Measuring adolescent sexual behaviors and related health outcomes.

Measuring adolescent sexual behaviors and related health outcomes.
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衡量青少年性行为和相关健康结果。

DOI:
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发表时间:
1993
期刊:
Public health reports (1974)
影响因子:
--
通讯作者:
S. Aral
S. Aral
中科院分区:
--
文献类型:
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作者:
L. Morris;C. Warren;S. Aral

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怀孕和性传播疾病(STD),包括人类免疫缺陷病毒(HIV)感染,在美国青少年中造成了严重的社会和经济问题。成为父母的青少年面临终身的社会和经济劣势。与20多岁开始生育的人相比,青春期父母完成学业或就业的可能性较小,更有可能收入较低,家庭规模较大,婚姻破裂更多,对福利援助的需求更大(1-5)。与20多岁和30多岁母亲的孩子相比,青春期母亲的孩子更有可能出现智力和学业成绩低下以及社会和行为问题(6)。目前,性病预防和治疗每年给社会带来的总成本超过35亿美元(7)。治疗所有艾滋病毒感染者的累计费用将从1992年的103亿美元增加到1995年的152亿美元(注8)。到20世纪90年代,性病将对国家的卫生和社会服务体系提出重大要求。通过家庭、学校、卫生和教育机构以及社区组织之间的协调努力,青少年中的怀孕和性传播疾病基本上是可以预防的。有效的以学校和社区为基础的方案的发展在一定程度上取决于获得有关青少年性行为的性质和程度的信息(9,10)。在本文中,我们描述了青少年危险行为监测系统(YRBSS)问卷中与性行为相关问题的编制。YRBSS小组参与者(名单见附录I,第56页)首先确定了与青少年怀孕和性传播疾病有关的主要健康后果。在2000年(11)国家健康目标的指导下,我们开发了一些问题,以引出与负面健康结果最相关的青少年性行为的信息。美国疾病控制与预防中心国家慢性疾病预防和健康促进中心(NCCDPHP)生殖健康司行为流行病学和人口研究处主席兼主任。沃伦博士是中国疾病预防控制与预防中心青少年与学校健康分部监测与评估研究分部的社会学家。ARL博士是国家预防服务中心性传播疾病和艾滋病毒预防部门行为和流行病学干预助理。
PREGNANCY AND SEXUALY TRANSMITIrED DISEASES (STD), including human immunodeficiency virus (HIV) infection, cause significant social and economic problems among adolescents in the United States. Adolescents who become parents risk lifelong social and economic disadvantages. Compared to persons who begin childbearing in their 20s, adolescent parents are less likely to complete their educations or to be employed and are more likely to have lower incomes, larger families, more marital disruptions, and greater need for welfare assistance (1-5). Compared with children of mothers in their 20s and 30s, children of adolescent mothers have a higher risk of poor intellectual and academic achievement together with social and behavioral problems (6). The total cost to society of STD prevention and treatment currently exceeds $3.5 billion annually (7). The cumulative costs of treating all people with HIV infection will increase from $10.3 billion in 1992 to $15.2 billion in 1995 (8). STD will make major demands on the nation's health and social service systems through the 1990s. Pregnancies and STD among adolescents largely are preventable through coordinated efforts among families, schools, health and education agencies, and community organizations. The development of effective school-based and community-based programs depends, in part, on gaining information about the nature and extent of sexual behaviors among adolescents (9, 10). In this paper we describe the development of questions related to sexual behaviors for the Youth Risk Behavior Surveillance System (YRBSS) questionnaire. The YRBSS panel participants (for list, see Appendix I, page 56) first identified major health outcomes associated with pregnancy and STD among adolescents. Guided by national health objectives for the year 2000 (1 1), we developed questions that would elicit information on those adolescent sexual behaviors most related to negative health outcomes. chairperson and Chiefofthe Behavioral Epidemiology and Demographic Research Branch, Division of Reproductive Health, of CDC's National CenterforChronic DiseasePrevention and HealthPromotion(NCCDPHP). Dr.Warren is a Sociologist, Surveillance andEvaluation Research Branch, Division of Adolescent and School Health, NCCDPHP. Dr. Arl is Assistant for Behavioral and Epidemiologic Intervention, Division of Sexually Transmitted Diseases and HIV Prevention, National Center for Prevention Services.
纽约州高中生使用非法药物的下降:与全国数据的比较。
DOI: 10.2105/ajph.81.8.1064
发表时间: 1991
影响因子: 12.7
作者:
Kandel,DB;Davies,M
通讯作者: Davies,M