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首页> 美国卫生研究院文献>other >I Feel Like I’m Carrying a Weapon. Information and Motivations Related to Sexual Risk Among Girls With Perinatally-Acquired HIV
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I Feel Like I’m Carrying a Weapon. Information and Motivations Related to Sexual Risk Among Girls With Perinatally-Acquired HIV

机译：我觉得我正在携带武器。易受普遍获得的艾滋病毒的女孩与性风险有关的信息和动机

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Some adolescent girls perinatally infected with HIV (PIH) engage in sexual behavior that poses risks to their own well-being and that of sexual partners. Interventions to promote condom use among girls PIH may be most effective if provided prior to first sexual intercourse. With in-depth interviews, we explored gender- and HIV-specific informational and motivational factors that might be important for sexual risk reduction interventions designed to reach U.S. girls PIH before they first engage in sexual intercourse. Open-ended interview questions and vignettes were employed. The Information-Motivation-Behavioral Skills (IMB) Model guided descriptive qualitative analyses. Participants (20 girls PIH ages 12–16 years) had experienced kissing (n = 12), genital touching (n = 6), and oral (n = 3), vaginal (n = 2), and anal sex (n = 1). Most knew sex poses transmission risks but not all knew anal sex is risky. Motivations for and against condom use included concerns about: sexual transmission, psychological barriers, and partners’ awareness of the girl’s HIV+ status. Girls were highly motivated to prevent transmission, but challenged by lack of condom negotiation skills as well as negative potential consequences of unsafe sex refusal and HIV status disclosure. Perhaps most critical for intervention development is the finding that some girls believe disclosing one’s HIV status to a male partner shifts the responsibility of preventing transmission to that partner. These results suggest a modified IMB model that highlights the role of disclosure in affecting condom use among girls PIH and their partners. Implications for cognitive-behavioral interventions are discussed.

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