儿童不良经历,艾滋病毒和性风险行为 - 五个撒哈拉以南国家,2018-2020年
Udhayashankar Kanagasabai1, Viva Thorsen1, Liping Zhu2
1Division of Global HIV and Tuberculosis, Centers for Disease Control and Prevention, Atlanta, USA.
Child abuse & neglect
|December 19, 2023
概括
儿童不良经历 (ACE) 与整个撒哈拉以南非洲的年轻人的艾滋病毒风险行为增加有关. 这项研究强调了这些协会中基于性别的显著差异,强调了需要量身定制的干预措施.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 青少年健康 青少年健康
背景情况:
- 儿童不良经历 (ACE) 与长期的负面健康结果有关,包括性行为的风险增加.
- 了解ACE,性风险行为和艾滋病毒服务利用之间的联系对于撒哈拉以南非洲的公共卫生干预至关重要.
研究的目的:
- 研究暴露于ACE和性风险行为之间的关联.
- 检查ACE,性风险行为和撒哈拉以南非洲年轻人使用艾滋病毒服务之间的关系.
主要方法:
- 五个撒哈拉以南非洲国家的8023名性活跃年轻人 (19-24岁) 的数据,通过针对儿童和青少年的暴力调查 (VACS) 收集.
- 人口变量,ACE (个人和累积),性风险行为,艾滋病毒检测,抗逆转录病毒治疗 (ART) 和产前护理 (ANC) 出勤率的描述性分析.
- 进行双变量和多变量后勤回归分析以评估关联,控制共变量.
主要成果:
- 与女性 (21.3%) 相比,男性 (26.1%) 观察到更高的累积ACE.
- 在性风险行为中注意到了显著的性别差异,包括女性的老年伴侣和男性的不经常使用避孕套.
- 儿童性暴力 (ACE),特别是儿童性暴力和目击性暴力,与交易性,早期性初恋和艾滋病毒检测的可能性增加有关,性别的影响各不相同.
结论:
- 在撒哈拉以南非洲的年轻人中,童年逆境显著增加了艾滋病毒风险行为.
- 在ACE和相关的性风险行为和服务利用中确定了明显的性别特异性模式.
更多相关视频
相关概念视频
Sexually Transmitted Infections
318
Sexually transmitted infections (STIs) are diseases transmitted primarily through unsafe sexual interactions. Bacteria, viruses, or parasites cause them and can result in severe health complications if untreated.ChlamydiaThe bacterium Chlamydia trachomatis is responsible for the disease Chlamydia, the most common STI in the United States. This peculiar pathogen requires human cells to reproduce, residing intracellularly. The initial infection often goes unnoticed because it typically does not...
318
Longitudinal Research
12.0K
Sometimes we want to see how people change over time, as in studies of human development and lifespan. When we test the same group of individuals repeatedly over an extended period of time, we are conducting longitudinal research. Longitudinal research is a research design in which data-gathering is administered repeatedly over an extended period of time. For example, we may survey a group of individuals about their dietary habits at age 20, retest them a decade later at age 30, and then again...
12.0K
Retrovirus Life Cycles
46.0K
Retroviruses have a single-stranded RNA genome that undergoes a special form of replication. Once the retrovirus has entered the host cell, an enzyme called reverse transcriptase synthesizes double-stranded DNA from the retroviral RNA genome. This DNA copy of the genome is then integrated into the host’s genome inside the nucleus via an enzyme called integrase. Consequently, the retroviral genome is transcribed into RNA whenever the host’s genome is transcribed, allowing the...
46.0K
Pulmonary Tuberculosis I
244
Tuberculosis, often called TB, is a contagious illness primarily caused by Mycobacterium tuberculosis. It mainly affects the lung parenchyma but can also impact other body parts.
Causative Organism
The primary infectious agent causing tuberculosis is Mycobacterium tuberculosis, a slow-growing, acid-fast, aerobic rod that exhibits sensitivity to heat and ultraviolet light. Instances of Mycobacterium bovis and Mycobacterium avium contributing to the development of TB infection are rare.
Mode of...
Causative Organism
The primary infectious agent causing tuberculosis is Mycobacterium tuberculosis, a slow-growing, acid-fast, aerobic rod that exhibits sensitivity to heat and ultraviolet light. Instances of Mycobacterium bovis and Mycobacterium avium contributing to the development of TB infection are rare.
Mode of...
244


