Hutchinson M K, Sosa D, Thompson A C
University of Pennsylvania, School of Nursing, Philadelphia 19104-6096, USA.
J Obstet Gynecol Neonatal Nurs. 2001 Jul-Aug;30(4):429-38. doi: 10.1111/j.1552-6909.2001.tb01562.x.
To identify the sexual protective strategies of late adolescent heterosexual women.
Open-ended questioning regarding sexual protective strategies was included in a larger cross-sectional survey on sexual risk. Participants' responses were recorded verbatim and analyzed using content analysis.
234 African American, Hispanic/ Latina, and non-Hispanic white 19- to 21-year-old females were recruited from the driver's license records of a mid-Atlantic state.
Participants responded to the open-ended question, "How or what do you do to reduce your risk for sexually transmitted diseases and HIV?"
Seven primary sexual protective strategies were identified from participants' responses: using condoms, abstaining or postponing sexual intercourse, getting tested for human immunodeficiency virus (HIV) and sexually transmitted diseases (STDs), selecting safe partners, negotiating condom use, talking about sexual risk histories, and limiting the number of sexual partners.
Some of the sexual protective strategies identified by study participants were less than effective and left young women vulnerable to infection with HIV and STDs. In addition, the use of these alternative strategies may leave young women feeling less at risk and thus less likely to use other more effective strategies such as condoms. The implications for nursing practice and the assessment of the sexual protective strategies of young heterosexual women are discussed.
确定青春期晚期异性恋女性的性保护策略。
在一项关于性风险的大型横断面调查中纳入了关于性保护策略的开放式提问。参与者的回答逐字记录，并采用内容分析法进行分析。
从大西洋中部一个州的驾照记录中招募了234名19至21岁的非裔美国、西班牙裔/拉丁裔和非西班牙裔白人女性。
参与者回答开放式问题“你如何做或做什么来降低感染性传播疾病和艾滋病毒的风险？”
从参与者的回答中确定了七种主要的性保护策略：使用避孕套、 abstaining或推迟性交、进行人类免疫缺陷病毒（HIV）和性传播疾病（STD）检测、选择安全的性伴侣、协商使用避孕套、谈论性风险史以及限制性伴侣数量。
研究参与者确定的一些性保护策略效果不佳，使年轻女性容易感染艾滋病毒和性传播疾病。此外，使用这些替代策略可能会让年轻女性感觉风险较低，从而不太可能使用其他更有效的策略，如避孕套。讨论了对护理实践的影响以及对年轻异性恋女性性保护策略的评估。
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