Sieving Renee E, McRee Annie-Laurie, McMorris Barbara J, Shlafer Rebecca J, Gower Amy L, Kapa Hillary M, Beckman Kara J, Doty Jennifer L, Plowman Shari L, Resnick Michael D
Healthy Youth Development-Prevention Research Center, Division of General Pediatrics and Adolescent Health, Department of Pediatrics, Medical School, University of Minnesota, Minneapolis, Minnesota; School of Nursing, University of Minnesota, Minneapolis, Minnesota;.
Healthy Youth Development-Prevention Research Center, Division of General Pediatrics and Adolescent Health, Department of Pediatrics, Medical School, University of Minnesota, Minneapolis, Minnesota.
Am J Prev Med. 2017 Mar;52(3 Suppl 3):S275-S278. doi: 10.1016/j.amepre.2016.07.037.
Over the past 30 years, prevention science in the adolescent health field has moved from interventions focused on preventing single problem behaviors to efforts employing a dual approach, addressing risk factors that predict problems while simultaneously nurturing protective factors and promoting positive development. Through an examination of previous research and empirical case examples with vulnerable youth, this article considers the hypothesis that adolescents' sense of connectedness to caring adults acts as a protective factor against a range of risk behaviors. Multivariate analyses with existing data examined indicators of youth-adult connectedness among two groups at high risk for poor health outcomes: (1) mentor-youth relationship quality in an urban, ethnically diverse sample of students in a school-based mentoring program (2014 survey, N=239); and (2) parent-youth connectedness in a statewide sample of high school students who reported homelessness in the past year (2013 survey, N=3,627). For youth in the mentoring program, a high-quality youth-mentor relationship was significantly associated with positive social, academic, and health-related behaviors. Among students who experienced homelessness, all measures of parent connectedness were significantly associated with lower sexual risk levels. Collectively, findings from these analyses and previously published studies by this research group provide evidence that strong, positive relationships with parents and other caring adults protect adolescents from a range of poor health-related outcomes and promote positive development. Youth-adult connectedness appears to be foundational for adolescent health and well-being. Program, practice, and policy decisions should consider what strengthens or hinders caring, connected youth-adult relationships.
在过去30年里,青少年健康领域的预防科学已从专注于预防单一问题行为的干预措施,转向采用双重方法的努力,即解决预测问题的风险因素,同时培养保护因素并促进积极发展。通过审视以往的研究以及针对弱势青少年的实证案例,本文探讨了这样一种假设:青少年与关爱他们的成年人之间的联系感可作为抵御一系列风险行为的保护因素。利用现有数据进行的多变量分析,考察了两组健康状况不佳风险较高人群中青少年与成年人联系的指标:(1)在一个城市、种族多样的校本辅导项目学生样本中(2014年调查,N = 239),导师与青少年关系的质量;(2)在一个全州范围内报告过去一年有无家可归经历的高中生样本中(2013年调查,N = 3627),父母与青少年的联系。对于参与辅导项目的青少年而言,高质量的青少年与导师关系与积极的社交行为、学业行为以及与健康相关的行为显著相关。在经历过无家可归的学生中,所有衡量父母联系程度的指标都与较低的性风险水平显著相关。总体而言,这些分析结果以及该研究团队此前发表的研究提供了证据,表明与父母及其他关爱他们的成年人建立牢固、积极的关系,可保护青少年免受一系列与健康不佳相关的后果影响,并促进其积极发展。青少年与成年人的联系似乎是青少年健康和幸福的基础。项目、实践和政策决策应考虑哪些因素会加强或阻碍关爱、紧密的青少年与成年人关系。