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性感觉寻求、同时存在的性行为和饮酒以及物质使用问题治疗中的青少年的性风险行为。

Sexual sensation seeking, co-occurring sex and alcohol use, and sexual risk behavior among adolescents in treatment for substance use problems.

机构信息

University of Rochester, Rochester, NY, USA. .

出版信息

Am J Addict. 2013 May-Jun;22(3):197-205. doi: 10.1111/j.1521-0391.2012.12027.x.

DOI:10.1111/j.1521-0391.2012.12027.x
PMID:23617859
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7349623/
Abstract

OBJECTIVE

This study evaluated relations between sexual sensation seeking, co-occurring sex and alcohol use, and sexual risk behaviors (eg, unprotected intercourse and multiple sex partners) among adolescents receiving treatment for substance abuse problems.

METHOD

The ethnically diverse sample included 394 adolescents recruited from outpatient treatment (280 males; Mage  = 16.33 years, SDage  = 1.15). Structural equation modeling (SEM) was used to test direct and indirect paths between sexual sensation seeking and sexual risk behaviors via the frequency of co-occurring sex and alcohol use. Conditional indirect effects by gender were also tested.

RESULTS

Analyses identified significant effects of sexual sensation seeking on co-occurring sex and alcohol use and sexual risk behaviors. The path from co-occurring sex and alcohol use to unprotected intercourse was significantly stronger among adolescent girls, suggesting a mediation effect moderated by gender. No gender difference was found for the indirect path from sexual sensation seeking and number of past year sexual partners via co-occurring sex and alcohol use.

CONCLUSIONS

Selected prevention efforts are needed to promote HIV risk reduction among adolescents in substance abuse treatment. The documented conditional indirect effect for unprotected intercourse suggests that HIV prevention programs should pay special attention to gender-specific patterns of alcohol use and sexual risk behavior when tailoring program content. (Am J Addict 2013; 22:197-205).

摘要

目的

本研究评估了性感觉寻求、同时存在的性和酒精使用与接受物质滥用问题治疗的青少年的性风险行为（例如，无保护性行为和多个性伴侣）之间的关系。

方法

该样本具有种族多样性，包括 394 名从门诊治疗中招募的青少年（280 名男性；平均年龄为 16.33 岁，SDage=1.15）。结构方程模型（SEM）用于通过同时存在的性和酒精使用的频率来测试性感觉寻求与性风险行为之间的直接和间接路径。还测试了性别条件间接效应。

结果

分析确定了性感觉寻求对同时存在的性和酒精使用以及性风险行为的显著影响。同时存在的性和酒精使用与无保护性行为之间的路径在少女中明显更强，表明性别调节的中介效应。在性感觉寻求和过去一年的性伴侣数量通过同时存在的性和酒精使用对性风险行为的间接路径中，没有发现性别差异。

结论

需要有针对性的预防措施，以减少接受物质滥用治疗的青少年中的 HIV 风险。记录到的无保护性行为的有条件间接效应表明，艾滋病毒预防计划在调整计划内容时，应特别注意针对特定性别的酒精使用和性风险行为模式。（美国成瘾杂志 2013 年；22:197-205）。

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