Discrimination and sexual risk among young urban pregnant women of color.
Discrimination and sexual risk among young urban pregnant women of color.
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城市年轻有色人种孕妇的歧视和性风险。
DOI：
10.1037/a0032502
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发表时间：
2014
期刊：
影响因子：
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通讯作者：
Ickovics,JeannetteR
中科院分区：
文献类型：
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作者：
Rosenthal,Lisa;Earnshaw,ValerieA;Lewis,JessicaB;Lewis,TenéT;Reid,AlleciaE;Stasko,EmilyC;Tobin,JonathanN;Ickovics,JeannetteR
歧视预示着许多负面健康结果的风险增加，有助于解释各种种族和社会经济健康差异。最近的研究表明，歧视可能在艾滋病毒和其他性传播感染（STI）的差异中发挥作用;然而，这项研究的重点是风险行为，尚未建立歧视和STI诊断之间的联系。这项调查测试了在美国受艾滋病毒和性传播感染影响不成比例的人群中，歧视是否预测了避孕套的使用，危险的性伴侣和自我报告的性传播感染诊断：年轻的，怀孕的，社会经济上处于不利地位的，有色人种的妇女。方法在第二和第三个三个月期间，885名大部分是拉丁裔和黑人孕妇，14-21岁，参加了14家医院和健康中心在纽约市的产前护理，完成了interviews. ResultsMore歧视在孕中期预测更大的几率性病诊断和有风险的性伴侣在孕晚期，但不是避孕套的使用。是否歧视归因于种族，确定为黑人，或确定为Latina没有缓和effects.ConclusionThis是第一次调查建立歧视和STI诊断之间的联系，而不仅仅是风险行为。它在高危、年轻、孕妇、有色人种女性样本中做到了这一点。研究结果表明，怀孕期间和整个生命周期的性风险，以及怀孕和胎儿的风险。必须减少歧视，消除艾滋病毒和性传播感染方面的差距。未来的研究应继续审查不同人群中歧视在性风险中的作用，并努力揭示潜在的机制。（PsycInfo数据库记录（c）2024阿帕，保留所有权利）
ObjectiveDiscrimination predicts increased risk for many negative health outcomes, helping explain a variety of racial and socioeconomic health disparities. Recent research suggests discrimination may play a role in disparities in HIV and other sexually transmitted infections (STIs); however, this research has focused on risk behaviors and has yet to establish a link between discrimination and STI diagnosis specifically. This investigation tested whether discrimination predicted condom use, risky sexual partners, and self-reported STI diagnosis among a population disproportionately affected by HIV and STIs in the US: young, pregnant, socioeconomically disadvantaged, women of color.MethodDuring second and third trimesters, 885 mostly Latina and Black pregnant women, 14–21 years old, attending 14 hospitals and health centers in New York City for prenatal care, completed interviews.ResultsGreater discrimination during second trimester predicted greater odds of STI diagnosis and having a risky sexual partner during third trimester, but not condom use. Whether discrimination was attributed to race, identifying as Black, or identifying as Latina did not moderate effects.ConclusionThis is the first investigation establishing a link between discrimination and STI diagnosis, not just risk behavior. It does so among a sample of at-risk, young, pregnant, women of color. Findings suggest implications for sexual risk during pregnancy and across the life span, and risks for the pregnancy and fetus. It is vital to reduce discrimination to eliminate disparities in HIV and STIs. Future research should continue examining the role of discrimination in sexual risk among different populations and work to uncover potential mechanisms.(PsycInfo Database Record (c) 2024 APA, all rights reserved)