Whitaker Damiya E, Furr-Holden Carolyn D, Floyd Leah, Chatterjee Pritika, Latimer William W
Department of Mental Health, Johns Hopkins University Bloomberg School of Public Health, Baltimore, MD.
Electronic J Hum Sex. 2010;13.
Data regarding the etiology of problem-based child and adolescent outcomes indicates neighborhood socioeconomic status, land use mix, traffic danger, availability of drugs and alcohol and collective socialization are factors that influence or confound behavior among youth in urban areas. With socio-ecological models in mind, this study examined associations between early sexual initiation and neighborhood condition, externalizing behavior, drug use and perceived peer acceptance of drug use. One hundred and fifteen African American male adolescents (ages 11 to 15) enrolled in a randomized control trial provided the data for analysis. Logistic regression models showed older age, perceived peer acceptance of drug use and externalizing behavior were predictors of early sex initiation. Although physical and social hazards as well as resource depletion in urban centers creates increased risk for poor health and social outcomes among adolescents, no neighborhood effects were found in this study. Interventions to delay sexual initiation among urban African American male adolescents may benefit from focus on both socially, and ecologically, relevant influences.
关于基于问题的儿童和青少年结果的病因学数据表明，邻里社会经济地位、土地利用混合、交通危险、毒品和酒精的可得性以及集体社会化是影响或混淆城市地区青少年行为的因素。考虑到社会生态模型，本研究调查了过早开始性行为与邻里环境、外化行为、药物使用以及同伴对药物使用的认可之间的关联。参与一项随机对照试验的115名非裔美国男性青少年（年龄在11至15岁之间）提供了分析数据。逻辑回归模型显示，年龄较大、同伴对药物使用的认可以及外化行为是过早开始性行为的预测因素。尽管城市中心的物理和社会危害以及资源枯竭会增加青少年健康状况不佳和社会不良后果的风险，但本研究未发现邻里效应。干预城市非裔美国男性青少年推迟性行为可能受益于关注社会和生态相关影响。
