School of Nursing, University of California, Los Angeles, CA 90095-6919, USA.
J Sex Res. 2009 Sep-Oct;46(5):483-93. doi: 10.1080/00224490902846495.
Rising rates of heterosexually transmitted HIV among youth and young adults, particularly from ethnic minorities, create an urgent need to understand risk factors and perceptions of risk within the context of couple relationships. This study examined reports of young mothers and fathers (predominantly Latino) about background characteristics, relationship quality and length, HIV-related risk factors, and perceptions of partners' behaviors and personal history. Higher concordance was found for relationship characteristics and partners' personal history (e.g., incarceration) than on shared sexual behaviors. Most males and females stated that they were monogamous; however, those whose partners reported concurrency were unaware of this. Many were unaware of their partners' HIV testing status. Relationship quality was higher when females accurately perceived their partners' self-reported HIV-related risk behaviors. Length of the relationship did not influence concordance. Findings support the need for HIV prevention programs to promote open discussion about condom use and HIV testing within sexual partnerships.
青少年和青年成年人中异性传播的 HIV 感染率不断上升,尤其是少数民族群体,这迫切需要在伴侣关系的背景下了解风险因素和风险认知。本研究调查了年轻母亲和父亲(主要是拉丁裔)对背景特征、关系质量和关系持续时间、与 HIV 相关的风险因素以及对伴侣行为和个人史的看法的报告。在关系特征和伴侣的个人史(例如,监禁)方面,一致性更高,而在共享性行为方面则较低。大多数男性和女性表示他们是一夫一妻制的;然而,那些报告存在性伴多性伴的人并不知道这一点。许多人不知道他们伴侣的 HIV 检测状况。当女性准确地感知到伴侣自我报告的与 HIV 相关的风险行为时,关系质量更高。关系持续时间并不影响一致性。研究结果支持需要开展 HIV 预防计划,以促进在性伴侣关系中就避孕套使用和 HIV 检测进行公开讨论。