Shafer M A, Hilton J F, Ekstrand M, Keogh J, Gee L, DiGiorgio-Haag L, Shalwitz J, Schachter J
Department of Pediatrics, University of California, San Francisco 94143.
Sex Transm Dis. 1993 Nov-Dec;20(6):307-13.
Sexually active adolescents, especially those in detention, are at high risk for acquisition of sexually transmitted diseases (STDs), including HIV infection. Yet little information is available that describes their risk behaviors associated with STDs. The overall objective was to define the relationship between risk behaviors and STD acquisition among adolescents.
The first goal was to characterize drug use and sexual behaviors that place a population of adolescent male detainees at STD/HIV risk. The second goal was to define possible interrelationships between drug use, especially alcohol use, and risky sexual behaviors with STD acquisition.
The study group consisted of 414 adolescent male detainees 12 to 18 years of age who participated in an interview and a clinical assessment. Two hundred sixty-nine of the 414 subjects agreed to STD laboratory tests, including serologic testing for hepatitis B and syphilis, and urethral cultures to screen for chlamydial and gonorrheal urethritis.
Results showed that 15% had current evidence of at least one STD, and 34% had a history or current evidence of at least one STD (STD occurrence). The subjects were frequently engaging in risky sexual and drug use behaviors. Two multivariate models described three factors that significantly place the male adolescent in detention at risk for STDs: multiple sexual partners, inconsistent condom use, and the quantity of alcohol consumed per week.
Youth in detention place themselves at risk for STDs including HIV because of their risky sexual behavior and drug use. Addressing alcohol use and barriers to condom use appear to be essential components of any STD prevention program targeting this largely minority youth population.
性活跃的青少年，尤其是那些被拘留的青少年，感染包括艾滋病毒在内的性传播疾病（STD）的风险很高。然而，关于他们与性传播疾病相关的风险行为的信息却很少。总体目标是确定青少年风险行为与性传播疾病感染之间的关系。
第一个目标是描述使青少年男性被拘留者面临性传播疾病/艾滋病毒风险的吸毒和性行为特征。第二个目标是确定吸毒，尤其是饮酒，与感染性传播疾病的危险性行为之间可能存在的相互关系。
研究组由414名年龄在12至18岁的青少年男性被拘留者组成，他们参与了访谈和临床评估。414名受试者中有269人同意进行性传播疾病实验室检测，包括乙型肝炎和梅毒的血清学检测，以及尿道培养以筛查衣原体和淋菌性尿道炎。
结果显示，15%的人目前有至少一种性传播疾病的证据，34%的人有至少一种性传播疾病的病史或目前有证据（性传播疾病发生率）。这些受试者经常从事危险性行为和吸毒行为。两个多变量模型描述了使被拘留的男性青少年面临性传播疾病风险的三个因素：多个性伴侣、不坚持使用避孕套以及每周饮酒量。
被拘留的青少年由于其危险性行为和吸毒而使自己面临包括艾滋病毒在内的性传播疾病的风险。解决饮酒问题和避孕套使用障碍似乎是针对这一主要为少数族裔青年人群的任何性传播疾病预防计划的重要组成部分。
