Acculturation as a predictor of the onset of sexual intercourse among hispanic and white teens

Acculturation as a predictor of the onset of sexual intercourse among hispanic and white teens
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DOI:
10.1001/archpedi.159.3.261
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发表时间:
2005-03-01
影响因子:
--
通讯作者:
LeCroy, C
LeCroy, C
中科院分区:
其他
文献类型:
--
作者:
Adam, MB;McGuire, J;LeCroy, C

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设计/方法:利用亚利桑那州禁欲教育项目中7270名7-12年级西班牙裔或白人青少年的预案调查数据,根据年龄、性别、家庭结构、项目地点、宗教信仰、免费学校午餐、年级、农村居住地、文化适应和种族来预测发生性行为的可能性。对西班牙裔青少年中文化适应的影响给予了特别关注。结果:在控制所有其他预测因素(优势比[OR],1.40[95%可信区间(CI),1.21-1.63])的情况下,西班牙裔青年比白人青年经历性交的风险更大。这种风险在高度适应文化的西班牙裔青少年中被放大(OR,1.69[95%CI,1.43-1.99])。然而,与白人青年(OR,0.59[95%CI,0.42-0.82])、说英语的西班牙裔青年(OR,0.35[95%CI,0.25-0.49])或双语西班牙裔青年(OR,0.45[95%CI,0.31-0.64])相比,文化适应程度较低的西班牙裔青年发生第一次性行为的可能性实际上更低。结论:尽管西班牙裔青少年开始性交的风险总体上增加,但低文化适应是一个重要的保护因素,同时控制了其他社会和文化因素。说西班牙裔西班牙语的人最不可能开始性交,而说西班牙裔英语的人最有可能发生性行为。
Objective: To investigate ethnic differences in onset of sexual intercourse among Hispanic/Mexican American and white adolescents based on acculturation.Design/Methods: Preprogram survey data from 7270 Hispanic or white teens in 7th to 12th grade involved in the Arizona Abstinence-Only Education Program were used to predict the probability of onset of sexual intercourse based on age, sex, family structure, program location, religiosity, free school lunch, grades, rural residence, acculturation, and ethnicity. Specific attention was given to the influence of acculturation among Hispanic teens. The primary language spoken by the respondents (English, Spanish, or both) was used as a proxy measure for acculturation.Results: Hispanic youth were at a greater risk for experiencing onset of intercourse than white youth, while controlling for all other predictors (odds ratio [OR], 1.40 [95% confidence interval (CI), 1.21-1.63]). This risk was amplified for highly acculturated Hispanic teens (OR, 1.69 [95% Cl, 1.43-1.99]). However, less acculturated Hispanic youth were actually less likely to have experienced first intercourse than white youth (OR, 0.59 [95% Cl, 0.42-0.82]), English-speaking Hispanic youth (OR, 0.35 [95% Cl, 0.25-0.49]), or bilingual Hispanic youth (OR, 0.45 [95% Cl, 0.31-0.64]).Conclusions: Low acculturation emerges as a significant protective factor while controlling for other social and cultural factors, in spite of the increased risk of initiating sexual intercourse for Hispanic teens overall. Hispanic Spanish speakers were least likely to have initiated intercourse, while Hispanic English speakers were the most likely.