美国城市印第安青少年女孩：界定性风险行为。
Urban American Indian Adolescent Girls: Framing Sexual Risk Behavior.
作者信息
Saftner Melissa A, Martyn Kristy K, Momper Sandra L, Loveland-Cherry Carol J, Low Lisa Kane
机构信息
University of Minnesota School of Nursing, Minneapolis, MN, USA
Emory University Nell Hodgson Woodruff School of Nursing, Atlanta, GA, USA.
出版信息
J Transcult Nurs. 2015 Sep;26(4):365-75. doi: 10.1177/1043659614524789. Epub 2014 May 6.
PURPOSE
The purpose of this study was to explore factors that influence urban adolescent American Indian (AI) girls' sexual risk behavior.
DESIGN
A qualitative study was conducted with grounded theory methodology to reveal factors and processes that influence sexual risk behavior.
METHOD
Talking circles, individual interviews, and event history calendars were used with 20 urban AI 15- to 19-year-old girls to explore influences on sexual risk behavior.
RESULTS
The generated theory-framing sexual risk behavior-describes social and structural factors and processes that influenced the girls' sexual risk behavior. The theory extends Bronfenbrenner's ecological model by identifying microsystem, mesosystem, and macrosystem influences on sexual risk behavior.
DISCUSSION
Urban AI girls reported similar social and structural influences on sexual risk behavior as urban adolescents from other racial and ethnic groups. However, differences were noted in the family structure, cultural heritage, and unique history of AIs.
IMPLICATIONS
This theory can be used in culturally responsive practice with urban AI girls.
目的
本研究旨在探究影响美国印第安（AI）城市青少年女孩性风险行为的因素。
设计
采用扎根理论方法进行定性研究，以揭示影响性风险行为的因素和过程。
方法
对20名15至19岁的城市AI女孩使用交流圈、个人访谈和事件历史日历，以探究对性风险行为的影响。
结果
所生成的阐释性风险行为的理论描述了影响女孩性风险行为的社会和结构因素及过程。该理论通过确定对性风险行为的微观系统、中观系统和宏观系统影响，扩展了布伦芬布伦纳的生态模型。
讨论
城市AI女孩报告称，在性风险行为方面受到的社会和结构影响与其他种族和族裔群体的城市青少年相似。然而，在AI的家庭结构、文化遗产和独特历史方面存在差异。
启示
该理论可用于针对城市AI女孩的文化适应实践。
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