Stevens Robin, Gilliard-Matthews Stacia, Dunaev Jamie, Todhunter-Reid Abigail, Brawner Bridgette, Stewart Jennifer
Robin Stevens, PhD, MPH, is Assistant Professor, School of Nursing, University of Pennsylvania, Philadelphia. Stacia Gilliard-Matthews, PhD, is Assistant Professor, Department of Sociology, Anthropology, and Criminal Justice, Rutgers University, Camden, New Jersey. Jamie Dunaev, PhD, is Assistant Professor, Health Sciences Program, Rutgers University, Camden, New Jersey. Abigail Todhunter-Reid, is Doctoral Candidate, Department of Childhood Studies, Rutgers University, Camden, New Jersey. Bridgette Brawner, PhD, APRN, is Assistant Professor, School of Nursing, University of Pennsylvania, Philadelphia. Jennifer Stewart, PhD, RN, is Assistant Professor, School of Nursing, Department of Community Public Health, Johns Hopkins University, Baltimore, Maryland.
Nurs Res. 2017 Sep/Oct;66(5):368-377. doi: 10.1097/NNR.0000000000000237.
Sexual health is an important area of study-particularly for minority youth and youth living in disadvantaged neighborhoods.
The purpose of the research was to examine the sources of sexual health information associated with youth adopting sexual risk reduction behaviors.
Data collection took place in a small city in the Northeastern United States using cross-sectional behavioral surveys and modified venue-based sampling. Participants included 249 African American and Latino youth aged 13-24. Participants reported their sources of information about contraception and human immunodeficiency virus/sexually transmitted disease, such as TV/movies, parents, social media; their intentions to have sex; and condom and contraception use during their last sexual activity. Social media use, past pregnancy experience, past sexual history, age, and gender were also measured. Standard tests of bivariate association (chi-square and F tests) were used to examine initial associations between sexual risk reduction behavior and exposure to sexual risk reduction information on social media. Logistic regression models were used to test multivariate relationships between information sources and sexual risk reduction behavior.
Youth who were exposed to sexual health messages on social media were 2.69 times (p < .05) and 2.49 times (p < .08) more likely to have used contraception or a condom at last intercourse, respectively. Parents, schools, or traditional media as information sources were not significantly associated with contractive use or condom use at last intercourse.
Youth sexual behavior is increasingly informed by social media messages. Health practitioners should utilize social media as an important health promotion tool.
性健康是一个重要的研究领域，对于少数族裔青年以及生活在弱势社区的青年来说尤为如此。
本研究的目的是调查与采取降低性风险行为的青年相关的性健康信息来源。
在美国东北部的一个小城市进行数据收集，采用横断面行为调查和基于场所的改良抽样方法。参与者包括249名年龄在13至24岁之间的非裔美国人和拉丁裔青年。参与者报告了他们关于避孕和人类免疫缺陷病毒/性传播疾病的信息来源，如电视/电影、父母、社交媒体；他们的性行为意图；以及他们上次性行为时避孕套和避孕措施的使用情况。还测量了社交媒体使用情况、过去的怀孕经历、过去的性史、年龄和性别。使用双变量关联的标准测试（卡方检验和F检验）来检查降低性风险行为与在社交媒体上接触降低性风险信息之间的初始关联。使用逻辑回归模型来测试信息来源与降低性风险行为之间的多变量关系。
在社交媒体上接触到性健康信息的青年在上次性交时使用避孕措施或避孕套的可能性分别高出2.69倍（p < .05）和2.49倍（p < .08）。父母、学校或传统媒体作为信息来源与上次性交时的避孕措施使用或避孕套使用没有显著关联。
青年性行为越来越受到社交媒体信息的影响。健康从业者应将社交媒体作为一种重要的健康促进工具加以利用。
