Smikle M F, Dowe G, Hylton-Kong T, Williams E, Baum M
Department of Microbiology, Faculty of Medical Sciences, University of the West Indies, Kingston 7, Jamaica.
West Indian Med J. 2000 Dec;49(4):327-30.
The prevalence of sexually transmitted diseases (STD) and risky behaviour patterns were studied in 165 adolescents attending a STD clinic in Jamaica. A standardised structured questionnaire, clinical algorithms for STD and serological tests for HIV and syphilitic infection were applied. High prevalences of risky behaviour including young age at onset of sexual activity, especially in boys, (mean age 12.5 +/- 2.5 years); unprotected sexual intercourse (only 4% used condoms consistently); multiple sexual partners (mean 3.8 +/- 2.4 and 1.8 +/- 1.2 for boys and girls, respectively) were found. Marijuana, used by 60% of the boys, was an independent risk factor for dysuria (adjusted Odds Ratio (OR), 2.0; 95% CI, 1.6-3.4). Repeated episodes of STD (33%), coinfection with HIV (1.2%), syphilis (1.2%) and teenage pregnancy (13%) were prominent findings. Educational strategies which promote behaviour intervention at an early age, frequent and consistent use of condoms, abstinence or delayed onset of sexual activity are essential to reducing the HIV/AIDS and STD risk in adolescents in Jamaica.
对牙买加一家性病诊所的165名青少年进行了性传播疾病（STD）患病率及危险行为模式的研究。采用了标准化结构化问卷、性病临床诊断流程以及针对艾滋病毒和梅毒感染的血清学检测。研究发现存在多种高风险行为，包括性行为开始年龄小，尤其是男孩（平均年龄12.5±2.5岁）；无保护性行为（只有4%的人始终坚持使用避孕套）；多个性伴侣（男孩平均为3.8±2.4个，女孩平均为1.8±1.2个）。60%的男孩吸食大麻，这是尿痛的一个独立危险因素（调整后的优势比（OR）为2.0；95%置信区间为1.6 - 3.4）。反复感染性病（33%）、合并感染艾滋病毒（1.2%）、梅毒（1.2%）和青少年怀孕（13%）是突出的研究结果。促进早期行为干预、频繁且持续使用避孕套、禁欲或推迟性行为开始年龄的教育策略对于降低牙买加青少年感染艾滋病毒/艾滋病和性病的风险至关重要。
