Sidze Estelle M, Elungata'a Patricia, Maina Beatrice W, Mutua Michael M
African Population and Health Research Center, Manga close off Kirawa Road, POB 10787-00100, Nairobi, Kenya,
Arch Sex Behav. 2015 Apr;44(3):631-8. doi: 10.1007/s10508-014-0402-3. Epub 2014 Dec 11.
This study investigated the associations between parent-child connectedness and sexual behaviors among adolescents living in informal settlements in Nairobi, Kenya, a vulnerable group with respect to reproductive health outcomes. The study was based on data from the Transition to Adulthood project, a study designed to follow adolescents aged 12-22 for 3 years in the informal settlements of Korogocho and Viwandani. Direct face-to-face questions were asked to adolescents about parenting variables and sexual behaviors. This study used a subsample of 689 sexually experienced 12-22-years-olds at Wave 2. Bivariate analysis compared gender differences for three outcomes-sexual activity in the 12 months prior to the survey and, among those who had had sex in this period, multiple sexual partners and condom use at last sex. Multivariate logistic regressions were used to identify associations between these outcomes and the quality of parent-child connectedness. About 60% of adolescent females and males were sexually active in the 12 months prior to the survey. The multivariate results showed a strong association between the quality of parent-child connectedness and condom use among adolescent males. Living with related or unrelated guardians (versus living with biological parents) was also associated with higher odds of multiple sexual partners and lower odds of condom use at last sex among adolescent females and with higher odds of sexual activity among adolescent males. Sexual and reproductive health programs targeting adolescents living in Nairobi informal settlements would benefit from attention to assisting parents to improve their ability to play the connectedness role.
本研究调查了肯尼亚内罗毕非正规住区青少年的亲子关系与性行为之间的关联，该群体在生殖健康结果方面属于弱势群体。该研究基于“向成年期过渡”项目的数据，该项目旨在对科罗戈乔和维万达尼非正规住区12至22岁的青少年进行为期3年的跟踪研究。研究人员向青少年直接面对面询问了育儿变量和性行为相关问题。本研究使用了第二波调查中689名有性经历的12至22岁青少年的子样本。双变量分析比较了三个结果的性别差异——调查前12个月内的性活动，以及在此期间有过性行为的人当中，多个性伴侣情况和最后一次性行为时的避孕套使用情况。多变量逻辑回归用于确定这些结果与亲子关系质量之间的关联。在调查前12个月内，约60%的青少年女性和男性有性活动。多变量结果显示，亲子关系质量与青少年男性使用避孕套之间存在强烈关联。与亲属或非亲属监护人生活在一起（而非与亲生父母生活在一起），也与青少年女性有多个性伴侣的较高几率以及最后一次性行为时使用避孕套的较低几率相关，同时与青少年男性性活动的较高几率相关。针对内罗毕非正规住区青少年的性与生殖健康项目，若关注协助父母提高其发挥亲子关系作用的能力，将从中受益。
