Swenson Rebecca R, Houck Christopher, Sarfati David, Emerson Erin, Donenberg Geri, Brown Larry K
Bradley/Hasbro Children's Research Center of Rhode Island Hospital, Warren Alpert Medical School of Brown University, Coro West Building, Suite 204, One Hoppin Street, Providence, RI, 02903, USA,
J Prim Prev. 2015 Jun;36(3):155-66. doi: 10.1007/s10935-015-0383-6.
Being informed and using positive coping strategies are associated with engaging in health-promoting behaviors. We assessed whether the type of information source about HIV (personal or impersonal) and coping strategies (optimism, avoidance, or emotion-focused) are associated with HIV testing among adolescents attending therapeutic schools. Participants were 417 adolescents, ages 13-19, who attended one of 20 therapeutic day schools for emotionally/behaviorally disordered youth in two US cities (Providence, RI and Chicago, IL) and completed a baseline assessment for an HIV prevention study. Among adolescents in the study, 29% reported having been tested for HIV. Adolescents were more likely to have been tested if they were older, female, Hispanic, identified as non-heterosexual, came from lower SES households, and had recently had unprotected sex. Additionally, youth who endorsed greater use of optimistic thinking and emotion-focused coping, and who reported having been informed about HIV by more personal sources, were also more likely to have been tested for HIV. In a multivariate analysis, having had recent unprotected sex and having more personal sources of information about HIV/AIDS were independently associated with HIV testing. Study findings suggest that, controlling for sociodemographic background, sexual risk behavior, and coping strategy, HIV testing among adolescents with emotional and behavioral problems may be increased when adolescents learn about HIV/AIDS from personal sources such as their healthcare providers, family, and friends.
了解相关信息并采用积极的应对策略与参与促进健康的行为有关。我们评估了关于艾滋病病毒的信息来源类型（个人或非个人）以及应对策略（乐观、回避或聚焦情绪）是否与就读于治疗学校的青少年进行艾滋病病毒检测有关。研究对象为417名年龄在13至19岁之间的青少年，他们就读于美国两个城市（罗德岛州普罗维登斯市和伊利诺伊州芝加哥市）为情绪/行为障碍青少年开设的20所治疗日间学校中的一所，并完成了一项艾滋病病毒预防研究的基线评估。在该研究中的青少年中，29%报告曾接受过艾滋病病毒检测。年龄较大、女性、西班牙裔、自我认同为非异性恋、来自社会经济地位较低家庭且近期有过无保护性行为的青少年更有可能接受检测。此外，更多采用乐观思维和聚焦情绪应对方式以及报告从更多个人来源获得艾滋病病毒相关信息的青少年也更有可能接受艾滋病病毒检测。在多变量分析中，近期有过无保护性行为以及有更多关于艾滋病病毒/艾滋病的个人信息来源与艾滋病病毒检测独立相关。研究结果表明，在控制社会人口学背景、性风险行为和应对策略的情况下，当青少年从医疗保健提供者、家人和朋友等个人来源了解艾滋病病毒/艾滋病时，有情绪和行为问题的青少年的艾滋病病毒检测率可能会提高。
