DiClemente Ralph J, Crittenden Colleen P, Rose Eve, Sales Jessica M, Wingood Gina M, Crosby Richard A, Salazar Laura F
Rollins School of Public Health, Emory University, Atlanta, Georgia 30322, USA.
Psychosom Med. 2008 Jun;70(5):598-605. doi: 10.1097/PSY.0b013e3181775edb.
The HIV epidemic among adolescents in the United States is inherently tied to individual, psychosocial, and cultural phenomena. Expanding intervention development and implementation to incorporate a broader spectrum of determinants of adolescents' sexual risk for sexually transmitted infections (STIs)/HIV acquisition may provide an opportunity to prevent disease transmission more effectively. To address the STI/HIV prevention needs of adolescents, we highlight research assessing adolescents' sexual risk behavior and place the findings in the context of the diverse array of psychosocial factors influencing adolescents. This synthesis provides an opportunity to examine why adolescents engage in risky sexual behavior and to review the effectiveness of theory-based prevention programs. Subsequently, we offer recommendations for improving future programs aimed at reducing the incidence of STI/HIV infection among adolescents.
美国青少年中的艾滋病病毒流行与个人、心理社会和文化现象有着内在联系。扩大干预措施的开发与实施，纳入更广泛的青少年性传播感染（STIs）/感染艾滋病病毒的性风险决定因素，可能会提供一个更有效地预防疾病传播的机会。为满足青少年预防性传播感染/艾滋病病毒的需求，我们着重介绍评估青少年性风险行为的研究，并将研究结果置于影响青少年的各种心理社会因素的背景中。这一综合分析提供了一个契机，来审视青少年为何会从事危险性行为，并回顾基于理论的预防项目的有效性。随后，我们针对改进未来旨在降低青少年性传播感染/艾滋病病毒感染发病率的项目提出建议。
