解决问题可降低非裔美国青少年中与寻求刺激、物质使用和抑郁症状相关的性风险。

Problem Solving Reduces Sexual Risk Associated with Sensation Seeking, Substance Use, and Depressive Symptoms Among African-American Adolescents.

作者信息

Dunne Eugene M, Norris Alyssa L, Romer Daniel, DiClemente Ralph J, Vanable Peter A, Valois Robert F, Brown Larry K, Carey Michael P

机构信息

Centers for Behavioral and Preventive Medicine, The Miriam Hospital, Providence, RI.

Alpert Medical School, Brown University, Providence, RI.

出版信息

J Child Adolesc Subst Abuse. 2019;28(2):113-118. doi: 10.1080/1067828x.2019.1610679. Epub 2019 May 13.

DOI:10.1080/1067828x.2019.1610679

PMID:32952380

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7500528/

Abstract

OBJECTIVE

African-American adolescents experience higher rates of sexually transmitted infections (STIs) compared to same-age Caucasian peers. Substance use, sensation seeking, and depression have all been linked to risky sexual practices. Theory suggests that problem-solving skills may help to buffer against these risk factors.

METHOD

To test this hypothesis, we used data from African-American adolescents ( = 1018; = 16.7, = 1.1; 58% female) who participated in a prevention trial.

RESULTS

Nearly half of the sample (47%) reported lifetime marijuana use, while 13% reported drug use prior to most recent sexual encounter. Sexual sensation seeking was directly associated with drug use prior to sex ( = 1.13, = 0.13 = 0.02, .001) and lower problem-solving skills ( = -0.08, = -0.06 = 0.02, .01). Problem-solving skills were associated with drug use prior to sex ( = 0.92, = -0.08 = 0.03, .004), such that those with greater problem-solving skills were less likely to report drug use prior to most recent sex. Lastly, problem solving skills mediated the association between sexual sensation seeking and drug use prior to sex, though the effect was small ( = 0.01, 95% CI: .001, .01).

CONCLUSIONS

Problem-solving skills can have a protective influence on risky behavior for adolescents. Future research might examine the utility of strengthening problem-solving skills in order to reduce STI/HIV risk among African American adolescents.

摘要

目的

与同龄白人青少年相比，非裔美国青少年的性传播感染（STIs）发生率更高。物质使用、寻求刺激和抑郁都与危险性行为有关。理论表明，解决问题的能力可能有助于缓冲这些风险因素。

方法

为了验证这一假设，我们使用了参与预防试验的非裔美国青少年（n = 1018；M = 16.7，SD = 1.1；58%为女性）的数据。

结果

近一半的样本（47%）报告有终生使用大麻的经历，而13%报告在最近一次性接触之前有过吸毒行为。性寻求刺激与性行为前的吸毒行为直接相关（β = 1.13，SE = 0.13，p = 0.02，p <.001），且与较低的解决问题能力相关（β = -0.08，SE = -0.06，p = 0.02，p <.01）。解决问题的能力与性行为前的吸毒行为相关（β = 0.92，SE = -0.08，p = 0.03，p <.004），即解决问题能力较强的人在最近一次性行为前报告吸毒的可能性较小。最后，解决问题的能力介导了性寻求刺激与性行为前吸毒行为之间的关联，尽管效应较小（β = 0.01，95%CI：.001，.01）。