Becker Davida, Thing James P, Baezconde-Garbanati Lourdes, Schwartz Seth J, Soto Daniel W, Unger Jennifer B
Institute for Health Promotion and Disease Prevention Research, Department of Preventive Medicine, Keck School of Medicine, University of Southern California.
Perspect Sex Reprod Health. 2014 Dec;46(4):193-201. doi: 10.1363/46e1514. Epub 2014 May 1.
Cultural variables have been associated with sexual risk behaviors among Latino youth, but findings across studies are inconsistent.
A longitudinal study of acculturation patterns followed Latino youth in Southern California from 2005 to 2012. Data from 995 participants were used in logistic and ordered regression analyses to test whether cultural variables measured in high school were associated with sexual risk behaviors in emerging adulthood, and whether gender moderated these associations.
The cultural value of respect for parents was negatively associated with participants' odds of reporting an earlier age at sexual debut (odds ratio, 0.8) and condom nonuse at most recent sexual intercourse (0.8). A measure of acculturation reflecting U.S. cultural practices was positively associated with the likelihood of being sexually experienced (1.2), having concurrent sexual partners (1.5) and, among males only, having a greater number of sexual partners (1.3). Second- and later-generation immigrant youth had lower odds of not using a condom at most recent sexual intercourse than first-generation youth (0.6 and 0.5, respectively). Strength of endorsement of Latino cultural practices was negatively associated with females' lifetime number of partners (0.8), but positively associated with males' (1.4).
The cultural measures associated with Latino youths' sexual behaviors differed across outcomes and by gender. Further understanding of these associations and their underlying mechanisms may help inform the development of culturally sensitive sexual health interventions.
文化变量与拉丁裔青少年的性风险行为有关,但各研究结果并不一致。
一项关于文化适应模式的纵向研究在2005年至2012年期间追踪了南加州的拉丁裔青少年。来自995名参与者的数据用于逻辑回归和有序回归分析,以检验高中时测量的文化变量是否与成年早期的性风险行为相关,以及性别是否调节了这些关联。
尊重父母的文化价值观与参与者报告初次性行为年龄较早的几率(优势比,0.8)以及最近一次性交时不使用避孕套的几率(0.8)呈负相关。一项反映美国文化习俗的文化适应指标与有性经历的可能性(1.2)、有多个性伴侣的可能性(1.5)以及(仅针对男性)有更多性伴侣的可能性(1.3)呈正相关。第二代及以后的移民青年在最近一次性交时不使用避孕套的几率低于第一代青年(分别为0.6和0.5)。对拉丁裔文化习俗的认同强度与女性一生的性伴侣数量呈负相关(0.8),但与男性的呈正相关(1.4)。
与拉丁裔青少年性行为相关的文化指标因结果和性别而异。进一步了解这些关联及其潜在机制可能有助于为制定具有文化敏感性的性健康干预措施提供信息。