• 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>AIDS care. >Determinants of unprotected sex among HIV-positive patients in South Africa.
【24h】

Determinants of unprotected sex among HIV-positive patients in South Africa.

机译：南非HIV阳性患者中未保护性行为的决定因素。

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

This study examined the prevalence of unprotected sex, other sexual risk behaviours, and factors associated with unprotected sex among men and women recently diagnosed with HIV in South Africa. One hundred and forty-nine outpatients (44 males and 105 females) were assessed, of whom 101 were sexually active at least 6 months prior to study entry. Subjects were asked about sexual risk behaviours with reference to their most recent sexual encounter. Logistic regression analysis was employed to determine the predictors of condom use, with independent variables selected from five general categories: (1) sociodemographic characteristics; (2) situational characteristics regarding sexual intercourse (i.e. alcohol or drugs used before intercourse); (3) clinical diagnoses; (4) negative life events; and (5) coping styles. Fifty-five patients (19 males and 36 females), representing 54.4% of those sexually active in the 6 months preceding the study, had not used a condom during the most recent intercourse. Comparedwith those who used condoms, participants who did not significantly reported shorter duration of HIV infection (t = -2.7, p < 0.001), have a current partner (chi2 = 3.98, p = 0.005), and lack knowledge of their partner's HIV status (chi2 = 4.78, p = 0.004). Also they were significantly more likely to engage in denial (t = 3.2, p < 0.002) and to use substances (t = 1.98, p < 0.05) as a means of coping. Logistic regression showed that shorter duration of illness (odds ratio (OR) = 1.2, 95% confidence interval (CI) = 1.01-1.41) and coping styles characterized by denial (OR = 0.6, 95% CI = 0.45-0.96) were significantly associated with unprotected sex. These data suggest the need for interventions to further reduce sexual risk behaviours in HIV-positive patients in South Africa.
机译：这项研究调查了在南非最近被诊断出患有艾滋病毒的男女中，无保护性行为的流行，其他性风险行为以及与无保护性行为有关的因素。评估了149名门诊患者（44名男性和105名女性），其中101名在进入研究前至少6个月进行过性活动。询问对象有关其最近性接触的性危险行为。使用逻辑回归分析确定安全套使用的预测因素，并从五个一般类别中选择独立变量：（1）社会人口统计学特征; （2）有关性交的情境特征（即性交前使用酒精或毒品）; （3）临床诊断; （4）负面生活事件; （5）应对方式。五十五名患者（男19例，女36例）占研究前6个月内性行为活跃者的54.4％，在最近的性交中未使用避孕套。与使用安全套的人相比，没有显着报告艾滋病毒感染持续时间较短的参与者（t = -2.7，p <0.001），有当前伴侣（chi2 = 3.98，p = 0.005），并且对伴侣的艾滋病毒状态缺乏了解（chi 2 ＝ 4.78，p ＝ 0.004）。同样，他们更有可能拒绝（t = 3.2，p <0.002）并使用物质（t = 1.98，p <0.05）作为应对手段。 Logistic回归显示，病程较短（赔率（OR）= 1.2，95％置信区间（CI）= 1.01-1.41）和以拒绝为特征的应对方式（OR = 0.6，95％CI = 0.45-0.96）显着与未受保护的性行为有关。这些数据表明，需要采取干预措施来进一步减少南非HIV阳性患者的性危险行为。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号