Department of Nutrition and Public Health, University of Saint Joseph, West Hartford, Connecticut, USA.
Department of Health Policy, Management, and Behavior, University at Albany, State University of New York, Albany, New York, USA.
J Community Psychol. 2021 Aug;49(6):2122-2133. doi: 10.1002/jcop.22518. Epub 2021 Feb 2.
To determine how self-esteem mediates the relationship between family support and initiation of sex for US-born Black Caribbean compared to African American adolescents. Secondary data analyses were performed on responses from 1170 adolescents from the National Survey of American Life-Adolescents supplement (2003-2004). Weighted descriptive statistics and logistic regression analyses were performed to examine whether initiation of sex on perceived family support is mediated by self-esteem. The study population consists of 360 Black Caribbean and 810 African American adolescents. Sexual initiation prevalence was higher for Black Caribbean adolescents (42.1%) than African American adolescents (36.75%). The adjusted odds ratio for Black Caribbean adolescents' initiation of sex was 0.85 (95% confidence interval [CI]: 0.16-4.51) compared to African American adolescents' 0.59 (95% CI: 0.35-1.00). Self-esteem represented a statistically significant mediation path and might be more important for African American adolescents' sexual health than the Black Caribbean. The unfounded mediating role of self-esteem between perceived family support and Black Caribbean adolescents' sexual initiation suggests possible influences of Black heterogeneity stemming from ethnic identity differences in sexual health decision-making.
为了确定自尊在美国家庭支持与黑加勒比裔和非裔美国青少年性启动之间的关系中起何种作用。对来自全国生活调查-青少年增刊（2003-2004 年）的 1170 名青少年的回答进行了二次数据分析。采用加权描述性统计和逻辑回归分析来检验在感知到的家庭支持与性启动之间，自尊是否存在中介作用。研究人群包括 360 名黑加勒比裔和 810 名非裔美国青少年。性启动的流行率在黑加勒比裔青少年中（42.1%）高于非裔美国青少年（36.75%）。与非裔美国青少年（95%置信区间：0.35-1.00）相比，黑加勒比裔青少年的性启动调整后比值比为 0.85（95%置信区间：0.16-4.51）。自尊代表了一条具有统计学意义的中介途径，对非裔美国青少年的性健康可能比黑加勒比裔更重要。在感知到的家庭支持与黑加勒比裔青少年性启动之间，自尊的这种毫无根据的中介作用表明，在性健康决策方面，种族身份差异可能会对黑人群体的异质性产生影响。
