赞比亚塞伦耶市区青少年性传播感染病例增加的相关因素评估

George Mbita, Catherine M. Ngoma, Kestone Liambai
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摘要

作品简介:青年中的性传播感染是全世界致力于改善人口健康状况的所有人最关心的问题,因为报告的性传播感染率最高的是15-24岁的人群,他们易患不孕症、一般健康状况不佳、妇女盆腔炎、艾滋病毒通过母婴传播导致死产、新生儿死亡、早产、败血症、肺炎、先天性畸形等并发症。因此,该研究旨在评估与赞比亚塞伦耶市区青少年性传播病例数量增加相关的因素。方法:采用简单随机抽样方法对塞伦涅市区138名青年进行横断面研究。数据是通过结构化的、预先测试的访谈者管理的问卷收集的。通过SPSS version 22采用卡方和多变量logistic回归分析来评估和确定与塞伦涅市区青少年性传播病例增加相关的因素。计算具有95%置信区间的比值比以确定关联水平。在多变量分析中,p值小于5%的变量被认为具有统计学相关性,协变量与性传播感染之间存在关联。结果:塞伦涅市区青少年性传播感染患病率为55%。约47.8%的受访者性传播感染知识水平较高,60%的受访者有多个性伴侣,34.8%的受访者在最后一次性行为中使用安全套,27.5%的受访者遭受过性胁迫,24.5%的受访者使用过青少年友好服务。在本研究中,大多数(43.5%)应答者在性传播感染预防方面的做法不佳。与服务有关,如性传播感染治疗耗材缺乏(92%)和供应不稳定........
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Assessment of Factors Associated with Increased Number of Sexually Transmitted Infection Cases among the Youth in Serenje Urban District, Zambia
Introduction: Sexually transmitted infections among the youth are of paramount concern to all people who work on improving the health status of populations worldwide as the highest reported rates of sexually transmitted infections are found among the people between 15-24 years of age which predispose them to infertility, general ill-health, pelvic inflammatory diseases in women, three-fold HIV transmission with mother-to-child sexually transmitted infections resulting in still births, neonatal deaths, prematurity, sepsis, pneumonia, congenital deformities and other morbidities. Therefore the study aimed to assess the factors associated with increased number of sexually transmitted cases in the youth of Serenje Urban District, Zambia. Methodology: A cross-sectional study was conducted on 138 youth of Serenje urban district selected using simple random sampling technique. The data were collected using a structured, pre-tested interviewer-administered questionnaire. Chi square and multivariate logistical regression analyses were employed through SPSS version 22 to assess and identify factors associated with increased sexually transmitted cases in the youth of Serenje urban district. Odds Ratio with a 95% confidence interval was computed to determine the level of association. In the multivariate analysis, variables with p-value less than 5% were considered as statistically associated, association between covariates and sexually transmitted infections. Results: The prevalence of sexually transmitted infections among the youth of Serenje Urban District was found to be 55%. About 47.8% of the respondents had high knowledge levels on STIs, 60% had multiple sexual partners, 34.8% used condom during the last intercourse, 27.5% experienced sexual coercion and 24.5% utilized youth friendly services. Most (43.5%) respondents in this study had poor practices towards STI prevention. Service related such as lack of consumable for STI treatment (92%) and erratic supply ........
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