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首页> 外文期刊>AIDS care. >'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。”围生期感染艾滋病毒的女孩中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 US 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.
机译：一些围生期感染了艾滋病毒（PIH）的青春期女孩从事性行为，这对其自身和性伴侣的健康构成了威胁。如果在第一次性交之前进行干预，可能会最有效地促进女孩PIH使用避孕套。通过深入访谈，我们探讨了针对性别和艾滋病毒的信息和动机因素，这些因素可能对于旨在降低美国女孩PIH在其首次进行性行为之前达到的性风险降低干预措施很重要。使用了不限成员名额的采访问题和小插曲。信息动机行为技能（IMB）模型指导描述性定性分析。参与者（20名年龄在16-16岁的PIH女孩）经历了接吻（n = 12），生殖器接触（n = 6）和口腔（n = 3），阴道（n = 2）和肛交（n = 1 ）。大多数人知道性行为会带来传播风险，但并非所有人都知道肛交是有风险的。赞成和反对使用避孕套的动机包括以下方面的担忧：性传播，心理障碍以及伴侣对女孩艾滋病毒+状况的认识。女孩们极力防止传播，但由于缺乏安全套谈判技巧以及不安全的拒绝性行为和艾滋病毒状况披露的负面潜在后果而受到挑战。对于干预发展而言，最关键的发现是一些女孩认为向一个男性伴侣透露自己的艾滋病毒状况已将预防传染给该伴侣的责任转移了。这些结果表明，改进后的IMB模型突出了披露在影响女孩PIH及其伴侣之间使用避孕套的作用。讨论了认知行为干预的含义。

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