巴西接受精神治疗的青年成年人中的艾滋病毒性行为风险
HIV sexual risk behavior among emerging adults in psychiatric treatment in Brazil.
作者信息
Guimarães Mark D C, Elkington Katherine S, Gomes Ana Luiza F M, Veloso Carolina, McKinnon Karen
机构信息
Department of Preventive and Social Medicine, Faculty of Medicine, Federal University of Minas Gerais, Belo Horizonte, Brazil.
HIV Center for Clinical and Behavioral Studies, New York State Psychiatric Institute and Columbia University ,New York, USA.
出版信息
J HIV AIDS Soc Serv. 2014 Oct 2;13(4):451-472. doi: 10.1080/15381501.2013.809042.
HIV infection among young populations is increasing worldwide. Adolescents in mental health treatment have demonstrated higher rates of HIV risk behavior than their peers. This first risk behavior study of youth in psychiatric treatment in Brazil reports findings from a cross-sectional national sample of emerging adult psychiatric patients (18-25 years old). The prevalence of lifetime unprotected sex was 65.9%. Multiple logistic regression indicated that being married/in union; sex under the influence of alcohol/drugs; physical violence; earlier sexual debut; and depressive/substance use disorders were associated with unsafe sex. Interventions and services that address these risks during this critical developmental window are urgently needed.
全球范围内，年轻人群中的艾滋病毒感染率正在上升。接受心理健康治疗的青少年表现出比同龄人更高的艾滋病毒风险行为发生率。这项关于巴西接受精神治疗的青少年的首次风险行为研究报告了来自新兴成年精神病患者（18至25岁）全国横断面样本的研究结果。终生无保护性行为的发生率为65.9%。多元逻辑回归表明，已婚/有伴侣、在酒精/药物影响下发生性行为、身体暴力、初次性行为较早以及抑郁/物质使用障碍与不安全性行为有关。迫切需要在这个关键的发育窗口期开展针对这些风险的干预措施和服务。
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