School of Social Work, Wayne State University, 5447 Woodward Avenue, Detroit, MI, 48202, USA.
Behavioural Science Institute, Radboud University, Montessorilaan 3, Nijmegen, The Netherlands.
Matern Child Health J. 2022 Feb;26(2):424-433. doi: 10.1007/s10995-021-03262-9. Epub 2021 Oct 16.
Adolescents' exposure to violence between parents acts as a precursor to risky behaviors; however, empirical studies that examined the potential pathways from exposure to violence between parents to risky behaviors are rare. Consequently, the prevention and intervention strategies for risky sexual activities are limited without the identification of malleable mediators.
Mediators on the association between adolescent exposure to parental fighting and risky sexual activities are examined, which include internalizing behaviors, running away from home, and affiliation with risky peers. Relationships between these variables are examined for males and females separately. The sample consists of 673 adolescents in a neighborhood located in Chicago's Southside who completed a survey.
Exposure to parental fighting was not directly associated with risky sexual activities for either males or females. However, among females, exposure to parental fighting was significantly and positively related to internalizing behaviors and running away from home, and internalizing behaviors were also positively associated with running away from home. For males, however, only the association between internalizing behaviors and running away from home was found to be significant. Further, the relationship between exposure to parental fighting and risky sexual activities was mediated by running away from home.
Targeted strategies for prevention are critical for improving sexual health outcomes among adolescents in low-resourced urban neighborhoods.
青少年暴露于父母之间的暴力行为是危险行为的前兆；然而，很少有研究考察父母间暴力行为暴露与危险行为之间的潜在途径。因此，如果不能确定可改变的中介因素，那么针对危险性行为的预防和干预策略就很有限。
本研究考察了青少年暴露于父母争吵与危险性行为之间关联的中介因素，包括内化行为、离家出走和与危险同伴的关系。分别对男性和女性进行了这些变量之间关系的检验。该样本由居住在芝加哥南部社区的 673 名青少年组成，他们完成了一项调查。
父母争吵的暴露与男性或女性的危险性行为都没有直接相关。然而，对于女性来说，父母争吵的暴露与内化行为和离家出走呈显著正相关，内化行为也与离家出走呈正相关。然而，对于男性来说，只有内化行为和离家出走之间的关联是显著的。此外，父母争吵的暴露与危险性行为之间的关系是通过离家出走来介导的。
针对资源匮乏的城市社区青少年的有针对性的预防策略对于改善其性健康结果至关重要。
