Scope of HIV risk and co-occurring psychosocial health problems among young adults: violence, victimization, and substance use
Scope of HIV risk and co-occurring psychosocial health problems among young adults: violence, victimization, and substance use
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DOI：
10.1016/j.jadohealth.2004.06.008
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发表时间：
2005-05-01
影响因子：
7.6
通讯作者：
Taylor, SL
中科院分区：
文献类型：
--
作者：
Ellickson, PL;Collins, RL;Taylor, SL
目的：本研究调查了年轻人中性风险与暴力、受害、危险药物使用和毒品相关问题的共存情况。方法：收集了来自加利福尼亚州和俄勒冈州的 3392 名年轻人的数据。作为兰德青少年小组研究的一部分。使用逻辑回归分析来测试高、中、低性风险的参与者总体上以及按性别划分的社会心理健康问题的差异。结果：近 80% 的年轻人表现出一定程度的性风险。中度（56%）和高度（22%）艾滋病毒风险都与多种形式的吸毒、毒品相关问题、暴力和受害有关。男性和女性具有相似的相对风险状况，但女性报告称，遭受伴侣虐待和性胁迫的受害率较高。超过 80% 的高性风险人群至少在其他 2 个领域表现出心理社会健康问题。结论：性冒险行为在年轻人中普遍存在，并且通常与其他心理社会健康问题同时出现。为性风险高的年轻人设计的干预措施应考虑到他们的额外心理社会问题；广泛的媒体宣传活动可能对中等风险的人有用。 (c) 2005 年青少年医学学会。版权所有。
Purpose: This study examines the co-occurrence of sexual risk with violence, victimization, risky substance use, and drug-related problems among young adults.Methods: Data were collected from 3392 young adults drawn from California and Oregon as youth. as part of the RAND adolescent panel study. Logistic regression analyses were used to test differences in psychosocial health problems for participants at high, moderate, and low sexual risk, overall, and by gender.Results: Nearly 80% of young adults exhibited some degree of sexual risk. Both moderate (56%) and high (22%) HIV risks were associated with multiple forms of drug use, drug-related problems, violence and victimization. Males and females had similar relative risk profiles, but females reported hi-her rates of victimization in the form of partner abuse and sexual coercion. Over 80% of those at high sexual risk exhibited psychosocial health problems in at least 2 other areas.Conclusions: Sexual risk-taking is widespread among young adults and typically co-occurs with other psychosocial health problems. Interventions designed for young adults at high sexual risk should take into account their additional psychosocial problems; broad media campaigns may be useful for those at moderate risk. (c) 2005 Society for Adolescent Medicine. All rights reserved.