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生态发展理论预测西班牙裔青少年 HIV 风险行为的实证检验。

An empirical test of ecodevelopmental theory in predicting HIV risk behaviors among Hispanic youth.

机构信息

University of Miami, FL 33155, USA.

出版信息

Health Educ Behav. 2010 Feb;37(1):97-114. doi: 10.1177/1090198109349218.

DOI:10.1177/1090198109349218
PMID:20130302
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3715967/
Abstract

Ecodevelopmental theory is a theoretical framework used to explain the interplay among risk and protective processes associated with HIV risk behaviors among adolescents. Although ecodevelopmentally based interventions have been found to be efficacious in preventing HIV risk behaviors among Hispanic youth, this theory has not yet been directly empirically tested through a basic research study in this population. The purpose of this cross-sectional study was to empirically evaluate an ecodevelopmentally based model using structural equation modeling, with substance use and early sex initiation as the two outcomes of the ecodevelopmental chain of relationships. The sample consisted of 586 Hispanic youth (M age = 13.6; SD = 0.75) and their primary caregivers living in Miami, Florida. Adolescent, parent, and teacher reports were used. The results provided strong support for the theoretical model. More specifically, the parent-adolescent acculturation gap is indirectly related both to early sex initiation and to adolescent substance use through family functioning, academic functioning, perceived peer sexual behavior, and perceived peer substance use. Additionally, parent's U.S. orientation is associated with adolescent substance use and adolescent sex initiation through social support for parents, parental stressors, family functioning, academic functioning, and perceived peer sexual behavior and substance use. These findings suggest that HIV risk behaviors may best be understood as associated with multiple and interrelated ecological determinants.

摘要

发展生态学理论是一个用于解释与青少年 HIV 风险行为相关的风险和保护过程相互作用的理论框架。尽管基于发展生态学的干预措施已被证明在预防西班牙裔青年的 HIV 风险行为方面是有效的,但该理论尚未在该人群中通过基础研究进行直接实证检验。本横断面研究的目的是使用结构方程建模实证评估基于发展生态学的模型,将物质使用和早期性行为开始作为发展生态学关系链的两个结果。样本由 586 名居住在佛罗里达州迈阿密的西班牙裔青年(M 年龄=13.6;SD=0.75)及其主要照顾者组成。使用了青少年、父母和教师的报告。研究结果为理论模型提供了强有力的支持。更具体地说,父母-青少年的文化适应差距通过家庭功能、学业功能、感知同伴性行为和感知同伴物质使用与早期性行为开始和青少年物质使用呈间接相关。此外,父母的美国取向通过父母的社会支持、父母压力源、家庭功能、学业功能以及感知同伴的性行为和物质使用与青少年物质使用和青少年性行为开始相关。这些发现表明,HIV 风险行为最好被理解为与多个相互关联的生态决定因素相关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6059/3715967/bc7f89b37b69/nihms-492137-f0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6059/3715967/6ca73764a01b/nihms-492137-f0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6059/3715967/bc7f89b37b69/nihms-492137-f0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6059/3715967/6ca73764a01b/nihms-492137-f0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6059/3715967/bc7f89b37b69/nihms-492137-f0002.jpg

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