Thurman Tonya R, Brown Lisanne, Richter Linda, Maharaj Pranitha, Magnani Robert
Department of International Health and Development, Tulane School of Public Health and Tropical Medicine, New Orleans, Louisiana 70112, USA.
AIDS Behav. 2006 Nov;10(6):627-35. doi: 10.1007/s10461-006-9104-8.
There is concern that orphans may be at particular risk of HIV infection due to earlier age of sexual onset and higher likelihood of sexual exploitation or abuse; however, there is limited empirical evidence examining this phenomenon. Utilizing data from 1,694 Black South African youth aged 14-18, of whom 31% are classified as orphaned, this analysis explores the relationship between orphan status and sexual risk. The analysis found both male and female orphans significantly more likely to have engaged in sex as compared to non-orphans (49% vs. 39%). After adjusting for socio-demographic variables, orphans were nearly one and half times more likely than non-orphans to have had sex. Among sexually active youth, orphans reported younger age of sexual intercourse with 23% of orphans having had sex by age 13 or younger compared to 15% of non-orphans. Programmatic implications of these findings for the care and protection of orphans are discussed.
人们担心，由于性开始年龄较早以及遭受性剥削或虐待的可能性较高，孤儿可能特别容易感染艾滋病毒；然而，检验这一现象的实证证据有限。利用来自1694名14 - 18岁南非黑人青年的数据（其中31%被归类为孤儿），本分析探讨了孤儿身份与性风险之间的关系。分析发现，与非孤儿相比，男性和女性孤儿发生性行为的可能性显著更高（49%对39%）。在调整社会人口统计学变量后，孤儿发生性行为的可能性比非孤儿高出近一倍半。在性活跃的青年中，孤儿报告的首次性交年龄更小，23%的孤儿在13岁及以下就发生了性行为，而非孤儿的这一比例为15%。本文讨论了这些发现对孤儿照料和保护的项目意义。
