School of Medicine, University of California San Francisco, San Francisco, CA, USA.
Department of Psychology and Neuroscience, Duke University, Durham, NC, USA.
Glob Public Health. 2022 Dec;17(12):3670-3685. doi: 10.1080/17441692.2021.1951801. Epub 2021 Jul 8.
The places where adolescents live, learn, and play are thought to influence behaviours and health, but we have limited tools for measuring environmental risk on a hyperlocal (e.g. neighbourhood) level. Working with 218 adolescents and their parents/guardians in rural western Kenya, we combined participatory mapping activities with satellite imagery to identify adolescent activity spaces and create a novel measure of social-ecological risks. We then examined the associations between social-ecological risk and individual HIV risk beliefs and behaviours. We found support for the conjecture that social-ecological risks may be associated with individual beliefs and behaviours. As social-ecological risk increased for a sample of Kenyan adolescents, so did their reports of riskier sex beliefs and behaviours, as well as unsupervised outings at night. This study reinforces calls for disease prevention approaches that go beyond emphasising individual behaviour change.
青少年生活、学习和娱乐的场所被认为会影响他们的行为和健康，但我们在超本地化（如邻里）层面上衡量环境风险的工具有限。在肯尼亚西部农村，我们与 218 名青少年及其父母/监护人合作，将参与式制图活动与卫星图像相结合，以确定青少年的活动空间，并创建一种新的社会生态风险衡量指标。然后，我们研究了社会生态风险与个体 HIV 风险认知和行为之间的关联。我们的研究结果支持了这样一种假设，即社会生态风险可能与个体的认知和行为有关。随着肯尼亚青少年社会生态风险的增加，他们报告的风险性行为和认知以及夜间无人监管的外出活动也随之增加。这项研究进一步呼吁采取疾病预防措施，超越强调个体行为改变的层面。
