Maryland Population Research Center, College of Behavioral and Social Science, University of Maryland, College Park, 20742, USA.
J Adolesc Health. 2012 Sep;51(3):233-41. doi: 10.1016/j.jadohealth.2011.12.012. Epub 2012 Feb 27.
Evaluate whether adolescent women who received economic benefits from their boyfriends were more likely never to use condoms.
Data are obtained from a longitudinal HIV prevention intervention study with 715 African American adolescent women in urban Atlanta surveyed at baseline, 6 months, and 12 months. The primary outcome was never using condoms in the past 14 and 60 days at 6 and 12 months. The primary predictor was having a boyfriend as primary spending money source at baseline. Analysis minimized confounding using propensity weighting to balance respondents on 81 variables.
A boyfriend was the primary spending money source for 24% of respondents, who did not differ in neighborhood or family context but had lower education, more abuse history, riskier sex, and more sexually transmitted infections. After propensity score weighting, no statistically significant differences for 81 evaluated covariates remained, including age distributions. Women whose boyfriend was their primary spending money source were 50% more likely never to use condoms at 6 and 12 months and less likely to respond to the intervention at 12 months. Women whose boyfriend had been their primary spending money source but found another spending money source were more likely to start using condoms than women who continued. Women whose boyfriends owned cars were more likely never to use condoms.
Receiving spending money from a boyfriend is common among adolescent women in populations targeted by pregnancy and sexually transmitted infection prevention interventions, and may undermine interventions' effectiveness. Clinicians and reproductive health interventions need to address females' economic circumstances.
评估从男友那里获得经济利益的少女是否更有可能从不使用安全套。
数据来自于一项针对亚特兰大市 715 名非裔美国青少年女性的纵向艾滋病毒预防干预研究，在基线、6 个月和 12 个月时对她们进行了调查。主要结果是在 6 个月和 12 个月时，过去 14 天和 60 天从未使用过安全套。主要预测因素是在基线时将男友作为主要零花钱来源。通过使用倾向评分加权最小化混杂因素来平衡 81 个变量，对分析结果进行了调整。
有 24%的受访者将男友作为主要零花钱来源，她们在邻里或家庭环境方面没有差异，但受教育程度较低，遭受虐待的历史较多，性行为风险较高，性传播感染的风险也较高。在进行倾向评分加权后，包括年龄分布在内的 81 个评估协变量没有统计学上的显著差异。在 6 个月和 12 个月时，男友是其主要零花钱来源的女性从不使用安全套的可能性增加了 50%，且在 12 个月时更不可能对干预措施做出反应。那些男友曾是其主要零花钱来源但后来又找到了其他零花钱来源的女性，比那些继续依赖男友的女性更有可能开始使用安全套。那些男友拥有汽车的女性更有可能从不使用安全套。
在妊娠和性传播感染预防干预措施针对的人群中，从男友那里获得零花钱是少女中很常见的现象，这可能会削弱干预措施的有效性。临床医生和生殖健康干预措施需要解决女性的经济状况。
