在博茨瓦纳的女性人口中一致使用避孕套以及相关因素
Chenai Mlandu1, Mercilene Machisa1, Nicola Christofides1
1School of Public Health, University of the Witwatersrand, Johannesburg, South Africa.
Women's health (London, England)
|August 13, 2024
概括
在博茨瓦纳的妇女中,尽管有预防艾滋病毒的努力,但持续的避孕套使用仍然很低. 就业与使用率更高有关,而同居和伴侣等因素与使用率更高有关.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 社会学 社会学 社会学
背景情况:
- 博茨瓦纳面临着高艾滋病毒/艾滋病的负担,女性持续感染艾滋病毒.
- 尽管开展了预防活动,但持续使用避孕套仍然不足于最佳水平.
- 避孕套对于预防艾滋病毒至关重要,但它们的使用不一致.
研究的目的:
- 调查与博茨瓦纳妇女一致使用避孕套相关的个人,关系和社区因素.
- 在预防艾滋病毒的背景下,确定一贯使用避孕套的障碍和促进因素.
主要方法:
- 2012年全国性暴力指标调查数据的二次分析.
- 一项涉及480名18岁以上性经验丰富的女性的横截面研究.
- 多变量逻辑回归调整为社区随机效应.
主要成果:
- 只有43%的女性在过去一年中报告使用了连续的避孕套.
- 一贯使用避孕套与就业相关 (AOR=1.77).
- 与更低的一致性避孕套使用相关的因素包括同居 (AOR=0.46),非基督教信仰 (AOR=0.52),对伴侣愤怒的恐惧 (AOR=0.19),以及关于女性工作的社区规范 (AOR=0.56).
结论:
- 博茨瓦纳妇女一致使用避孕套是不理想的.
- 就业增强了持续的避孕套使用,而同居,某些信仰,伴侣相关的恐惧和性别不平等的社区规范减少了它.
- 干预措施应整合女性经济赋权,可访问的信息和社区参与,以促进健康的性行为和避孕套使用.
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