Abrantes Ana M, Strong David R, Ramsey Susan E, Kazura Alessandra N, Brown Richard A
Butler Hospital, Brown Medical School.
J Dual Diagn. 2006 Jul 24;2(3):85-100. doi: 10.1300/J374v02n03_08.
The purpose of this study was to examine HIV-risk behaviors among a sample of psychiatric inpatient adolescents with and without comorbid SUD. METHOD: 239 adolescents (60.7% female; mean age=15.3) were interviewed while hospitalized in a psychiatric inpatient treatment facility. Adolescents with and without substance use disorder (SUD) were compared on a number of HIV-risk behaviors and the association between HIV-risk behaviors and other types of mental health problems were examined. RESULTS: Compared to those without SUD, adolescents with SUD, after controlling for age, gender, and other psychiatric disorders, were at an increased risk for being currently sexually active (AOR=2.01, CI=1.00-4.04, p<.05) and for having used alcohol or drugs prior to last sexual intercourse (AOR=5.48, CI=1.91-15.72, p<.01). HIV-risk behaviors were more evident among adolescents with externalizing disorders and those with higher levels of self-reported distress. CONCULSION: Adolescents in psychiatric settings, especially those with substance use disorders and/or externalizing problems, are an important population for whom prevention efforts are needed to reduce the risk of HIV infection.
本研究旨在调查患有和未患有共病物质使用障碍（SUD）的精神科住院青少年样本中的艾滋病毒风险行为。方法：对239名青少年（60.7%为女性；平均年龄 = 15.3岁）在精神科住院治疗机构住院期间进行访谈。比较了患有和未患有物质使用障碍（SUD）的青少年在一些艾滋病毒风险行为方面的情况，并研究了艾滋病毒风险行为与其他类型心理健康问题之间的关联。结果：在控制年龄、性别和其他精神障碍后，与未患有SUD的青少年相比，患有SUD的青少年当前性活跃的风险增加（调整后比值比[AOR]=2.01，置信区间[CI]=1.00 - 4.04，p<0.05），并且在上次性交前使用酒精或毒品的风险增加（AOR = 5.48，CI = 1.91 - 15.72，p<0.01）。艾滋病毒风险行为在患有外化性障碍的青少年和自我报告痛苦程度较高的青少年中更为明显。结论：精神科环境中的青少年，尤其是那些患有物质使用障碍和/或外化性问题的青少年，是需要开展预防工作以降低艾滋病毒感染风险的重要人群。
