Neighborhood Disadvantage and Changes in Condom Use among African American Adolescents
Neighborhood Disadvantage and Changes in Condom Use among African American Adolescents
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DOI：
10.1007/s11524-010-9506-9
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发表时间：
2011-02-01
影响因子：
6.6
通讯作者：
Caldwell, Cleopatra H.
中科院分区：
文献类型：
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作者：
Bauermeister, Jose A.;Zimmerman, Marc A.;Caldwell, Cleopatra H.
邻里环境可能影响青少年的性决策。我们以非洲裔美国青年为样本，在整个高中时期（N=681； 51%为女性），研究了社区特征与安全套使用之间的关系。使用一个三层次线性模型，我们模拟了一段时间内不一致的安全套使用情况，然后研究了其与青少年性风险轨迹（性交频率、性伴侣数量和怀孕问题）、个人层面特征（性别、年龄、社会经济地位和家庭组成）和社区劣势的关系。随着时间的推移，性交频率与不一致的避孕套使用有关，年轻人报告更担心怀孕，而伴侣的数量报告更一致地使用避孕套。随着时间的推移，女性更有可能报告避孕套的使用不一致。社区劣势特征与较少的安全套基线使用有关，但与高中时期青少年安全套使用的变化无关。我们讨论以社区为基础的艾滋病毒/艾滋病预防对青年的影响。
Neighborhood context may influence youth sexual decision-making. We examined the association between neighborhood characteristics and condom use in a sample of African American youth followed across the high school years (N=681; 51% female). Using a three-level hierarchical linear model, we modeled inconsistent condom use over time and then examined its association with youth's sexual risk trajectories (sexual intercourse frequency, number of partners, and pregnancy concerns) and individual-level characteristics (sex, age, SES, and household composition), and neighborhood disadvantage. While sexual intercourse frequency was associated with inconsistent condom use over time, youth reporting greater pregnancy concerns and number of partners reported more consistent condom use over time. Females were more likely to report more inconsistent condom use over time. Neighborhood disadvantage characteristics were associated with less baseline condom use, but did not have an association with changes in youth's condom use over the high school years. We discuss the implications for community-based HIV/AIDS prevention for youth.