Adolescent maltreatment in the child welfare system and developmental patterns of sexual risk behaviors.
Adolescent maltreatment in the child welfare system and developmental patterns of sexual risk behaviors.
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DOI：
10.1177/1077559514548701
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发表时间：
2015-03
影响因子：
5.1
通讯作者：
Landsverk J
中科院分区：
文献类型：
--
作者：
Fowler PJ;Motley D;Zhang J;Rolls-Reutz J;Landsverk J
在这项纵向研究中，我们测试了青少年虐待和家庭外安置作为对虐待的反应是否改变了儿童福利系统中具有全国代表性的青少年样本的性风险行为的发展模式。参与者包括基线时13至17岁（M=15.5，SD=1.49）的青少年（n=714），随访18个月。计算机辅助访谈被用来收集自我报告的性行为和身体和心理虐待的经验，在这两个时间点。潜转换分析被用来确定三种模式的性风险行为：禁欲，与多个合作伙伴的安全性行为，与多个合作伙伴的不安全性行为。随着时间的推移，大多数青少年过渡到更安全的性行为模式。在基线时表现出最危险性行为的青少年最有可能报告随后的虐待，并且不太可能被置于家庭外护理。调查结果提供了一个更细致入微的了解儿童福利参与青少年的性风险，并告知做法，以促进系统内的积极过渡。
In this longitudinal study, we tested whether adolescent maltreatment and out-of-home placement as a response to maltreatment altered developmental patterns of sexual risk behaviors in a nationally representative sample of youth involved in the child welfare system. Participants included adolescents aged 13 to 17 (M=15.5, SD=1.49) at baseline (n=714), followed over 18 months. Computer-assisted interviews were used to collect self-reported sexual practices and experiences of physical and psychological abuse at both time points. Latent transition analyses were used to identify three patterns of sexual risk behaviors: abstainers, safe sex with multiple partners, and unsafe sex with multiple partners. Most adolescents transitioned to safer sexual behavior patterns over time. Adolescents exhibiting the riskiest sexual practices at baseline were most likely to report subsequent abuse and less likely to be placed into out-of-home care. Findings provide a more nuanced understanding of sexual risk among child welfare–involved adolescents and inform practices to promote positive transitions within the system.
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影响因子：
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通讯作者：
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