Sexually transmitted infection risk behaviors in rural thai adolescents and young adults: support for sex- and age-specific interventions.

Sexually transmitted infection risk behaviors in rural thai adolescents and young adults: support for sex- and age-specific interventions.
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泰国农村青少年和年轻人的性传播感染风险行为:支持针对性别和年龄的干预措施。

DOI:
10.1097/olq.0b013e31827c5a44
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发表时间:
2013
影响因子:
3.1
通讯作者:
Celentano,DavidD
Celentano,DavidD
中科院分区:
医学4区
文献类型:
--
作者:
Latimore,AmandaD;Aramrattana,Apinun;Sherman,SusanG;Galai,Noya;Srirojn,Bangorn;Thompson,Nick;Ellen,JonathanM;Willard,Nancy;Celentano,DavidD

文献摘要

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对泰国农村青少年和年轻人(14至29岁)的性传播感染(STI)患病率和风险进行了调查。与随意性伴侣发生无保护措施的性行为是感染性传播感染的最大风险,尤其是对较年轻的青少年,饮酒增加了女性感染性传播感染的风险,但对男性没有增加。泰国在过去20年中经历了艾滋病毒感染的显著下降,在最危险人群中观察到的流行率下降幅度最大。1Y3尽管在控制以前的艾滋病毒流行方面取得了显著的预防成功(这在很大程度上要归功于政府发起的全国性教育和预防运动4,5),但人们认为泰国的艾滋病毒流行有卷土重来的可能。艾滋病毒/艾滋病是少女死亡的主要原因,也是青少年男孩和青年男子(15至24岁)的第二大常见死亡原因。2000年至2004年期间,泰国学生中报告的性传播感染(STI)新病例从3%增加到10%。6 .泰国正在经历性规范和性行为方面的文化转变,特别是在青少年和年轻人中。7,8对婚前性行为接受程度的提高,加上青少年和年轻成人中避孕套使用的减少,已被确定为泰国继续成功预防艾滋病毒的威胁之一。1 .这造成了一个新的易感人群,如果泰国要保持其减少艾滋病毒流行的目标,就需要新的预防战略。关于泰国农村地区性传播感染状况的信息有限
Sexually transmitted infection (STI) prevalence and risks in a sample of rural Thai adolescents and young adults (14Y29 years) were examined. Unprotected sex with a casual partner conferred the greatest risk for prevalent STIs, particularly for younger adolescents, and alcohol use increased the STI risk for women but not for men.Thailand has experienced a significant decrease in HIV infection over the past 2 decades, with the greatest reductions in prevalence observed among the most at-risk populations. 1Y3 Despite this notable prevention success in controlling a former HIV epidemic (due, in large part, to the adoption of a government-initiated nationwide education and prevention campaigns4, 5), Thailand’s HIV epidemic is thought to be poised for resurgence. HIV/AIDS is the leading cause of death for adolescent girls and second most common cause of death for adolescent boys and young adult men (15Y24 years). 6 Between 2000 and 2004, new sexually transmitted infection (STI) cases reported among Thai students increased from 3% to 10%. 6 Thailand is experiencing a cultural transition in sexual norms and practices, particularly among adolescents and young adults. 7, 8 An increase in the acceptance of premarital sex coupled with a decrease in condom use among youth and young adults9 has been identified as one of the threats to Thailand’s continued HIV prevention success. 1 This creates an emerging susceptible population, which will require new prevention strategies if Thailand is to maintain its goal of reducing its HIV epidemic. Limited information on the state of STIs in rural areas of Thailand