纽约市一家性传播疾病诊所中青少年的艾滋病毒风险行为。

HIV risk behaviors among adolescents at a sexually transmitted disease clinic in New York City.

作者信息

Heffernan R, Chiasson M A, Sackoff J E

机构信息

Bureau of Disease Intervention Research, New York City Department of Health, New York 10013, USA.

出版信息

J Adolesc Health. 1996 Jun;18(6):429-34. doi: 10.1016/1054-139X(95)00277-Y.

DOI:10.1016/1054-139X(95)00277-Y

PMID:8803735

Abstract

PURPOSE

The purpose of this study was to describe human immunodeficiency virus (HIV)-associated risk behaviors among adolescents attending a clinic for the treatment of sexually transmitted disease in New York City.

METHODS

A total of 4,585 volunteers were interviewed and HIV-tested, including 456 adolescents (aged 13-19 years), of whom 220 were women (48%) and 236 men (52%).

RESULTS

Fewer than 1% of the 456 adolescents said they injected drugs. Unprotected vaginal sex was the most common sexual behavior, with 93% of adolescents reporting "always" having vaginal sex, and 57% "rarely or never" using condoms. Anal sex was reported by 18%. Twenty percent of adolescent men had paid for sex, compared to just 1% of women, whereas 3% of men and 4% of women had traded sex for money or drugs. Nine women and three men tested HIV seropositive. All three HIV-positive men reported having had receptive anal sex with men. Among women, HIV seropositivity was most strongly associated with crack cocaine use and trading sex for money or drugs.

CONCLUSIONS

HIV prevalence was high, with most infections owing to sexual transmission rather than intravenous drugs. The increased risk of HIV infection in adolescent women was associated with high-risk sex related to crack use and the exchange of sex for money or drugs.

摘要

目的

本研究旨在描述纽约市一家性传播疾病诊所中青少年人群与人类免疫缺陷病毒（HIV）相关的风险行为。

方法

共对4585名志愿者进行了访谈并进行HIV检测，其中包括456名青少年（年龄在13至19岁之间），其中220名是女性（48%），236名是男性（52%）。

结果

456名青少年中不到1%的人称他们注射毒品。无保护的阴道性行为是最常见的性行为，93%的青少年报告“总是”进行阴道性行为，57%“很少或从不”使用避孕套。18%的人报告有肛交行为。20%的青少年男性曾花钱买性，而女性只有1%，3%的男性和4%的女性曾用性交易换取金钱或毒品。9名女性和3名男性HIV血清检测呈阳性。所有3名HIV阳性男性均报告与男性有过接受性肛交。在女性中，HIV血清阳性与使用强效可卡因以及用性交易换取金钱或毒品的关联最为密切。