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1、SexuallyTransmittedDiseases,October2008,Vol.35,No.10,p.843–844DOI:10.1097/OLQ.0b013e31818318c0Copyright©2008,AmericanSexuallyTransmittedDiseasesAssociationAllrightsreserved.EditorialHIVandSexualBehaviorAmongYoungPeople:TheSouthAfricanParadoxAUDREYPETTIFOR,PHD,MPH,*CATHERINE
2、MACPHAIL,PHD,†HELENREES,MD,†ANDMYRONCOHEN,MD*‡SOUTHAFRICAISONEOFTHECOUNTRIEShardesthitbyFromthe*DepartmentofEpidemiology,UniversityofNorththeHIV,anditisestimatedthattherearemorepeoplelivingwithCarolinaatChapelHill,ChapelHill,NorthCarolina;†ReproductiveHIV/AIDSinSouthAfricat
3、haninanyothercountryintheworld.1HealthandHIVResearchUnit,UniversityoftheWitwatersrand,WehavedocumentedhighlevelsofHIVinfectioninyoungpeopleJohannesburg,SouthAfrica;and‡DivisionofInfectiousDiseases,SchoolofMedicine,UniversityofNorthCarolinaatChapelHill,inSouthAfrica:youngSou
4、thAfricanwomenareinfectedat2toChapelHill,NorthCarolina3timestherateofyoungmenandbythetimeawomanreachesage21,shehasa1in3chanceofbeingHIVinfected.2Despitedeclinesobservedinothercountriesinsub-SaharanAfricainclud-ingUgandaandmorerecentlyinKenyaandZimbabwe,Southpartsoftheworld)
5、toexplainthemagnitudeoftheepidemicintheAfricahasfailedtoseeasignificantdeclineintheHIVepidemicSouthAfricanpopulation.Thisissueistrulycriticalbecausethenationally.However,itshouldbenotedthattherearesomeindi-resultshelptoshapeglobalHIVpreventionstrategiesthathavecationsfromthe
6、2006AntenatalClinic(ANC)surveythatHIVincreasinglybeensubjectedtocriticalreview.8prevalenceisatleaststabilizingandmaybedeclininginyoungIfhigh-risksexualbehavioralonedoesnotexplaintheSouthwomenaged15to24years.3AfricanHIVepidemic,thenothersocialandbiologicforcesmustInthisissue
7、ofSTD,KatzandLow-Beerassessthesexualplayacriticalrole.First,theepidemiologyoftheepidemicde-behaviorsofyoungpeoplefromnumeroussexualbehaviorsurveysservesattention.Because16%ofallSouthAfricansareHIVconductedinSouthAfricaduringthepast10years,includingourinfected,9theprobabilit
8、yofcomingintocontactwithanHIV-nationalyouthsurvey.4Theycomparethesebehaviorstothos
