Andrinopoulos Katherine, Kerrigan Deanna, Ellen Jonathan M
Social and Behavioral Interventions Program, Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Perspect Sex Reprod Health. 2006 Sep;38(3):132-8. doi: 10.1363/psrh.38.132.06.
Black adolescents in inner-city settings are at increased risk for HIV and other STDs. Sex partner characteristics, as well as individual behavior, influence individuals' STD risk, yet little is known about the process of sex partner selection for adolescents in this setting.
Semistructured in-depth interviews were conducted during the summer and fall of 2002 with 50 inner-city black adolescents (26 females and 24 males) who had been purposively recruited from an STD clinic. Content analysis was used to study interview texts.
Young women desire a monogamous romantic partner, rather than a casual sex partner; however, to fulfill their desire for emotional intimacy, they often accept a relationship with a nonmonogamous partner. Young men seek both physical and emotional benefits from being in a relationship; having a partner helps them to feel wanted, and they gain social status among their peers when they have multiple partners. For men, these benefits may help compensate for an inability to obtain jobs that would improve their financial and, as a result, social status. Both women and men assess partners' STD risk on the basis of appearance.
HIV and other STD prevention initiatives must go beyond the scope of traditional messages aimed at behavior change and address the need for social support and socioeconomic opportunities among at-risk, inner-city adolescents.
内城区的黑人青少年感染艾滋病毒和其他性传播疾病的风险更高。性伴侣特征以及个人行为会影响个体感染性传播疾病的风险，但对于这一环境下青少年的性伴侣选择过程却知之甚少。
2002年夏秋两季，对从一家性传播疾病诊所特意招募的50名内城区黑人青少年（26名女性和24名男性）进行了半结构化深度访谈。采用内容分析法研究访谈文本。
年轻女性渴望拥有一个一夫一妻制的浪漫伴侣，而非随意的性伴侣；然而，为了满足她们对情感亲密的渴望，她们常常接受与一个非一夫一妻制伴侣的关系。年轻男性从恋爱关系中寻求身体和情感上的益处；有伴侣让他们感觉自己被需要，并且当他们有多个伴侣时，会在同龄人中获得社会地位。对男性而言，这些益处可能有助于弥补他们无法获得能改善其经济状况从而提升社会地位的工作的不足。女性和男性都会根据外表来评估伴侣感染性传播疾病的风险。
艾滋病毒和其他性传播疾病预防举措必须超越旨在改变行为的传统信息范畴，满足内城区高危青少年对社会支持和社会经济机会的需求。
