Romer D, Black M, Ricardo I, Feigelman S, Kaljee L, Galbraith J, Nesbit R, Hornik R C, Stanton B
Center for International, Health, and Development Communication, Annenberg School for Communication, University of Pennsylvania, Philadelphia 19104.
Am J Public Health. 1994 Jun;84(6):977-85. doi: 10.2105/ajph.84.6.977.
Adolescents are increasingly at risk for infection with human immunodeficiency virus (HIV) and other sexually transmitted diseases, especially in poor urban minority communities. To aid the design of interventions in these communities, this study investigated the role of knowledge, attitudes, perceived parental monitoring, and peer behavior in the onset and progression of sexual behavior in children at risk for exposure to HIV.
A computerized personal interview was administered to 300 African-American 9- to 15-year-old children living in six public housing developments in a large US city.
Although children's knowledge about the hazards of sex increased with age, their sexual activity also increased (from 12% sexually experienced at 9 years of age to more than 80% experienced at 15 years of age). Parental monitoring appeared able to influence sexual activity. However, the perceived behavior of friends was associated with the rate at which sexual activity progressed with age and the degree to which condom use was maintained with age.
The early onset and prevalence of sexual behavior and the importance of peer group influence call for early interventions that simultaneously influence the parents and peers in children's social networks.
青少年感染人类免疫缺陷病毒（HIV）和其他性传播疾病的风险日益增加，尤其是在城市贫困少数族裔社区。为了协助设计针对这些社区的干预措施，本研究调查了知识、态度、感知到的父母监管以及同伴行为在有HIV暴露风险儿童性行为的开始和进展中所起的作用。
对居住在美国一个大城市六个公共住房开发区的300名9至15岁非裔美国儿童进行了计算机化个人访谈。
尽管儿童对性危害的了解随着年龄增长而增加，但他们的性活动也在增加（从9岁时有12%有性经历增加到15岁时超过80%有性经历）。父母监管似乎能够影响性活动。然而，朋友的感知行为与性活动随年龄增长的进展速度以及随着年龄增长使用避孕套的程度有关。
性行为的早发和普遍存在以及同伴群体影响的重要性，要求开展早期干预措施，同时影响儿童社交网络中的父母和同伴。
