坦桑尼亚姆贝亚高等教育机构的年轻成年人中的风险性行为:对性传播感染和艾滋病毒预防计划的影响
Ruby Doryn Mcharo1,2, Willyhelmina Olomi1, Philippe Mayaud3
1Department of HIV and Reproductive Health, National Institute for Medical Research-Mbeya Medical Research Centre (NIMR-MMRC), Mbeya, Tanzania.
AAS open research
|June 1, 2023
概括
坦桑尼亚高等教育机构的年轻人从事高风险的性行为,避孕套使用率低,性传播感染意识低. 针对性干预对于预防性传播感染至关重要.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 性健康 性的健康
背景情况:
- 年轻成年人的高风险性行为 (HRSB) 是性传播感染,艾滋病毒和意外怀孕的重要风险因素.
- 15-24岁的年龄组被世界卫生组织确定为性传播疾病的高风险,高等教育机构 (HLI) 的学生可能由于独立性和性活动的高峰而面临更高的风险.
- 有限的数据存在于坦桑尼亚的HLI中年轻成年人的性行为和预防行为.
研究的目的:
- 描述在坦桑尼亚Mbeya参加高水平教育的年轻成年人中风险性行为和预防实践.
- 为了确定与该人口中的性健康相关的特定行为和知识差距.
主要方法:
- 从2019年3月到2020年1月进行了一项横截面研究.
- 504名随机选择的18-24岁的学生从Mbeya的HLIs注册入学.
- 自行管理的问卷收集了有关性健康教育,活动,行为和性病知识的数据.
主要成果:
- 88.5%的学生报告说曾经发生过性行为,第一次性行为的平均年龄为18.4岁.
- 首次性交时缺乏使用避孕套的比例很高 (52%),持续使用避孕套的比例很低 (33%的男性,16.5%的女性).
- 显著比例的人报告说,在酒精影响下 (24%) 和强迫性 (1/10). 对无症状性传播感染的认识很低 (16%).
结论:
- 患有HLI的年轻人代表了性传播感染的关键风险人群.
- 性传播疾病预防计划需要有针对性的信息,针对性暴力的咨询,以及促进避孕套使用和更安全的性谈判技巧.
- 加强性健康教育和支持对这一群体至关重要.
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