Skip to main content
Top
Published in: BMC Public Health 1/2013

Open Access 01-12-2013 | Research article

Risk perceptions of STIs/HIV and sexual risk behaviours among sexually experienced adolescents in the Northern part of Lao PDR

Authors: Vanphanom Sychareun, Sarah Thomsen, Kongmany Chaleunvong, Elisabeth Faxelid

Published in: BMC Public Health | Issue 1/2013

Login to get access

Abstract

Background

Young people in Laos are more vulnerable to STIs/HIV due to their sexual risk behaviours, low perceptions of risk and their socio-cultural environments. Perceived risk of contracting STIs/HIV is crucial for the assessment of their risk regarding their actual sexual risk behaviors. Thus, the objective of this paper is to explore perceptions of risk related to STIs/HIV and identify factors associated with this perceived risk among adolescents.

Methods

This was a cross sectional study of sexually experienced adolescents aged 14 to 19 years old in the Luangnamtha province. The multistage sampling techniques were used for selecting 1008 adolescents aged 14-19 years old. Of these, 483 respondents reported having had sexual experience was selected for analysis. Univariate and Logistic regression were performed.

Result

Six per cent of respondents reported ever having had anal sex. Slightly less than two thirds initiated their first sexual intercourse before age 15. Two thirds of the sexually experienced males reported two or more sexual partners during their lifetime with the mean 3.1 + 3.65 while only twelve per cent of girls reported this cumulative number of partners. Slightly more than half (57.6%) regarded themselves to have no risk at all with 17.2 per cent considered themselves to have low risk. Respondents had poor knowledge on STIs/HIV. Factors associated with risk perception of getting STIs were: being male, high level of knowledge about STIs and having had symptoms of STIs in last six months. Perceived risk of getting HIV was significantly associated with being male, having more knowledge about STIs and HIV.

Conclusion

Adolescents in this study engaged in sexual risk behaviours, but they have low perception of risk getting STI/HIV. Socio-demographic factors, knowledge of STIs/HIV, and the level of exposure to STIs were the main determinants of the risk perception of STIs/HIV. Our finding supports the need to target adolescents in Luangnamtha province for HIV prevention intervention by addressing inaccurate perception of risk and increasing their knowledge on STIs/HIV.
Appendix
Available only for authorised users
Literature
1.
go back to reference UNAIDS, UNICEF, WHO: Epidemiological fact sheet on HIV/AIDS and sexually transmitted infectious: 2004 update. 2004, Geneva: UNAIDS/WHO Working Group on Global HIV/AIDS and STI Surveillance UNAIDS, UNICEF, WHO: Epidemiological fact sheet on HIV/AIDS and sexually transmitted infectious: 2004 update. 2004, Geneva: UNAIDS/WHO Working Group on Global HIV/AIDS and STI Surveillance
2.
go back to reference Center for control HIV/AIDS and STIs, Ministry of Health: Annual report of CHAS. 2011, Vientiane, Lao PDR Center for control HIV/AIDS and STIs, Ministry of Health: Annual report of CHAS. 2011, Vientiane, Lao PDR
3.
go back to reference Fleming DT, Wasserheit JN: From epidemiological synergy to public health–policy and practice: the contribution of other sexually transmitted diseases to sexual transmission of HIV infection. Sex Transm Inf. 1999, 75: 3-17. 10.1136/sti.75.1.3.CrossRef Fleming DT, Wasserheit JN: From epidemiological synergy to public health–policy and practice: the contribution of other sexually transmitted diseases to sexual transmission of HIV infection. Sex Transm Inf. 1999, 75: 3-17. 10.1136/sti.75.1.3.CrossRef
5.
go back to reference Chamberlain J: The HIV/AIDS Trust, Lao PDR, The National Committee for the Control of AIDS, and UNDP Vientiane. HIV Vulnerability and Population Mobility in the Northern Provinces of the Lao PDR. 2003, 1-46. Chamberlain J: The HIV/AIDS Trust, Lao PDR, The National Committee for the Control of AIDS, and UNDP Vientiane. HIV Vulnerability and Population Mobility in the Northern Provinces of the Lao PDR. 2003, 1-46.
6.
go back to reference CHAS: National Strategic Prevention of HIV/AIDS/STIs-2011-2015. 2011, Lao People’s Democratic Republic: Ministry of Health CHAS: National Strategic Prevention of HIV/AIDS/STIs-2011-2015. 2011, Lao People’s Democratic Republic: Ministry of Health
7.
go back to reference Harrison A, Xaba N, Kunene P, Ntuli N: Understanding young women’s risk for HIV/AIDS: adolescent sexuality and vulnerability in rural KwaZulu Natal. Soc Transit. 2001, 32 (1): 69-77. 10.1080/21528586.2001.10419031.CrossRef Harrison A, Xaba N, Kunene P, Ntuli N: Understanding young women’s risk for HIV/AIDS: adolescent sexuality and vulnerability in rural KwaZulu Natal. Soc Transit. 2001, 32 (1): 69-77. 10.1080/21528586.2001.10419031.CrossRef
9.
go back to reference Sychareun V, Faxelid E, Thomsen S, Somphet V, Popenoe R: Customary adolescent sexual practices among the Akha of northern Lao PDR: considerations for public health. Cult Health Sex. 2011, 14: 1-14. Sychareun V, Faxelid E, Thomsen S, Somphet V, Popenoe R: Customary adolescent sexual practices among the Akha of northern Lao PDR: considerations for public health. Cult Health Sex. 2011, 14: 1-14.
10.
go back to reference Auerbach J: Transforming social structures and environments to help in HIV prevention. Health Aff. 2009, 28 (6): 1655-1665. 10.1377/hlthaff.28.6.1655.CrossRef Auerbach J: Transforming social structures and environments to help in HIV prevention. Health Aff. 2009, 28 (6): 1655-1665. 10.1377/hlthaff.28.6.1655.CrossRef
11.
go back to reference Blankenship KM, Friedman SR, Dworkin S, Mantell JE: Structural interventions: concepts, challenges, and opportunities for research. J Urban Health. 2006, 83 (1): 59-72. 10.1007/s11524-005-9007-4.CrossRefPubMedPubMedCentral Blankenship KM, Friedman SR, Dworkin S, Mantell JE: Structural interventions: concepts, challenges, and opportunities for research. J Urban Health. 2006, 83 (1): 59-72. 10.1007/s11524-005-9007-4.CrossRefPubMedPubMedCentral
12.
go back to reference Tomlinson RH, Rohleder P, Swartz L, Drimie S, Kagee A: Broadening psychology’s contribution to addressing issues of HIV/AIDS, poverty and nutrition: structural issues as constraints and opportunities. J Health Psychol. 2010, 15 (7): 972-981. 10.1177/1359105310371399.CrossRefPubMed Tomlinson RH, Rohleder P, Swartz L, Drimie S, Kagee A: Broadening psychology’s contribution to addressing issues of HIV/AIDS, poverty and nutrition: structural issues as constraints and opportunities. J Health Psychol. 2010, 15 (7): 972-981. 10.1177/1359105310371399.CrossRefPubMed
13.
go back to reference Gage AJ: Sexual activity and contraceptive use: the components of the decision making process. Stud Fam Plann. 1998, 29 (2): 154-166. 10.2307/172156.CrossRefPubMed Gage AJ: Sexual activity and contraceptive use: the components of the decision making process. Stud Fam Plann. 1998, 29 (2): 154-166. 10.2307/172156.CrossRefPubMed
14.
go back to reference Gubhaju B: Adolescent reproductive health in Asia. 2012, Bangkok, Thailand: Paper presented at the 2002 IUSSP Regional Population Conference “South-East Asia’s Population in a Changing Asian Context” Gubhaju B: Adolescent reproductive health in Asia. 2012, Bangkok, Thailand: Paper presented at the 2002 IUSSP Regional Population Conference “South-East Asia’s Population in a Changing Asian Context”
16.
go back to reference Magnani RJ, Karim AM, Weiss LA, Bond KC, Lemba M, Morgan GT: Reproductive health risk and protective factors among youth in Lusaka, Zambia. J Adolesc Health. 2002, 30 (1): 76-86. 10.1016/S1054-139X(01)00328-7.CrossRefPubMed Magnani RJ, Karim AM, Weiss LA, Bond KC, Lemba M, Morgan GT: Reproductive health risk and protective factors among youth in Lusaka, Zambia. J Adolesc Health. 2002, 30 (1): 76-86. 10.1016/S1054-139X(01)00328-7.CrossRefPubMed
17.
go back to reference Dixon-Mueller : The sexuality connection in reproductive health. Learning About Sexuality: A Practical Beginning. Edited by: Zeidenstein S, Moore K. 1996, New York: Population Council and International Women’s Health Coalition, 137-157. Dixon-Mueller : The sexuality connection in reproductive health. Learning About Sexuality: A Practical Beginning. Edited by: Zeidenstein S, Moore K. 1996, New York: Population Council and International Women’s Health Coalition, 137-157.
18.
go back to reference Bryan AD, Aiken LS, West SG: Young women’s condom use: the influence of acceptance of sexuality, control over the sexual encounter, and perceived susceptibility to common STDs. Health Psychol. 1997, 16: 468-479.CrossRefPubMed Bryan AD, Aiken LS, West SG: Young women’s condom use: the influence of acceptance of sexuality, control over the sexual encounter, and perceived susceptibility to common STDs. Health Psychol. 1997, 16: 468-479.CrossRefPubMed
19.
go back to reference Akwara PA, Madise NJ, Hinde A: Perception of risk of HIV/AIDS and sexual behaviour in Kenya. J Biosoc Sci. 2003, 35 (3): 385-411. 10.1017/S0021932003003857.CrossRefPubMed Akwara PA, Madise NJ, Hinde A: Perception of risk of HIV/AIDS and sexual behaviour in Kenya. J Biosoc Sci. 2003, 35 (3): 385-411. 10.1017/S0021932003003857.CrossRefPubMed
20.
go back to reference Rosenstock IM: Historical origins of the health belief model. Health Educ Monogr. 1974, 2: 328-335.CrossRef Rosenstock IM: Historical origins of the health belief model. Health Educ Monogr. 1974, 2: 328-335.CrossRef
21.
go back to reference Maticka-Tyndale T: Factors influencing the timing of first sexual intercourse among young people in Nyanza, Kenya. Int Fam Plann Perspect. 2008, 34 (4): 177-188. 10.1363/3417708.CrossRef Maticka-Tyndale T: Factors influencing the timing of first sexual intercourse among young people in Nyanza, Kenya. Int Fam Plann Perspect. 2008, 34 (4): 177-188. 10.1363/3417708.CrossRef
22.
go back to reference Anderson B, Maughan B: HIV risk perceptions and first sexual intercourse among youth in Cape Town, South Africa. Int Fam Plann Perspect. 2007, 33 (3): 98-105.CrossRef Anderson B, Maughan B: HIV risk perceptions and first sexual intercourse among youth in Cape Town, South Africa. Int Fam Plann Perspect. 2007, 33 (3): 98-105.CrossRef
23.
go back to reference Tenkorang E, Rajulton F, Maticka-Tyndale E: Perceived risks of HIV/AIDS and first sexual intercourse among youth in Cape Town, South Africa. AIDS Behav. 2009, 13 (2): 234-245. 10.1007/s10461-008-9470-5.CrossRefPubMed Tenkorang E, Rajulton F, Maticka-Tyndale E: Perceived risks of HIV/AIDS and first sexual intercourse among youth in Cape Town, South Africa. AIDS Behav. 2009, 13 (2): 234-245. 10.1007/s10461-008-9470-5.CrossRefPubMed
24.
go back to reference Toroitich-Ruto C: The determinants of teenage sexuality and their understanding of STD/HIV/AIDS in Kenya. Afr Popul Stud. 1997, 12 (2): 39-50. Toroitich-Ruto C: The determinants of teenage sexuality and their understanding of STD/HIV/AIDS in Kenya. Afr Popul Stud. 1997, 12 (2): 39-50.
25.
go back to reference Anderson KG, Beutel AM, Maughan-Brown B: HIV/AIDS risk perceptions and first sexual intercourse among youth in Cape Town, South Africa. Centre Soc Sci Res: AIDS Soc Res Unit. 2007, 1-22. Centre for Social Science Research. AIDS and society research unit, 196 of CSSR Working paper Anderson KG, Beutel AM, Maughan-Brown B: HIV/AIDS risk perceptions and first sexual intercourse among youth in Cape Town, South Africa. Centre Soc Sci Res: AIDS Soc Res Unit. 2007, 1-22. Centre for Social Science Research. AIDS and society research unit, 196 of CSSR Working paper
26.
go back to reference Fishbein M: The role of theory in HIV prevention. AIDS Care. 2000, 12: 273-278. 10.1080/09540120050042918.CrossRefPubMed Fishbein M: The role of theory in HIV prevention. AIDS Care. 2000, 12: 273-278. 10.1080/09540120050042918.CrossRefPubMed
27.
go back to reference Bandura A: Social cognitive theory and exercise of control over HIV infection. Preventing AIDS: theories and methods of behavioral interventions. Edited by: DiClementee RJ, Peterson JL. 1994, New York: Plenum Press Bandura A: Social cognitive theory and exercise of control over HIV infection. Preventing AIDS: theories and methods of behavioral interventions. Edited by: DiClementee RJ, Peterson JL. 1994, New York: Plenum Press
28.
go back to reference Fishbein M, Cappella J: The role of theory in developing effective health communications. J Commun. 2006, 56 (Supplement): S1-S7.CrossRef Fishbein M, Cappella J: The role of theory in developing effective health communications. J Commun. 2006, 56 (Supplement): S1-S7.CrossRef
29.
go back to reference Thato S, Charron-Prochownik D, Dorn LD, Albrecht SA, Stone CA: Predictors of condom use among adolescent Thai vocational students. J Nurs Scholarsh. 2003, 32 (2): 157-163.CrossRef Thato S, Charron-Prochownik D, Dorn LD, Albrecht SA, Stone CA: Predictors of condom use among adolescent Thai vocational students. J Nurs Scholarsh. 2003, 32 (2): 157-163.CrossRef
30.
go back to reference Sieving E, McNeely S, Blum W: Maternal expectations, mother-child connectedness & adolescent sexual debut. Arch Pediatr Adolesc Med. 2003, 154: 809-816.CrossRef Sieving E, McNeely S, Blum W: Maternal expectations, mother-child connectedness & adolescent sexual debut. Arch Pediatr Adolesc Med. 2003, 154: 809-816.CrossRef
31.
go back to reference Potard C, Courtois R, Rusch E: The influence of peers on risky sexual behaviour during adolescence. Eur J Contracept Reprod Health Care. 2008, 13 (3): 264-270. 10.1080/13625180802273530.CrossRefPubMed Potard C, Courtois R, Rusch E: The influence of peers on risky sexual behaviour during adolescence. Eur J Contracept Reprod Health Care. 2008, 13 (3): 264-270. 10.1080/13625180802273530.CrossRefPubMed
32.
go back to reference Kinsman SB, Romer D, Furstenberg FF, Schwarz DF: Early sexual initiation: the role of peer norms. Obstet Gynecol Survey. 1999, 54 (4): 233-234. 10.1097/00006254-199904000-00011.CrossRef Kinsman SB, Romer D, Furstenberg FF, Schwarz DF: Early sexual initiation: the role of peer norms. Obstet Gynecol Survey. 1999, 54 (4): 233-234. 10.1097/00006254-199904000-00011.CrossRef
33.
go back to reference Hollander D: Perceptions of peer behavior predict whether Peruvian adolescents have had sex. Fam Plann Perspect. 2001, 27 (3): 154-161. 10.2307/2673839.CrossRef Hollander D: Perceptions of peer behavior predict whether Peruvian adolescents have had sex. Fam Plann Perspect. 2001, 27 (3): 154-161. 10.2307/2673839.CrossRef
34.
go back to reference Luangnamtha Provincial Health Department: Annual statistical report 2011. 2011, Luangnamtha Province, Lao PDR Luangnamtha Provincial Health Department: Annual statistical report 2011. 2011, Luangnamtha Province, Lao PDR
35.
go back to reference Luangnamtha Provincial Education Department: Annual statistical report 2011. 2011, Luangnamtha Province, Lao PDR Luangnamtha Provincial Education Department: Annual statistical report 2011. 2011, Luangnamtha Province, Lao PDR
36.
go back to reference King E, van de Walle D: Schooling and poverty in Lao PDR 2005. 2005, Washington, DC: The World Bank, Development Research Group, 1-90. Report No.: 39318-LA King E, van de Walle D: Schooling and poverty in Lao PDR 2005. 2005, Washington, DC: The World Bank, Development Research Group, 1-90. Report No.: 39318-LA
37.
go back to reference National Statistical Centre, Swiss National Centre of Competence in Research North–south, Centre Development and Environment, and Lao National Mekong Committee: Socio-economic ATLAS of the Lao PDR: an analysis based on the 2005 population and housing census. 2008, Vientiane National Statistical Centre, Swiss National Centre of Competence in Research North–south, Centre Development and Environment, and Lao National Mekong Committee: Socio-economic ATLAS of the Lao PDR: an analysis based on the 2005 population and housing census. 2008, Vientiane
39.
go back to reference Bartlett JE, Kotrlik JW, Higgins CC: Organizational research: determining appropriate sample size in survey research. Inf Technol, Learn, Perform J. 2001, 19 (1): 43-50. Bartlett JE, Kotrlik JW, Higgins CC: Organizational research: determining appropriate sample size in survey research. Inf Technol, Learn, Perform J. 2001, 19 (1): 43-50.
41.
go back to reference Sychareun V, Thomsen S, Faxelid E: Concurrent multiple health risk behaviors among adolescents in Luangnamtha province, Lao PDR. BMC Public Health. 2011, 13: 11-36. Sychareun V, Thomsen S, Faxelid E: Concurrent multiple health risk behaviors among adolescents in Luangnamtha province, Lao PDR. BMC Public Health. 2011, 13: 11-36.
42.
go back to reference Carey MP, Schroder KE: Development and psychometric evaluation of the brief HIV knowledge questionnaire. AIDS Educ Prev. 2002, 14: 172-182. 10.1521/aeap.14.2.172.23902. PubMed: 12000234CrossRefPubMedPubMedCentral Carey MP, Schroder KE: Development and psychometric evaluation of the brief HIV knowledge questionnaire. AIDS Educ Prev. 2002, 14: 172-182. 10.1521/aeap.14.2.172.23902. PubMed: 12000234CrossRefPubMedPubMedCentral
43.
go back to reference Volpe EM, Nelson LE, Kraus RA, Morrison-Beedy D: Adaptation and refinement of the HIV knowledge questionnaire for use with adolescent girls. J Assoc Nurses AIDS Care. 2007, 18 (5): 57-63. 10.1016/j.jana.2007.07.003.CrossRefPubMedPubMedCentral Volpe EM, Nelson LE, Kraus RA, Morrison-Beedy D: Adaptation and refinement of the HIV knowledge questionnaire for use with adolescent girls. J Assoc Nurses AIDS Care. 2007, 18 (5): 57-63. 10.1016/j.jana.2007.07.003.CrossRefPubMedPubMedCentral
44.
go back to reference Thato S, Hanna K, Rodcumdee B: Translation and validation of the condom self-efficacy scale with Thai adolescents and young adults. J Nurs Scholarsh. 2005, 37: 36-40. 10.1111/j.1547-5069.2005.00012.x.CrossRefPubMed Thato S, Hanna K, Rodcumdee B: Translation and validation of the condom self-efficacy scale with Thai adolescents and young adults. J Nurs Scholarsh. 2005, 37: 36-40. 10.1111/j.1547-5069.2005.00012.x.CrossRefPubMed
45.
go back to reference Shafer MA, Boyer CB: Psychosocial and behavioral factors associated with risk of sexually transmitted diseases, including human immunodeficiency virus infection, among urban high school students. J Pediatr. 1991, 119: 826-833. 10.1016/S0022-3476(05)80312-9.CrossRefPubMed Shafer MA, Boyer CB: Psychosocial and behavioral factors associated with risk of sexually transmitted diseases, including human immunodeficiency virus infection, among urban high school students. J Pediatr. 1991, 119: 826-833. 10.1016/S0022-3476(05)80312-9.CrossRefPubMed
46.
go back to reference La Greca AM, Prinstein MJ, Fetter MD: Adolescent peer crowd affiliation: linkages with health-risk behaviors and close friendships. J Pediatr Psychol. 2001, 26: 131-143. 10.1093/jpepsy/26.3.131.CrossRefPubMed La Greca AM, Prinstein MJ, Fetter MD: Adolescent peer crowd affiliation: linkages with health-risk behaviors and close friendships. J Pediatr Psychol. 2001, 26: 131-143. 10.1093/jpepsy/26.3.131.CrossRefPubMed
47.
go back to reference Slesak G, Inthalad S, Kim J, et al: High HIV vulnerability of ethnic minorities after a trans-Asian highway construction in remote northern Laos. Int J STD AIDS. 2012, 23: 570-575. 10.1258/ijsa.2012.011416. doi: 10.1258/ijsa.2012.011416CrossRefPubMed Slesak G, Inthalad S, Kim J, et al: High HIV vulnerability of ethnic minorities after a trans-Asian highway construction in remote northern Laos. Int J STD AIDS. 2012, 23: 570-575. 10.1258/ijsa.2012.011416. doi: 10.1258/ijsa.2012.011416CrossRefPubMed
48.
go back to reference BruinedeBruin W, Downs JS, Fischhoff B: Adolescents’ thinking about the risks of sexual behaviors. Thinking with data. Edited by: Lovett M, Shah P. 2007, Mahwah, NJ: Erlbaum BruinedeBruin W, Downs JS, Fischhoff B: Adolescents’ thinking about the risks of sexual behaviors. Thinking with data. Edited by: Lovett M, Shah P. 2007, Mahwah, NJ: Erlbaum
49.
go back to reference Bogart L, Thorburn S: Are HIV/AIDS conspiracy beliefs a barrier to HIV prevention among African Americans?. AIDS J Acquir Immune Defic Syndr. 2005, 38: 213-218. 10.1097/00126334-200502010-00014.CrossRefPubMed Bogart L, Thorburn S: Are HIV/AIDS conspiracy beliefs a barrier to HIV prevention among African Americans?. AIDS J Acquir Immune Defic Syndr. 2005, 38: 213-218. 10.1097/00126334-200502010-00014.CrossRefPubMed
50.
go back to reference Adedimeji AA, Omololu FO, Odutolu O: HIV risk perception and constraints to protective behaviour among young slum dwellers in Ibadan, Nigeria. J of Health, Popu & Nutri. 2007, 25 (2): 146-157. Adedimeji AA, Omololu FO, Odutolu O: HIV risk perception and constraints to protective behaviour among young slum dwellers in Ibadan, Nigeria. J of Health, Popu & Nutri. 2007, 25 (2): 146-157.
51.
go back to reference Prata N, Morris L, Mazive E, Vahidnia F, Stehr M: Relationship between HIV risk perception and condom use: evidence from a population-based survey in Mozambique. Int Fam Plann Perspect. 2006, 32 (4): 192-200. 10.1363/3219206.CrossRef Prata N, Morris L, Mazive E, Vahidnia F, Stehr M: Relationship between HIV risk perception and condom use: evidence from a population-based survey in Mozambique. Int Fam Plann Perspect. 2006, 32 (4): 192-200. 10.1363/3219206.CrossRef
52.
go back to reference Gustafson PE: Gender differences in risk perception: theoretical and methodological perspectives. Risk Anal. 1998, 18 (6): 805-811.CrossRefPubMed Gustafson PE: Gender differences in risk perception: theoretical and methodological perspectives. Risk Anal. 1998, 18 (6): 805-811.CrossRefPubMed
53.
go back to reference Holtzman D, Bland SD, Lansky A, Mack K: HIV–related behaviors and perceptions among adults in 25 states: 1997 behavioral risk factor surveillance system. Am J Public Health. 2001, 91 (11): 1882-1888. 10.2105/AJPH.91.11.1882.CrossRefPubMedPubMedCentral Holtzman D, Bland SD, Lansky A, Mack K: HIV–related behaviors and perceptions among adults in 25 states: 1997 behavioral risk factor surveillance system. Am J Public Health. 2001, 91 (11): 1882-1888. 10.2105/AJPH.91.11.1882.CrossRefPubMedPubMedCentral
54.
go back to reference Ward EG, Disch WB, Levy JA, Schensul JJ: Perception of HIV/AIDS risk among urban, low–income Senior-housing residents. AIDS Educ Prev. 2004, 16 (6): 571-588. 10.1521/aeap.16.6.571.53795.CrossRefPubMed Ward EG, Disch WB, Levy JA, Schensul JJ: Perception of HIV/AIDS risk among urban, low–income Senior-housing residents. AIDS Educ Prev. 2004, 16 (6): 571-588. 10.1521/aeap.16.6.571.53795.CrossRefPubMed
55.
go back to reference Anthony I: Akubue: gender disparity in third world technological, social, and economic development. J Technol. 2001, 27: 64-73. Anthony I: Akubue: gender disparity in third world technological, social, and economic development. J Technol. 2001, 27: 64-73.
56.
go back to reference Flynn J, Slovic P, Mertz CK: Gender, race and perception of environmental health risks. Risk Anal. 1994, 14: 1101-1108. 10.1111/j.1539-6924.1994.tb00082.x.CrossRefPubMed Flynn J, Slovic P, Mertz CK: Gender, race and perception of environmental health risks. Risk Anal. 1994, 14: 1101-1108. 10.1111/j.1539-6924.1994.tb00082.x.CrossRefPubMed
57.
go back to reference Maswanya ES, Moji K, Horiguchi I, Nagata K, Aoyagi K, Honda S, Takemoto T: Knowledge, risk perception of AIDS and reported sexual behaviour among students in secondary schools and colleges in Tanzania. Health Educ Res. 1999, 14 (2): 185-196. 10.1093/her/14.2.185.CrossRefPubMed Maswanya ES, Moji K, Horiguchi I, Nagata K, Aoyagi K, Honda S, Takemoto T: Knowledge, risk perception of AIDS and reported sexual behaviour among students in secondary schools and colleges in Tanzania. Health Educ Res. 1999, 14 (2): 185-196. 10.1093/her/14.2.185.CrossRefPubMed
58.
go back to reference Zellner SL: Condom use and the accuracy of AIDS knowledge in Côte d’Ivoire. Int Fam Plann Perspect. 2003, 29 (1): 41-47. 10.2307/3181000.CrossRef Zellner SL: Condom use and the accuracy of AIDS knowledge in Côte d’Ivoire. Int Fam Plann Perspect. 2003, 29 (1): 41-47. 10.2307/3181000.CrossRef
59.
go back to reference Stringer EM, Sinkala M, Kumwenda R, Chapman VV, Mwale A, Vermund SH, Goldenberg RL, Stringer SA: Personal risk perception, HIV knowledge and risk avoidance behavior, and their relationships to actual HIV serostatus in an urban African obstetric population. J Acquir Immune Defic Syndr. 2004, 35 (1): 60-66. 10.1097/00126334-200401010-00009.CrossRefPubMedPubMedCentral Stringer EM, Sinkala M, Kumwenda R, Chapman VV, Mwale A, Vermund SH, Goldenberg RL, Stringer SA: Personal risk perception, HIV knowledge and risk avoidance behavior, and their relationships to actual HIV serostatus in an urban African obstetric population. J Acquir Immune Defic Syndr. 2004, 35 (1): 60-66. 10.1097/00126334-200401010-00009.CrossRefPubMedPubMedCentral
60.
go back to reference Macintyre K, Rutenberg N, Brown L, Karim A: Understanding perceptions of HIV risk among adolescents in KwaZulu-Natal. AIDS and Behav. 2004, 8 (3): 237-250.CrossRef Macintyre K, Rutenberg N, Brown L, Karim A: Understanding perceptions of HIV risk among adolescents in KwaZulu-Natal. AIDS and Behav. 2004, 8 (3): 237-250.CrossRef
61.
go back to reference DiClemente RJ, Crittenden CP, Rose E, Sales JM, Wingood GM, Crosby RA, Salazar LF: Psychosocial predictors of HIV-associated sexual behaviors and the efficacy of prevention interventions in adolescents at-risk for HIV infection: what works and what doesn’t work?. Psychosom Med. 2008, 2008 (70): 598-605.CrossRef DiClemente RJ, Crittenden CP, Rose E, Sales JM, Wingood GM, Crosby RA, Salazar LF: Psychosocial predictors of HIV-associated sexual behaviors and the efficacy of prevention interventions in adolescents at-risk for HIV infection: what works and what doesn’t work?. Psychosom Med. 2008, 2008 (70): 598-605.CrossRef
62.
go back to reference Ethier KA, Niccolai LM, Lewis JB, Ickovics JR: Adolescent women underestimate their susceptibility to sexually transmitted infections. Sex Transm Infect. 2003, 79: 408-411. 10.1136/sti.79.5.408. doi: 10.1136/sti.79.5.408CrossRefPubMedPubMedCentral Ethier KA, Niccolai LM, Lewis JB, Ickovics JR: Adolescent women underestimate their susceptibility to sexually transmitted infections. Sex Transm Infect. 2003, 79: 408-411. 10.1136/sti.79.5.408. doi: 10.1136/sti.79.5.408CrossRefPubMedPubMedCentral
63.
go back to reference Ford CA, Jaccard J, Millstein SG, Bardsley PE, Miller WC: Perceived risk of chlamdial and gonococcal infection among sexually experienced young adults in the United States. Perspect Sex Reprod Health. 2004, 36 (6): 258-264. 10.1363/3625804.CrossRefPubMed Ford CA, Jaccard J, Millstein SG, Bardsley PE, Miller WC: Perceived risk of chlamdial and gonococcal infection among sexually experienced young adults in the United States. Perspect Sex Reprod Health. 2004, 36 (6): 258-264. 10.1363/3625804.CrossRefPubMed
64.
go back to reference Maurier WL, Northcutt HC: Self–reported risk factors and perceived chance of getting HIV/AIDS in the 1990s in Alberta. Can J Public Health. 2000, 91 (5): 340-344.PubMed Maurier WL, Northcutt HC: Self–reported risk factors and perceived chance of getting HIV/AIDS in the 1990s in Alberta. Can J Public Health. 2000, 91 (5): 340-344.PubMed
65.
go back to reference Newman PA, Zimmerman MA: Gender differences in HIV–related sexual risk behavior among urban African American youth: a multivariate approach. AIDS Educ Prev. 2000, 12 (4): 308-325.PubMed Newman PA, Zimmerman MA: Gender differences in HIV–related sexual risk behavior among urban African American youth: a multivariate approach. AIDS Educ Prev. 2000, 12 (4): 308-325.PubMed
Metadata
Title
Risk perceptions of STIs/HIV and sexual risk behaviours among sexually experienced adolescents in the Northern part of Lao PDR
Authors
Vanphanom Sychareun
Sarah Thomsen
Kongmany Chaleunvong
Elisabeth Faxelid
Publication date
01-12-2013
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2013
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/1471-2458-13-1126

Other articles of this Issue 1/2013

BMC Public Health 1/2013 Go to the issue