The Association of Gender,Ethnicity, and Length of Residence in the Bay Area to Adolescents' Knowledge and Attitudes about Acquired immune Deficiency Syndrome1

A large-scale survey was conducted in San Francisco to assess adolescents' knowledge, attitudes, and beliefs about AIDS. Data obtained from 1,326 adolescents demonstrate marked variability in knowledge across informational items, particularly about the precautionary measures to be taken during sexual intercourse which may reduce the risk of infection. The findings identified ethnic differences in knowledge about AIDS, with Asians having a lower overall knowledge score than Hispanics, Blacks, and Caucasians. Adolescents who score below the median for total number of correct responses were more than twice as likely to perceive themselves as very susceptible to AIDS. A comparison of surveys from other parts of the country suggests that proximity to an AIDS epicenter has great saliency for adolescents with respect to their knowledge and attitudes about AIDS. The proportion of adolescents reporting correct responses, for questions in common, between the surveys indicates that students in San Francisco score appreciably higher. A framework is also described for providing school-based risk-reduction health education for adolescents.