Department of Health Promotion, Maastricht University, Maastricht, The Netherlands.
AIDS Behav. 2013 Mar;17(3):951-60. doi: 10.1007/s10461-012-0336-5.
A household survey of male and female adolescents was conducted to establish whether orphanhood or other factors contribute to risky sexual behavior. Results show that orphanhood was not associated with risky sexual behavior. Sleeping in a different house from the household head and attending social activities at night were positively associated with sexual activity and transactional sex among boys and girls. Older adolescents were more likely to be sexually active while urban residents, and those who perceived their caregivers as able to provide for their basic needs, were less likely to have ever engaged in sex. Condom use at last sex was associated with older age and having talked with parents/caregivers about sexual risks. Interventions should address these predictors, promote risk reduction among all adolescents irrespective of orphan status, and strengthen parents'/guardians' capacity to discuss sexuality with adolescents and to provide for their basic needs.
对男性和女性青少年进行了一项家庭调查，以确定孤儿身份或其他因素是否会导致危险的性行为。结果表明，孤儿身份与危险的性行为无关。与户主不同住和夜间参加社交活动与男孩和女孩的性活动和交易性性行为呈正相关。年龄较大的青少年更有可能有性行为，而城市居民，以及那些认为照顾者有能力满足他们基本需求的人，不太可能有过性行为。最后一次性行为时使用避孕套与年龄较大以及与父母/照顾者谈论性风险有关。干预措施应针对这些预测因素，促进所有青少年（无论是否为孤儿）减少风险，并加强父母/监护人与青少年讨论性问题和满足他们基本需求的能力。
