University of Georgia, Athens, GA 30602-4527, USA.
Public Health Rep. 2010 Sep-Oct;125(5):709-17. doi: 10.1177/003335491012500513.
Despite increasing risk for human immunodeficiency virus (HIV) and other sexually transmitted infections (STIs), few data are available concerning the factors associated with risky sexual behavior among African American young adults who do not attend college. Additionally, the possibility that different risk mechanisms affect men and women remains understudied. This article reports on the risk and protective factors associated with unprotected intercourse and gender differences in these factors' influence among this group. Predictors were derived from ecological and self-regulatory theories of risk behavior.
African Americans aged 18-21 years were recruited via respondent-driven sampling (RDS) from seven contiguous rural counties. Risk and protective factors for unprotected intercourse were analyzed for 214 of 292 participants who reported sexual intercourse during the past three months.
Among sexually active participants, 62.6% used condoms inconsistently. The influence of leaving the parental home, perceived discrimination, risk-taking peers, family relationships, risk-taking propensity, and binge drinking on unprotected intercourse were moderated by gender. Positive attitudes toward condom use were associated with less unprotected intercourse controlling for the influence of risk variables for both men and women.
Men and women have unique STI prevention needs. Additional research addressing these needs is necessary, particularly for rural African American men.
尽管感染人类免疫缺陷病毒（HIV）和其他性传播感染（STIs）的风险不断增加，但关于未上大学的非裔美国青年中与危险性行为相关的因素的数据却很少。此外，不同的风险机制是否会影响男性和女性仍未得到充分研究。本文报告了与无保护性行为相关的风险和保护因素，以及这些因素对该群体中男性和女性的影响的性别差异。预测因子来自风险行为的生态和自我调节理论。
通过 RDS（ respondent-driven sampling）从七个相邻的农村县招募了 18-21 岁的非裔美国人。对 292 名报告过去三个月内有过性行为的参与者中的 214 名参与者进行了无保护性行为的风险和保护因素分析。
在有性行为的参与者中，62.6%的人使用避孕套的方式不一致。离开父母家、感知歧视、冒险同伴、家庭关系、冒险倾向和狂饮对无保护性行为的影响因性别而异。在控制风险变量对男性和女性的影响的情况下，对避孕套使用持积极态度与较少的无保护性行为有关。
男性和女性有独特的性传播感染预防需求。需要针对这些需求进行更多的研究，特别是针对农村地区的非裔美国男性。
