波多黎各青少年性受害风险因素的纵向研究。
A Longitudinal Study of Risk Factors for Sexual Victimization in Puerto Rican Youth.
机构信息
Division of General Pediatrics, Boston Children's Hospital (H-f Fong), Boston, Mass; Department of Pediatrics, Harvard Medical School (H-f Fong), Boston, Mass.
Department of Medicine, Harvard Medical School (K Alvarez, M Cruz-Gonzalez, and M Alegría), Boston, Mass; Disparities Research Unit, Department of Medicine, Massachusetts General Hospital (K Alvarez, M Cruz-Gonzalez, and M Alegría), Boston, Mass.
出版信息
Acad Pediatr. 2023 Aug;23(6):1142-1150. doi: 10.1016/j.acap.2022.12.003. Epub 2022 Dec 27.
OBJECTIVE
To determine whether youth, family, and neighborhood factors and minoritized status are associated with youth-reported sexual victimization from childhood through young adulthood.
METHODS
We analyzed longitudinal data from 2 population-based samples of Puerto Rican youth living in the South Bronx (as a minoritized group) and Puerto Rico (as a nonminoritized group). Waves 1 to 3 were collected annually beginning in 2000 (youth age 5-13). Wave 4 was collected 2013 to 2017 (youth age 15-29). We estimated multivariable associations between youth, family, and neighborhood factors and minoritized status at Wave 1 (independent variables); and youth-reported sexual victimization at Waves 1 to 4 (dependent variables).
RESULTS
None of the factors was associated with youth-reported sexual victimization at Wave 1 (N = 1911). Among youth reporting no previous history of sexual victimization at Wave 1 (n = 1823), youth in the South Bronx vs Puerto Rico were more likely to report sexual victimization at Waves 2 or 3 (odds ratio (OR) [95% confidence interval (CI)] = 3.62 [1.46-8.97]). Older youth were less likely to report sexual victimization (OR [95% CI] = 0.77 [0.65-0.91]) (all P < .01). Among youth reporting no history of sexual victimization at Waves 1 to 3 (n = 1782), youth in the South Bronx (OR [95% CI] = 2.53 [1.52-4.22]), female youth (OR [95% CI] = 2.81 [1.83-4.30]), and youth whose parents had more than a high school degree (OR [95% CI] = 2.25 [1.38-3.67]) were more likely to report sexual victimization at Wave 4 than their counterparts (all P ≤ .001).
CONCLUSIONS
Future research should investigate how living as a minoritized youth may contribute to an increased risk of sexual victimization.
目的
确定青少年、家庭和邻里因素以及少数群体地位是否与从儿童期到成年早期的青少年自我报告的性受害有关。
方法
我们分析了来自生活在南布朗克斯（作为少数群体）和波多黎各（作为非少数群体）的 2 个人群基础青少年样本的纵向数据。从 2000 年开始每年收集 1 到 3 波（青少年年龄 5-13 岁）。第 4 波于 2013 年至 2017 年收集（青少年年龄 15-29 岁）。我们在第 1 波（自变量）中估计了青少年、家庭和邻里因素以及少数群体地位与第 1 波至第 4 波之间的青年自我报告的性受害之间的多变量关联（因变量）。
结果
在第 1 波中，没有一个因素与青少年自我报告的性受害有关（n=1911）。在第 1 波报告没有以前性受害史的青少年中（n=1823），与波多黎各相比，南布朗克斯的青少年更有可能在第 2 波或第 3 波报告性受害（比值比[95%置信区间（CI）]为 3.62[1.46-8.97]）。年龄较大的青少年不太可能报告性受害（比值比[95%CI]为 0.77[0.65-0.91]）（所有 P<.01）。在第 1 波至第 3 波没有性受害史的青少年中（n=1782），南布朗克斯的青少年（比值比[95%CI]为 2.53[1.52-4.22]），女性青少年（比值比[95%CI]为 2.81[1.83-4.30]），父母受过高中以上教育的青少年（比值比[95%CI]为 2.25[1.38-3.67]）比他们的同龄人更有可能在第 4 波报告性受害（所有 P≤.001）。
结论
未来的研究应该调查作为少数群体的青少年生活方式如何导致性受害风险增加。
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