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首页> 外文期刊>AIDS care. >Male circumcision, alcohol use and unprotected sex among patrons of bars and taverns in rural areas of north-west province, South Africa
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Male circumcision, alcohol use and unprotected sex among patrons of bars and taverns in rural areas of north-west province, South Africa

机译:南非西北省农村地区的男性包皮环切术,饮酒和酒吧和小酒馆顾客的无保护的性行为

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摘要

Strong research evidence has shown that medical male circumcision significantly reduces heterosexual HIV acquisition among men. However, its effectiveness is enhanced by behavioural factors such as condom use. Currently, little is known of unprotected sex associated with male circumcision (MC) among alcohol-drinking tavern-going men, or whether engagement in unprotected sex may differ between men who have been traditionally circumcised and those who have been medically circumcised. The study sought to determine the relative importance of alcohol consumption and MC as correlates of unprotected sex and to compare the risk of engaging in unprotected sex between traditionally circumcised and medically circumcised tavern-going men from two rural villages in North-West province, South Africa. Data from 314 adult men (>= 18 years) were analysed. The men were recruited from four bars/taverns using systematic sampling. They responded to questions regarding their demographic characteristics, alcohol consumption, circumcision status and method (where applicable), and engagement in unprotected sex. Descriptive analyses and bivariate and multivariate logistic regression analyses were conducted. Age, education, relationship status, alcohol consumption and traditional male circumcision (TMC) were independently and significantly associated with unprotected sex. Specifically, probable alcohol dependence and traditional circumcision were independent risk factors for engaging in unprotected sex among tavern-going men. Traditionally circumcised men had a higher risk of engaging in unprotected sex than medically circumcised men. Interventions aimed at reducing alcohol consumption, encouraging protective behaviour among men who have undergone TMC, and increasing condom use are needed in bar/tavern settings. HIV prevention education must be urgently incorporated into TMC programmes.
机译:有力的研究证据表明,男性包皮环切术可大大减少男性异性恋HIV的获取。但是,其行为因使用安全套等行为因素而增强。目前,对于饮酒小酒馆的男性中与男性包皮环切术(MC)相关的未保护性行为,或者在传统上已行割礼的男性和已行医学割礼的男性之间从事未保护性行为的了解可能很少。该研究旨在确定饮酒和MC作为未保护性行为的相关因素的相对重要性,并比较来自南非西北省两个乡村的传统行割礼和行医学割礼的小酒馆男人从事未保护性行为的风险。 。分析了来自314名成年男性(> = 18岁)的数据。这些男人是使用系统采样从四个酒吧/酒馆招募的。他们回答了有关其人口统计学特征,饮酒,割礼状况和方法(如适用)以及从事无保护性行为的问题。进行了描述性分析以及二元和多元逻辑回归分析。年龄,受教育程度,人际关系状况,饮酒和传统的男性包皮环切术(TMC)与无保护的性行为独立且显着相关。具体来说,可能的酒精依赖和传统的包皮环切术是在酒馆里的男人中从事无保护性行为的独立危险因素。传统上割礼的男人比无割礼的男人从事未保护性行为的风险更高。在酒吧/酒馆中,需要采取旨在减少饮酒,鼓励接受过TMC的男性的保护行为以及增加安全套使用的干预措施。必须将艾滋病毒预防教育紧急纳入TMC计划。

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