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|RISKY BEHAVIOUR AND HIV PREVALENCE AMONG ZAMBIAN MEN|
||NISHA MALHOTRA and JONATHAN YANG
||Journal of Biosocial Science, 43, pp 155-165 doi:10.1017/S0021932010000647
The objective of this paper is to identify demographic, social and
behavioural risk factors for HIV infection among men in Zambia. In
particular, the role of alcohol, condom use and number of sex partners is
highlighted as being significant in the prevalence of HIV. Multivariate logistic
regressions were used to analyse the latest cross-sectional population-based
demographic health survey for Zambia (2007). The survey included socioeconomic
variables and HIV serostatus for consenting men (
N=4434). Risk for
HIV was positively related to wealth status. Men who considered themselves
to be at high risk of being HIV positive were most likely to be HIV positive.
Respondents who, along with their sexual partner, were drunk during the last
three times they had sexual intercourse were more likely to be HIV positive
(adjusted odds ratio (AOR) 1.60; 95% confidence interval (CI) 1.00–2.56).
Men with more than two sexual life partners and inconsistent condom use
had a higher risk for being HIV positive (OR 1.89, 95% CI 1.45–2.46; and
OR 1.49, 95% CI 1.10–2.02, respectively). HIV prevention programmes in
Zambia should focus even more on these behavioural risk factors.
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