HIV knowledge and risky sexual behavior among men in Rwanda

被引:7
作者
Rugigana, Etienne [1 ]
Birungi, Francine [1 ]
Nzayirambaho, Manasse [1 ]
机构
[1] Univ Rwanda, Coll Med & Hlth Sci, Sch Publ Hlth, Butare, Rwanda
来源
PAN AFRICAN MEDICAL JOURNAL | 2015年 / 22卷
关键词
HIV; sexual behavior; Rwanda;
D O I
10.11604/pamj.2015.22.380.6661
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Introduction: New infections of Human Immunodeficiency Virus (HIV) remain a big problem in many countries. Different interventions have been implemented to improve the general knowledge of HIV, with the hypothesis that increasing HIV knowledge will reduce risky sexual behavior (RSB). However, HIV knowledge may not necessarily reduce RSB. This study explores HIV knowledge and its effect on RSB. Methods: The study used data from the 2005 and 2010 Rwanda Demographic and Health Surveys to analyze the association between HIV risk factors and two types of RSB (having two or more partners in the past 12 months; and among those with two or more partners, not using a condom at last sex) and the association between HIV knowledge and those RSB. Multivariate logistic regression was used to determine predictors of RSB. Results: Among 2,773 men in 2005 and 3,772 men in 2010, 5% and 7% respectively reported having two or more sexual partners. Among them, 93% in 2005 and 74% in 2010 did not use a condom at the last sex. Between 2005 and 2010, knowledge of the protective effect of having just one uninfected faithful partner, and basic knowledge of HIV decreased. Knowledge of the protective effect of using condoms increased from 90% to 94%. However, HIV knowledge was not associated with either type of RSB. Conclusion: In setting up policies and strategies related to HIV prevention, policymakers should consider that focusing on HIV knowledge is not sufficient in itself.
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页数:9
相关论文
共 32 条
[1]   HIV incidence and sexually transmitted disease prevalence associated with condom use: a population study in Rakai, Uganda [J].
Ahmed, S ;
Lutalo, T ;
Wawer, M ;
Serwadda, D ;
Sewankambo, NK ;
Nalugoda, F ;
Makumbi, F ;
Wabwire-Mangen, F ;
Kiwanuka, N ;
Kigozi, G ;
Kiddugavu, M ;
Gray, R .
AIDS, 2001, 15 (16) :2171-2179
[2]   Is sexual risk taking behaviour changing in rural south-west Uganda? Behaviour trends in a rural population cohort 1993-2006 [J].
Biraro, S. ;
Shafer, L. A. ;
Kleinschmidt, I. ;
Wolff, B. ;
Karabalinde, A. ;
Nalwoga, A. ;
Musinguzi, J. ;
Kirungi, W. ;
Opio, A. ;
Whitworth, J. ;
Grosskurth, H. .
SEXUALLY TRANSMITTED INFECTIONS, 2009, 85 :I3-I11
[3]  
Booysen F. R., 2004, AFRICAN J AIDS RES, V3, P57, DOI [10.2989/16085900409490319, DOI 10.2989/16085900409490319]
[4]   HIV and risk behaviour - Risk compensation: the Achilles' heel of innovations in HIV prevention? [J].
Cassell, MM ;
Halperin, DT ;
Shelton, JD ;
Stanton, D .
BMJ-BRITISH MEDICAL JOURNAL, 2006, 332 (7541) :605-607
[5]  
CDC, 2009, YOUTH RISK BEH SURV
[6]  
De Walque D, 2009, COMP CONDOM USE DIFF
[7]  
Dinkelman T., 2006, 12418 NBER
[8]   Behavioral aspects of male circumcision for the prevention of HIV infection [J].
Kalichman S.C. ;
Eaton L. .
Current HIV/AIDS Reports, 2009, 6 (4) :187-193
[9]  
Essien EJ, 2002, HIV AIDS AUCKL, V2, P77
[10]  
Gillespie C C, 1997, Womens Health, V3, P1