Knowledge, attitudes, and practices regarding antiretroviral management, reproductive health, sexually transmitted infections, and sexual risk behavior among perinatally HIV-infected youth in Thailand.
Knowledge, attitudes, and practices regarding antiretroviral management, reproductive health, sexually transmitted infections, and sexual risk behavior among perinatally HIV-infected youth in Thailand.
复制标题
DOI：
10.1080/09540121.2014.986046
复制
发表时间：
2015
期刊：
影响因子：
1.7
通讯作者：
Chokephaibulkit K
中科院分区：
文献类型：
--
作者：
Lolekha R;Boon-Yasidhi V;Leowsrisook P;Naiwatanakul T;Durier Y;Nuchanard W;Tarugsa J;Punpanich W;Pattanasin S;Chokephaibulkit K
泰国30%以上的围产期感染艾滋病毒的儿童年龄在12岁及以上。随着这些年轻人变得性活跃，他们有将艾滋病毒传染给伴侣的风险。关于泰国感染艾滋病毒的青年的知识、态度和做法（KAP）的数据有限。因此，我们评估了在泰国曼谷的两家三级医院接受治疗的围产期艾滋病毒感染青年和报告有性危险行为的青年的KAP，并在泰国华富里的一家孤儿院生活。从2010年10月至2011年7月，197名感染艾滋病毒的青年完成了一次计算机辅助的音频自我访谈，以评估他们在抗逆转录病毒（ARV）管理、生殖健康、性危险行为和性传播感染（sti）方面的了解情况。在这项研究中，大多数年轻人正确回答了有关艾滋病毒传播和预防以及定期服用抗逆转录病毒药物的重要性的问题。在这项研究中，一半以上的年轻人缺乏计划生育、生殖健康和性传播感染知识。女孩对安全性行为和危险行为的态度比男孩更恰当。虽然只有5%的青少年报告他们有过性行为，但约有三分之一的人报告有性危险行为（例如，拥有或亲吻男/女朋友或饮用含酒精饮料）。我们发现，安全套使用率低和其他计划生育做法增加了将艾滋病毒和/或性传播疾病传播给性伴侣的风险。需要更多的资源来改善泰国感染艾滋病毒的青年的生殖健康知识和减少危险行为。
More than 30% of perinatally HIV-infected children in Thailand are 12 years and older. As these youth become sexually active, there is a risk that they will transmit HIV to their partners. Data on the knowledge, attitudes, and practices (KAP) of HIV-infected youth in Thailand are limited. Therefore, we assessed the KAP of perinatally HIV-infected youth and youth reporting sexual risk behaviors receiving care at two tertiary care hospitals in Bangkok, Thailand and living in an orphanage in Lopburi, Thailand. From October 2010 to July 2011, 197 HIV-infected youth completed an audio computer-assisted self-interview to assess their KAP regarding antiretroviral (ARV) management, reproductive health, sexual risk behaviors, and sexually transmitted infections (STIs). A majority of youth in this study correctly answered questions about HIV transmission and prevention and the importance of taking ARVs regularly. More than half of the youth in this study demonstrated a lack of family planning, reproductive health, and STI knowledge. Girls had more appropriate attitudes toward safe sex and risk behaviors than boys. Although only 5% of the youth reported that they had engaged in sexual intercourse, about a third reported sexual risk behaviors (e.g., having or kissing boy/girlfriend or consuming an alcoholic beverage). We found low condom use and other family planning practices, increasing the risk of HIV and/or STI transmission to sexual partners. Additional resources are needed to improve reproductive health knowledge and reduce risk behavior among HIV-infected youth in Thailand.