Swartzendruber Andrea, Sales Jessica M, Rose Eve S, DiClemente Ralph J
Department of Behavioral Sciences & Health Education, Rollins School of Public Health, Emory University, 1518 Clifton Rd, NE, Atlanta, GA, 30322, USA.
Centers for AIDS Research, Emory University, Atlanta, GA, USA.
AIDS Behav. 2016 Jan;20 Suppl 1(Suppl 1):S74-83. doi: 10.1007/s10461-015-1228-2.
Studies have documented high levels of alcohol use and sexual risk among young mothers. We examined parenting satisfaction and self-efficacy in relation to alcohol use problems and sexual risk among 346 young African American women enrolled in an HIV prevention trial, 41 % (n = 141) of whom were mothers. Among mothers, greater parenting satisfaction was associated with a reduced likelihood of problematic alcohol use, having multiple sex partners, and testing positive for Trichomonas vaginalis. Relative to non-parenting women, mothers reported lower condom use. Compared to non-parenting women, mothers with the highest parenting satisfaction reported fewer alcohol use problems; mothers with the lowest parenting satisfaction reported lower condom use and were more likely to have multiple partners and test positive for T. vaginalis. Parenting self-efficacy was not associated with the outcomes examined. Future research investigating relationships between parenting satisfaction, alcohol use and sexual risk may be useful for improving multiple maternal health outcomes.
研究记录了年轻母亲中酒精使用和性风险的高水平情况。我们在346名参与一项艾滋病预防试验的年轻非裔美国女性中，考察了育儿满意度和自我效能与酒精使用问题及性风险之间的关系，其中41%（n = 141）为母亲。在母亲中，更高的育儿满意度与酒精使用问题、有多个性伴侣以及阴道毛滴虫检测呈阳性的可能性降低相关。与非母亲女性相比，母亲报告的避孕套使用率较低。与非母亲女性相比，育儿满意度最高的母亲报告的酒精使用问题较少；育儿满意度最低的母亲报告的避孕套使用率较低，且更有可能有多个性伴侣以及阴道毛滴虫检测呈阳性。育儿自我效能与所考察的结果无关。未来研究育儿满意度、酒精使用和性风险之间的关系，可能有助于改善多种孕产妇健康结局。
