HIV/STD-protective benefits of living with mothers in perceived supportive families: A study of high-risk African American female teens
HIV/STD-protective benefits of living with mothers in perceived supportive families: A study of high-risk African American female teens
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DOI：
10.1006/pmed.2001.0868
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发表时间：
2001-09-01
影响因子：
5.1
通讯作者：
Oh, MK
中科院分区：
文献类型：
--
作者：
Crosby, RA;DiClemente, RJ;Oh, MK
背景。在性活跃的女性青少年中，与母亲生活在一个被认为是支持性家庭中的共同影响可能是一个重要的艾滋病毒/性病保护因素。性活跃的非裔美国女性青少年（N = 522）完成了一项自我管理的调查和结构化访谈。在家庭支持和报告母亲与他们一起生活方面得分较高的青少年与其他青少年在以下方面进行了比较：无保护的阴道性行为（过去30天）、与非稳定伴侣的性行为（过去6个月）、与性伴侣的沟通、对避孕套的态度以及对使用避孕套的谈判能力。Logistic回归分析控制了父母-青少年性交流和父母监控的影响。与母亲一起生活在一个被认为是支持性家庭中的青少年更有可能与性伴侣沟通性风险（OR = 1.53）。他们较少报告与不稳定的伴侣发生性行为（OR = 0.51），或与稳定的伴侣（OR = 0.52）或任何伴侣（OR = 0.55）发生无保护的性行为。对照分析表明，在女性青少年中，与母亲一起生活在一个被认为支持的家庭中是一个重要的艾滋病毒/性病保护因素。包括母亲在内的女性青少年艾滋病/性病预防项目可能会产生积极和持久的影响。(C) 2001年美国卫生基金会和学术出版社。
Background. The joint influence of living with the mother in a perceived supportive family may be an important HIV/STD-protective factor among sexually active female adolescents.Methods. Sexually active African American female adolescents (N = 522) completed a self-administered survey and structured interview. Adolescents scoring high on family support and reporting that their mother lived with them were compared with the remaining adolescents in respect to unprotected vaginal sex (past 30 days), sex with a non-steady partner (past 6 months), communication with sex partners, attitudes toward condoms, and perceived ability to negotiate condom use. Logistic regression analyses controlled for the influence of parent-adolescent communication about sex and parental monitoring.Results. Adolescents residing with their mothers in a perceived supportive family were more likely to communicate with their sex partners about sexual risk (OR = 1.53). They were less likely to report sex with a non-steady partner (OR = 0.51) or having unprotected sex with a steady partner (OR = 0.52) or any partner (OR = 0.55).Conclusions. Controlled analyses suggest that living with the mother in a perceived supportive family is an important HIV/STD-protective factor among female adolescents. HIV/STD prevention programs for female adolescents that include the mothers may promote positive and lasting effects. (C) 2001 American Health Foundation and Academic Press.