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.
Conclusion: 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".