Alderman E M, Lauby J L, Coupey S M
Preventive Intervention Research Center For Child Health, Albert Einstein College of Medicine/Montefiore Medical Center, Bronx, New York, USA.
J Dev Behav Pediatr. 1995 Oct;16(5):339-44.
This study examines the prevalence of problem behaviors (sexual activity, substance use, delinquency, and school failure) in a clinical hospital-based sample of 217 inner-city, 14 to 17 year olds with a variety of serious, chronic medical illnesses and compares this prevalence to that in a group of 121 similar-aged, healthy friends with no known chronic illnesses living in the same community. No differences were found between groups in substance use, delinquency, percent who had ever had sexual intercourse, or mean age at first intercourse. There was a significant interaction effect of chronic illness and gender on age at first intercourse (p = .015); boys without chronic illness initiated sexual intercourse at a younger age than their girlfriends without illness. Contrary to expectations, significantly more of the healthy friends had repeated a grade in school than had those with chronic illness (p = .002). Results are discussed in terms of the interrelationships of chronic illness, gender, and environment on problem behaviors.
本研究调查了217名来自市中心、年龄在14至17岁、患有各种严重慢性疾病的青少年患者样本中的问题行为（性活动、药物使用、犯罪行为和学业失败）发生率，并将该发生率与居住在同一社区的121名年龄相仿、无已知慢性疾病的健康朋友组成的群体进行比较。两组在药物使用、犯罪行为、曾经有过性行为的比例或首次性行为的平均年龄方面均未发现差异。慢性病和性别对首次性行为的年龄有显著的交互作用（p = 0.015）；没有慢性病的男孩比没有疾病的女朋友开始性行为的年龄更小。与预期相反，健康朋友中留级的人数显著多于患有慢性病的人（p = 0.002）。本文从慢性病、性别和环境对问题行为的相互关系方面对研究结果进行了讨论。
