Reasons for condom use among young people in KwaZulu-Natal: prevention of HIV, pregnancy or both?

Pranitha Maharaj
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引用次数: 88

Abstract

Context: High levels of HIV/AIDS and unwanted pregnancy among young people are urgent public health problems in South Africa. Studies among youth have generally focused on protection against one or the other of these risks, but not both.

Methods: Data collected in 2001 from 2,067 sexually active men and women aged 15-24 in KwaZulu-Natal were examined in bivariate and multivariate analyses to assess reasons for condom use, and levels and determinants of use.

Results: Overall, 59% of respondents said that they used condoms at last sexual intercourse, including 6% who used them with another method. The main reason for use (cited by 64% of users) was protection against both pregnancy and HIV infection. Two-thirds of respondents thought that becoming or making someone pregnant in the next few weeks would be a big problem; fewer than one in five viewed their risk of HIV infection as medium or high. Among both sexes, young people who would consider a pregnancy highly problematic were more likely to use condoms than their counterparts who would view a pregnancy as no problem (odds ratios, 1.4-2.3). In sharp contrast, young men and women who perceived themselves as having a medium to high risk of HIV infection were less likely to use condoms than their counterparts who perceived themselves as being at no risk (0.2-0.3).

Conclusion: Prevention programs could increase condom use in this population by increasing awareness of the twin risks of pregnancy and HIV infection, and by promoting condoms for protection against these dual risks.

夸祖鲁-纳塔尔省年轻人使用避孕套的原因:预防艾滋病毒,怀孕还是两者兼而有之?
背景:艾滋病毒/艾滋病高发和年轻人意外怀孕是南非紧迫的公共卫生问题。对青少年的研究通常侧重于预防其中一种风险,而不是两种风险。方法:2001年从夸祖鲁-纳塔尔省15-24岁的2067名性活跃男性和女性中收集的数据进行了双变量和多变量分析,以评估使用避孕套的原因、水平和决定因素。结果:总体而言,59%的受访者表示他们在最后性交时使用避孕套,其中6%的人使用其他方法使用避孕套。使用的主要原因(64%的使用者提到)是防止怀孕和艾滋病毒感染。三分之二的受访者认为,在未来几周内让某人怀孕或让某人怀孕将是一个大问题;不到五分之一的人认为他们感染艾滋病毒的风险为中等或高。在两性中,认为怀孕有严重问题的年轻人比认为怀孕没有问题的同龄人更有可能使用避孕套(优势比为1.4-2.3)。与此形成鲜明对比的是,认为自己有中高风险感染艾滋病毒的年轻男女比认为自己没有风险的年轻人更不可能使用避孕套(0.2-0.3)。结论:预防项目可以通过提高对怀孕和感染艾滋病毒双重风险的认识,并通过推广避孕套来预防这双重风险,从而增加这一人群中避孕套的使用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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