Department of Health Behavior, UNC Chapel Hill, Chapel Hill, NC, USA.
MRC/Wits Rural Public Health and Health Transitions Research Unit (Agincourt), Faculty of Health Sciences, School of Public Health, University of the Witwatersrand, Johannesburg, South Africa.
AIDS Behav. 2018 Jun;22(6):1908-1918. doi: 10.1007/s10461-017-1945-9.
We assessed the psychological trait of hope as an explanatory mediator in the relationship between the home environment and sexual risk behaviors among 2533 young women in rural South Africa. Hope mediated the relationship between average household age and sexual debut (mediated effect = - 0.003, p < 0.05), and between household consumption and sexual debut (mediated effect = - 0.019, p < 0.05). Both higher average household age (β = 0.01; 95% CI 0.00, 0.01) and greater household consumption (β = 0.05; 95% CI 0.02, 0.08) were marginally associated with higher hope. In turn, greater hope was associated with lower odds of sexual debut (aOR = 0.62; 95% CI 0.52, 0.74). These results provide important preliminary evidence of the role of the home environment in shaping protective psychological assets and healthy sexual behaviors. Continued exploration of the relationship between hope and the home environment may help to explain why young women in this context have a disproportionate risk for HIV.
我们评估了希望这一心理特征，作为南非农村地区 2533 名年轻女性的家庭环境与性风险行为之间关系的一个解释性中介。希望中介了家庭平均年龄与性初体验之间的关系（中介效应=-0.003，p<0.05），以及家庭消费与性初体验之间的关系（中介效应=-0.019，p<0.05）。家庭平均年龄较高（β=0.01；95%CI 0.00，0.01）和家庭消费较高（β=0.05；95%CI 0.02，0.08）都与希望更高呈边缘相关。反过来，更高的希望与性初体验的可能性降低相关（aOR=0.62；95%CI 0.52，0.74）。这些结果为家庭环境在塑造保护性心理资产和健康性行为方面的作用提供了重要的初步证据。对希望与家庭环境之间关系的进一步探讨可能有助于解释为什么这一背景下的年轻女性感染艾滋病毒的风险不成比例。
