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首页> 外文期刊>International Journal of Environmental Research and Public Health >Factors Contributing to the Risk of HIV Infection in Rural School-Going Adolescents
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Factors Contributing to the Risk of HIV Infection in Rural School-Going Adolescents

机译：农村上学青少年艾滋病毒感染风险的影响因素

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The objective of this study was to determine the factors that increase the risk of HIV infection in rural school-going adolescents and young adults. This was a cross-sectional study of 430 secondary school students (47.4% boys and 52.6% girls) from two rural schools in South Africa. Data were collected with a self-administered questionnaire on demographic information, sources of HIV/AIDS information, HIV knowledge, sexual behaviors, communication and negotiation skills, self-efficacy to refuse sex, peer influence and time perspective. Out of 113 (27.2%) participants who reported being sexually active, about 48% reported having had sex before the age of 15 and 42.2% reported penetrative sex with more than one partner in their lifetime. Only 44.8% of them reported consistent and regular use of condoms for every sexual encounter. Peer influence (OR = 3.01 (95% CI = 1.97–4.60)), gender difference (OR = 6.60 (95% CI = 1.62–26.84)) and lack of HIV information (OR = 1.22 (95% CI = 1.03–1.44)) influenced the sexual risk behaviors of the adolescents. Greater numbers of school-going adolescents in rural areas are sexually active. Peer influence, especially in boys, is a factor that increases the preponderance of risky sexual behaviors in adolescents. Positively, adolescents with high knowledge of HIV infection are more likely to use condoms for every sexual encounter. There is a need to strengthen comprehensive sexual health education and youth-friendly HIV prevention strategies to promote abstinence and safe sexual behaviors, especially among boys.
机译：这项研究的目的是确定增加在农村上学的青少年和年轻人中HIV感染风险的因素。这是对来自南非两所乡村学校的430名中学学生（男生47.4％和女生52.6％）的横断面研究。用自我管理的调查表收集了有关人口统计信息，艾滋病毒/艾滋病信息的来源，艾滋病毒知识，性行为，沟通和谈判技巧，拒绝性行为的自我效能感，同伴影响力和时间观点的数据。在113名（27.2％）参加过性生活的参与者中，约48％的人表示在15岁之前发生过性行为，而42.2％的人表示在性生活中与多于一名伴侣发生性关系。他们中只有44.8％的人在每次性接触中都报告一致且定期使用安全套。同伴影响（OR = 3.01（95％CI = 1.97–4.60）），性别差异（OR = 6.60（95％CI = 1.62–26.84））和缺乏HIV信息（OR = 1.22（95％CI = 1.03–1.44） ））影响了青少年的性风险行为。农村地区上学的青少年人数较多。同伴的影响，尤其是在男孩中，是增加青少年危险性行为的主要因素。积极地讲，对艾滋病毒感染有较高了解的青少年在每次性接触中都更可能使用安全套。有必要加强全面的性健康教育和青年友好的艾滋病毒预防战略，以促进节欲和安全的性行为，特别是在男孩中。

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