Consultation Center, Department of Psychiatry, Yale University School of Medicine, New Haven, CT, USA.
Am J Public Health. 2013 May;103(5):903-9. doi: 10.2105/AJPH.2012.301005. Epub 2013 Mar 14.
We examined patterns of sexual behavior and risk for sexually transmitted infections (STIs) in young adulthood for Black, Hispanic, and White females.
We used a nationally representative sample of 7015 female young adults from wave III of the National Longitudinal Study of Adolescent Health. Sexual risk items assessed behaviors occurring in the previous 6 years and past year to determine classes of sexual risk and links to STIs in young adulthood.
Latent class analysis revealed 3 sexual risk classes for Black and Hispanic youths and 4 sexual risk classes for White youths. The moderate and high risk classes had the highest probabilities of risky sexual partners, inconsistent condom use, and early age of sexual initiation, which significantly increased odds for STIs compared with recent abstainers.
We found different classes of sexual behavior by race/ethnicity, with Black and Hispanic young women most at risk for STIs in young adulthood. Preventive efforts should target younger adolescents and focus on sexual partner behavior.
我们研究了在青年期，黑人、西班牙裔和白人女性的性行为模式和性传播感染（STI）风险。
我们使用了全国青少年健康纵向研究第三波的 7015 名女性青年的代表性样本。性风险项目评估了过去 6 年和过去 1 年中发生的行为，以确定性风险类别，并确定与青年期 STI 的联系。
潜在类别分析显示，黑人和西班牙裔青年有 3 种性风险类别，而白种青年有 4 种性风险类别。中高风险类别具有最高的风险性行为伙伴、不规律使用避孕套和性初潮年龄的可能性，与最近的禁欲者相比，这显著增加了 STI 的几率。
我们发现了不同种族/族裔的性行为类别，黑人女性和西班牙裔女性在青年期最容易感染 STI。预防措施应针对青少年，并侧重于性伴侣行为。
