Collins Fantasia Heidi, Sutherland Melissa A, Kelly-Weeder Susan
Department of Nursing, School of Health and Environment, University of Massachusetts Lowell, Lowell, Massachusetts 01854, USA.
J Am Acad Nurse Pract. 2012 Jul;24(7):436-42. doi: 10.1111/j.1745-7599.2012.00702.x. Epub 2012 Mar 29.
The purpose of this study was to use an ecological lens to explore gender differences in risky sexual behavior among urban adolescents exposed to violence.
This was a secondary analysis of data from a larger behavioral intervention trial that targeted drinking behaviors among adolescents. Data from a total of 2,560 male and female urban adolescents between the ages of 14 and 21 were analyzed for personal, interpersonal, and community exposure to violence and risky sexual behavior.
Violence has an impact on sexual risk. For females, carrying a weapon (p= 0.020) and feeling safe in intimate relationships (p= 0.029) were individual correlates of risky sexual behavior, while for males, race/ethnicity (p= 0.019) and being in a physical fight (p= 0.001) were significant correlates of risky sexual behavior.
Risky sexual behavior among adolescents may lead to negative reproductive health outcomes. Nurse practitioners are in an excellent position to affect change in this population through their frequent contact with adolescents in a variety of community and school-based venues. Nurse practitioners are also well-prepared to identify at-risk adolescents and provide them with individualized care, education, and support.
本研究旨在运用生态学视角，探讨遭受暴力的城市青少年在危险性行为方面的性别差异。
这是对一项针对青少年饮酒行为的大型行为干预试验数据的二次分析。对总共2560名年龄在14至21岁之间的城市青少年的个人、人际及社区层面的暴力暴露情况和危险性行为数据进行了分析。
暴力对性风险有影响。对于女性而言，携带武器（p = 0.020）和在亲密关系中感到安全（p = 0.029）是危险性行为的个体相关因素，而对于男性来说，种族/族裔（p = 0.019）和参与肢体冲突（p = 0.001）是危险性行为的显著相关因素。
青少年的危险性行为可能导致负面的生殖健康后果。执业护士通过在各种社区和学校场所与青少年频繁接触，在影响这一人群的行为改变方面具有得天独厚的优势。执业护士也做好了充分准备，能够识别出有风险的青少年，并为他们提供个性化的护理、教育和支持。
