[Analysis of HIV/AIDS related risk behaviors and their impact factors among out-of-school adolescents in outflow areas].
OBJECTIVE
To analyze HIV/AIDS related risk behaviors among unmarried outside school adolescents and the impact factors in outflow areas, in order  to provide basis for related health education.


METHODS
Using cluster sampling method, we investigated a vocational training center for all 15- to 24-year-old unmarried outside school youths in one county. The structured questionnaire based on the Theory of Reasoned Action was anonymous, which filled  envelopes on the spot. A total of 1 800 questionnaires were recovered, and 1 712 questionnaires were valid. Epidata 3.0 was used for establishing a  database and SPSS 13.0 for statistical analysis.


RESULTS
(1) The incidence of HIV/AIDS risk behaviors of the outside school adolescents was high:  18.0% of the respondents had sexual behavior, 27.3% had never used condom when sexed in the past three months, 31.0% had multiple sexual partners,  and 9.7% had drug abuse experience; the rate of HIV/AIDS-related knowledge was only 25.1%; peer environment of respondents was poor. (2) The use  of condoms was correlated with those who had higher score of AIDS knowledge, and who could talk about condoms in sexual intercourse; The multiple  sexual partners' behavior was correlated with age, friends who were themselves multiple sexual partners, high score of the attitude, and the subjective  norm; The commercial sex was correlated with the family address, high score of the HIV/AIDS-related knowledge, friends who had commercial sex, the  subjective norm and the intention of behavior, The drug abuse behavior was correlated with age, high score of the HIV/AIDS-related knowledge, drug  abuse among their friends, the subjective norm, and the intention of behavior. (3) Subjective norms and behavioral intentions could better predict the  occurrence of HIV/AIDS risk behaviors.


CONCLUSIONS
The outside school adolescents are at risk in lack of HIV/AIDS-related knowledge and coping  skills of negative peer pressure, so providing the related health education before they go and work outside their home is the "critical period".
Department of Child, Adolescent and Women's Health, Peking University School of Public Health, Beijing, China.
Xiao
X
Sun
Guang-rong
GR
Zhu
Cheng-ye
CY
Ji
Zhen-zhen
ZZ
Wang
D000163:Acquired Immunodeficiency Syndrome / Q000453:epidemiology*; D000293:Adolescent; D000328:Adult; D002681:China / Q000453:epidemiology; D005260:Female; D015658:HIV Infections / Q000453:epidemiology*; D006801:Humans; D008297:Male; D012307:Risk Factors; D012494:Sampling Studies; D012725:Sexual Behavior / Q000706:statistics & numerical data*; D012747:Sexual Partners; D011795:Surveys and Questionnaires; D014171:Transients and Migrants; D047568:Unsafe Sex / Q000706:statistics & numerical data*; D055815:Young Adult