Diamond C, Buskin S
University of Washington School of Public Health, Seattle, USA.
Am J Public Health. 2000 Jan;90(1):115-8. doi: 10.2105/ajph.90.1.115.
The purpose of this study was to describe and compare risky behaviors in HIV-infected youths and adults.
Records of HIV-infected outpatients were reviewed for the period January 1990 to February 1998. Youths (younger than 22 years at HIV diagnosis and younger than 25 years at study entry, n = 139) were compared with adults (22 years or older at HIV diagnosis or 25 years or older at study entry, n = 2880). Risky behaviors occurring after HIV diagnosis included unsafe sex and needle sharing.
Female and male youths were more than twice as likely as adults to engage in risky behavior (adjusted odds ratios of 2.6 and 2.3, respectively).
Both youths and adults continue to engage in risky behaviors after HIV diagnosis. Prospective studies are needed, along with targeted public health campaigns, for youths with HIV and for those at risk of infection.
本研究旨在描述和比较感染HIV的青少年与成年人的危险行为。
回顾了1990年1月至1998年2月期间HIV感染门诊患者的记录。将青少年(HIV诊断时年龄小于22岁且研究开始时年龄小于25岁,n = 139)与成年人(HIV诊断时年龄22岁及以上或研究开始时年龄25岁及以上,n = 2880)进行比较。HIV诊断后出现的危险行为包括不安全的性行为和共用针头。
青少年男性和女性从事危险行为的可能性是成年人的两倍多(调整后的优势比分别为2.6和2.3)。
青少年和成年人在HIV诊断后仍继续从事危险行为。需要对感染HIV的青少年和有感染风险的人群进行前瞻性研究,并开展有针对性的公共卫生运动。