Rasamimari A, Dancy B, Smith J
College of Nursing, University of Illinois at Chicago, 845 S. Damen, Chicago, IL 60612, USA.
AIDS Care. 2008 Feb;20(2):181-7. doi: 10.1080/09540120701473831.
The proportion of Thai women infected with HIV is rising. More than 60% of the estimated 70,000 young adults from ages 15 to 24 years who are infected with HIV are females. Furthermore, the ratio of adolescent females aged 15 to 19 years who are infected with HIV is twice that of adolescent males in the same age group (Thai Ministry of Public Health, 2005). A cross-sectional descriptive study identified the specific behaviours and situations placing Thai adolescent females at risk from HIV as perceived by Thai adolescent females aged between 12 and 14 years from public middle schools in Bangkok, Thailand and their mothers. Data were obtained from a demographic questionnaire and four different focus groups (n=40); two focus groups with Thai adolescents (n=20) and two focus groups with their mothers (n=20). Content analysis suggested that the behaviours considered most likely to result in HIV infection of Thai adolescent females were having sex without protection and drug use, and the most likely situations placing them at HIV risk were pubs/bars and boyfriends' or friends' houses when there is no parental or adult supervision. The mothers and daughters reported that HIV/AIDS-prevention programmes should provide education about the causes and dangers of sexually transmitted infections, including HIV/AIDS and prevention strategies. These data laid the foundation for the development of a culturally relevant HIV risk-reduction programme for Thai adolescent females.
泰国感染艾滋病毒的女性比例正在上升。在估计7万名感染艾滋病毒的15至24岁年轻人中,超过60%为女性。此外,15至19岁感染艾滋病毒的青春期女性与同年龄组青春期男性的感染比率为2倍(泰国公共卫生部,2005年)。一项横断面描述性研究确定了泰国曼谷公立中学12至14岁的泰国青春期女性及其母亲所认为的使泰国青春期女性面临艾滋病毒风险的具体行为和情况。数据来自一份人口统计学调查问卷和四个不同的焦点小组(n = 40);两个泰国青少年焦点小组(n = 20)和两个母亲焦点小组(n = 20)。内容分析表明,被认为最有可能导致泰国青春期女性感染艾滋病毒的行为是无保护性行为和吸毒,而使她们面临艾滋病毒风险的最可能情况是在没有父母或成年人监管的酒吧或男朋友或朋友家中。母亲和女儿们报告说,艾滋病毒/艾滋病预防方案应提供有关包括艾滋病毒/艾滋病在内的性传播感染的病因和危险以及预防策略的教育。这些数据为制定针对泰国青春期女性的具有文化相关性的降低艾滋病毒风险方案奠定了基础。