贡德尔镇街头青少年中艾滋病毒/艾滋病危险性行为的高流行率：一项基于社区的横断面研究。
High prevalence of HIV/AIDS risky sexual behaviors among street youth in Gondar town: a community based cross sectional study.
作者信息
Tadesse Negash, Awoke Ayele Tadesse, Birhanu Mengesha Zelalem, Addis Alene Kefyalew
出版信息
BMC Res Notes. 2013 Jun 15;6:234. doi: 10.1186/1756-0500-6-234.
BACKGROUND
Street youth are vulnerable to HIV/AIDS and all kinds of health risks. This study assessed HIV/AIDS risky sexual behaviors and its predictors among street youth in Gondar town, Northwest Ethiopia.
METHODS
A community based cross sectional study was conducted on 467 street youth living in Gondar town. A pre tested and structured questionnaire via interview was used to collect data. Logistic regression analysis was used to identify predictors. Odds ratio with 95% CI was computed to assess the strength of associations.
RESULTS
A total of 288 (61.7%) respondents had sexual intercourse in their life time. Among these 264 (91.7%) had more than one lifetime sexual partners. In addition, 80.5% of them used condom inconsistently in the last 12 months. Khat chewing was found to be predictor of having multiple sexual partners. Rural former residence and longer duration of stay on the street are also identified as predictors of inconsistent condom use.
CONCLUSION
High prevalence of HIV/AIDS risky sexual behaviors were observed among street youth in Gondar town. Interventions aimed at reducing sexual risky behaviors among street youth should focus on reducing the duration of stay on the street and chat chewing.
背景
街头青少年易感染艾滋病毒/艾滋病及面临各种健康风险。本研究评估了埃塞俄比亚西北部贡德尔镇街头青少年中艾滋病毒/艾滋病的危险性行为及其预测因素。
方法
对居住在贡德尔镇的467名街头青少年进行了一项基于社区的横断面研究。通过访谈使用预先测试和结构化的问卷收集数据。采用逻辑回归分析来确定预测因素。计算比值比及95%置信区间以评估关联强度。
结果
共有288名（61.7%）受访者有过性行为。其中，264名（91.7%）有不止一个性伴侣。此外，80.5%的人在过去12个月中未持续使用避孕套。发现咀嚼恰特草是有多个性伴侣的预测因素。农村原籍及在街上停留时间较长也被确定为未持续使用避孕套的预测因素。
结论
贡德尔镇街头青少年中艾滋病毒/艾滋病危险性行为的患病率较高。旨在减少街头青少年性危险行为的干预措施应侧重于减少在街上的停留时间和咀嚼恰特草行为。
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