Risky behaviour in Jamaican adolescent patients attending a sexually transmitted disease clinic.
Risky behaviour in Jamaican adolescent patients attending a sexually transmitted disease clinic.
复制标题
牙买加青少年患者在性传播疾病诊所就诊时的危险行为。
作者：
M. Smikle;G. Dowe;T. Hylton;E. Williams;M. Baum
对在牙买加一家性病诊所就诊的165名青少年的性传播疾病(STD)患病率和危险行为模式进行了研究。应用标准化的结构问卷、性病的临床算法以及艾滋病毒和梅毒感染的血清学测试。危险行为的发生率很高，包括开始性行为的年龄很小，特别是男孩(平均年龄12.5±-2.5岁)；无保护的性行为(只有4%的人坚持使用避孕套)；多性伴(男孩和女孩的平均年龄分别为3.8+/-2.4和1.8+/-1.2)。60%的男孩使用大麻，是排尿困难的独立危险因素(调整后的优势比(OR)为2.0；95%的可信区间为1.6-3.4)。反复出现性传播疾病(33%)、合并HIV感染(1.2%)、梅毒(1.2%)和少女怀孕(13%)是突出表现。促进早年行为干预、频繁和持续使用避孕套、禁欲或延迟开始性行为的教育战略，对于降低牙买加青少年的艾滋病毒/艾滋病和性传播疾病风险至关重要。
The prevalence of sexually transmitted diseases (STD) and risky behaviour patterns were studied in 165 adolescents attending a STD clinic in Jamaica. A standardised structured questionnaire, clinical algorithms for STD and serological tests for HIV and syphilitic infection were applied. High prevalences of risky behaviour including young age at onset of sexual activity, especially in boys, (mean age 12.5 +/- 2.5 years); unprotected sexual intercourse (only 4% used condoms consistently); multiple sexual partners (mean 3.8 +/- 2.4 and 1.8 +/- 1.2 for boys and girls, respectively) were found. Marijuana, used by 60% of the boys, was an independent risk factor for dysuria (adjusted Odds Ratio (OR), 2.0; 95% CI, 1.6-3.4). Repeated episodes of STD (33%), coinfection with HIV (1.2%), syphilis (1.2%) and teenage pregnancy (13%) were prominent findings. Educational strategies which promote behaviour intervention at an early age, frequent and consistent use of condoms, abstinence or delayed onset of sexual activity are essential to reducing the HIV/AIDS and STD risk in adolescents in Jamaica.