Crosby R A, DiClemente R J, Wingood G M, Cobb B K, Harrington K, Davies S L, Hook E W, Oh M K
Department of Behavioral Sciences and Health Education, Rollins School of Public Health, Room 520, 1518 Clifton Road, NE, Atlanta, Georgia 30322, USA.
Prev Med. 2001 Sep;33(3):175-8. doi: 10.1006/pmed.2001.0868.
The joint influence of living with the mother in a perceived supportive family may be an important HIV/STD-protective factor among sexually active female adolescents.
Sexually active African American female adolescents (N = 522) completed a self-administered survey and structured interview. Adolescents scoring high on family support and reporting that their mother lived with them were compared with the remaining adolescents in respect to unprotected vaginal sex (past 30 days), sex with a non-steady partner (past 6 months), communication with sex partners, attitudes toward condoms, and perceived ability to negotiate condom use. Logistic regression analyses controlled for the influence of parent-adolescent communication about sex and parental monitoring.
Adolescents residing with their mothers in a perceived supportive family were more likely to communicate with their sex partners about sexual risk (OR = 1.53). They were less likely to report sex with a non-steady partner (OR = 0.51) or having unprotected sex with a steady partner (OR = 0.52) or any partner (OR = 0.55).
Controlled analyses suggest that living with the mother in a perceived supportive family is an important HIV/STD-protective factor among female adolescents. HIV/STD prevention programs for female adolescents that include the mothers may promote positive and lasting effects.
在一个被认为具有支持性的家庭中与母亲同住，这种共同影响可能是性活跃的女性青少年中一个重要的艾滋病毒/性传播感染保护因素。
性活跃的非裔美国女性青少年（N = 522）完成了一份自我管理的调查问卷和结构化访谈。将在家庭支持方面得分高且报告母亲与自己同住的青少年，与其余青少年在无保护阴道性交（过去30天）、与非固定性伴侣发生性行为（过去6个月）、与性伴侣沟通、对避孕套的态度以及认为自己有协商使用避孕套的能力等方面进行比较。逻辑回归分析控制了父母与青少年关于性的沟通以及父母监督的影响。
在一个被认为具有支持性的家庭中与母亲同住的青少年，更有可能与他们的性伴侣就性风险进行沟通（比值比 = 1.53）。他们报告与非固定性伴侣发生性行为（比值比 = 0.51）、与固定性伴侣发生无保护性行为（比值比 = 0.52）或与任何伴侣发生无保护性行为（比值比 = 0.55）的可能性较小。
对照分析表明，在一个被认为具有支持性的家庭中与母亲同住是女性青少年中一个重要的艾滋病毒/性传播感染保护因素。将母亲纳入其中的女性青少年艾滋病毒/性传播感染预防项目可能会产生积极和持久的效果。
