Sexual risk behavior 6 months post-high school: Associations with college attendance, living with a parent, and prior risk behavior

Sexual risk behavior 6 months post-high school: Associations with college attendance, living with a parent, and prior risk behavior
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DOI:
10.1016/j.jadohealth.2007.11.138
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发表时间:
2008-06-01
影响因子:
7.6
通讯作者:
Haggerty, Kevin P.
Haggerty, Kevin P.
中科院分区:
医学2区
文献类型:
--
作者:
Bailey, Jennifer A.;Fleming, Charles B.;Haggerty, Kevin P.

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目的:本研究调查了高中毕业后秋季社区青少年的性危险行为(SRB)。主要目的是检验大学和居住状况与SRB的3项指标:偶然性行为、安全套使用不一致和高危性行为之间的关系。方法:数据来自养育健康儿童项目的834名参与者,他们在高中期间和高中后的秋季每年接受调查。结果:在参与者中,30%的人报告了安全套的使用不一致,23%的人报告了偶然性行为,11%的人报告了高中后秋季的高危性行为。与非大学青年相比,大学青年报告SRB的可能性较小。一方面,大学出勤率与随意性行为和间歇性使用避孕套之间的保护性联系,一方面被高中药物使用、危险的性行为和学习成绩充分解释。大学入学对高危性行为的保护作用部分是由高中预测因素解释的。18~19岁与父母同住与SRB无关。结论:本研究结果表明,非大学生SRB的高患病率主要是高危行为和低学习成绩模式的延续。上大学是对最高风险的性行为措施的保护。研究结果表明,在没有上大学的年轻人以及成绩不佳、吸毒或从事SRB工作的高中生中,需要努力预防人类免疫缺陷病毒和性传播感染。(C)2008年青少年医学会。版权所有。
Purpose: This study examined sexual risk behavior (SRB) among a community sample of youth in the fall after their senior year of high school. The primary goal was to examine associations between college and residential status and 3 measures of SRB: casual sex, inconsistent condom use, and high-risk sex.Method: Data were from 834 participants in the Raising Healthy Children project who were surveyed annually during high school and in the fall of the post-high school year.Results: Of the participants, 30% reported inconsistent condom use, 23% reported casual sex, and 11% reported high-risk sex in the fall after high school. Youth in college were less likely than noncollege youth to report SRB. The protective association between college attendance on one hand and casual sex and intermittent condom use on the other was fully explained by high school substance use, risky sex, and academic performance. The protective effect of college attendance on high-risk sex was partly explained by high school predictors. Living with parents at age 18-19 years was not related to SRB.Conclusions: Results from this study indicate that the higher prevalence of SRB among noncollege youth is largely a continuation of patterns of higher risk behavior and lower academic performance during high school. College attendance was protective for the most high-risk sex measure. Findings suggest that human immunodeficiency virus and sexually transmitted infection prevention efforts are needed among young adults who are not attending college and among high school students who have earned poor grades, used drugs, or engaged in SRB. (C) 2008 Society for Adolescent Medicine. All rights reserved.