Community trauma as a predictor of sexual risk, marijuana use, and psychosocial outcomes among detained African-American female adolescents.
Community trauma as a predictor of sexual risk, marijuana use, and psychosocial outcomes among detained African-American female adolescents.
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社区创伤是被拘留的非洲裔美国女性青少年性风险、大麻使用和心理社会结果的预测因素。
DOI：
10.1080/17450128.2017.1325547
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发表时间：
2017
影响因子：
1.1
通讯作者：
Fasula,AmyM
中科院分区：
文献类型：
--
作者：
Seth,Puja;Jackson,JerroldM;DiClemente,RalphJ;Fasula,AmyM
社会决定因素助长了健康差距。先前的研究表明，社区创伤与负面的健康结果有关。本研究探讨了社区创伤对青少年拘留中心的非裔美国女性青少年的性风险，大麻使用和心理健康的影响。188名年龄在13-17岁的非洲裔美国女性青少年从短期拘留所招募，并完成了社区创伤，性风险行为，大麻使用，创伤后应激障碍症状和心理社会HIV/STD风险因素的评估。研究结果表明，社区创伤与无保护的性行为，有一个性伴侣的惩教/少年司法的历史，寻求性感觉，大麻的使用，与越轨的同龄人和创伤后应激障碍症状的关系在基线和纵向。研究结果加强了社区一级因素和共同发生的健康问题的影响，特别是在高风险环境和弱势群体中。结构性和社区一级的干预措施以及政策一级的变革可能有助于改善获得资源的机会，并改善青少年的总体健康和高风险社区的生活水平。
Social determinants contribute to health disparities. Previous research has indicated that community trauma is associated with negative health outcomes. This study examined the impact of community trauma on sexual risk, marijuana use and mental health among African-American female adolescents in a juvenile detention center. One hundred and eighty-eight African-American female adolescents, aged 13–17 years, were recruited from a short-term detention facility and completed assessments on community trauma, sexual risk behavior, marijuana use, symptoms of posttraumatic stress disorder and psychosocial HIV/STD risk factors. Findings indicate that community trauma was associated with unprotected sex, having a sex partner with a correctional/juvenile justice history, sexual sensation seeking, marijuana use, affiliation with deviant peers and posttraumatic stress disorder symptoms at baseline and longitudinally. Findings reinforce the impact of community-level factors and co-occurring health issues, particularly in high-risk environments and among vulnerable populations. Structural and community-level interventions and policy-level changes may help improve access to resources and improve adolescents’ overall health and standard of living in at-risk communities.