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家庭结构与青年资产对初次性行为的影响:一项纵向队列研究。

Youth Assets and Initiation of Sexual Intercourse by Family Structure: A Longitudinal Cohort Study.

机构信息

University of Nevada, Reno, Reno, NV, USA.

出版信息

Health Educ Behav. 2022 Dec;49(6):985-992. doi: 10.1177/10901981221116792. Epub 2022 Aug 11.

Abstract

BACKGROUND

The purpose of this study was to assess the protective influence of individual, family, and community assets from the initiation of sexual intercourse (ISI) for adolescents living in one-parent households compared with adolescents living in two-parent households.

METHODS

Five waves of data were collected annually over a 4-year period ( = 591, 52.5% female, mean age = 14.0 years) from a racially/ethnically diverse sample of adolescents. Extended Cox models were used to assess the relationship between assets and time of ISI while controlling for demographic variables. Potential interactions between adolescent's household structure and assets were examined.

RESULTS

Five of 17 assets were prospectively and significantly associated with a reduced risk of ISI among adolescents living in one-parent households compared with 11 of 17 assets for adolescents living in two-parent households. Adolescents living in one-parent households who possessed any one of five assets (e.g., general aspirations for the future, relationship with mother, positive peer role models) had between a 27% and 57% lower risk of ISI, whereas adolescents living in two-parent households who possessed any of one of 11 assets (e.g., responsible choices, family communication, community involvement) had between a 20% and 42% lower risk of ISI.

CONCLUSION

The results suggest that strengthening specific youth assets across multiple dimensions of behavioral influence may decrease the risk of ISI for adolescents living in both one-parent and two-parent households. Public health efforts focused on developing programs to promote asset building tailored to adolescent's family structure are warranted.

摘要

背景

本研究旨在评估个体、家庭和社区资产对处于单亲家庭环境中的青少年初次性行为(IS I)的保护作用,将其与处于双亲家庭环境中的青少年进行对比。

方法

在四年期间内,每年采集五次数据(n=591,52.5%为女性,平均年龄为 14.0 岁),调查对象为种族/民族多样化的青少年。采用扩展的 Cox 模型,在控制人口统计学变量的情况下,评估资产与 ISI 时间之间的关系。同时还检验了青少年家庭结构与资产之间的潜在交互作用。

结果

在单亲家庭环境中,17 项资产中有五项与青少年初次性行为的风险呈负相关(相比之下,在双亲家庭环境中,这一数字为 11)。与拥有五项资产之一(如对未来的总体期望、与母亲的关系、积极的同伴榜样)的青少年相比,处于单亲家庭环境中的青少年初次性行为的风险降低了 27%-57%;而处于双亲家庭环境中,拥有 11 项资产之一(如负责任的选择、家庭沟通、社区参与)的青少年初次性行为的风险降低了 20%-42%。

结论

结果表明,加强行为影响的多个维度的特定青年资产可能会降低处于单亲和双亲家庭环境中的青少年初次性行为的风险。有必要开展公共卫生工作,制定针对青少年家庭结构的资产建设促进计划。

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