Childbearing Motivations and Desires, Fertility Beliefs, and Contraceptive Use among Urban African-American Adolescents and Young Adults with STI Histories.
Childbearing Motivations and Desires, Fertility Beliefs, and Contraceptive Use among Urban African-American Adolescents and Young Adults with STI Histories.
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城市非裔美国青少年和有性传播感染史的年轻人的生育动机和愿望、生育观念以及避孕措施的使用。
DOI：
10.1007/s11524-018-0282-2
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发表时间：
2019
期刊：
影响因子：
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通讯作者：
Trent,Maria
中科院分区：
文献类型：
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作者：
Alexander,KamilaA;Perrin,Nancy;Jennings,JackyM;Ellen,Jonathan;Trent,Maria
本研究探讨了性传播感染史对城市非洲裔美国青少年和年轻人（AYA）生育动机、生育信念、当前生育意愿和避孕使用的影响。次要数据来自2004年至2007年进行的邻里对青少年和年轻人健康的影响（NIAAH）研究。样本包括517名15-24岁的AYA（男性：n= 199，女性：n= 318）。线性和逻辑回归模型研究了性别差异的生育动机（CBM）和愿望，生育信念，避孕套，避孕药具的使用。建立逻辑回归模型，以检查年龄，怀孕史和STI生育知识作为潜在的混杂因素。AYA男性（3.29）和AYA女性（3.23）的CBM平均评分相似。AYA女性CBM阳性率较高，使用安全套较少，而AYA男性CBM与安全套使用无相关性（OR = 0.71，p = 0.069）。对生育能力的低信念（OR = 0.52，p = 0.003）和既往妊娠史（OR = 5.27，p = 0.002）与AYA妇女目前的生育意愿相关。AYA男性的低生育信念仅与目前的生育意愿相关（OR = 0.56，p = 0.044）。AYA男性避孕率较高（67.46%比55.04%），尤其是无伴侣妊娠史的男性（OR = 0.26，p = 0.017）。年轻男性（15 ~ 18岁）避孕或使用安全套的比例高于老年男性（19-25岁）（OR = 0.40，p = 0.016）。报告伴侣曾怀孕的年轻男性使用避孕套或避孕方法较少（OR = 0.23，p = 0.028）。STI历史没有影响CBM在这个样本的城市青年。然而，先前的怀孕经历和实际年龄是塑造近端动机和生育意愿、生育信念和避孕行为的重要里程碑。
This study explored the influence of STI history on childbearing motivations, fertility beliefs, current childbearing desires, and contraception use among urban African-American adolescents and young adults (AYA). Secondary data were from the Neighborhood Influences on Adolescent and Young Adult Health (NIAAH) study, conducted from 2004 to 2007. Sample included 517 AYA ages 15–24 years (male:n= 199, female:n= 318). Linear and logistic regression models examined gender differences in childbearing motivations (CBM) and desires, fertility beliefs, condom, and contraception use. Logistic regression models were constructed to examine age, pregnancy history, and STI fertility knowledge as potential confounders. AYA men (3.29) and AYA women (3.23) had similar CBM mean scores. AYA women had more positive CBM and used condoms less. Condom use was not associated with CBM among AYA men (OR = 0.71,p= 0.069). Low beliefs about fertility (OR = 0.52,p= 0.003) and prior pregnancy (OR = 5.27,p= 0.002) were associated with current childbearing desires among AYA women. AYA men’s low fertility beliefs were only associated with current childbearing desires (OR = 0.56,p= 0.044). AYA men reported more contraception use (67.46 vs. 55.04%), especially with no partner pregnancy history (OR = 0.26,p= 0.017). Younger men (15 to 18 years old) reported more contraception or condom use compared to older AYA men (19–25 years old) (OR = 0.40,p= 0.016). Young men reporting a partner’s prior pregnancy used fewer condoms or contraception (OR = 0.23,p= 0.028). STI history did not influence CBM in this sample of urban youth. Prior pregnancy experiences and chronological age, however, were important milestones shaping proximal motivations and desires to bear children, beliefs about fertility, and contraception behaviors.