The longitudinal relationship between drug use and risky sexual behaviors among Colombian adolescents
The longitudinal relationship between drug use and risky sexual behaviors among Colombian adolescents
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DOI：
10.1001/archpedi.156.11.1101
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发表时间：
2002-11-01
影响因子：
--
通讯作者：
Montoya, I
中科院分区：
文献类型：
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作者：
Brook, DW;Brook, JS;Montoya, I
目的：了解哥伦比亚青少年吸毒与危险性行为和早孕之间的纵向关系。设计：对哥伦比亚青少年的秘密调查，由结构化的个人访谈组成，在2个时间点，相隔2年。修改了标准的自我报告问卷，以确保语言和文化的相关性。背景：社区样本，代表不同程度的危险性行为和药物使用。队列来自风险较高和风险较低的地区以及各种自我报告的民族。参与者：从哥伦比亚3个主要城市：波哥大、麦德林和巴兰奎拉随机选择的青少年(N=2226)。主要观察指标：收集有关青少年药物使用、性行为和孕产史的数据。结果：通过回归分析(控制人口学变量)，发现危险性行为与吸毒之间存在相互影响的纵向关系。那些在我那个时候报告吸毒水平较高的青少年也有更多的性伴侣，有更高的无保护性行为频率，并且更有可能在第二时间经历早孕。相反的关系也是正确的。青少年经历的暴力水平成为其中一些关系的调节因素。结论：减少青少年吸毒也可能减少I级危险性行为和早孕，反之亦然。此外，还强调了将暴力作为这两种问题行为的风险因素加以解决的重要性。
Objective: To identify the longitudinal relationships between drug use and risky sexual behaviors and early pregnancy in Colombian adolescents.Design: Confidential survey of adolescents, consisting of structured individual interviews, at 2 time points, 2 years apart. A standard self-report questionnaire was adapted to ensure,linguistic and cultural relevance.Setting: Community samples representing differing levels of risky sexual behavior and drug use. Cohorts were drawn from higher- and lower-risk geographic areas and from various self-reported ethnic groups.Participants: Adolescents (N = 2226) randomly selected from 3 major Colombian cities: Bogota, Medellin, and Barranquilla.Main Outcome Measures: Data were collected concerning adolescent drug use, sexual behaviors, and a history of pregnancy. The youths' drug use included measures of all illegal drugs.Results: By using regression analyses (controlling for demographic variables) a reciprocal longitudinal relationship between risky sexual behaviors and drug use was identified. Those adolescents who reported higher levels of drug use at time I also had more sexual partners, had higher frequencies of unprotected sex, and were more likely to have experienced early pregnancy at time 2. The reverse relationship was true as well. The level of violence experienced by the adolescent emerged as a moderator of some of these relationships.Conclusions: Reducing adolescent drug use may also reduce levels I of risky sexual behavior and early pregnancy and vice versa.. Furthermore, the importance of addressing violence as a risk factor for both problem behaviors is emphasized.