有感染艾滋病毒和性传播感染的风险。大多数预防方案都忽略了威胁和暴力经历对这些结果的中介影响。利用莱索托，马拉维，津巴布韦，肯尼亚，坦桑尼亚和乌干达的全国代表性数据，多变量分析研究了个人和社区层面对配偶虐待年龄与女性青年初次性行为情况的容忍度之间的关联。青年样本量从马拉维的最高5007到莱索托的最低3050不等。在研究国家中，分析中包括521至367个社区。批准虐待配偶的年轻人在每个年龄段都有可能首次露面。在肯尼亚，来自女性配偶虐待耐受性高的社区的年轻人在每个年龄段都有可能发起性行为。在马拉维和津巴布韦，来自高容忍度社区的年轻人在每个年龄段都有过性行为或婚前性行为的可能性较小。在肯尼亚和坦桑尼亚，对婚前性行为的男性耐受力也有同样的影响。需要制定计划以减少暴力风险并增加青年的谈判能力和推迟性行为首次亮相，目的是减少青年人产生负面结果的风险。

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