Sexual Health Behaviours: HIV/STI Risk Perception among Namibian University Students

J. T. Olawale, Ojiezeh Tony Ifeanyi
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引用次数: 1

Abstract

Background: The attitude of young people towards the use of contraceptives differs and it is linked with their sexuality. One of the most frequent assertions for the lack of use of the condoms as contraceptive is that boys did not like using them because it reduces the feeling and pleasure during intercourse and some of the young mothers’ belief that putting on condom just prior to intercourse did interrupt the spontaneous feelings during sexual intimacy. Methods: Data was collected using self completed questionnaires for quantitative cross-sectional survey among students in classes selected through simple random sampling in each stratum (University Campus). Relationship between independent variables (method of contraception, misconceptions about the role of contraceptives in preventing STIs/HIV, transactional sex, HIV/STIs Risk perception of young people) and dependents variable (multiple sexual partners) was measured using multivariate model of logistic regression analysis. Results: Among sexually active students, condom use was 88.7%, abstinences 10.1% and did not use anything 1.3%. In thirty days under study about 20.0% have had sex at least twice, 8.2% more than four times and 37.4% did not have vaginal sex. Other forms of intercourse observed among the respondents are oral and anal sex which recorded 11.5% and 2.0% respectively. Only 13.9% have had transactional sex within the last 12 months. Conclusion: Some risky sexual practices such as multiple sexual partners, anal and oral sex and having unprotected vaginal intercourse were noted among the students, despite regular campaigns in media. However, it is a general belief that, the use of contraceptive like condom may interrupt spontaneous arousal feeling and pleasure during intercourse against the backdrop of likelihood of HIV/STDs infection and unwanted pregnancy. Therefore, more rigorous campaign from government at all levels is recommended.
性健康行为:纳米比亚大学生对艾滋病毒/性传播感染风险的认识
背景:年轻人对使用避孕药具的态度不同,这与他们的性取向有关。关于缺乏使用避孕套作为避孕手段的最常见的说法之一是,男孩不喜欢使用避孕套,因为它会降低性交时的感觉和快感,一些年轻母亲认为,在性交前戴上避孕套确实会干扰性亲密行为中自发的感觉。方法:采用自填问卷进行定量横断面调查,在各阶层(大学校园)采用简单随机抽样的方式抽取班级的学生。采用logistic回归分析的多变量模型,测量自变量(避孕方法、避孕措施在预防性传播感染/性传播感染中的作用的误解、交易性行为、年轻人对艾滋病毒/性传播感染的风险认知)与因变量(多个性伴侣)之间的关系。结果:性活跃学生中使用安全套的占88.7%,禁欲的占10.1%,不使用任何工具的占1.3%。在研究的30天内,约有20.0%的人至少发生过两次性行为,8.2%的人超过4次,37.4%的人没有阴道性行为。被访者所观察到的其他性交方式是口交和肛交,分别占11.5%和2.0%。只有13.9%的人在过去12个月内发生过性交易。结论:尽管媒体进行了定期宣传,但仍存在一些危险性行为,如多个性伴侣、肛交和口交以及无保护的阴道性交。然而,人们普遍认为,使用避孕套等避孕措施可能会中断性交过程中自发的兴奋感和快感,从而增加感染艾滋病毒/性病和意外怀孕的可能性。因此,建议各级政府采取更严格的行动。
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