Substance use and risky sexual behavior among homeless and runaway youth
Substance use and risky sexual behavior among homeless and runaway youth
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DOI：
10.1016/s1054-139x(98)00033-0
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发表时间：
1998-12-01
影响因子：
7.6
通讯作者：
Ennett, ST
中科院分区：
文献类型：
--
作者：
Bailey, SL;Camlin, CS;Ennett, ST
目的：为了（a）描述人类免疫缺陷病毒（HIV）相关的危险行为的无家可归的青年;（B）确定是否物质的使用与危险的性行为在这一人群中，如果是这样的话，（c）探讨这种关系的解释。方法：一个有目的的样本327无家可归的青年（年龄14-21岁）在华盛顿，DC，在1995年和1996年进行了调查。调查项目是改编的成人物质使用和性行为的国家研究中使用的项目和测量全球（一生）和特定事件（最近的性接触）behaviors.Results：与许多合作伙伴的性活动，“生存”的性别，物质的使用是常见的。然而，针头使用是罕见的，并坚持使用避孕套是明显的一半的样本。几乎所有的物质使用和危险性行为的全球措施之间的相关性都具有统计学意义，但只有少数特定事件的相关性是显着的。在最近的性行为中使用避孕套与不使用避孕套有关，但这种关系在多变量模型中消失了。然而，在最后一次接触中使用裂缝与使用避孕套有关;这种关系在多变量模型中仍然显着。缺乏使用安全套的动机，较长的性活动和无家可归的历史，药物依赖的症状，不与合作伙伴讨论艾滋病毒的风险，是女性也与nonuse of convention.Conclusions：无家可归的青年使用安全套，即使在物质使用和随意的性行为。结果表明，预防和有针对性的干预工作对这一人群产生了一些积极影响，但无家可归的年轻妇女需要有针对性的预防。最后，需要进一步的研究来调查在这个样本中观察到的裂缝使用和安全套使用之间的关系。(C)青少年医学协会，1998年。
Purpose: To (a) characterize human immunodeficiency virus (HIV)-related risk behaviors of homeless youth; (b) determine whether substance use is associated with risky sexual behavior in this population; and, if so, (c) explore explanations for this relationship.Methods: A purposive sample of 327 homeless youth (ages 14-21 years) in Washington, DC, were surveyed in 1995 and 1996. Survey items were adapted from items used in a national study of adult substance use and sexual behavior and measured global (lifetime) and event-specific (most recent sexual encounter) behaviors.Results: Sexual activity with many partners, "survival" sex, and substance use were common. However, needle use was rare, and consistent condom use was evident in half the sample. Nearly all correlations between global measures of substance use and risky sex were statistically significant, but only a few of the event-specific correlations were significant. Marijuana use during the most recent sexual encounter was associated with nonuse of condoms, but this relationship disappeared in the multivariate model. However, crack use during the last encounter was associated with condom use; this relationship remained significant in the multivariate model. Lack of motivation to use condoms, longer histories of sexual activity and homelessness, symptoms of drug dependency, not discussing HIV risks with partner, and being female were also associated with nonuse of condoms.Conclusions: Homeless youth do use condoms, even within the context of substance use and casual sex. Results suggest that prevention and targeted intervention efforts have had some positive effect on this population, but young homeless women are in need of targeted prevention. Finally, additional research is needed to investigate the observed relationship between crack use and condom use in this sample. (C) Society for Adolescent Medicine, 1998.