Associations Between Changing Developmental Contexts and Risky Sexual Behavior in the Two Years Following High School

Associations Between Changing Developmental Contexts and Risky Sexual Behavior in the Two Years Following High School
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DOI:
10.1007/s10508-010-9633-0
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发表时间:
2011-10-01
影响因子:
3.8
通讯作者:
Catalano, Richard F.
Catalano, Richard F.
中科院分区:
法学2区
文献类型:
--
作者:
Bailey, Jennifer A.;Haggerty, Kevin P.;Catalano, Richard F.

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本研究测试了高中后2年内常见的发展背景(关系参与,独立生活,大学出勤率,工作)和危险性行为(随意性行为,不一致的安全套使用,高风险性行为)之间的关联。数据来自养育健康儿童项目,包括801名18-21岁的参与者。纵向分析,控制了早期的性行为,高中物质使用和高中成绩,表明与父母生活在一起可以防止所有三种性风险行为结果(OR约为0.70)。处于一段浪漫的关系中与较低的随意性行为概率相关,但不一致使用避孕套的概率较高。上大学与高风险性行为的概率较低相关(OR = 0.67)。工作与性风险行为无关。在高中毕业后的两年里,性风险行为的水平几乎没有变化。这项研究的结果表明,发展背景可能会影响年轻人从事危险的性行为。旨在促进性健康和减少年轻人性传播感染风险行为的计划应该考虑针对那些有浪漫关系的人,那些不与父母生活在一起的人,以及那些没有上大学的人。此外,要为这些目标青年制定有效的预防方案,我们必须了解导致这些群体发生危险性行为的机制。
The present study tested associations between common developmental contexts (relationship involvement, independent living, college attendance, work) and risky sexual behavior (casual sex, inconsistent condom use, high-risk sex) across the 2 years following high school. Data were drawn from the Raising Healthy Children project, and included 801 participants aged 18-21 years. Longitudinal analyses, which controlled for early sexual debut, high school substance use, and high school grades, showed that living with a parent was protective against all three sexual risk behavior outcomes (ORs about 0.70). Being in a romantic relationship was associated with a lower probability of casual sex, but a higher probability of inconsistent condom use. Attending college was associated with a lower probability of high-risk sex (OR = 0.67). Working was not related to the sexual risk behaviors examined. Levels of sexual risk behavior showed little change across the 2 years following high school. Findings from this study suggest that developmental context may affect young adults' engagement in risky sexual behavior. Programs aimed at promoting sexual health and reducing risk behaviors for STIs among young adults should consider targeting those in romantic relationships, those not living with parents, and those not attending college. Further, to develop effective prevention programs for these targeted youth, it is critical that we understand the mechanisms leading to risky sex in these groups.