Camlin Carol S, Snow Rachel C
University of Michigan School of Public Health, Ann Arbor, MI 48103, USA.
Health Educ Behav. 2008 Aug;35(4):522-40. doi: 10.1177/1090198107313471. Epub 2008 Mar 28.
This study examines whether parental investment and membership in social clubs are associated with safer sexual behaviors among South African youth. Participants comprised 4,800 randomly selected adolescents age 14 to 22 living in the Cape Town area in 2002. Logistic regression was used to examine associations between measures of parental investment and associational membership with reported condom use at first and most recent sexual intercourse, net of effects of HIV knowledge, age, education, population group, parental co-residence, and household income. Interaction terms were used to examine gender differences in associations between risk behavior and parental investment and between risk behavior and group membership. Participation in clubs and community groups is associated with safer behaviors. A mother's financial support (for clothing, school fees and uniforms, and pocket money) is negatively associated with condom use, particularly among young women, suggesting that material need impels vulnerability to higher risk behaviors. Social resources in households and communities mediate HIV risk behaviors among youth in Cape Town.
本研究探讨父母投资及加入社交俱乐部是否与南非青少年更安全的性行为相关。研究对象为2002年居住在开普敦地区的4800名随机抽取的14至22岁青少年。采用逻辑回归分析父母投资及社团成员身份指标与首次及最近一次性交时报告的避孕套使用情况之间的关联，同时考虑了艾滋病知识、年龄、教育程度、人口群体、父母同住情况及家庭收入的影响。交互项用于检验风险行为与父母投资以及风险行为与群体成员身份之间关联的性别差异。参与俱乐部和社区团体与更安全的行为相关。母亲的经济支持（用于衣物、学费、校服和零花钱）与避孕套使用呈负相关，尤其是在年轻女性中，这表明物质需求促使她们更容易出现高风险行为。家庭和社区中的社会资源在开普敦青少年的艾滋病风险行为中起到中介作用。
