Duke Global Health Institute, Duke University, 310 Trent Drive, Room 239, Trent Hall, Durham, NC 27710, USA.
AIDS Behav. 2011 Aug;15(6):1264-74. doi: 10.1007/s10461-010-9823-8.
Associations between individual- and family-level psychosocial factors and sexual behavior were examined among 325 adolescents ages 10-18 in rural Kenya. History of sexual activity was reported by 51% of males and 30% of females. Among those reporting sex within the past year, 64% of males and 32% of females had multiple partners; 85% of males and 54% of females reported not using a condom at last sex. Multivariate logistic regression modeling demonstrated sexually active adolescents were significantly more likely to be older, male, more accepting of risky behavior, and have greater perceived HIV risk, caregiver social support, social support related to HIV, and emotional problems. Youths reporting high-risk behavior (unprotected sex or multiple partners) were significantly more likely to be younger, male, and have lower sex-related self-efficacy, lower caregiver monitoring, and more externalizing problems. Future studies should evaluate HIV prevention interventions targeting improvements in mental health and family relationships.
在肯尼亚农村地区，对 325 名年龄在 10-18 岁的青少年进行了个体和家庭心理社会因素与性行为之间关系的研究。51%的男性和 30%的女性报告有过性活动史。在过去一年中有过性行为的人中，64%的男性和 32%的女性有多个性伴侣；85%的男性和 54%的女性报告上次性行为没有使用安全套。多变量逻辑回归模型表明，有过性行为的青少年更有可能年龄较大、男性、更接受冒险行为、对 HIV 的风险感知更大、照顾者的社会支持、与 HIV 相关的社会支持以及情绪问题。报告高危行为（无保护性行为或多个性伴侣）的青少年更年轻、男性、性相关自我效能感较低、照顾者监测较少、外化问题较多。未来的研究应该评估针对改善心理健康和家庭关系的 HIV 预防干预措施。
