Fowler Patrick J, Motley Darnell, Zhang Jinjin, Rolls-Reutz Jennifer, Landsverk John
Washington University in St. Louis, St. Louis, MO, USA
DePaul University, Chicago, IL, USA.
Child Maltreat. 2015 Feb;20(1):50-60. doi: 10.1177/1077559514548701. Epub 2014 Aug 25.
In this longitudinal study, we tested whether adolescent maltreatment and out-of-home placement as a response to maltreatment altered developmental patterns of sexual risk behaviors in a nationally representative sample of youth involved in the child welfare system. Participants included adolescents aged 13 to 17 (M = 15.5, SD = 1.49) at baseline (n = 714), followed over 18 months. Computer-assisted interviews were used to collect self-reported sexual practices and experiences of physical and psychological abuse at both time points. Latent transition analyses were used to identify three patterns of sexual risk behaviors: abstainers, safe sex with multiple partners, and unsafe sex with multiple partners. Most adolescents transitioned to safer sexual behavior patterns over time. Adolescents exhibiting the riskiest sexual practices at baseline were most likely to report subsequent abuse and less likely to be placed into out-of-home care. Findings provide a more nuanced understanding of sexual risk among child welfare-involved adolescents and inform practices to promote positive transitions within the system.
在这项纵向研究中，我们在一个参与儿童福利系统的具有全国代表性的青年样本中，测试了青少年虐待以及作为对虐待的应对措施的家庭外安置是否改变了性风险行为的发展模式。参与者包括基线时年龄在13至17岁之间（M = 15.5，SD = 1.49）的青少年（n = 714），随访时间超过18个月。在两个时间点均使用计算机辅助访谈来收集自我报告的性行为以及身体和心理虐待经历。潜在转变分析用于识别三种性风险行为模式：禁欲者、与多个伴侣进行安全性行为以及与多个伴侣进行不安全性行为。随着时间的推移，大多数青少年转变为更安全性行为模式。在基线时表现出最具风险的性行为的青少年最有可能报告随后遭受虐待，并且被安置到家庭外照料机构的可能性较小。研究结果为参与儿童福利的青少年中的性风险提供了更细致入微的理解，并为促进系统内积极转变的实践提供了信息。
