The role of young adult social bonds, substance problems, and sexual risk in pathways between adolescent substance use and midlife risky sexual behavior among urban African Americans.
The role of young adult social bonds, substance problems, and sexual risk in pathways between adolescent substance use and midlife risky sexual behavior among urban African Americans.
复制标题
青少年社会纽带、物质问题和性风险在城市非裔美国人青少年物质使用和中年危险性行为之间的途径中的作用。
DOI：
10.1037/adb0000313
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发表时间：
2017
期刊：
影响因子：
--
通讯作者：
Green,KerryM
中科院分区：
文献类型：
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作者：
Zebrak,KatarzynaA;Green,KerryM
与其他种族群体相比，非裔美国人受艾滋病毒/艾滋病和其他性传播感染的影响不成比例。虽然药物使用与危险的性行为有关，但对这些联系在生命过程中如何发展的理解仍然有限，特别是社会关系的作用。本研究使用结构方程模型来研究从青少年物质使用到年轻成人性风险，物质问题和社会联系，然后到中年非洲裔美国男性和女性的风险性行为的途径，控制儿童混杂因素。数据来自4项评估，每个发育期1项，前瞻性随访6至42岁的基于社区的城市非裔美国人队列（N= 1，242）。我们发现，青少年物质使用越多，预示着年轻人物质问题越多，危险性行为越多，这两者反过来又预示着中年性风险越大。虽然青少年物质使用量越大，男女青年的社会联系就越少，但年轻人的社会联系却出乎意料地与女性中年危险性行为的减少有关，而与男性无关。城市非洲裔美国青少年的物质使用干预可能对降低性风险行为有直接和长期的影响。鉴于年轻成年人的社会联系和中年女性之间的风险性行为之间的关联，社会联系的数量不应被用作确定谁来筛选非裔美国妇女的性风险的标准。未来的研究应该探索社会联系的其他方面，随着时间的推移，将物质使用和危险的性行为联系起来。（PsycInfo数据库记录（c）2024阿帕，保留所有权利）
African Americans are disproportionately affected by HIV/AIDS and other sexually transmitted infections relative to other racial groups. Although substance use has been linked to risky sexual behavior, the understanding of how these associations develop over the life course remains limited, particularly the role of social bonds. This study uses structural equation modeling to examine pathways from adolescent substance use to young adult sexual risk, substance problems, and social bonds and then to midlife risky sexual behavior among African American men and women, controlling for childhood confounders. Data come from 4 assessments, 1 per developmental period, of a community-based urban African American cohort (N= 1,242) followed prospectively from ages 6 to 42 years. We found that greater adolescent substance use predicts greater young adult substance problems and increased risky sexual behavior, both of which in turn predict greater midlife sexual risk. Although greater adolescent substance use predicts fewer young adult social bonds for both genders, less young adult social bonding is unexpectedly associated with decreased midlife risky sexual behavior among women and not related for men. Substance use interventions among urban African American adolescents may have both immediate and long-term effects on decreasing sexual risk behaviors. Given the association between young adult social bonding and midlife risky sex among females, number of social bonds should not be used as a criterion for determining whom to screen for sexual risk among African American women. Future studies should explore other aspects of social bonding in linking substance use and risky sexual behavior over time.(PsycInfo Database Record (c) 2024 APA, all rights reserved)