Dancy Barbara L, Crittenden Kathleen S, Freels Sally
University of Illinois at Chicago College of Nursing, 845 S. Damen Avenue, Office 1060, M/C 802, Chicago, IL 60612-7350, USA.
J Natl Black Nurses Assoc. 2006 Dec;17(2):30-8.
African-American adolescent females are at high risk for HIV infection, acquired primarily as a result of heterosexual intercourse. Multiple regression analyses was used to describe the correlates of the outcome variable, ever having had sex, for low-income African-American adolescent females in a cross-sectional study of 322 (N = 322) mother/daughter pairs. The results revealed that while the daughters' age was positively associated with the outcome variable, the daughters' perceptions of strictness of curfew and maternal monitoring, and the daughters'self-efficacy to refuse sex and their intention to refuse sex were negatively associated with the outcome variable. Mothers tended to report significantly more maternal monitoring and stricter curfews than what their daughters perceived them to be. The daughters'intention to refuse sex mediated the effects of age and self-efficacy to refuse sex on the outcome variable. These results suggest that health-care providers should promote clearer communication between mothers and daughters in order to reduce divergent perceptions and to help mothers facilitate their daughters' self-efficacy and their intention to refuse sex.
非裔美国少女感染艾滋病毒的风险很高，主要是通过异性性行为感染的。在一项对322对母女（N = 322）进行的横断面研究中，使用多元回归分析来描述低收入非裔美国少女这一结果变量（曾经有过性行为）的相关因素。结果显示，虽然女儿的年龄与结果变量呈正相关，但女儿对宵禁严格程度和母亲监督的认知，以及女儿拒绝性行为的自我效能感和拒绝性行为的意图与结果变量呈负相关。母亲报告的母亲监督和宵禁严格程度往往比女儿所感知的要高得多。女儿拒绝性行为的意图介导了年龄和拒绝性行为的自我效能感对结果变量的影响。这些结果表明，医疗保健提供者应促进母女之间更清晰的沟通，以减少认知差异，并帮助母亲提高女儿的自我效能感和拒绝性行为的意图。
