Substance abuse in early adolescents and HIV preventive behaviors: findings from a school-based cross-sectional survey for the period from 2009 to 2013, Bangkok Thailand.
This study is first of its kind in Bangkok, and is a five-year (2009-2013) cross-sectional web-based survey to examine HIV preventive behaviors related to substance abuse among adolescents (N = 16,913). The questionnaire was self-administered. Logistic regression was used to analyze the data. The relationship between different types of substance abuse with risky and preventive behaviors was assessed. Male participants reported more substance abuse as compared to females. The risk behaviors observed among the substance abusers include increased sexual experience, multiple sex partners, no use of condoms, and injection drug use. The preventive behaviors include having a high self-risk assessment, going for HIV testing (highest in methamphetamine users), and screening for sexually transmitted infection. Logistic regression suggests that risky behaviors (e.g., sexual experience, injection drug use) are more common in substance abusers. Adolescents are clearly at a high risk. Behavioral preventive measures are needed to reduce or delay premature substance exposure to prevent a wide range of health problems and risks such as HIV and AIDS, injection drug use and unprotected sex.
a ASEAN Institute for Health Development, Mahidol University , Phutthamonthon , Thailand.
B
B
Thepthien
b Counsellor , United Arab Emirates.
L
L
Altaf
a ASEAN Institute for Health Development, Mahidol University , Phutthamonthon , Thailand.
P
P
Chuchareon
c Ministry of Public Health , Nakhom Pathom , Thailand.
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S
Srivanichakron
D000293:Adolescent; D017280:Condoms / Q000706:statistics & numerical data; D003430:Cross-Sectional Studies; D005260:Female; D015658:HIV Infections / Q000175:diagnosis / Q000517:prevention & control*; D015438:Health Behavior; D006801:Humans; D020407:Internet; D008297:Male; D012309:Risk-Taking; D012574:Schools; D012737:Sex Factors; D012749:Sexually Transmitted Diseases / Q000175:diagnosis; D015819:Substance Abuse, Intravenous / Q000453:epidemiology* / Q000517:prevention & control; D011795:Surveys and Questionnaires; D013785:Thailand / Q000453:epidemiology; D047568:Unsafe Sex / Q000706:statistics & numerical data*
HIV; Substance abuse; adolescents; preventive behavior; risk behavior