Dyadic Ecological Analysis of Adolescent HIV Risk

青少年艾滋病毒风险的二元生态分析

• 批准号: 6539279
• 负责人: MARY KATHERINE HUTCHINSON
• 金额: $ 7.93万
• 依托单位: UNIVERSITY OF PENNSYLVANIA
• 依托单位国家: 美国
• 财政年份: 2001
• 资助国家: 美国
• 起止时间: 2001-07-01 至 2004-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6539279
• 关键词: AIDS education /prevention; adolescence (12-20); behavior prediction; behavioral /social science research tag; clinical research; disease /disorder proneness /risk; dyadic interaction; female; human data; male; parent offspring interaction; sex behavior; sexually transmitted diseases; social model

DESCRIPTION (provided by applicant): Adolescents, particularly female adolescents, are at high risk for sexually acquired HIV and other sexually transmitted diseases (STDs). Adolescents are engaging in sexual intercourse at younger ages, having sex with multiple partners, and inconsistently using condoms. As a result, nearly 3 million sexually active teens become infected with STDs annually, and increasing numbers are being infected with HIV. Adolescent HIV-related sexual risk behaviors have been studied using the same methods and approaches that are used to study adolescent risk behaviors such as alcohol and drug use. As a result, much of what we know about adolescent HIV-related sexual risk behavior is based upon individual-level studies. However, unlike adolescent risk behaviors such as alcohol and drug use, HIV and STD risk results from inter-individual behaviors. Individual sexual behaviors that do not involve others (e.g., masturbation) do not pose any significant risk. Characteristics of the partner and the relationship and influences from the dyad context have been largely overlooked in studies of adolescent sexual risk. This oversight may be particularly significant in limiting our understanding of HIV and STD risk in young women due to the importance women place on relationships, traditional gender role norms, power differences within heterosexual relationships, and a reliance on male partners to use condoms. The purpose of the proposed study is to undertake a dyadic ecological analysis that evaluates the influence of individual, partner, and parental characteristics and dyad-relationship factors on adolescent sexual risk behaviors. The dyadic ecological model for the study draws on Bandura's social cognitive theory, Fishbein and Ajzen's theory of reasoned action, and Bronfenbrenner's ecological model. We propose to perform a secondary analysis of data from the National Longitudinal Study of Adolescent Health (Add Health), wherein we will link data from female adolescents, their parents, their male adolescent partners, and their partners' parents. Measures from adolescents and their parents will be used, in conjunction with characteristics of the teen dyad/relationship, to predict the likelihood of engaging in selected sexual risk behaviors twelve months later (Wave 2). Data will be analyzed using hierarchical logistic regression models. The utility of individual and dyadic ecological models will be compared using goodness-of-fit statistics. Study findings will contribute to our understanding of HIV-related sexual risk among adolescents, and further the development of HIV prevention programs that address the dyad context in which sexual risk occurs.

描述（由申请人提供）：青少年，特别是女性 青少年是性行为感染艾滋病毒和其他性行为的高危人群， 传播疾病（STDs）。青少年从事性行为， 年龄较小，与多个伴侣发生性关系，以及不一致地使用 避孕套。结果，近300万性行为活跃的青少年感染了艾滋病毒， 每年都有性病，越来越多的人感染了艾滋病毒。 使用相同的方法研究了青少年与艾滋病毒相关的性风险行为 用于研究青少年危险行为的方法和途径， 酗酒和吸毒因此，我们对青少年的了解 艾滋病毒相关性风险行为是基于个人水平的研究。 然而，与酒精和毒品使用等青少年风险行为不同，艾滋病毒和 性传播疾病的风险来自个体间的行为。个人性行为 不涉及其他人（例如，手淫）不构成任何重大 风险合作伙伴的特点和关系以及 在青少年性行为的研究中， 风险这种疏忽可能对限制我们的 由于妇女的重要性， 关系中的地位，传统的性别角色规范， 异性恋关系，以及依赖男性伴侣使用避孕套。的 拟议研究的目的是进行二元生态分析， 评估个人、伴侣和父母特征的影响 和二元关系因素对青少年性危险行为的影响。并矢 生态模型的研究借鉴了班杜拉的社会认知理论， Fishbein和Ajzen的理性行为理论，以及Bronfenbrenner的生态学理论。 模型我们建议对国家统计局的数据进行二次分析。 青少年健康纵向研究（添加健康），其中我们将链接数据 来自女性青少年，她们的父母，她们的男性青少年伴侣， 他们伴侣的父母。青少年及其父母的措施将 结合青少年二元关系的特征， 预测从事选定的性风险行为的可能性12 第二波（Wave 2）。将使用分层逻辑分析数据 回归模型个体和二元生态模型的效用将 使用拟合优度统计进行比较。研究结果将有助于 我们对青少年中与艾滋病毒有关的性风险的理解，并进一步 制定艾滋病毒预防方案，解决双重背景，其中 性风险发生。