Brown Adrienne, Yung Alison, Cosgrave Elizabeth, Killackey Eóin, Buckby Joe, Stanford Carrie, Godfrey Katherine, McGorry Patrick
ORYGEN Research Centre, University of Melbourne, Melbourne, Vic., Australia.
Australas Psychiatry. 2006 Sep;14(3):310-2. doi: 10.1080/j.1440-1665.2006.02291.x.
Young people may place themselves and others at risk of sexually transmitted infections (STI) and/or the human immunodeficiency virus (HIV) through engaging in unprotected sex. Mental health problems may play an important role in sex-related risk behaviour. The current research was an investigation of depressed mood and condom use in a help-seeking sample of young people in Melbourne, Australia.
The sample comprised 76 sexually active young people aged 15-24 years who were referred to ORYGEN Youth Health, a public mental health service in Melbourne, Australia. Controlling for demographic characteristics and substance use, multivariate logistic regression examined depressed mood as a predictor of condom use at last sexual intercourse.
Half of the sample reported condom use the last time they had sexual intercourse. Depressed mood, female gender and unemployment increased the likelihood that participants engaged in unprotected sex.
A high proportion of young people, particularly those who are depressed, are failing to protect themselves from STI/HIV. Mental health services working with young people have the opportunity to implement initiatives aimed at reducing risk of STI/HIV infection.
年轻人可能通过进行无保护性行为，将自己和他人置于性传播感染（STI）和/或人类免疫缺陷病毒（HIV）的风险之中。心理健康问题可能在与性相关的风险行为中起重要作用。当前的研究是对澳大利亚墨尔本一个寻求帮助的年轻人样本中的抑郁情绪和避孕套使用情况进行调查。
样本包括76名年龄在15至24岁之间的性活跃年轻人，他们被转介至澳大利亚墨尔本的一家公共心理健康服务机构ORYGEN青年健康中心。在控制人口统计学特征和物质使用情况的基础上，多变量逻辑回归分析将抑郁情绪作为上次性交时避孕套使用情况的预测因素进行了检验。
样本中有一半报告称上次性交时使用了避孕套。抑郁情绪、女性性别和失业增加了参与者进行无保护性行为的可能性。
很大一部分年轻人，尤其是那些抑郁的年轻人，未能保护自己免受性传播感染/艾滋病毒的侵害。为年轻人提供服务的心理健康机构有机会实施旨在降低性传播感染/艾滋病毒感染风险的举措。
