Dyadic Ecological Analysis of Adolescent Sexual Risk

描述(申请人提供)：青少年，特别是女性 青少年，是性获得性艾滋病毒和其他性行为的高危人群 传播疾病(STDS)。青少年正在进行性交，在 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被感染 每年都有性传播疾病，感染艾滋病毒的人数也在不断增加。 用同样的方法研究了青少年与艾滋病毒相关的性行为风险 用于研究青少年危险行为的方法和途径，如 酗酒和吸毒。因此，我们对青少年的许多了解 与艾滋病毒相关的性行为风险行为是基于个人水平的研究。 然而，与青少年酗酒和吸毒等危险行为不同，艾滋病毒和 性病风险源于个体间的行为。个人性行为 不涉及他人的(例如，手淫)不会造成任何重大影响 风险。合作伙伴的特点和关系及其影响 在对青春期性行为的研究中，很大程度上忽略了二元背景 风险。这一疏忽可能在限制我们的 由于妇女的重要性，对年轻女性艾滋病毒和性传播疾病风险的了解 重视关系，传统的性别角色规范，内部的权力差异 异性关系，以及对男性伴侣使用避孕套的依赖。这个 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 青春期性危险行为的二元关系因素。二元论 该研究的生态模型借鉴了班杜拉的社会认知理论， 菲什宾和阿岑的理性行动理论和布朗芬布伦纳的生态学 模特。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(Add Health)，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，以及 他们伴侣的父母。青少年及其父母采取的措施将是 与青少年二元/关系的特点一起使用，以 预测参与选定的性危险行为的可能性 几个月后(第二波)。数据将使用分层逻辑进行分析 回归模型。个体和二元生态模型的实用性将 使用拟合优度统计进行比较。研究结果将有助于 我们对青少年艾滋病毒相关性行为风险的了解，并进一步 制定艾滋病毒预防方案，以解决以下情况 性风险就会发生。

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.