Immigration Measures and Reproductive Health Among Hispanic Youth: Findings from the National Longitudinal Survey of Youth, 1997-2003
Immigration Measures and Reproductive Health Among Hispanic Youth: Findings from the National Longitudinal Survey of Youth, 1997-2003
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DOI：
10.1016/j.jadohealth.2008.08.001
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发表时间：
2009-01-01
影响因子：
7.6
通讯作者：
Ikramullah, Erum N.
中科院分区：
文献类型：
--
作者：
McDonald, Jill A.;Manlove, Jennifer;Ikramullah, Erum N.
目的：探讨移民措施和风险之间的关系，生殖和性事件在美国西班牙裔adolescents.Methods：我们研究了一代的状态，在家里和原籍国的语言有关的性活动，避孕，生育1614西班牙裔青少年，使用全国代表性的1997-2003年纵向数据。多变量分析控制了潜在的混杂变量。对性别和墨西哥血统的影响进行了测试。第一代青少年在18岁之前过渡到性交的人数较少（比值比[OR] = 0.80，95%置信区间[CI] = 0.66 - 0.98），第一代和第二代性活跃的青少年在17岁时持续使用避孕药具的人数较少（OR = 0.32，95%CI = 0.17 -60和OR = 0.50，95%CI = 0.31 -80）。语言同样与向性交和避孕做法的过渡有关。与墨西哥裔青少年相比，波多黎各裔青少年以及古巴和中美洲/南美洲以外的其他地区的青少年性活跃的几率更大;除中美洲/南美洲以外的所有地区的青少年的多胎活产率更低（OR = 0.14 -31）。性别改变了世代对17岁时持续使用避孕药具和避孕套的影响。性别也修改了原籍国的影响，在18岁之前的性交过渡到years.Conclusions：结果扩展到以前的观察，一代，语言和原籍国的预测生殖和西班牙裔青少年的性风险。因此，这些移民措施可能有助于针对社区和临床预防服务。(c)2009年，为青少年医学。All rights reserved.
Purpose: To explore relationships between immigration measures and risk of reproductive and sexual events among U.S. Hispanic adolescents.Methods: We examined generation status, language in the home and country of origin in relation to sexual activity, contraception, and childbearing among 1614 Hispanic adolescents, using nationally representative 1997-2003 longitudinal data. Multivariable analyses controlled for potentially confounding variables. Tests for effect modification by gender and Mexican origin were conducted.Results: Fewer first generation adolescents transitioned to sexual intercourse before age 18 (odds ratio [OR] = .80, 95% confidence interval [CI] = .66-.98) and fewer first and second generation sexually active teens used contraceptives consistently at age 17 (OR = .32, 95% CI = .17-60 and OR = .50, 95% CI = .31-80, respectively) than third-generation teens. Language was similarly associated with the transition to sexual intercourse and contraceptive practices. Versus teens of Mexican origin, teens of Puerto Rican origin and origins other than Cuba and Central/South America had greater odds of becoming sexually active; youth of all origins except Central/South America had fewer multiple live births (OR = .14-31). Gender modified the effects of generation on consistent use of contraceptives and condoms at age 17. Gender also modified the effect of country of origin on transitioning to sexual intercourse before age 18 years.Conclusions: Results expand on previous observations that generation, language, and country of origin are predictors of reproductive and sexual risks for Hispanic adolescents. These immigration measures may therefore be useful in targeting community and clinical preventive services. (c) 2009 Society for Adolescent Medicine. All rights reserved.