HIV Information and Behavioral Skills Moderate the Effects of Relationship Type and Substance Use on HIV Risk Behaviors Among African American Youth
HIV Information and Behavioral Skills Moderate the Effects of Relationship Type and Substance Use on HIV Risk Behaviors Among African American Youth
复制标题
DOI：
10.1089/apc.2012.0468
复制
发表时间：
2013-06-01
影响因子：
4.9
通讯作者：
Dick, Danielle
中科院分区：
文献类型：
--
作者：
Mustanski, Brian;Byck, Gayle R.;Dick, Danielle
艾滋病毒/艾滋病流行病对年轻的非洲裔美国人的影响不成比例。努力了解和解决这一人群中无保护性行为的风险因素，对于改进预防工作至关重要。情境危险因素，如关系类型和性行为前的物质使用，需要进一步研究。本研究探讨了如何建立风险性行为的认知预测调节低收入，非洲裔美国青少年之间的关联的情境因素和无保护的性行为。对无保护性行为数量的最大主要影响是将关系归类为严重（事件发生率= 10.18）;其他显着的主要影响是性行为前饮酒、参与者年龄、行为技能和动机水平。HIV信息调节了伴侣年龄差异的影响，动机调节了伴侣年龄差异和性行为前药物使用的影响，行为技能调节了性行为前酒精和药物使用的影响。这种新颖的，伙伴关系水平的方法提供了深入了解复杂的相互作用的情境和认知因素在性风险承担。
The HIV/AIDS epidemic is disproportionately impacting young African Americans. Efforts to understand and address risk factors for unprotected sex in this population are critical in improving prevention efforts. Situational risk factors, such as relationship type and substance use before sex, are in need of further study. This study explored how established cognitive predictors of risky sexual behavior moderated the association between situational factors and unprotected sex among low-income, African American adolescents. The largest main effect on the number of unprotected sex acts was classifying the relationship as serious (event rate ratio = 10.18); other significant main effects were alcohol use before sex, participant age, behavioral skills, and level of motivation. HIV information moderated the effect of partner age difference, motivation moderated the effects of partner age difference and drug use before sex, and behavioral skills moderated the effects of alcohol and drug use before sex. This novel, partnership-level approach provides insight into the complex interactions of situational and cognitive factors in sexual risk taking.