The role of mother-daughter sexual risk communication in reducing sexual risk behaviors among urban adolescent females: A prospective study
The role of mother-daughter sexual risk communication in reducing sexual risk behaviors among urban adolescent females: A prospective study
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DOI：
10.1016/s1054-139x(03)00183-6
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发表时间：
2003-08-01
影响因子：
7.6
通讯作者：
Fong, GT
中科院分区：
文献类型：
--
作者：
Hutchinson, MK;Jemmott, JB;Fong, GT
目的：前瞻性地研究城市青少年女性之间的母女性沟通与选择性危险行为的关系。研究方法：参与者是219名有性经验的女性，年龄在12到19岁之间，从宾夕法尼亚州费城市中心的青少年医学诊所招募，并随机分配到一项降低艾滋病毒风险干预研究的对照组。分析仅限于对照组参与者的数据，以避免混淆干预效果。Poisson回归被用来模拟三种自我报告的性风险行为：男性性伴侣的数量、性交次数和无保护性交次数。中介效果进行了评估，使用计划行为理论的变量。数据进行了分析，使用Poisson regression.Results：较高水平的母女性风险沟通与较少的性交和无保护性交在3个月的随访。有证据表明，沟通与无保护性交的关系是由安全套使用自我效能介导的。母亲与女儿的性风险沟通与青少年男性性伴侣数量的报告没有显著相关性。结论：这项前瞻性研究支持这样一种观点，即母亲与女儿进行性沟通可以以积极的方式影响女儿的性行为。这些研究结果倾向于支持设计和实施以家庭为基础的方法，以改善父母与青少年的性风险沟通，减少艾滋病毒相关的性风险行为的一种手段，在内城的青少年女性。(C)青少年医学协会，2003年。
Purpose: To prospectively examine the relationship between mother-daughter communication about sex and selected sexual risk behaviors among inner-city adolescent females..Methods: Participants were 219 sexually experienced females, 12 to 19 years of age, recruited from an inner-city adolescent medicine clinic in Philadelphia, PA, and randomly assigned to the control group of an HIV-risk reduction intervention study. Analyses were limited to data from control group participants to avoid confounding intervention effects. Poisson regression was employed to model three self-reported sexual risk behaviors: number of male sexual partners, number of episodes of sexual intercourse, and number of episodes of unprotected intercourse. Mediation effects were evaluated using variables from the Theory of Planned Behavior. Data were analyzed using Poisson regression.Results: Higher levels of mother-daughter sexual risk communication were associated with fewer episodes of sexual intercourse and unprotected intercourse at 3-month follow-up. There was evidence that the relationship of communication to unprotected intercourse was mediated by condom use self-efficacy. Mother-daughter sexual risk communication was not significantly associated with adolescents' reports of numbers of male sexual partner.Conclusions: This prospective study supports the notion that mothers who communicate with their daughters about sex can affect their daughters' sexual behaviors in positive ways. These findings tend support for the design and implementation of family-based approaches to improve parent-adolescent sexual risk communication as one means of reducing HIV-related sexual risk behaviors among inner-city adolescent females. (C) Society for Adolescent Medicine, 2003.