The association of foster care or kinship care with adolescent sexual behavior and first pregnancy
The association of foster care or kinship care with adolescent sexual behavior and first pregnancy
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DOI：
10.1542/peds.108.3.e46
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发表时间：
2001-09-01
期刊：
影响因子：
8
通讯作者：
Steiner, JF
中科院分区：
文献类型：
--
作者：
Carpenter, SC;Clyman, RB;Steiner, JF
目标。每年有500,000多名儿童进入家庭外安置。很少有关于这些儿童的结果研究专门针对高危性行为和青少年怀孕。我们的研究在一个具有全国代表性的女性样本中调查了亲属或寄养家庭与高危生殖行为的关系。对1995年全国家庭成长调查中年龄在15岁到44岁之间的9620名妇女的数据进行了横断面研究。根据自我报告的童年生活状况，确定了寄养儿童(n=)、亲属关系(n=513)和对照(n=9018)三组。进行双变量和多元线性回归分析。结果结果变量为首次性交年龄、首次受孕年龄和性伴数量。在调整了多个预测变量后，寄养与首次怀孕时的年龄较小(差异：11.3个月)和性伴侣数量的中位数(优势比：1.7，1.0-2.8)相关。亲属关系护理与较年轻的首次性交(差异=6个月)和首次受孕(差异：8.6个月)以及拥有更多的性伴侣中位数(优势比：1.4，1.1-1.8)有关。亲属组和寄养组之间无差异。寄养或亲属照顾的历史是高危性行为的标志，在这两种户外生活安排中，风险都是可比的。认识到这些风险可能使保健提供者能够对高危青年进行干预，以防止过早开始性交和早孕。
Objective. Each year more than 500 000 children enter out-of-home placement. Few outcome studies of these children specifically address high-risk sexual behavior and adolescent pregnancy. Our study investigated the relationship between living in kinship or foster care and high-risk reproductive behaviors in a nationally representative sample of women.Methods. Data from 9620 women ages 15 to 44 years in the 1995 National Survey of Family Growth were analyzed in a cross-sectional study. Three groups-foster (n = 89), kinship (n = 513), and comparison (n = 9018)were identified on the basis of self-reported childhood living situations. Bivariate and multiple linear regression analyses were performed. The outcome variables were age at first sexual intercourse and at first conception and the number of sexual partners.Results. After adjustment for multiple predictor variables, foster care was associated with younger age at first conception (difference: 11.3 months) and having greater than the median number of sexual partners (odds ratio: 1.7, 1.0-2.8). Kinship care was associated with younger age both at first intercourse (difference = 6 months) and at first conception (difference: 8.6 months) and having greater than the median number of sexual partners (odds ratio: 1.4, 1.1-1.8). There were no differences between the kinship and foster groups.Conclusions. A history of living in either foster or kinship care is a marker for high-risk sexual behaviors, and the risk is comparable in both out-of-home living arrangements. Recognition of these risks may enable health care providers to intervene with high-risk youth to prevent early initiation of sexual intercourse and early pregnancy.