Ilegbodu A E, Frank M L, Poindexter A N, Johnson D
Department of Obstetrics and Gynecology, Baylor College of Medicine, Houston, TX 77030.
J Adolesc Health. 1994 Sep;15(6):479-84. doi: 10.1016/1054-139x(94)90495-o.
This article describes the status of HIV infection in an adolescent population attending publicly supported HIV testing clinics in Houston.
Records were reviewed of 4017 teenagers receiving HIV counseling and testing services over a period of three years (January 1990 to December 1992). We analyzed demographic characteristics, risk exposure groups, results of HIV antibody testing, and post-test counseling return rates.
An overall seroprevalence rate of 10.2 per 1000 was observed, with the majority of cases seen among black females. Forty-nine percent of teens with the virus failed to acknowledge a risk factor, but of those who did, male-to-male sexual contact was the most frequently reported. None who tested positive reported injected drug use. The majority of teens tested never returned to obtain their test results and post-test counseling.
In order to reinforce preventive behavior, institutional and other barriers should be examined and priority given to contacting both seropositive and high-risk clients who have sought testing. Interventions that encourage condom use or address sexual behavior may be more beneficial to teens than those that simply focus on drug use.
本文描述了休斯顿公立支持的艾滋病病毒检测诊所中青少年人群的艾滋病病毒感染状况。
回顾了在三年期间（1990年1月至1992年12月）接受艾滋病病毒咨询和检测服务的4017名青少年的记录。我们分析了人口统计学特征、风险暴露群体、艾滋病病毒抗体检测结果以及检测后咨询回访率。
观察到总体血清阳性率为每1000人中有10.2例，大多数病例见于黑人女性。感染病毒的青少年中有49%未承认有风险因素，但在承认有风险因素的青少年中，男男性接触是最常报告的。检测呈阳性的人中无人报告注射吸毒情况。大多数接受检测的青少年从未返回获取检测结果和检测后咨询。
为了加强预防行为，应检查制度和其他障碍，并优先联系寻求检测的血清阳性和高危客户。鼓励使用避孕套或解决性行为问题的干预措施可能比单纯关注吸毒的干预措施对青少年更有益。
