When a relationship is imperative, will young women knowingly place their sexual health at risk? A sample of African American adolescent girls in the juvenile justice system.

When a relationship is imperative, will young women knowingly place their sexual health at risk? A sample of African American adolescent girls in the juvenile justice system.
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当一段关系势在必行时,年轻女性是否会故意将自己的性健康置于危险之中?

DOI:
10.1071/sh16160
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发表时间:
2017
期刊:
影响因子:
1.6
通讯作者:
DiClemente,RalphJ
DiClemente,RalphJ
中科院分区:
医学4区
文献类型:
--
作者:
Raiford,JerrisL;Seth,Puja;Fasula,AmyM;DiClemente,RalphJ

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背景HIV和其他性传播感染(HIV/STI)是导致美国青春期女孩发病率的重要因素。参与少年司法系统的少女感染艾滋病毒/性传播疾病的风险增加,非裔美国少女占拘留中心少女总数的近50%。虽然艾滋病毒预防方案侧重于艾滋病毒/性传播感染知识,但增加的知识可能不足以减低性风险。本研究以被拘留的非裔美国少女为研究对象,考察了HIV/STI知识与恋爱(一段关系势在必行)对性危险行为的交互作用。方法从佐治亚州亚特兰大的一个短期看守所招募188名13-17岁的非裔美国少女,完成对其性危险行为、关系特征、HIV/STI知识和几个心理社会危险因素的评估。结果当女孩认可一段关系势在必行时,较高的HIV/STI知识与伴侣沟通自我效能感低、安全套使用不一致和无保护性行为有关,当控制人口统计学和自尊时。结论具有较高HIV/STI知识的年轻女孩可能会将自己置于HIV/STI的风险中,因为她们对恋爱关系的重要性和价值观。在制定干预措施时,应考虑背景因素。
BackgroundHIV and other sexually transmissible infections (HIV/STIs) are significant contributors to adolescent girls’ morbidity in the US. Risks for HIV/STIs are increased among adolescent girls involved in the juvenile justice system, and African American adolescent girls comprise nearly 50% of adolescent girls in detention centres. Although HIV prevention programs focus on HIV/STI knowledge, increased knowledge may not be sufficient to reduce sexual risk. The present study examined the interactive effects of HIV/STI knowledge and the importance of being in a relationship (a relationship imperative) on sexual risk behaviours in a sample of detained African American adolescent girls.MethodsIn all, 188 African American adolescent girls, 13–17 years of age, were recruited from a short-term detention facility in Atlanta, Georgia, and completed assessments on sexual risk behaviours, relationship characteristics, HIV/STI knowledge and several psychosocial risk factors.ResultsWhen girls endorsed a relationship imperative, higher HIV/STI knowledge was associated with low partner communication self-efficacy, inconsistent condom use and unprotected sex, when controlling for demographics and self-esteem.ConclusionsYoung girls with high HIV/STI knowledge may have placed themselves at risk for HIV/STIs given the importance and value they place on being in a relationship. Contextual factors should be considered when developing interventions.
被监禁青少年的艾滋病毒/性病风险:对未来的乐观态度和自尊是安全套使用自我效能的预测因素1
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