Ecodevelopmental x Intrapersonal Risk: Substance Use and Sexual Behavior in Hispanic Adolescents
Ecodevelopmental x Intrapersonal Risk: Substance Use and Sexual Behavior in Hispanic Adolescents
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DOI：
10.1177/1090198107311278
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发表时间：
2009-02-01
影响因子：
4.2
通讯作者：
Szapocznik, Jose
中科院分区：
文献类型：
--
作者：
Prado, Guillermo J.;Schwartz, Seth J.;Szapocznik, Jose
西班牙裔青少年是一个迅速增长的群体，极易受到药物滥用和艾滋病毒感染的影响。迄今为止实施的许多干预措施都是“一刀切”的模式，向所有参与者提供相同的剂量和模块顺序。为了更有效地预防西班牙裔青少年的药物使用和艾滋病毒，必须考虑不同的风险概况。本研究的目的是利用个人和生态发展风险过程来确定西班牙裔青少年亚组，并比较不同风险亚组的物质使用率和性行为。结果表明，具有高生态发展风险（不考虑物质使用的个人风险）的人报告终生和过去90天吸烟和非法药物使用的比例较大。相比之下，更大比例的不安全性行为个人内部风险高的人（不考虑生态发育风险）报告了早期的性行为开始和性传播疾病发病率。在这些西班牙裔青少年亚组方面讨论了干预发展的含义。
Hispanic adolescents are a rapidly growing population and are highly vulnerable to substance abuse and HIV infection. Many interventions implemented thus far have been "one size fits all" models that deliver the same dosage and sequence of modules to all participants. To more effectively prevent substance use and HIV in Hispanic adolescents, different risk profiles must be considered. This study's purpose is to use intrapersonal and ecodevelopmental risk processes to identify Hispanic adolescent subgroups and to compare substance use rates and sexual behavior by risk subgroup. The results indicate that a larger proportion with high ecodevelopmental risk (irrespective of the intrapersonal risk for substance use) report lifetime and past 90-day cigarette and illicit drug use. In contrast, a larger proportion with high intrapersonal risk for unsafe sex (irrespective of ecodevelopmental risk) report early sex initiation and sexually transmitted disease incidence. Implications for intervention development are discussed in terms of these Hispanic adolescent subgroups.