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Knowledge and Risk Perception Regarding HPV Among Latino Alternative School Students in Houston, Texas. 德克萨斯州休斯顿拉丁裔另类学校学生对HPV的知识和风险认知。
Pub Date : 2009-06-01

Human Papillomavirus (HPV) is the most common STI among youth in the U.S. As alternative school students are at higher risk of acquiring STIs compared to regular high school students, this study examined HPV knowledge and risk perception among Latino youth attending 9 alternative high schools in Houston, Texas. HPV knowledge measures assessed prevalence, health consequences, symptoms, transmission, and risk reduction strategies. Three measures assessed perceived risk. The sample included 414 youth (58.4% female) with a mean age of 16.6 years (SD = 1.86); 63.8% were sexually experienced. Most (76.0%) were U.S.-born to parents from Mexico, Central or South America (70.8% of mothers and 77.8% of fathers, respectively); 61.7% had parents with less than a high school education. Results indicate that youth answered 1 out of 5 HPV knowledge items correctly (mean = 1.3, SD = 1.45); 35.8% identified skin-to-skin contact during sex as the most common mode of HPV transmission, and 72.5% selected condoms as an effective HPV risk reduction strategy followed by avoiding multiple partners (55.8%), abstinence (47.5%), monogamous relationships (26.8%) and HPV vaccination (22.3%). Only twenty-seven youth (6.5%) perceived themselves to be at high risk for contracting HPV. Regression analyses examining the association between demographic variables, sexual behavior, HPV knowledge, and HPV risk perception, showed significant associations for mothers' place of birth only - youth whose mothers were born outside of the U.S. had significantly lower HPV knowledge than those with American-born mothers (p < 0.007). Findings indicate the need for enhanced educational efforts among Latino alternative school youth regarding the prevalence of HPV and effective risk reduction strategies.

人类乳头状瘤病毒(HPV)是美国青少年中最常见的性传播感染。与普通高中生相比,另类高中生感染性传播感染的风险更高,本研究调查了德克萨斯州休斯顿9所另类高中的拉丁裔青年对HPV的了解和风险认知。HPV知识测量评估了患病率、健康后果、症状、传播和风险降低策略。三项指标评估了感知风险。样本包括414名青年(58.4%为女性),平均年龄16.6岁(SD=1.86);63.8%有过性经历。大多数(76.0%)是在美国出生的,父母来自墨西哥、中美洲或南美洲(分别为70.8%的母亲和77.8%的父亲);61.7%的父母的教育程度低于高中。结果表明,青年人正确回答了五分之一的HPV知识项目(平均值=1.3,SD=1.45);35.8%的人认为性行为中的皮肤接触是HPV最常见的传播方式,72.5%的人选择避孕套作为有效的HPV风险降低策略,其次是避免多伴侣(55.8%)、禁欲(47.5%)、一夫一妻制(26.8%)和接种HPV疫苗(22.3%)。只有27名年轻人(6.5%)认为自己感染HPV的风险很高。回归分析检查人口统计学变量、性行为、HPV知识和HPV风险感知之间的相关性,显示出与母亲的出生地有显著关联——母亲在美国境外出生的年轻人对HPV的了解明显低于美国出生母亲的年轻人(p<0.007)。研究结果表明,拉丁裔替代学校青年需要加强对HPV流行率和有效降低风险策略的教育。
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