Correlates of unprotected vaginal sex among African American female adolescents -: Importance of relationships dynamics
Correlates of unprotected vaginal sex among African American female adolescents -: Importance of relationships dynamics
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DOI：
10.1001/archpedi.154.9.893
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发表时间：
2000-09-01
影响因子：
--
通讯作者：
Harrington, K
中科院分区：
文献类型：
--
作者：
Crosby, RA;DiClemente, RJ;Harrington, K
目的：确定无保护阴道性交（UVS）频率与女性青少年认知之间的关联，特别是她们对关系动态的认知。设计：对参加性传播疾病（STD）和人类免疫缺陷病毒预防干预试验的 922 名非裔美国女性青少年进行横断面研究。背景和参与者：从失业率、药物滥用、暴力和性传播疾病高发社区招募的青少年志愿者样本；通过 DNA 扩增或培养评估，28% 的 STD 检测呈阳性。主要结果指标：使用 6 个月的回忆期通过访谈评估 UVS 的频率。结果：在拥有稳定关系的青少年中，那些与男友相处时间较长且关系较长的青少年报告 UVS 的频率明显更高。其他显着的相关性包括认为更多的女朋友使用安全套、没有性病史、在人际关系中更倾向于男性决策的规范信念、更大的怀孕担忧以及更认为自己不易感染性病。对于报告随意关系、使用安全套的个人障碍、没有性病史以及报告说他们的男朋友通常决定何时发生性行为与更频繁的 UVS 相关的青少年来说。结论：青少年的看法，特别是他们对关系动态的看法，在解释女性青少年与固定伴侣和临时伴侣发生 UVS 的频率方面发挥着不可或缺的作用。处于稳定关系中的女性青少年与处于非正式关系中的女性青少年在预防需求方面有所不同。这些发现对临床或社区性病和人类免疫缺陷病毒预防计划具有重要意义。
Objective: To determine the associations between the frequency of unprotected vaginal sex (UVS) and female adolescents' perceptions, particularly their perceptions of relationship dynamics.Design: Cross-sectional study of 922 African American female adolescents enrolled in a sexually transmitted disease (STD) and human immunodeficiency virus prevention intervention trial.Setting and Participants: A volunteer sample of adolescents recruited from neighborhoods characterized by high rates of unemployment, substance abuse, violence, and STDs; 28% tested positive for STDs as assessed by DNA amplification or culture.Main Outcome Measure: Frequency of UVS assessed by interview using a 6-month recall period.Results: Among adolescents having steady relationships, those spending more time with their boyfriends and having longer relationships reported a significantly greater frequency of UVS. Other significant correlates included perception of more girlfriends using condoms, no history of STDs, stronger normative beliefs favoring male decision making in relationships, greater pregnancy worry, and greater perceived invulnerability to STDs. For adolescents reporting casual relationships, personal barriers to condom use, no history of STDs, and reporting that their boyfriends typically decide when to have sex were associated with more frequent UVS.Conclusions: Adolescents' perceptions, particularly their perceptions of relationship dynamics, played an integral role in explaining female adolescents' frequency of UVS with both steady and casual partners. Female adolescents in steady relationships differ from those in casual relationships relative to their prevention needs. These findings have implications for clinic- or community-based STD and human immunodeficiency virus prevention programs.