Family-based processes associated with adolescent distress, substance use and risky sexual behavior in families affected by maternal HIV.
Family-based processes associated with adolescent distress, substance use and risky sexual behavior in families affected by maternal HIV.
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DOI：
10.1080/15374411003691677
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发表时间：
2010
期刊：
影响因子：
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通讯作者：
Rotheram-Borus MJ
中科院分区：
文献类型：
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作者：
Lester P;Stein JA;Bursch B;Rice E;Green S;Penniman T;Rotheram-Borus MJ
本研究调查了母亲艾滋病毒和调解家庭过程与青少年的困扰，物质使用和危险的性行为。母亲-青少年（年龄12-21岁）的二元组（N=264）从HIV感染的家庭居住的社区（161有母亲与HIV）招募。调解家庭过程的是青年攻击性冲突风格、母亲纽带、母亲角色逆转期望和整体家庭功能。结构方程模型的结果表明，青少年的攻击性冲突解决方式与青少年的困扰，物质使用和危险的性行为。在受艾滋病毒影响的家庭中，青年较少报告使用积极的冲突解决方式，更经常报告积极的母亲债券;他们的母亲报告积极的家庭功能比对照组家庭。最后，母亲的苦恼通过青少年的攻击性冲突解决方式间接影响青少年的苦恼和风险行为。
The present study investigated how maternal HIV and mediating family processes are associated with adolescent distress, substance use, and risky sexual behavior. Mother–adolescent (ages 12–21) dyads (N=264) were recruited from neighborhoods where the HIV-affected families resided (161 had mothers with HIV). Mediating family processes were youth aggressive conflict style, maternal bonding, maternal role reversal expectations, and overall family functioning. Results of structural equation modeling indicated that youth aggressive conflict resolution style was strongly associated with adolescent distress, substance use, and risky sexual behavior. In HIV-affected families, youth less frequently reported using an aggressive conflict resolution style and more frequently reported positive maternal bonds; their mothers reported less positive family functioning than control families. Finally, maternal distress indirectly affected adolescent distress and risk behavior via youth aggressive conflict resolution style.