Rotheram-Borus M J, Murphy D A, Kennedy M, Stanton A, Kuklinski M
J Adolesc. 2001 Dec;24(6):791-802. doi: 10.1006/jado.2001.0432.
Health practices and transmission behaviors were examined over time among 25 disabled youth living with HIV (YLH) living in a comprehensive residential care program. YLH were aged 19-24 years (M=23.4 years); 89 per cent of males were gay, bisexual, or transgendered (60% Caucasian); all had physical and mental health problems, as well as substance abuse disorders. YLH were assessed at least four times at 3-month intervals and reported high lifetime rates of sexual and substance-use risk acts. Over four assessments, YLH improved their nutrition and hygiene and decreased their worry about their health status. YLH evidenced no decrease in the frequency of substance use and sexual risk. Depression, self-esteem, and health status also were stable over time. YLH who have a lifetime history of multiple problem behaviors are likely to change slowly over time, even when receiving comprehensive residential care.
对参加综合寄宿护理项目的25名感染艾滋病毒的残疾青年（YLH）的健康行为和传播行为进行了长期研究。YLH年龄在19至24岁之间（平均年龄23.4岁）；89%的男性为男同性恋、双性恋或变性者（60%为白种人）；所有人都有身心健康问题以及药物滥用障碍。YLH每隔3个月至少接受4次评估，报告显示其一生中存在较高的性风险行为和药物使用风险行为发生率。在四次评估中，YLH改善了营养和卫生状况，并减少了对自身健康状况的担忧。YLH的药物使用频率和性风险并未降低。随着时间推移，抑郁、自尊和健康状况也保持稳定。即使接受综合寄宿护理，有多种问题行为终生史的YLH可能随时间变化缓慢。
