Cornelius L J, Okundaye J N, Manning M C
School of Social Work, University of Maryland, Baltimore 21201, USA.
J Natl Med Assoc. 2000 Apr;92(4):183-95.
This study draws attention to the demographic shift in the population of HIV-infected African Americans from young, low-income, unmarried homosexual, and injecting drug users to female, heterosexual, higher income, and older persons. We used data from the 1995 Survey of Family Growth, sponsored by the National Center for Health Statistics, to examine the patterns of HIV-related risk behavior (consistent condom use, number of sexual partners, sex education in birth control methods) among African-American females. We found that only 33.3% of the African-American females had indicated that their partners always used condoms; 23.8% had seven or more lifetime sexual partners; and nearly 30% did not have any sex education in birth control methods, sexually transmitted diseases, or abstinence. In addition, African-American females who had partners who had not used condoms in the last 12 months were less likely than those who reported occasional condom use to perceive that they were infected with HIV (21.1% vs. 33.1%). These risk factors were prevalent among low-income African-American females with low socioeconomic status (SES) as well as black women with higher SES who lived in smaller cities and suburbs. These results highlight the need for HIV prevention strategies that cut across socioeconomic class, gender, sexual orientation, and place of residence.
这项研究关注了感染艾滋病毒的非裔美国人的人口结构变化,即从年轻、低收入、未婚同性恋者和注射吸毒者,转变为女性、异性恋者、高收入者和年长者。我们使用了由国家卫生统计中心赞助的1995年全国家庭成长调查的数据,来研究非裔美国女性中与艾滋病毒相关的风险行为模式(持续使用避孕套、性伴侣数量、避孕方法方面的性教育)。我们发现,只有33.3%的非裔美国女性表示其伴侣总是使用避孕套;23.8%的女性一生中有七个或更多性伴侣;近30%的女性没有接受过任何关于避孕方法、性传播疾病或禁欲方面的性教育。此外,在过去12个月里伴侣未使用避孕套的非裔美国女性,比那些报告偶尔使用避孕套的女性更不容易认为自己感染了艾滋病毒(21.1%对33.1%)。这些风险因素在社会经济地位低的低收入非裔美国女性以及生活在较小城市和郊区、社会经济地位较高的黑人女性中都很普遍。这些结果凸显了制定跨越社会经济阶层、性别、性取向和居住地点的艾滋病毒预防策略的必要性。