Racial and Ethnic Disparities in Sexual Risk Behaviors And STDs During Young Men's Transition to Adulthood
Racial and Ethnic Disparities in Sexual Risk Behaviors And STDs During Young Men's Transition to Adulthood
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DOI：
10.1363/4305111
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发表时间：
2011-03-01
影响因子：
5.8
通讯作者：
Sonenstein, Freya L.
中科院分区：
文献类型：
--
作者：
Dariotis, Jacinda K.;Sifakis, Frangiscos;Sonenstein, Freya L.
方法：使用来自三轮全国青少年男性调查（1988年、1990-1991年和1995年）的数据来检查1,880名年轻男性的STD病史以及他们在青春期和成年早期的性危险行为的模式和轨迹。我们进行了多项式和逻辑回归分析，以检验性传播疾病的种族和民族差异是否是由于少数群体中较低的社会经济地位和较高的危险性行为水平造成的。结果：年轻黑人在每一波和跨波中报告的性风险和性传播疾病的比率最高。与白人男性相比，黑人和拉丁裔男性维持高性风险并随着时间的推移增加性风险的几率更高（优势比为 1.7-1.9）。在控制社会经济特征的多变量分析中，黑人男性比白人男性更有可能有性病史（3.2-5.0）；在控制危险性行为水平的分析中，差异仍然存在。结论：在性传播疾病方面，种族和族裔继续将年轻的黑人和拉丁裔男性与白人同龄人区分开来。需要针对青少年男性的不同种族和族裔亚群并解决个人和背景因素的预防计划来遏制性传播疾病的发病率。
METHODS: Data from three waves of the National Survey of Adolescent Males (1988, 1990-1991 and 1995) were used to examine 1,880 young men's history of STDs and their patterns and trajectories of sexual risk behavior during adolescence and early adulthood. Multinomial and logistic regression analyses were conducted to test whether racial and ethnic differences in STDs are due to the lower socioeconomic status and higher levels of risky sexual behavior among minority groups.RESULTS: Young black men reported the highest rates of sexual risk and STDs at each wave and across waves. Compared with white men, black and Latino men had higher odds of maintaining high sexual risk and increasing sexual risk over time (odds ratios, 1.7-1.9). In multivariate analyses controlling for socioeconomic characteristics, black men were more likely than white men to have a history of STDs (3.2-5.0); disparities persisted in analyses controlling for level of risky sexual behavior.CONCLUSIONS: Race and ethnicity continue to differentiate young black and Latino men from their white peers in terms of STDs. Prevention programs that target different racial and ethnic subgroups of adolescent men and address both individual- and contextual-level factors are needed to curb STD incidence.