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首页> 外文期刊>Sexually Transmitted Infections >The role of feelings of intimacy on perceptions of risk for a sexually transmitted disease and condom use in the sexual relationships of adolescent African-American females
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The role of feelings of intimacy on perceptions of risk for a sexually transmitted disease and condom use in the sexual relationships of adolescent African-American females

机译：亲密感对性传播疾病风险的感知和使用避孕套在非洲裔美国女性青少年性关系中的作用

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Objectives: A core construct targeted by behavioural interventions is the perception that one is at risk for acquiring a sexually transmitted disease (STD). The objective of this analysis was to examine the role of intimacy on perceptions of risk for an STD (PRSTD) and condom use within late adolescent females' main relationships. Methods: A clinical sample of African-American women aged 14-19 years at enrolment were followed prospectively for 3 years. At each semiannual interview, participants reported their partner-specific PRSTD, feelings of intimacy, perceptions of partner's concurrency and condom use at last sex for each of their main sex partners. Results: A total of 285 individuals reported 724 main relationships. Using generalised estimating equations, intimacy was negatively associated with risk perception, after adjusting for perceptions of partner concurrency (OR: 0.68; 95% CI 0.60 to 0.76). PRSTD was no longer associated with condom use after adjusting for intimacy (OR: 1.30; 95% CI 0.83 to 2.02. Conclusions: Intimacy was found to be associated with risk perception and condom use within adolescent main relationships. Adolescents may not view their intimate partners as sources of infection. The success of individual-level STD prevention efforts, such as condom promotion, might be limited as condoms may be in conflict with adolescents' expectations about intimate relationships.
机译：目标：行为干预的目标核心构想是，人们有可能患上性传播疾病（STD）。这项分析的目的是检验亲密感对青少年性病后期主要关系中性病风险（PRSTD）和使用安全套的认识的作用。方法：前瞻性追踪入选年龄为14-19岁的非洲裔美国妇女的临床样本，为期3年。在每半年的访谈中，参与者报告他们特定伴侣的PRSTD，亲密感，对伴侣并发的感觉以及每个主要性伴侣在最后一次性交中使用安全套的情况。结果：总共285个人报告了724个主要关系。使用通用估计方程式，在调整了对伙伴并发的感知之后，亲密感与风险感知呈负相关（OR：0.68; 95％CI 0.60至0.76）。调整亲密关系后，PRSTD不再与使用安全套相关（或：1.30; 95％CI为0.83至2.02。结论）：发现亲密关系与青少年主要人际关系中的风险感知和安全套使用有关。由于避孕套可能与青少年对亲密关系的期望相抵触，因此个人级别的性病预防工作（如推广避孕套）的成功可能受到限制。

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