Clinical Education, Practice, and Informatics, Kaiser Permanente Sacramento Medical Center, Sacramento, CA 95825, USA.
Public Health Nurs. 2012 Nov;29(6):510-24. doi: 10.1111/j.1525-1446.2012.01007.x. Epub 2012 Mar 20.
This study explored how multiple bioecological constructs operate to explain health-risk behaviors in late adolescence and to test for moderator effects of gender.
This was a descriptive, cross-sectional study with a convenience sample of 437 predominately Caucasian late adolescents with an average age of 19 years who lived in Northern California.
Parental Attachment, Shyness, Loneliness, Law Abidance, and Youth Risk Behaviors were measured with self-report tools and analyzed using structural equation modeling.
Confirmatory factor analysis indicated that the data fit the model well. Analysis of group differences revealed that gender moderated the relationships among the measured variables; thus, data were analyzed in independent gender-based models. Structural modeling demonstrated good model fit for each gender. Shyness and parental attachment each were associated with loneliness. Loneliness was associated with smoking. Loneliness linked the relationship between shyness, parental attachment, and smoking. Parental attachment was associated with law abidance. Law abidance was associated with sexual behaviors for female adolescents only.
This study provides valuable insights for public health nurses as it pertains to late adolescent health-risk behaviors. Nurses should use screening tools and techniques to ensure appropriate referrals and interventions to meet the needs of at-risk adolescents.
本研究探讨了多种生物生态结构如何解释青少年晚期的健康风险行为，并检验了性别调节作用。
这是一项描述性、横断面研究，采用方便样本，共 437 名主要为白种人的青少年，平均年龄为 19 岁，居住在北加利福尼亚。
采用自我报告工具测量父母依恋、害羞、孤独、遵纪守法和青少年风险行为，并采用结构方程模型进行分析。
验证性因子分析表明数据拟合模型良好。组间差异分析显示，性别调节了所测变量之间的关系；因此，根据性别独立分析数据。结构模型在每个性别中均表现出良好的模型拟合度。害羞和父母依恋均与孤独感相关。孤独感与吸烟有关。孤独感将害羞、父母依恋和吸烟之间的关系联系起来。父母依恋与遵纪守法有关。遵纪守法与女性青少年的性行为有关。
本研究为公共卫生护士提供了有关青少年晚期健康风险行为的宝贵见解。护士应使用筛查工具和技术，以确保适当的转介和干预，以满足高危青少年的需求。
