Adolph C, Ramos D E, Linton K L, Grimes D A
Department of Obstetrics and Gynecology, University of Southern California School of Medicine, Los Angeles 90033, USA.
Contraception. 1995 May;51(5):303-6. doi: 10.1016/0010-7824(95)00081-k.
Effective communication between Hispanic parents and teens about sexual issues may deter adolescent pregnancy, yet little is known about the prevalence or impact of such communication. The study examined this potential relationship in a cohort of urban Hispanic adolescents. A questionnaire was administered to a non-random sample of pregnant and non-pregnant Hispanic women aged 12-18 years attending inner city schools in Los Angeles to obtain demographic, sexual activity and communication information. Logistic regression analysis was used to evaluate the independent contribution of risk factors to teenage pregnancy. Good communication with one's mother was inversely related to pregnancy; the adjusted odds ratio of pregnancy if the mother told the daughter about sex was 0.3 (95% CI 0.2-0.6). Friends' love was also inversely related to pregnancy (odds ratio 0.7; 95% CI 0.6-0.8). In order of increasing strength, alcohol and drug use, favorable attitude toward premarital sex, receipt of welfare, older age at menarche, and older age were all significantly related to pregnancy. Pregnant Hispanic teenagers have poorer communication with their parents than do other Hispanic teens. Efforts to reduce the incidence of adolescent pregnancy among Hispanics may need to address not only family communication but also issues outside the home such as alcohol and recreational drugs.
西班牙裔父母与青少年之间就性问题进行有效沟通可能会减少青少年怀孕的情况，但对于这种沟通的普及率或影响却知之甚少。该研究在一群城市西班牙裔青少年中考察了这种潜在关系。对洛杉矶市中心城区学校中12至18岁的怀孕及未怀孕西班牙裔女性进行非随机抽样问卷调查，以获取人口统计学、性活动及沟通方面的信息。采用逻辑回归分析来评估风险因素对青少年怀孕的独立影响。与母亲进行良好沟通与怀孕呈负相关；如果母亲向女儿讲述性方面的知识，怀孕的调整后比值比为0.3（95%置信区间0.2 - 0.6）。来自朋友的关爱也与怀孕呈负相关（比值比0.7；95%置信区间0.6 - 0.8）。按影响强度递增顺序排列，饮酒和吸毒、对婚前性行为持赞成态度、领取福利、初潮年龄较大以及年龄较大均与怀孕显著相关。怀孕的西班牙裔青少年与父母的沟通比其他西班牙裔青少年更差。降低西班牙裔青少年怀孕发生率的努力可能不仅需要关注家庭沟通，还需解决家庭之外的问题，如酒精和娱乐性药物问题。
