Johnson E H, Jackson L A, Hinkle Y, Gilbert D, Hoopwood T, Lollis C M, Willis C, Gant L
Department of Family Medicine, Morehouse School of Medicine, Atlanta, Georgia 30331-2099.
J Natl Med Assoc. 1994 Oct;86(10):745-59.
A sample of African-American and white young adults were classified as having multiple sex partners or one sexual partner. Subjects with multiple sexual partners were more likely to use drugs and practice risky sexual behaviors such as having anal intercourse, having sexual experiences with a prostitute, and having a history of gonorrhea (P < .001) and genital warts (P < .01). Additional analyses were conducted to determine African-American versus white differences in risky sexual behaviors. Results indicated that whites in the multiple partners and single partner groups were more likely to engage in anal and oral sex, while African Americans were more likely to have sex with prostitutes. Attitudes about the use of condoms differed significantly by multiple partner status (P < .004) and gender (P < .007), but not ethnicity. However, angry reactions about the use of condoms occurred more with African Americans (P < .003) and males (P < .05) than with whites or females. While whites reported a greater use of drugs and a significantly higher level of knowledge about HIV/AIDS, African Americans reported a significantly greater perception of risk for being exposed to human immunodeficiency virus (HIV)/acquired immunodeficiency syndrome (AIDS) (P < .01) and significantly more gonorrhea (P < .10), syphilis (P < .05), and HIV/AIDS (P < .05). No whites in our sample were treated for syphilis nor had they tested positive for HIV/AIDS. On the other hand, 4.5% of the total sample of African Americans reported testing positive for HIV/AIDS. Finally, the results from discriminant analysis indicate that a large number of variables significantly discriminate between subjects who engage in risky sexual behaviors and those who do not. Although there is some similarity in the variables for African Americans and whites, there was tremendous variability between the ethnic groups in the factors that predict risky behaviors. These findings are discussed with reference to the need to develop HIV/AIDS prevention programs for African Americans that are based on data derived from African-American populations rather than from black versus white comparison studies.
选取了一组非裔美国人和白人青年作为样本，将他们分为有多个性伴侣或只有一个性伴侣两类。有多个性伴侣的受试者更有可能吸毒并实施危险的性行为，如肛交、与妓女发生性经历以及有淋病病史（P < 0.001）和尖锐湿疣病史（P < 0.01）。进行了进一步分析以确定非裔美国人和白人在危险性行为方面的差异。结果表明，在有多个性伴侣和只有一个性伴侣的群体中，白人更有可能进行肛交和口交，而非裔美国人则更有可能与妓女发生性关系。对使用避孕套的态度因性伴侣数量状态（P < 0.004）和性别（P < 0.007）存在显著差异，但与种族无关。然而，非裔美国人（P < 0.003）和男性（P < 0.05）对使用避孕套的愤怒反应比白人和女性更多。虽然白人报告吸毒更多且对艾滋病毒/艾滋病的了解程度显著更高，但非裔美国人报告感染人类免疫缺陷病毒（HIV）/获得性免疫缺陷综合征（AIDS）的风险感知显著更高（P < 0.01），淋病（P < 0.10）、梅毒（P < 0.05）和艾滋病毒/艾滋病（P < 0.05）的发病率也显著更高。在我们的样本中，没有白人接受过梅毒治疗，也没有白人艾滋病毒/艾滋病检测呈阳性。另一方面，非裔美国人总样本中有4.5%报告艾滋病毒/艾滋病检测呈阳性。最后，判别分析结果表明，大量变量能够显著区分从事危险性行为的受试者和不从事危险性行为的受试者。尽管非裔美国人和白人的变量存在一些相似之处，但在预测危险行为的因素方面，不同种族群体之间存在巨大差异。针对基于非裔美国人而非黑人和白人比较研究得出的数据为非裔美国人制定艾滋病毒/艾滋病预防项目的必要性，对这些发现进行了讨论。
