Family Functioning as a Protective Factor for Sexual Risk Behaviors Among Gender Minority Adolescents.
Family Functioning as a Protective Factor for Sexual Risk Behaviors Among Gender Minority Adolescents.
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DOI：
10.1007/s10508-021-02079-5
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发表时间：
2021-10
影响因子：
3.8
通讯作者：
Katz-Wise SL
中科院分区：
文献类型：
--
作者：
Garcia Saiz E;Sarda V;Pletta DR;Reisner SL;Katz-Wise SL
性别少数（GM）青年更有可能从事性行为，增加暴露于性传播感染，包括艾滋病毒的风险。然而，家庭功能可能对性风险具有保护作用。我们的特点纵向协会之间的家庭功能（家庭沟通和家庭满意度）和性风险行为在两年的社区样本30转基因青少年，年龄13至17岁。参与者是有目的地从社区场所招募的，通过社交媒体和整个新英格兰地区的同行推荐，每6个月完成一次调查，测量家庭功能，性风险行为，风险因素（抑郁和焦虑症状，与父母相关的感知压力）和保护因素（社会支持，性别相关的自豪感和社区联系）。结果表明，更高水平的家庭沟通，提高家庭满意度，增加社会支持的保护性冒险，一般来说，特别是使用避孕套的肛门/阴道性交。相反，抑郁症状的增加与肛门/阴道避孕套使用的可能性降低有关。家庭功能和性风险之间的关联并没有减弱增加风险和保护因素的模型，因此，这些因素并没有解释观察到的家庭功能和性风险之间的关联。这些研究结果表明，改善家庭功能，更大的社会支持和较低的抑郁症状与减少性风险之间的性别少数青年，从而使这些因素的一个重要目标，为未来的预防工作。
Gender minority (GM) youth are more likely to engage in sexual behaviors that increase risk of exposure to sexually transmitted infections, including HIV. However, family functioning may be protective against sexual risk taking. We characterized longitudinal associations between family functioning (family communication and family satisfaction) and sexual risk behaviors across two years in a community sample of 30 GM adolescents, ages 13 to 17 years. Participants were purposively recruited from community-based venues, through social media, and peer referrals throughout the New England area and completed surveys every 6 months, with measures of family functioning, sexual risk behaviors, risk factors (depressive and anxious symptoms, perceived stress related to parents), and protective factors (social support, gender-related pride and community connectedness). Results indicated that higher levels of family communication, improved family satisfaction, and increased social support were protective for sexual risk taking, in general, and specifically for condom use for anal/vaginal sex. In contrast, increased depressive symptoms were associated with lower likelihood of anal/vaginal condom use. Associations between family functioning and sexual risk taking were not attenuated by adding risk and protective factors to the model; thus, these factors did not explain the observed associations between family functioning and sexual risk taking. These findings suggest improved family functioning, greater social support, and lower depressive symptoms are associated with reduced sexual risk taking among gender minority youth, thus making these factors an important target for future prevention efforts.
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影响因子：
3.8
作者：
Newcomb, Michael E.;Ryan, Daniel T.;Garofalo, Robert;Mustanski, Brian
通讯作者：
Mustanski, Brian
DOI：
10.1007/s10935-018-0508-9
发表时间：
2018-06
期刊：
The journal of primary prevention
影响因子：
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通讯作者：
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作者：
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通讯作者：
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影响因子：
2.6
作者：
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通讯作者：
Bockting, Walter O.
影响因子：
10.3
作者：
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通讯作者：
Ollendicke, Thomas H.