Section of Adolescent Medicine, Department of Pediatrics, Indiana University School of Medicine, Indianapolis, Indiana 46202, USA.
J Adolesc Health. 2010 Jan;46(1):17-24. doi: 10.1016/j.jadohealth.2009.05.018. Epub 2009 Aug 6.
Youth in the juvenile justice system have increased sexual risk behavior and sexually transmitted infections (STI). However, research exploring the effect of self-reported delinquency on sexual risk behavior and STI is limited, and results vary depending on the populations studied. Therefore, we used nationally representative data to examine the longitudinal association between delinquent behavior, sexual risk behavior, and STI among adolescents and young adults.
We used a sample of 10,828 participants from the National Longitudinal Study of Adolescent and Health. Outcomes included STI and sexual risk behavior from Wave III (17-27-year-olds). Predictors for the generalized linear regression models (stratified by gender) include race, age, education, relationship status at Wave III, and delinquent behavior groups (life-course persistent, adolescence-limited, late-onset and nondelinquency).
None of the delinquency groups were associated with young adult STI. Only life-course persistent delinquency was associated consistently with sexual risk behavior (except for condom use). The adolescence-limited and late-onset groups had limited effects on sexual risk outcomes.
Life-course persistent delinquency influences the expression of young adult sexual risk behavior. However, delinquent behavior does not predict STI in a population-based sample of youth. Programs and interventions that address the sexual health of youth need to consider the role of delinquency in shaping sexual risk behaviors, and future research should explore broader societal and environmental risk factors on STIs.
青少年司法系统中的年轻人性风险行为和性传播感染（STI）有所增加。然而，探索自我报告的犯罪行为对性风险行为和 STI 的影响的研究有限，并且结果因研究人群而异。因此，我们使用具有全国代表性的数据来检验青少年和年轻人中犯罪行为、性风险行为和性传播感染之间的纵向关联。
我们使用了来自全国青少年健康纵向研究的 10828 名参与者的样本。结果包括来自第 III 波（17-27 岁）的 STI 和性风险行为。广义线性回归模型（按性别分层）的预测因子包括种族、年龄、教育、第 III 波的关系状况以及犯罪行为群体（终生持续型、青少年局限型、晚期发病型和非犯罪型）。
没有一个犯罪群体与青年性传播感染有关。只有终生持续型犯罪行为与性风险行为始终相关（除了使用避孕套）。青少年局限型和晚期发病型犯罪行为对性风险结果的影响有限。
终生持续型犯罪行为会影响青年性风险行为的表现。然而，在基于人群的青年样本中，犯罪行为并不能预测 STI。解决青年性健康问题的方案和干预措施需要考虑犯罪行为在塑造性风险行为方面的作用，未来的研究应探讨 STI 更广泛的社会和环境风险因素。
