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  • Title: Behaviour patterns which may predispose to HIV infection or further transmission and possible intervention strategy in the City of Harare. Part II.
    Author: Moyo IM, Ray CS, Chisvo D, Gumbo N, Low A, Katsumbe TM, Mbengeranwa OL.
    Journal: Cent Afr J Med; 1993 Nov; 39(11):217-21. PubMed ID: 8055550.
    Abstract:
    The proportion of people with AIDS is increasing rapidly in Zimbabwe. Several strategies have been adopted to check the further spread of the disease. This paper discusses the behaviour patterns which may predispose to HIV infection and possible intervention strategies that may be taken in the City of Harare. Over a third (33.9 pc, n = 1,526) of the married respondents reported that they were living separately from their spouses. There was a high proportion (76.6 pc, n = 564) of single respondents who admitted to engaging in premarital sex. Fifteen pc of total respondents were engaging in casual sex. The proportion of single respondents (31.2 pc) engaging in casual sex was higher than among the married (11.1 pc). More single respondents (10.9 pc) had been paid for sex than the married (4.1 pc) whilst the proportion that had been paid for sex was similar for the single (21.2 pc) and the married (22.9 pc). The median age for starting sex was 17 years (range = three to 26) for the single and 18 years (range = four to 35) for the married respondents. Sixteen pc stated that they had an STD in 1989. Condom usage was low with only 9.2 pc always using a condom. Forty eight pc of the married respondents who have engaged in casual sexual relationships never use condoms. The main source of information on AIDS/HIV was the radio (74 pc). Most parents (66 pc) had not talked about AIDS to their children. HIV transmission is spread in sub-Saharan Africa mainly through heterosexual intercourse, with most infected people in the age group 20-39 years. Findings are reported from a 1989 knowledge, attitudes, and practice study conducted in the city of Harare, Zimbabwe, among 2109 adults undertaken to identify and document behavior patterns which may predispose individuals to HIV infection and possible intervention strategies. The median age for initiating sex was 17 years among single respondents and 18 years for those married. 33.9% of married respondents reported living away from their spouses, 76.6% of singe respondents admitted to engaging in premarital sex, and 15% of all respondents were having casual sex. Only 9.2%, however, reported always using a condom, while 48% of the married respondents who have engaged in casual sexual relationships never use condoms. 16% reported having a sexually transmitted disease in 1989. 10.9% of single respondents and 4.1% of married respondents had been paid for sex. 66% of parents had not talked about AIDS to their children and the main source of information on HIV/AIDS was the radio at 74%. All types of education/prevention campaigns should be encouraged as long as health education messages do not further stigmatize people with HIV or AIDS. The poorly educated and illiterate should be specially targeted.
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