Sexually transmitted diseases, human immunodeficiency virus, and pregnancy prevention - Combined contraceptive practices among urban African-American early adolescents
Sexually transmitted diseases, human immunodeficiency virus, and pregnancy prevention - Combined contraceptive practices among urban African-American early adolescents
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DOI：
10.1001/archpedi.1996.02170260021003
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发表时间：
1996-01-01
影响因子：
--
通讯作者：
Kaljee, L
中科院分区：
文献类型：
--
作者：
Stanton, BF;Li, X;Kaljee, L
目的：评估教育青少年不仅使用处方避孕药避免怀孕，而且使用安全套避免性传播疾病，包括人类免疫缺陷病毒感染的努力是否成功。方法：对 383 名 9 至 15 岁非裔美国青少年进行纵向研究，参加了一项关于获得性免疫缺陷综合症 (AIDS) 风险降低干预措施的随机对照试验。关于避孕措施的数据是在基线以及 6、12 和 18 个月后使用文化和发育上适当的风险评估工具获得的，该工具由“会说话的”计算机（加利福尼亚州库比蒂诺的 Macintosh Apple Computer Inc）管理。结果：大约四分之三的性活跃青少年在每 6 个月的一轮中使用某种形式的避孕措施，其中几乎一半的青少年使用组合避孕药具。在基线的所有青少年和整个研究期间的对照青少年中，超过一半使用安全套，超过三分之二使用口服避孕药的人也使用安全套。接受艾滋病教育干预与使用更有效的避孕措施（例如避孕套和其他处方或非处方节育方法）有关。接受干预后，80%以上使用口服避孕药的青少年也使用了安全套。避孕措施表现出相当大的稳定性。有关艾滋病的知识呈正相关。结论：许多青少年同时使用安全套和处方避孕药，并且可以通过艾滋病教育干预措施提高这些使用率。
Objectives: To evaluate the success of efforts to educate youth not only to use prescription contraceptives to avoid pregnancy, but also to use condoms to avoid sexually transmitted diseases, including infection with the human immunodeficiency virus.Methods: Longitudinal study of 383 African-American youth aged 9 to 15 years enrolled in a randomized, controlled trial of an acquired immunodeficiency syndrome (AIDS) risk reduction intervention. Data about contraceptive practices were obtained at baseline and 6, 12, and 18 months later using a culturally and developmentally appropriate risk assessment tool administered with ''talking'' computers (Macintosh Apple Computer Inc, Cupertino, Calif).Results: Approximately three fourths of sexually active youth used some form of contraception in each 6-month round, with almost half of the youth using combinations of contraceptives. Among all youth at baseline and among control youth throughout the study, more than half used condoms and more than two thirds who used oral contraceptives also used condoms. Receipt of an AIDS education intervention was associated with use of more effective contraceptive practices (eg, condoms and another prescription or nonprescription method of birth control). After receiving the intervention, more than 80% of the youth who used oral contraceptives also used condoms. Contraceptive practices showed considerable stability. Knowledge about AIDS was positively associated. with use of more effective contraceptive methods.Conclusions: Many youth are using condoms and prescription birth control simultaneously, and these use rates can be increased through AIDS education interventions.