Adolescent sexuality and the HIV epidemic in Yaounde, Cameroon
Adolescent sexuality and the HIV epidemic in Yaounde, Cameroon
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DOI：
10.1017/s002193200300631x
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发表时间：
2004-09-01
影响因子：
1.5
通讯作者：
Abega, S
中科院分区：
文献类型：
--
作者：
Lydié, N;Robinson, NJ;Abega, S
青少年是许多旨在预防艾滋病毒传播的干预措施的重点。为了使这些干预措施有效，必须了解青少年的性行为。这项研究利用1997年在喀麦隆雅温得收集的数据，分析了年龄在15至24岁之间的426名男子和510名妇女的风险暴露和艾滋病毒流行情况。虽然危险行为似乎在青年男子中更为普遍，但他们的艾滋病毒感染率仍低于1%。相比之下，艾滋病毒在年轻妇女中的流行率很高（7.5%），即使是那些报告性伴侣很少的妇女。性伴侣之间的混合模式，特别是男女之间的年龄差异，似乎不足以解释这些数据中明显的男女艾滋病毒流行率的巨大差异。因此，结果可能是由于年轻妇女比男子更容易感染。这项研究强调，必须加强在青年人中开展预防运动，消除继续阻碍这一群体使用避孕套的障碍。
Adolescents are the focus of many interventions that aim to prevent HIV transmission. In order for these interventions to be effective, it is essential to understand adolescents' sexual behaviour. Using data collected in Yaounde, Cameroon, in 1997, the study analysed risk exposure and HIV prevalence among 426 men and 510 women aged 15-24. Although risky behaviours seem to be more prevalent among young men, their HIV prevalence remains under 1%. In contrast, HIV prevalence is high among young women (7.5%), even those who report having had few sexual partners. Mixing patterns among sexual partners, and especially the age difference between men and women, do not seem to be sufficient to explain the large male-female discrepancy in HIV prevalence that is evident in these data. The results are therefore probably due to a greater susceptibility to infection of young women than men. This study highlights the necessity of reinforcing prevention campaigns among youth and fighting the obstacles that continue to impede the use of condoms in this population.