Sexual Risk Behaviors Among Black and Puerto Rican Women in Their Late Thirties: A Brief Report.
Sexual Risk Behaviors Among Black and Puerto Rican Women in Their Late Thirties: A Brief Report.
复制标题
三十多岁的黑人和波多黎各妇女的性危险行为：简短报告。
DOI：
10.1007/s10903-019-00877-7
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发表时间：
2019
影响因子：
1.9
通讯作者：
Winters,Jewel
中科院分区：
文献类型：
--
作者：
Pahl,Kerstin;Lee,JungYeon;Capasso,Ariadna;Lekas,Helen-Maria;Brook,JudithS;Winters,Jewel
在纽约市，超过90%的新诊断为人类免疫缺陷病毒(HIV)的妇女是黑人和拉丁裔；这些感染中有四分之一发生在30-39岁的人群中。对343名黑人和波多黎各妇女(2014-2016)进行了一项调查，以检查两个艾滋病毒感染风险因素：关系排他性和儿童期性虐待(CSA)。大多数男性伴侣(69.7%)至少有一次艾滋病毒传播的风险。非排他性关系(NESR)中的女性拥有风险更高的伴侣，但与ESRS中的女性相比，她们从事的性行为更安全。在ESRS中，三分之二的女性(64.8%)报告说没有保护措施的阴道性交，尽管33.5%的女性有性关系史。在nESR中，有过环孢素A经历的女性是艾滋病毒感染的强烈风险因素。黑人和拉丁裔女性对艾滋病毒感染的脆弱性很大，即使是在排他性关系中也是如此。更安全的性行为咨询应该与初级保健结合起来。
In New York City, over 90% of women newly diagnosed with human immunodeficiency virus (HIV) are Black and Latina; a quarter of these infections occur among 30–39 year-olds. A survey was administered to 343 Black and Puerto Rican women (2014–2016) to examine two HIV infection risk factors: relationship exclusivity and having experienced childhood sexual abuse (CSA). A majority of male partners (69.7%) had at least one risk for HIV transmission. Women in non-exclusive sexual relationships (nESRs) had higher-risk partners, but engaged in safer sex practices than those in ESRs. Two-thirds of women in ESRs (64.8%) reported unprotected vaginal intercourse, although 33.5% had partners with a history of concurrent relationships. Among women in nESRs, having experienced CSA was a strong risk factor for HIV infection. Black and Latina women’s vulnerability to HIV infection is significant, even when in exclusive relationships. Safer sex counseling should be integrated in primary care.