Role of Romantic Relationships in the Sexual Behavior of Obese and Non-Obese Girl

浪漫关系在肥胖和非肥胖女孩性行为中的作用

• 批准号: 8932019
• 负责人: ALETHA Y AKERS
• 金额: $ 41.22万
• 依托单位: CHILDREN'S HOSP OF PHILADELPHIA
• 依托单位国家: 美国
• 财政年份: 2014
• 资助国家: 美国
• 起止时间: 2014-09-25 至 2018-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8932019
• 关键词: Accounting; Address; Adolescent; Adolescent Development; Adolescent sexual risk; Affect; African American; Age; Beauty; Behavior; Characteristics; Child; Cohort Studies; Data; Data Analyses; Data Set; Development; Face; Female Adolescents; Goals; Growth; Health; High Prevalence; Intervention; Link; Longitudinal Studies; Longitudinal Surveys; Mediating; Mediation; Modeling; Non obese; Obesity; Overweight; Pattern; Play; Public Health; Race; Reporting; Research; Risk; Risk Reduction; Role; Safe Sex; Sex Behavior; Sexual Partners; Shapes; Social Development; Social skills development; Stigmatization; Time; Variant; Weight; cohort; condoms; experience; girls; high risk; high risk sexual behavior; innovation; insight; peer; population based; programs; public health relevance; sex risk; sexual relationship; sexual risk taking; sexually active; skills; social; social skills; trait

DESCRIPTION (provided by applicant): Mounting evidence demonstrates that weight influences intimate (i.e., dating and sexual) relationship formation and sexual negotiations among adolescent girls. Obese girls consistently report having fewer dating and sexual experiences, but more sexual risk behaviors (i.e., condom nonuse) once they are sexually active. The conceptual framework that has guided this research presumes that differences in the social skills for relating to peers and intimate partners along with differences in the relationship experiences of obese and non-obese girls account for these differences. However, no studies have actually examined whether the interpersonal skills and intimate relationships of obese and non-obese girls differ. We propose to address this research gap by conducting a secondary data analysis using data from two large, longitudinal cohorts of U.S. adolescent girls. We use the National Longitudinal Survey of Adolescent Health (Add Health), a nationally representative cohort study conducted between 1994 and 2008; and the Pittsburgh Girls Study (PGS), an on-going population-based cohort study started in 2000, and conducted in a setting with high rates of adolescent sexual risk-taking and high rates of adolescent obesity. Our specific aims are to (1) determine whether obese adolescent girls experience a delay in the development of peer and intimate relationship skills compared to non-obese adolescent girls; (2) compare the characteristics of intimate relationships among obese and non-obese adolescent girls; (3) use longitudinal growth curve modeling to determine whether trajectories of romantic and sexual relationship characteristics differ between obese and non-obese adolescent girls over time; (4) determine how peer and intimate relationship skills affect trajectories of intimate relationships among obese and non-obese adolescent girls over time; and, (5) compare the development of interpersonal skills and intimate relationship characteristics between obese and non-obese African American and White adolescent girls. INNOVATION: Our proposal is innovative as it is the first study to explore relationship context as a mechanism linking obesity to adolescent girls' sexual risk-taking behaviors. Our use of two complementary datasets - one nationally representative cohort and one population-based cohort from a high risk setting - will allow us to identify nuances that are important for crafting a more complete understanding of the role that social skills and relationship experiences play in explaining variations in the sexual behaviors of obese and non-obese adolescents. We take a developmental approach by examining how relationship experiences evolve over time. Finally, by exploring how relationship experiences differ among African American and White adolescent girls, our approach acknowledges that cultural differences in beauty norms exist and are important. PUBLIC HEALTH SIGNIFICANCE: The overarching goal of this research is to expand the conceptual framework linking weight to adolescent sexual risk-taking thereby providing critical information useful for tailoring adolescent sexual risk-reduction interventions and sexual negotiation skills building programs.

描述（由申请人提供）：越来越多的证据表明，体重影响亲密（即，约会和性）关系的形成和青春期女孩的性谈判。肥胖女孩一贯报告约会和性经历较少，但性风险行为较多（即，不使用避孕套）。指导这项研究的概念框架假定，肥胖和非肥胖女孩与同龄人和亲密伴侣沿着的社交技能的差异以及关系经验的差异解释了这些差异。然而，没有研究真正检查过肥胖和非肥胖女孩的人际交往能力和亲密关系是否不同。我们建议通过使用来自两个大型纵向美国少女队列的数据进行二次数据分析来解决这一研究差距。我们使用了国家青少年健康纵向调查（Add Health），这是一项在1994年至2008年期间进行的具有全国代表性的队列研究;匹兹堡女孩研究（PGS），这是一项始于2000年的持续的基于人群的队列研究，并在青少年性冒险率高和青少年肥胖率高的环境中进行。我们的具体目标是（1）确定与非肥胖少女相比，肥胖少女在同伴和亲密关系技能的发展方面是否存在延迟;（2）比较肥胖和非肥胖少女的亲密关系特征;（3）使用纵向增长曲线模型来确定肥胖和非肥胖者之间的浪漫和性关系特征的轨迹是否不同。肥胖的青春期女孩随着时间的推移;（4）确定同伴和亲密关系技能如何影响肥胖和非肥胖的青春期女孩随着时间的推移的亲密关系的轨迹;（5）比较肥胖和非肥胖的非裔美国人和白色青春期女孩之间的人际交往技能和亲密关系特征的发展。创新：我们的建议是创新的，因为这是第一个研究，探讨关系背景作为一种机制，肥胖与青春期女孩的性冒险行为。我们使用两个互补的数据集-一个全国代表性队列和一个来自高风险环境的基于人群的队列-将使我们能够识别细微差别，这些细微差别对于更全面地理解社交技能和关系经验在解释肥胖和非肥胖青少年性行为变化中的作用至关重要。我们通过研究关系体验如何随着时间的推移而发展。最后，通过探讨如何关系经验之间的非洲裔美国人和白色青春期女孩的不同，我们的方法承认，在美的规范存在文化差异，是很重要的。公共卫生意义：这项研究的总体目标是扩大概念框架链接的重量，青少年性风险承担，从而提供关键信息有用的剪裁青少年性风险降低干预措施和性谈判技能建设计划。