Substance use and other risk factors for unprotected sex: results from an event-based study of homeless youth.
Substance use and other risk factors for unprotected sex: results from an event-based study of homeless youth.
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DOI：
10.1007/s10461-011-0017-9
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发表时间：
2012-08
影响因子：
4.4
通讯作者：
Zhou, Annie
中科院分区：
文献类型：
--
作者：
Tucker, Joan S.;Ryan, Gery W.;Golinelli, Daniela;Ewing, Brett;Wenzel, Suzanne L.;Kennedy, David P.;Green, Harold D., Jr.;Zhou, Annie
本研究采用事件为基础的方法，了解安全套的使用概率样本的309无家可归的青年从服务和街道站点在洛杉矶县招募。当性行为之前使用硬性药物，关系严重，合作伙伴谈论“退出”，或在非私人场所发生性行为时，使用安全套的可能性显着降低（当性行为之前酗酒，或伴侣关系是一夫一妻制或虐待时，使用安全套的可能性略低）。当年轻人对安全套持积极态度或担心怀孕、伴侣谈论安全套使用以及伴侣偶然相遇时，安全套使用的可能性明显更大。这项研究扩展了以前的工作，同时检查了广泛的个人，关系和背景因素，可能会在安全套的使用中发挥作用。结果确定了一些可操作的目标，旨在减少艾滋病毒/性传播感染的传播和无家可归的青年怀孕的风险方案。
This study used an event-based approach to understand condom use in a probability sample of 309 homeless youth recruited from service and street sites in Los Angeles County. Condom use was significantly less likely when hard drug use preceded sex, the relationship was serious, the partners talked about “pulling out”, or sex occurred in a non-private place (and marginally less likely when heavier drinking preceded sex, or the partnership was monogamous or abusive). Condom use was significantly more likely when the youth held positive condom attitudes or were concerned about pregnancy, the partners talked about condom use, and the partners met up by chance. This study extends previous work by simultaneously examining a broad range of individual, relationship, and contexual factors that may play a role in condom use. Results identify a number of actionable targets for programs aimed at reducing HIV/STI transmission and pregnancy risk among homeless youth.
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