In China, prevention of sexually transmitted HIV has become the key to the success in controlling the spread of the AIDS epidemic. Using data from sample surveys of the enrollees in two re-education camps in Shangha...In China, prevention of sexually transmitted HIV has become the key to the success in controlling the spread of the AIDS epidemic. Using data from sample surveys of the enrollees in two re-education camps in Shanghai, this paper examines the HIV-related knowledge and attitudes and risk factors of unprotected commercial sex among “female sex workers” (FSWs) and their male clients. The descriptive results suggest that FSWs in Shanghai are predominantly rural-urban migrants, characterized by poor education, little knowledge about HIV and its transmission, widespread unprotected commercial sex, and high prevalence of STDs. Multivariate logistic regression analyses suggest that for both FSWs and their male clients, lack of self-efficacy in condom use is the common and most significant independent predictor of unprotected commercial sex. Being married, belief in incorrect prevention practices, and lack of relationship power in commercial sex are the additional independent risk factors of unprotected commercial sex among FSWs, whereas poor education and not knowing the protective function of consistent condom use are the additional risk factors for male clients. The results challenge sociology in theory building and empirical study of commercial sex and call for attention to the importance of context-specific factors and social underpinnings of unprotected commercial sex and disease transmission. The findings provide both theoretical guidance and empirical evidence for designing culture and population sensitive AIDS behavioral intervention.展开更多
Objective:To determine their reproductive health behaviour concerning fidelity and psychosocial intimacy in the face of current trends in sexually transmitted infections(STIs) and human immunodeficiency virus(HIV)/ ac...Objective:To determine their reproductive health behaviour concerning fidelity and psychosocial intimacy in the face of current trends in sexually transmitted infections(STIs) and human immunodeficiency virus(HIV)/ acquired immune deficiency syndromes(AIDS) pandemic.Methods:A cross-sectional comparative male/female cohort study using a semi-structured questionnaire to interview sexually activity of undergraduates in University of Calabar(UNICAL) was conducted over a three(3) month period in 2007.Markers used were number of sexual partners,frequency of sexual intercourse in the 6 months preceding,knowledge of last menstrual period(LMP),methods of self-protection against STIs,number of unwanted pregnancies terminated,and contraceptive use.Results:Of the 1 337 respondents,648 out of 684 males(94.7%) and 543 out of 653 females (83.2%) had multiple sex partners.The gender difference was statistically significant(P 【0.01).Only 36 (5.3%) of males and 110(16.9%) of females maintained single mates in the past six months.About half of females(320,49.0%) and 314(45.9%) of males exhibited spontaneous sexual contact habits.The difference in frequency of intercourse between both groups was not statistically significant(P 】0.05).While 275(42.0%) of the females could state the exact last menstrual period(LMP),only 14(2.1%) males could remember their mates LMP,and 496(72.5%) of males did not know anything about mates’menstrual habits.There was no statistical significance difference(P 】0.05 ) between both groups in their safe sex practices. One hundred and sixty three(23.8%) male and one hundred and forty one(22.8%) females used condoms,while 347(50.7%) of male and 337(51.6%) of females did nothing.Two hundred and seventy six(40.0%) of males’mates had terminated pregnancies and three hundred and forty eight(53.3%) of female respondents admitted doing so.Thirty(4.60%) females terminated pregnancy more than six times.Females had more knowledge of contraceptives but males used condoms more.Respondents expressed need for sexuality education.Conclusion:Sexual behaviour of UNICAL undergraduates does not conform to current trends of safe-sex.There is need for more information,education and communication.展开更多
文摘In China, prevention of sexually transmitted HIV has become the key to the success in controlling the spread of the AIDS epidemic. Using data from sample surveys of the enrollees in two re-education camps in Shanghai, this paper examines the HIV-related knowledge and attitudes and risk factors of unprotected commercial sex among “female sex workers” (FSWs) and their male clients. The descriptive results suggest that FSWs in Shanghai are predominantly rural-urban migrants, characterized by poor education, little knowledge about HIV and its transmission, widespread unprotected commercial sex, and high prevalence of STDs. Multivariate logistic regression analyses suggest that for both FSWs and their male clients, lack of self-efficacy in condom use is the common and most significant independent predictor of unprotected commercial sex. Being married, belief in incorrect prevention practices, and lack of relationship power in commercial sex are the additional independent risk factors of unprotected commercial sex among FSWs, whereas poor education and not knowing the protective function of consistent condom use are the additional risk factors for male clients. The results challenge sociology in theory building and empirical study of commercial sex and call for attention to the importance of context-specific factors and social underpinnings of unprotected commercial sex and disease transmission. The findings provide both theoretical guidance and empirical evidence for designing culture and population sensitive AIDS behavioral intervention.
文摘Objective:To determine their reproductive health behaviour concerning fidelity and psychosocial intimacy in the face of current trends in sexually transmitted infections(STIs) and human immunodeficiency virus(HIV)/ acquired immune deficiency syndromes(AIDS) pandemic.Methods:A cross-sectional comparative male/female cohort study using a semi-structured questionnaire to interview sexually activity of undergraduates in University of Calabar(UNICAL) was conducted over a three(3) month period in 2007.Markers used were number of sexual partners,frequency of sexual intercourse in the 6 months preceding,knowledge of last menstrual period(LMP),methods of self-protection against STIs,number of unwanted pregnancies terminated,and contraceptive use.Results:Of the 1 337 respondents,648 out of 684 males(94.7%) and 543 out of 653 females (83.2%) had multiple sex partners.The gender difference was statistically significant(P 【0.01).Only 36 (5.3%) of males and 110(16.9%) of females maintained single mates in the past six months.About half of females(320,49.0%) and 314(45.9%) of males exhibited spontaneous sexual contact habits.The difference in frequency of intercourse between both groups was not statistically significant(P 】0.05).While 275(42.0%) of the females could state the exact last menstrual period(LMP),only 14(2.1%) males could remember their mates LMP,and 496(72.5%) of males did not know anything about mates’menstrual habits.There was no statistical significance difference(P 】0.05 ) between both groups in their safe sex practices. One hundred and sixty three(23.8%) male and one hundred and forty one(22.8%) females used condoms,while 347(50.7%) of male and 337(51.6%) of females did nothing.Two hundred and seventy six(40.0%) of males’mates had terminated pregnancies and three hundred and forty eight(53.3%) of female respondents admitted doing so.Thirty(4.60%) females terminated pregnancy more than six times.Females had more knowledge of contraceptives but males used condoms more.Respondents expressed need for sexuality education.Conclusion:Sexual behaviour of UNICAL undergraduates does not conform to current trends of safe-sex.There is need for more information,education and communication.
