Department of Community and Family Health, College of Public Health, University of South Florida, Tampa, Florida 33612, USA.
J Am Coll Health. 2010 Jan-Feb;58(4):337-46. doi: 10.1080/07448480903501780.
To examine sexual health disparities between blacks and whites in a national sample of US college students. PARTICIPANTS AND METHOD SUMMARY: Analyses utilized secondary data from 44,165 nonmarried undergraduates (aged 18-24; M = 20.1) responding to the Spring 2007 American College Health Association-National College Health Assessment; 64% were female and 94.7% were white.
Whites reported more experience in oral and anal sex, were less likely to use condoms for oral, anal, and vaginal sex, and less likely to have been tested for HIV (human immunodeficiency virus) compared with blacks. However, blacks reported more sex partners, lower use of hormonal contraceptives, and higher rates of adverse sexual health outcomes, such as sexually transmitted infections (STIs) and unintended pregnancy. Sexual behaviors and outcomes also varied across gender.
This study highlights a need to increase access to hormonal contraceptives and early STI screening/treatment among blacks, improve HIV testing among whites, and increase condom use promotion for all students.
在美国大学生的全国样本中，调查黑人和白人之间的性健康差异。
分析利用了 2007 年春季美国大学健康协会-全国大学生健康评估中 44165 名未婚本科生（年龄 18-24 岁；M=20.1）的二次数据；64%为女性，94.7%为白人。
与黑人相比，白人报告的口交和肛交经历更多，在口交、肛交和阴道性交中使用避孕套的可能性更小，且艾滋病毒（human immunodeficiency virus）检测的可能性更小。然而，黑人报告的性伴侣更多，激素避孕药的使用率更低，性传播感染（sexually transmitted infections，STIs）和意外怀孕等不良性健康后果的发生率更高。性行为和结果在性别之间也存在差异。
本研究强调需要增加黑人获得激素避孕药和早期性传播感染筛查/治疗的机会，提高白人的 HIV 检测率，并促进所有学生使用避孕套。
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