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首页> 外文期刊>AIDS care. >Sexual partner types and related sexual health risk among out-of-school adolescents in rural south-west Uganda.
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Sexual partner types and related sexual health risk among out-of-school adolescents in rural south-west Uganda.

机译：乌干达西南部农村失学青少年的性伴侣类型和相关的性健康风险。

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摘要

This paper defines the range of sexual partners chosen by out-of-school adolescents from Masaka District in rural south-west Uganda, and implications for sexual and reproductive health discussed. Data are drawn from a sexual health needs assessment using applied anthropological techniques with 31 adolescents, their parents, guardians and community leaders. Data were analysed using inductive thematic methods. Out-of-school adolescents are exposed to risk both stable and casual sexual relationships. Young men and women want a stable relationship with one reliable partner. Young men seek a "steady" relationship with younger schoolgirls; some also seek multiple "casual" relationships with young women easily convinced with gifts. Young women accept "permanent" partnerships with traders or transport workers one-three years older than themselves; some accept "casual" relationship with age mates, others have casual gifts and money. Older partners, or "sugar daddies", are valued, despite the knowledge they are more likely to be HIV positive, because they offer greater financial rewards than age mates. Though far less common, some older women seek relationships with younger men, but are treated with suspicion by young men, who believe they are seeking to "infect" them "maliciously" with AIDS. The community sees these relationships as a source of AIDS in adolescents, and condemn older men, whom they believe to be "killing" the younger generation. Both young men and women are exposure to sexual health risk in their primary partnerships; young men in partnerships with schoolgirls who have concurrent partnerships with older men, unlikely to use condoms and young women with partners who work, and have casual relationships in urban trading centres. Health promotion encouraging partnership with age mates, discouraging sex with older partners and 100% condom use before marriage are most appropriate for out-of-school adolescents in this context.
机译：本文定义了乌干达西南部农村地区Masaka地区的校外青少年选择的性伴侣的范围，并讨论了其对性健康和生殖健康的影响。数据来自对31名青少年，其父母，监护人和社区负责人的应用性人类学技术的性健康需求评估。使用归纳主题方法分析数据。校外青少年面临稳定和随意性关系的风险。青年男女希望与一个可靠的伴侣保持稳定的关系。年轻人寻求与年轻女生的“稳定”关系;一些人还寻求与容易通过礼物说服的年轻女性建立多种“休闲”关系。年轻妇女接受比自己大三岁的商人或运输工人的“永久”合伙关系;一些接受与同龄人的“休闲”关系，另一些则拥有休闲礼物和金钱。尽管知道他们更可能是艾滋病毒阳性，但较老的伴侣或“糖爸”还是很有价值的，因为他们比同龄人提供更大的经济回报。尽管远没有那么普遍，但一些老年妇女寻求与年轻男子建立关系，但遭到年轻男子的怀疑，他们相信自己正在寻求“恶意”感染艾滋病。社区将这些关系视为青少年艾滋病的来源，并谴责年长的男人，他们认为这些男人正在“杀死”年轻一代。青年男女在主要伙伴关系中都面临性健康风险;青年男子与女学生合伙，她们与老年男子同时存在合伙关系，不太可能与在城市交易中心有工作关系并有工作关系的伴侣一起使用避孕套和年轻妇女。在这种情况下，促进健康的方法最适合与校外青少年一起使用，鼓励他们与同龄伴侣建立伙伴关系，劝阻与年长伴侣之间的性行为以及在婚前使用100％的避孕套。

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