OBJECTIVE:To assess reported HIV knowledge and attitudes, sexual behaviours and HIV testing in Zimbabwe. METHODS:Representative household surveys of all 18-24 year olds and a proportion of 25-44 year olds were conducted in six purposefully selected rural districts in two provinces in 2007 and 2009. Both surveys used the same methods and questionnaires. We compared differences in reported HIV knowledge, sexual behaviours and HIV testing, controlling for differences in socio-demographics at baseline, using cross-tabulations and multivariate regression analyses. RESULTS:Analysis was restricted to districts included in both baseline (n = 1891) and mid-term (n = 2746) surveys. Comparisons indicate increased reports of HIV knowledge (35%vs. 22% had high knowledge) and more favourable individual attitudes towards HIV. There was an increase in reported HIV testing (men: 41%vs. 31%, women: 55%vs. 36%) and condom use (men: adjusted odds ratio (AOR) = 1.35, women: AOR = 1.22) and a decrease in number of sexual partners (men: 67%vs. 49% reported 1 partner/previous 6 months, women: 77%vs. 68%). CONCLUSIONS:As Zimbabwe continues to document declines in HIV prevalence, this analysis offers insight into recent and continuing positive changes in knowledge, attitudes and behaviours among the rural population.

译文

目的:评估津巴布韦报道的艾滋病毒知识和态度,性行为以及艾滋病毒检测。
方法:在2007年和2009年,在两个省的六个有针对性地选择的农村地区中,对所有18-24岁年龄段和一部分25-44岁年龄段的代表家庭进行了调查。两次调查使用的方法和问卷均相同。我们使用交叉表和多元回归分析比较了报告的艾滋病毒知识,性行为和艾滋病毒检测的差异,控制了基线时社会人口统计学的差异。
结果:分析仅限于基线(n = 1891)和中期(n = 2746)调查中包括的地区。比较表明,关于艾滋病毒知识的报道有所增加(35%的人对22%的人具有较高的知识),并且个人对艾滋病毒的态度更加有利。报告的艾滋病毒检测率有所增加(男性:41%vs。31%,女性:55%vs.36%)和使用安全套(男性:调整后的优势比(AOR)= 1.35,女性:AOR = 1.22)和性伴侣数量减少(男性:67%vs. 49%,报告有1个伴侣/之前的6个月,女性:77%vs. 68%)。
结论:随着津巴布韦继续记录艾滋病毒感染率下降的情况,该分析提供了对农村人口知识,态度和行为的近期和持续积极变化的见识。

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