Substance use, violence experiences, and mental health issues: are these health risks associated with HIV testing among sexually experienced U.S. high school students?
Substance use, violence experiences, and mental health issues: are these health risks associated with HIV testing among sexually experienced U.S. high school students?
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DOI：
10.1080/09540121.2019.1619666
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发表时间：
2019-09
期刊：
影响因子：
1.7
通讯作者：
Steiner RJ
中科院分区：
文献类型：
--
作者：
Pampati S;Lowry R;Steiner RJ
艾滋病毒检测是预防艾滋病毒的一项重要战略，但在有性经验的青少年中进行检测并非最佳选择。本研究的目的是检查与物质使用，暴力，心理健康和自杀以及接受测试有关的风险行为和经历之间的关联。我们分析了2017年全国青年风险行为调查的横截面数据，这是美国9-12年级高中生的全国代表性样本。分析仅限于有性经验的参与者（n = 5，192）。衡量标准包括与药物使用、暴力、心理健康和自杀有关的九项指标。计算每个指标的未经调整和调整的患病率，以检查与检测的关联。调整模型控制同性性行为，性风险和人口统计学特征。艾滋病毒检测率为17.2%。在调整后的模型中，强迫性交，注射毒品，其他非法药物的使用，以及持续的悲伤或绝望的感觉与测试的可能性较高。在这一有性经历的样本中，艾滋病毒检测的流行率很低。一些可能表明艾滋病毒风险的行为和经历，包括性约会暴力和处方阿片类药物滥用，与测试无关。
HIV testing is a critical strategy for prevention of HIV yet testing among sexually experienced adolescents is sub-optimal. The purpose of this study is to examine associations between risk behaviors and experiences related to substance use, violence, and mental health and suicide and receipt of testing. We analyzed cross-sectional data from the 2017 national Youth Risk Behavior Survey, a nationally representative sample of U.S. high school students in grades 9–12. Analyses were limited to sexually experienced participants (n = 5,192). Measures included nine indicators related to substance use, violence, and mental health and suicide. Unadjusted and adjusted prevalence ratios were calculated for each indicator to examine associations with testing. Adjusted models controlled for same-sex sexual behavior, sexual risk, and demographic characteristics. Prevalence of HIV testing was 17.2%. In adjusted models, forced sexual intercourse, injection drug use, other illicit drug use, and persistent feelings of sadness or hopelessness were associated with a higher likelihood of testing. Prevalence of HIV testing in this sexually experienced sample was low. Some behaviors and experiences that may be indicative of HIV risk, including sexual dating violence and prescription opioid misuse, were not associated with testing.
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影响因子：
1.6
作者：
Crosby, Richard A;Miller, Kim H;Noland, Melody
通讯作者：
Noland, Melody
影响因子：
7.6
作者：
Lowry, Richard;Crosby, Alexander E.;Kann, Laura
通讯作者：
Kann, Laura
影响因子：
8
作者：
Flynn, Patricia M.;Aldrovandi, Grace M.;Schutze, Gordon E.
通讯作者：
Schutze, Gordon E.
影响因子：
12.7
作者：
LOWRY, R;HOLTZMAN, D;KOLBE, LJ
通讯作者：
KOLBE, LJ
DOI：
10.15585/mmwr.ss6708a1
发表时间：
2018-06-15
期刊：
Morbidity and mortality weekly report. Surveillance summaries (Washington, D.C. : 2002)
影响因子：
--
作者：
Kann L;McManus T;Harris WA;Shanklin SL;Flint KH;Queen B;Lowry R;Chyen D;Whittle L;Thornton J;Lim C;Bradford D;Yamakawa Y;Leon M;Brener N;Ethier KA
通讯作者：
Ethier KA