Holding the line with a watchful eye: The impact of perceived parental permissiveness and parental monitoring on risky sexual behavior among adolescents in psychiatric care

Holding the line with a watchful eye: The impact of perceived parental permissiveness and parental monitoring on risky sexual behavior among adolescents in psychiatric care
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DOI:
10.1521/aeap.14.2.138.23899
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发表时间:
2002-04-01
影响因子:
1.8
通讯作者:
Bryant, FB
Bryant, FB
中科院分区:
医学4区
文献类型:
--
作者:
Donenberg, GR;Wilson, HW;Bryant, FB

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接受精神护理的青少年感染艾滋病毒的风险增加,但对这些青少年中与性风险有关的家庭因素知之甚少。我们探索了在芝加哥寻求心理健康服务的169名不同种族的城市青年中,感知到的父母监督和感知的父母纵容是否与高危性行为有关,并测试了青少年性别是否缓和了这些联系。我们评估了全球范围内的性风险行为和具体的风险行为(例如,不戴避孕套的性行为、吸毒和酗酒时的性行为)。总的来说,女孩报告的性行为比男孩更危险,女孩比男孩更有可能发生不带避孕套的性行为。在父母允许的低水平下,男孩和女孩的风险性行为比率没有差异,但在高允许水平下,女孩报告的性风险比男孩更大,女孩比男孩更有可能在吸毒和酒精的同时发生性行为,以及在没有避孕套的情况下发生性行为。研究结果突显了青少年性行为的复杂性,以及对冒险行为进行多层次评估的必要性。结果表明,与问题男孩相比,父母的监督和纵容与问题女孩的性风险承担更密切相关,这突显了对性别敏感、以家庭为重点的艾滋病毒预防计划的必要性。
Adolescents in psychiatric care are at increased risk of HIV, vet little is known about the family factors related to sexual risk taking among these youth. We explored whether perceived parental monitoring and perceived parental permissiveness were linked to high-risk sexual behavior in 169 ethnically diverse urban youth seeking mental health services in Chicago, and we tested whether adolescent gender moderated these associations. We evaluated sexual risk taking at a global level and for specific risk behaviors (e.g., sex without a condom, sex while using drugs and alcohol). Girls reported more risky sex overall than boys, and girls were more likely than boys to report having sex without a condom. At low levels of parental permissiveness, rates of risky sex among boys and girls' did not differ, but at high levels of permissiveness girls reported more sexual risk taking than boys, and girls were more likely than boys to report having sex while using drugs and alcohol and having sex without a condom. Findings highlight the complexity of adolescent sexual behavior and the need for multilevel assessment of risk taking. Results suggest that parental monitoring and permissiveness are more strongly associated with sexual risk taking in troubled girls than troubled boys, and they underscore a need for gender-sensitive, family-focused HIV-prevention programs.