Finigan-Carr Nadine M, Craddock Jaih B, Johnson Tonya
University of Maryland, Baltimore: School of Social Work, Baltimore, MD, USA.
Baltimore City Health Department, Baltimore, MD, USA.
Child Youth Serv Rev. 2021 Aug;127. doi: 10.1016/j.childyouth.2021.106130. Epub 2021 Jun 20.
Sexual health education has been proven effective in improving adolescent sexual reproductive health outcomes. System-involved youth, including those in child welfare or juvenile justice systems, experience disproportionately poor outcomes as compared to youth in the general population, especially concerning STIs and early or unplanned pregnancies. Using logistic regression, this cross-sectional study examined the odds of condom use in a sample (n = 318; 61.3% males; 79.9% African American) of system-involved youth with multiple high-risk sexual behaviors. Specifically, it examined the impact of sexual health education, attitudes and beliefs about condoms, and the moderating effect of gender. The logistic regression models showed that youth were more likely to use a condom when exposed to comprehensive sexual health education (p < .05). Beliefs about condom effectiveness increased the odds of condom use in the second model (p < .01). Gender was not found to have a moderating effect. This study examined whether receiving comprehensive sexual health education and adolescent attitudes and beliefs towards condoms were associated with non-condom use using logistic regression in a sample of system-involved youth. Results suggest that comprehensive sexual health education could improve condom use in this vulnerable population.
性健康教育已被证明在改善青少年性生殖健康结果方面是有效的。与普通人群中的青少年相比，包括那些处于儿童福利或少年司法系统中的涉事青年，其健康结果尤其糟糕，特别是在性传播感染以及早孕或意外怀孕方面。本横断面研究采用逻辑回归分析，在一个具有多种高风险性行为的涉事青年样本（n = 318；61.3%为男性；79.9%为非裔美国人）中，考察了使用避孕套的几率。具体而言，研究考察了性健康教育、对避孕套的态度和信念以及性别的调节作用。逻辑回归模型显示，接受全面性健康教育的青年更有可能使用避孕套（p < 0.05）。在第二个模型中，对避孕套有效性的信念增加了使用避孕套的几率（p < 0.01）。未发现性别具有调节作用。本研究采用逻辑回归分析，考察了在涉事青年样本中，接受全面性健康教育以及青少年对避孕套的态度和信念是否与不使用避孕套有关。结果表明，全面性健康教育可以提高这一弱势群体中避孕套的使用比例。
