The State of the Union: Sexual Health Disparities in a National Sample of US College Students

The State of the Union: Sexual Health Disparities in a National Sample of US College Students
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DOI:
10.1080/07448480903501780
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发表时间:
2010-01-01
影响因子:
2.4
通讯作者:
Hoban, Mary T.
Hoban, Mary T.
中科院分区:
医学4区
文献类型:
--
作者:
Buhi, Eric R.;Marhefka, Stephanie L.;Hoban, Mary T.

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目的:研究美国大学生全国样本中黑人和白人之间的性健康差异。参与者和方法总结:分析利用了44,165名未婚大学生(年龄18-24岁; M 20.1)的二次数据,这些学生对2007年春季美国大学健康协会-国家大学健康评估做出了回应; 64%为女性,94.7%为白色。结果如下:与黑人相比,白人报告的口交和肛交经验更多,在口交、肛交和阴道性交时使用避孕套的可能性较小,接受艾滋病毒(人类免疫缺陷病毒)检测的可能性较小。然而,黑人报告了更多的性伴侣,激素避孕药的使用率较低,以及不良性健康结果的发生率较高,如性传播感染(STI)和意外怀孕。性行为和结果也因性别而异。结论:这项研究强调,需要增加获得激素避孕药和早期性传播感染筛查/治疗的黑人,改善白人艾滋病毒检测,并增加使用避孕套的宣传所有学生。
Objective: To examine sexual health disparities between blacks and whites in a national sample of US college students. Participants and Method Summary: Analyses utilized secondary data from 44,165 nonmarried undergraduates (aged 18-24; M 20.1) responding to the Spring 2007 American College Health Association-National College Health Assessment; 64% were female and 94.7% were white. Results: Whites reported more experience in oral and anal sex, were less likely to use condoms for oral, anal, and vaginal sex, and less likely to have been tested for HIV (human immunodeficiency virus) compared with blacks. However, blacks reported more sex partners, lower use of hormonal contraceptives, and higher rates of adverse sexual health Outcomes, Such as sexually transmitted infections (STIs) and unintended pregnancy. Sexual behaviors and outcomes also varied across gender. Conclusions: This study highlights a need to increase access to hormonal contraceptives and early STI screening/treatment among blacks, improve HIV testing among whites, and increase condom use promotion for all students.