BIOPSYCHOSOCIAL PREDICTORS OF ADOLESCENT SEXUAL BEHAVIOR

性传播疾病（STD）及其异位妊娠后遗症 妊娠和盆腔炎（PID）一直是 被认为是女性不孕症的主要原因。 性 活跃的青少年女性被认为是风险最大的 包括C. trachomatis和N. 淋病 异性恋人群对艾滋病的认识 强调其对年轻人的潜在巨大影响， 子女 知道与性有关的问题，包括 关于初次性行为、避孕、 生育计划，同时 性传播疾病在青少年中的发病率很高， 青少年是目标人群。 此外，随着 估计艾滋病的潜伏期为2-7年或更长， 很明显，许多艾滋病毒感染发生在青春期， 由于20-24奥尔兹艾滋病发病率增加了10倍 与15-19奥尔兹相比。 我们建议研究 青少年性行为的心理相关因素 使她们面临感染性传播疾病风险的拘留 包括艾滋病毒感染。 我们选择了被拘留的年轻人， 他们是最容易感染性病和艾滋病的青少年， 他们的性行为和吸毒行为 我们建议研究：1） 性行为的流行率/模式; 2）横截面 声明的参与预防性措施的意图与 行为和扩展的健康信念模型（HBM）; 3） 陈述意图和自我报告之间的纵向关系 3个月后的实际性行为;和4）独立的 当前STD和HBM以及自身之间的关系 通过筛选研究组报告当前的性行为 性病培养 对这些行为的理解， 相互关系构成了规划干预措施的基础， 这一高风险的年轻人群体。

Sexually transmitted diseases (STDs) and their sequelae of ectopic pregnancy and pelvic inflammatory disease (PID) have been documented as the major cause of female infertility. Sexually active adolescent females are recognized as the most at risk population for PID and STDs including C. trachomatis and N. gonorrhoeae. Recognition of AIDS in the heterosexual population underlines its potentially enormous impact on young adults and their children. Knowing that sexually related issues including decisions regarding sexual debut, contraception, choice of partners and fertility planning in conjunction with the knowledge that high rates of STDs occur among adolescents, it is imperative that the adolescent population is targeted. In addition, with an estimated incubation period from 2-7 years or more for AIDS, it is apparent that many HIV infections occur during adolescence since there is a 10 fold increase in AIDS among 20-24 year olds compared to 15-19 year olds. We propose to examine the psychological correlates of sexual behaviors among youth in detention which place them at risk for acquisition of STDs including HIV infections. We have chosen youth in detention since they are the most at risk youth for STDs and AIDs because of their sexual and drug behaviors. We propose to examine: 1) prevalences/patterns of sexual behaviors; 2) the cross-sectional relationship between stated intent to engage in the preventive behavior and an expanded Health Belief Model (HBM); 3) the longitudinal relationship between stated intent and self report of actual sexual behaviors 3 months later; and 4) the independent relationship between a current STD and the HBM as well as self reported current sexual behaviors by screening the study group with STD cultures. The understanding of these behaviors and interrelationships form the basis for planning interventions with this high risk population of youth.