MMWR Morb Mortal Wkly Rep. 2012 Apr 6;61(13):222-8.
In the United States, 46% of high school students have had sexual intercourse and potentially are at risk for human immunodeficiency virus (HIV) infection, other sexually transmitted diseases (STDs), and pregnancy. The National HIV/AIDS Strategy for the United States recommends educating young persons about HIV before they begin engaging in behaviors that place them at risk for HIV infection. The Community Preventive Services Task Force (CPSTF) also recommends risk reduction interventions to prevent HIV, other STDs, and pregnancy among adolescents. To estimate changes in the percentage of secondary schools that teach specific HIV, other STD, and pregnancy risk reduction topics, a key intervention consistent with those supported by the National HIV/AIDS Strategy and CPSTF, CDC analyzed 2008 and 2010 School Health Profiles data for public secondary schools in 45 states. This report summarizes the results of those analyses, which indicated that in 2010, compared with 2008, the percentage of secondary schools teaching 11 topics on HIV, other STD, and pregnancy prevention in a required course in grades 6, 7, or 8 was significantly lower in 11 states and significantly higher in none; the percentage of secondary schools teaching eight topics in a required course in grades 9, 10, 11, or 12 was significantly lower in one state and significantly higher in two states; and the percentage of secondary schools teaching three condom-related topics in a required course in grades 9, 10, 11, or 12 was significantly lower in eight states and significantly higher in three states. Secondary schools can increase efforts to teach all age-appropriate HIV, other STD, and pregnancy prevention topics to help reduce risk behaviors among students.
在美国,46%的高中生有过性行为,因此可能面临人类免疫缺陷病毒(HIV)感染、其他性传播疾病(STDs)和怀孕的风险。美国国家 HIV/AIDS 战略建议在年轻人开始从事可能导致 HIV 感染的行为之前,对他们进行 HIV 相关教育。社区预防服务工作组(CPSTF)也建议采取减少风险的干预措施,以预防青少年感染 HIV、其他 STD 和怀孕。为了评估教授特定 HIV、其他 STD 和妊娠风险减少主题的中学比例的变化,美国疾病控制与预防中心(CDC)分析了 45 个州公立中学的 2008 年和 2010 年学校健康概况数据,这是一项符合国家 HIV/AIDS 战略和 CPSTF 支持的关键干预措施。本报告总结了这些分析的结果,结果表明,与 2008 年相比,2010 年 11 个州教授 6、7 或 8 年级必修课程中 HIV、其他 STD 和妊娠预防 11 个主题的中学比例显著下降,而没有任何一个州显著上升;一个州教授 9、10、11 或 12 年级必修课程中 8 个主题的中学比例显著下降,两个州显著上升;8 个州教授 9、10、11 或 12 年级必修课程中与避孕套相关的 3 个主题的中学比例显著下降,3 个州显著上升。中学可以加大力度教授所有适合年龄的 HIV、其他 STD 和妊娠预防主题,以帮助减少学生的风险行为。