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首页> 外文期刊>AIDS care. >Prevalence and correlates of anal sex among secondary school students in Cape Town, South Africa
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Prevalence and correlates of anal sex among secondary school students in Cape Town, South Africa

机译：南非开普敦中学生肛交患病率和相关性

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Research efforts have overlooked anal sex as a risk factor for adolescents' acquisition of HIV despite the high rates of HIV among South African youth. Here, we report findings from a survey conducted in 2012 among secondary school youth, ages 16-24, in Cape Town. 937 adolescents completed a pencil-and-paper survey. Eleven and 31% of female and male youth, respectively, reported ever having anal sex. By comparison, 59% and 78% of female and male youth reported ever having vaginal sex. The percentage of youth reporting lifetime rates of anal sex increased with age: 32% of 20-to-24 year olds had anal sex compared to 16% of 16-to-17-year olds. When the sample was stratified by sex, this difference appeared to be driven by older male, but not female, sexual behavior. Despite noted differences in prevalence rates by sex, both boys and girls who had anal sex were more likely than their same-sex peers who had vaginal sex to report sexual coercion victimization and perpetration experiences and inconsistent condom use. Interestingly, some differences in HIV motivation, information, and behavioral skills were noted for youth who had vaginal sex versus youth who had never had sex; scores were largely similar for youth who had anal sex versus youth who had never had sex however. Together, these findings suggest that anal sex is not uncommon and may be an important marker for other HIV risk behaviors in at least one lower income South African community. Anal sex needs to be explicitly discussed in adolescent HIV prevention and healthy sexuality programing, incorporating age-relevant scenarios about negotiating condoms and other healthy relationship behaviors (e.g., refusing sex when it is not wanted).
机译：尽管南非青年中艾滋病毒率高，但研究努力忽略了肛门性别，作为青少年艾滋病病毒症的危险因素。在这里，我们从2012年在开普敦16-24岁的中学青年年龄在2012年龄一次进行的调查中报告了调查结果。 937年青少年完成了铅笔和纸张调查。 11个和31％的女性和男性青年报告曾经有肛交。相比之下，59％和78％的女性和男性青年报告曾经有阴道性。肛交终生率的百分比随着年龄的增长而增加：32％的20％至24岁的孩子患有肛交，而16％的16至17岁。当样品被性别分层时，这种差异似乎由年龄较大的男性驱动，但不是女性，性行为。尽管对性行为普及率有所了解，但患有肛交的男孩和女孩比他们的同性同龄人更可能报告性胁迫受害和逍遥经验以及不一致的安全套使用。有趣的是，艾滋病毒激励，信息和行为技能的一些差异是针对从未发生过性行为的阴道性行为的年轻人的影响;对于患有从未发生性性的肛交而具有肛门性的年轻人的评分很法很相似。这些发现表明，肛交并不少见，并且可能是至少一个较低收入南非社区中的其他艾滋病病毒风险行为的重要标志。肛交需要在青少年艾滋病毒预防和健康的性行为课程中明确讨论，纳入与谈判避孕套和其他健康关系行为的年龄相关的情景（例如，拒绝拒绝性行为）。

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