Duong Cong Thanh, Nguyen Tran Hien, Hoang Thi Thanh Ha, Nguyen Van Vi, Do Thi Minh Nguyet, Pham Van Han, Detels Roger
National Institute of Hygiene and Epidemiology, No. 1, Yersin Street, Ha Noi 10000, Vietnam.
AIDS Behav. 2008 Jul;12(4):643-51. doi: 10.1007/s10461-007-9265-0. Epub 2007 Jul 18.
The risk of the HIV epidemic spreading from high-risk groups to the general population in Vietnam depends on sexual risk and bridging behaviors between high- and low-risk individuals. A cross-sectional study was used to describe sexual activities of youth aged 18-29 years. Nearly half (41.4%) were sexually active. Premarital sex was reported by 43.3% of them; 78.3% of sexually active males and 13.5% of sexually active females. Multiple sex partners were reported by 31.0%; 56.7% of males and 9.2% of females. Almost 27% of males and 5% of females engaged in sexual bridging behaviors. Being unmarried was significantly associated with having sex with non-regular partners. Being unmarried and early age at first intercourse were associated with having sex with a sex worker. Consistent condom use was high with commercial sex workers but low with regular partners. Education to delay early sexual debut, increased employment, and strategies to inform young sexually active people to adopt safer behaviors are urgently needed.
在越南，艾滋病毒疫情从高危人群传播至普通人群的风险取决于性风险以及高危与低危个体之间的桥梁行为。一项横断面研究用于描述18至29岁青年的性活动。近半数（41.4%）有性活动。其中43.3%报告有婚前性行为；性活跃男性中有78.3%，性活跃女性中有13.5%。31.0%报告有多个性伴侣；男性中有56.7%，女性中有9.2%。近27%的男性和5%的女性有性桥梁行为。未婚与与非固定伴侣发生性行为显著相关。未婚和初次性交年龄早与与性工作者发生性行为有关。与商业性工作者发生性行为时避孕套的持续使用率较高，但与固定伴侣发生性行为时使用率较低。迫切需要开展教育以推迟过早的首次性行为、增加就业，并制定策略告知年轻性活跃人群采取更安全的行为。
