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[加泰罗尼亚青少年学生中与人类免疫缺陷病毒感染相关的危险行为]

[Risk behaviors related with infection by human immunodeficiency virus among adolescent students in Catalonia].

作者信息

Miret M, Rodés A, Valverde G, Geli M, Casabona J

机构信息

Centre d'Estudis Epidemiològics sobre la Sida de Catalunya.

出版信息

Gac Sanit. 1997 Mar-Apr;11(2):66-73. doi: 10.1016/s0213-9111(97)71278-0.

Abstract

OBJECTIVE

To determine the prevalence of HIV-risk behaviours among high-school adolescents, and the association with HIV-related knowledge, attitudes and risk perception.

SUBJECTS AND METHODS

In 1992-93 a questionnaire was administered to the students of a convenience sample of 30 classes, previously to an AIDS education intervention.

RESULTS

1,213 questionnaires corresponding to 12 to 21 years-old respondents were analyzed. The mean age of the sample was 16 years and 61.6% were females. The use of drugs inhibiting the capacity to avoid risk situations was frequent (alcohol: 61.7% and hashish: 11.6%). 18.5% of the respondents were sexually active, of whom 18.1% reported at least one unknown sexual partner during the former year. 3.7% and 9.8% of the sexually active males reported a sexual intercourse with a male or with a prostitute, respectively. Condoms were consistently used by 51.3% of the sexually active students. Knowledge and risk perception were not related to risk behaviours, whereas less positive attitudes towards AIDS information and the HIV-infected were associated with having had intercourse with a high risk partner, and a positive attitude towards condoms was related to consistent use.

CONCLUSIONS

Nearly 20% of school teenagers are sexually active and only half of these always use condoms. This places heterosexual activity as the main potential route for HIV-transmission in this group.

摘要

目的

确定高中青少年中艾滋病病毒危险行为的流行情况,以及与艾滋病相关知识、态度和风险认知的关联。

对象与方法

1992 - 1993年,在一次艾滋病教育干预之前,对30个班级的便利样本学生进行了问卷调查。

结果

分析了1213份对应12至21岁受访者的问卷。样本的平均年龄为16岁,61.6%为女性。频繁使用抑制避免危险情况能力的药物(酒精:61.7%,大麻:11.6%)。18.5%的受访者有性行为,其中18.1%报告在前一年至少有一个性伴侣不明。有性行为的男性中,分别有3.7%和9.8%报告与男性或妓女发生过性行为。51.3%有性行为的学生始终使用避孕套。知识和风险认知与危险行为无关,而对艾滋病信息和艾滋病病毒感染者较不积极的态度与与高危伴侣发生性行为有关,对避孕套的积极态度与始终使用避孕套有关。

结论

近20%的在校青少年有性行为,其中只有一半始终使用避孕套。这使得异性性行为成为该群体中艾滋病病毒传播的主要潜在途径。

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