Musumari Patou Masika, Tangmunkongvorakul Arunrat, Srithanaviboonchai Kriengkrai, Manoyosa Veruree, Tarnkehard Surapee, Techasrivichien Teeranee, Suguimoto S Pilar, Ono-Kihara Masako, Kihara Masahiro, Chariyalertsak Suwat
Southeast Asian J Trop Med Public Health. 2017 Jan;48(1):213-26.
Out-of-school youth in Thailand engage in risky sexual behavior that puts them at risk for contracting HIV infection and can have other negative sexual reproductive health outcomes. No study has examined risky sexual behaviors and compared them between Thai and non-Thai out-of-school youth. The current study compares sexual risk behavior and HIV testing behavior between out-of-school Thai and non-Thai youth. We conducted face-to-face interviews in this study population in urban Chiang Mai during 2014. Participants were recruited through convenience sampling from two main sources: non-formal education centers (NFECs) and social meeting places. We recruited 924 youth, aged 15-24 years, of whom 424 (45.9%) were Thai and 500 (54.1%) were non-Thai. The majority were attending NFECs (82.3%). Of the sexually experienced participants (57.7%), 75.4% did not use condoms consistently, and 50.3% had at least 2 lifetime sexual partners. Among the study participants, the Thai studied youth had significantly higher odds of ever having had sex (AOR=2.33; 95% CI: 1.56-3.49; p<0.001), having an earlier sexual debut (AOR=5.52; 95% CI: 2.71-11.25; p<0.001) and having a larger number of lifetime sexual partners (AOR=2.31; 95% CI: 1.37-3.88; p=0.002) than non-Thai participants. There was no significant difference between the Thai and non-Thai participants in terms of having HIV testing. The Thai studied youth were more likely to engage in risky sexual behavior than the non-Thai youth. However, both groups displayed risky sexual behaviors. Future research should explore indepth the drivers of risky sexual behaviors among both Thai and non-Thai youth.
泰国的失学青年会从事危险的性行为，这使他们面临感染艾滋病毒的风险，并且可能导致其他负面的性生殖健康后果。此前尚无研究对泰国和非泰国失学青年的危险行为进行考察和比较。本研究对泰国和非泰国失学青年的性风险行为及艾滋病毒检测行为进行了比较。2014年期间，我们在清迈市区的这一研究人群中开展了面对面访谈。参与者通过便利抽样从两个主要来源招募：非正规教育中心和社交场所。我们招募了924名年龄在15至24岁之间的青年，其中424名（45.9%）是泰国人，500名（54.1%）是非泰国人。大多数人就读于非正规教育中心（82.3%）。在有性经历的参与者中（57.7%），75.4%未始终坚持使用避孕套，50.3%一生至少有2个性伴侣。在研究参与者中，泰国青年比非泰国青年有过性行为（调整后比值比[AOR]=2.33；95%置信区间[CI]：1.56 - 3.49；p<0.001）、首次性行为更早（AOR=5.52；95% CI：2.71 - 11.25；p<0.001）以及一生性伴侣数量更多（AOR=2.31；95% CI：1.37 - 3.88；p=0.002）的几率显著更高。在艾滋病毒检测方面，泰国和非泰国参与者之间没有显著差异。泰国青年比非泰国青年更有可能从事危险的性行为。然而，两组都表现出危险的性行为。未来的研究应深入探讨泰国和非泰国青年中危险性行为的驱动因素。
