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Motivation for Late Sexual Debut in Côte d'Ivoire and Burkina Faso Côte科特迪瓦和布基纳法索性行为延迟的动机
Pub Date : 2007-05-12 DOI: 10.1300/J499v07n02_05
S. Babalola, D. Ouedraogo, C. Vondrasek
Abstract This paper uses qualitative data from a positive deviance inquiry (PDI) among young people in Burkina Faso and Côte d'Ivoire to explore the motivations for delayed sexual debut. The results of the PDI are verified using survey data from Côte d'Ivoire. The findings support the Self-Determination Theory and show that the factors that favor delayed sexual debut are both internal and external to the youth, including personal commitment to the ideal of delayed sexual debut, perceived self-efficacy to refuse sex with someone known for more than three months, and family contextual factors. The findings also show significant similarities and differences in the factors associated with delayed sexual debut among men and women. Residence in the same household as the father during childhood and the belief that a pregnancy would jeopardize professional ambitions are significant predictors for women but not for men. In contrast, religiosity is an important predictor for men but not for women. The programmatic and policy implications of the results are discussed.
摘要:本文利用布基纳法索和Côte科特迪瓦年轻人的积极偏差调查(PDI)的定性数据来探讨延迟初次性行为的动机。PDI的结果使用Côte d'Ivoire的调查数据进行了验证。研究结果支持了“自我决定理论”,并表明有利于延迟性行为的因素包括青少年对延迟性行为理想的个人承诺、拒绝与认识超过三个月的人发生性行为的自我效能感和家庭背景因素。研究结果还显示,男性和女性在推迟初次性行为的相关因素上存在显著的异同。在童年时期与父亲住在同一个家庭,以及认为怀孕会危及职业抱负,这对女性来说是重要的预测因素,但对男性来说并非如此。相比之下,宗教信仰对男性来说是一个重要的预测因素,但对女性来说不是。讨论了研究结果对方案和政策的影响。
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引用次数: 17
The Impact of a Community-Based Comprehensive Sex Education Program on Chinese Adolescents' Sex-Related Knowledge and Attitudes 社区综合性教育对中国青少年性知识和性态度的影响
Pub Date : 2007-05-12 DOI: 10.1300/J499v07n02_04
Bo Wang, A. Meier, I. Shah, Xiaoming Li
Abstract The purpose of this study was to evaluate a community-based comprehensive sex education program among unmarried youth in China. The impact of the intervention on sexual knowledge, attitudes, and sexual initiation were assessed, using a pre-test post-test quasi-experimental research design. The program used six methods for providing sex-related knowledge and reproductive health services to youth aged 15-24 over a period of 20 months. A total of 1,220 youth participated in the program (intervention group) while 1,007 youth did not receive the intervention (control group). We found that while the intervention did not directly deter youth from initiating sexual activity, it significantly increased youth's sex-related knowledge. The intervention also had a significant effect on males' attitudes about sex. It made the attitudes of males more conservative. The results suggest that comprehensive sex education programs for young people can be effective in imparting important information regarding sexual health and HIV/AIDS prevention, and also suspending the age-normative trend toward more favorable sexual attitudes, especially among young men.
摘要本研究的目的是评估中国未婚青年社区综合性教育项目。采用前测后准实验研究设计,评估干预对性知识、性态度和性起始的影响。该方案使用六种方法,在20个月内向15-24岁的青年提供与性有关的知识和生殖健康服务。共有1220名青少年参加了该计划(干预组),而1007名青少年没有接受干预(对照组)。我们发现,虽然干预没有直接阻止青少年开始性活动,但它显著增加了青少年的性相关知识。干预对男性的性态度也有显著影响。这使得男性的态度更加保守。结果表明,针对年轻人的综合性教育项目可以有效地传授有关性健康和艾滋病毒/艾滋病预防的重要信息,并阻止年龄规范的倾向于更有利的性态度,特别是在年轻男性中。
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引用次数: 15
Environmental, Psychosocial, and Individual Correlates of HIV Risk in Ethnic Minority Male-to-Female Transgender Youth 少数民族男变女变性青年艾滋病风险的环境、社会心理和个体相关因素
Pub Date : 2007-05-12 DOI: 10.1300/J499v07n02_06
R. Garofalo, Elizabeth Osmer, C. Sullivan, Mimi Doll, G. Harper
Abstract Although HIV risk in male-to-female (MTF) transgender adults is well documented, limited data exists on the experiences of MTF transgender youth. This cross-sectional study examines environmental, psychosocial, and individual correlates of risky sex among 51 MTF ethnie minority transgender youth age 16-25. Fifty-nine percent of participants reported high-risk sex defined as either unprotected insertive or receptive anal intercourse in the past year. Multiple factors that included higher depression scores, lower self-esteem, less social support, poorer safer sex communication skills, being non-African American, use of injection silicone, history of arrest, history of forced sex and having sex while high on drugs/alcohol, were significantly associated with high-risk sex among participants. Multivariate logistic regression indicated that among possible models with two independent variables, poorer communication skills and non-African American race/ethnicity were the most significant predictors of high-risk sex. Future studies examining HIV risk mechanisms in MTF transgender youth are needed.
虽然男变女(MTF)变性成人的艾滋病毒风险有很好的记录,但关于MTF变性青年的经历的数据有限。本横断面研究调查了51名年龄在16-25岁的MTF少数民族变性青年的环境、社会心理和个体风险性行为的相关因素。59%的参与者报告说,在过去的一年中,高风险的性行为被定义为无保护的插入性或接受性肛交。包括较高的抑郁得分、较低的自尊、较少的社会支持、较差的安全性行为沟通技巧、非非洲裔美国人、使用注射硅胶、被捕史、强迫性行为史以及在高度吸毒/酗酒的情况下发生性行为在内的多种因素与参与者的高风险性行为显著相关。多因素logistic回归显示,在具有两个自变量的可能模型中,较差的沟通技巧和非非洲裔美国人种族/民族是高危性行为的最显著预测因子。需要进一步研究MTF跨性别青年的艾滋病毒风险机制。
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引用次数: 43
HIV/AIDS Stigmatizing Attitudes Among Young People in Swaziland 斯威士兰年轻人对艾滋病毒/艾滋病的歧视态度
Pub Date : 2006-12-18 DOI: 10.1300/J499v07n01_06
A. Buseh, C. Park, P. Stevens, B. McElmurry, S. Kelber
Abstract A major shortcoming to the understanding and development of HIV/AIDS programs to mitigate social stigma is the paucity of research pertaining to how young people in sub-Saharan African countries perceive those infected with HIV, and how these stigmatizing attitudes are formed, projected and reinforced. The purpose of this study was to examine stigmatizing attitudes toward people living with HIV/ AIDS among young people in Swaziland, southern Africa. A purposive convenience sampling provided urban and rural data for this cross-sectional survey. Participants included 941 secondary school students attending four co-educational public schools in Swaziland. Data were collected and analyzed on individual and environmental related factors with students' stigmatizing attitudes toward people with HIV/AIDS as outcome variable. Findings from the study suggest that greater HIV/AIDS knowledge and increased peer influence were associated with lower stigmatizing attitudes. Perceived susceptibility was associated with increased stigma toward people living with HIV/AIDS. Both individual and environmental factors contributed to explaining the variance in social stigma; individual factors accounted for the largest amount. A better understanding of the factors associated with social stigma could assist healthcare and social workers to develop appropriate programs to reduce HIV/AIDS related Stigma.
理解和发展艾滋病毒/艾滋病项目以减轻社会耻辱感的一个主要缺点是缺乏与撒哈拉以南非洲国家的年轻人如何看待感染艾滋病毒的人以及这些耻辱感态度如何形成、投射和加强有关的研究。本研究的目的是调查非洲南部斯威士兰年轻人对艾滋病毒/艾滋病感染者的污名化态度。有目的的方便抽样为横断面调查提供了城市和农村的数据。参与者包括在斯威士兰四所男女同校的公立学校就读的941名中学生。以学生对HIV/AIDS感染者的污名化态度为结果变量,收集数据并分析个体因素和环境因素。研究结果表明,更多的艾滋病毒/艾滋病知识和更多的同伴影响与较低的污名化态度有关。感知到的易感性与对艾滋病毒/艾滋病感染者的耻辱感增加有关。个人因素和环境因素都有助于解释社会耻辱的差异;个体因素占最大的比例。更好地了解与社会耻辱相关的因素可以帮助医疗保健和社会工作者制定适当的方案来减少与艾滋病毒/艾滋病相关的耻辱。
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引用次数: 11
Determinants of Condom Use Intentions and Behavior Among Turkish Youth 土耳其青少年避孕套使用意向和行为的决定因素
Pub Date : 2006-12-18 DOI: 10.1300/J499v07n01_05
G. Ozakinci, J. Weinman
Abstract The assumptions of two social cognition models, the Theory of Planned Behavior (Ajzen, 1991) and the Health Belief Model (Rosenstock, 1974) are examined in 2 samples of Turkish university students: sexually active and sexually inactive. For sexually inactive participants, perceived benefits of condom use and self-efficacy beliefs regarding condom use were associated with stronger condom use intentions. For sexually active participants, positive attitudes toward condom use were the most important determinant of condom use intentions. Intentions were strongly associated with condom use. Current findings provide important information for designing HIV/AIDS education campaigns and materials for Turkish youth with different sexual histories. The results suggest that the Theory of Planned Behavior has merit in informing health promotion campaigns in a Turkish setting.
摘要以性活跃和性不活跃的土耳其大学生为研究对象,对计划行为理论(Ajzen, 1991)和健康信念模型(Rosenstock, 1974)两种社会认知模型的假设进行了检验。对于性行为不活跃的参与者来说,使用避孕套的好处和使用避孕套的自我效能感与更强的避孕套使用意图有关。对于性活跃的参与者来说,对避孕套使用的积极态度是决定避孕套使用意向的最重要因素。意图与避孕套的使用密切相关。目前的研究结果为设计针对不同性经历的土耳其青年的艾滋病毒/艾滋病教育运动和材料提供了重要信息。结果表明,计划行为理论在告知健康促进运动在土耳其设置的优点。
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引用次数: 7
Fathers Are Important People 父亲是重要的人
Pub Date : 2006-12-18 DOI: 10.1300/J499V07N01_04
C. Dilorio, S. Lehr, J. Wasserman, Michelle Eichler, Chauncey Cherry, Pamela Denzmore
Abstract The purpose of this study was to examine the perceived role of African-American fathers in educating their sons about sex and HIV prevention. Given that some studies have shown a relationship between parent-adolescent sexual communication and adolescent sexual behavior, and the disproportionately high rates of teen pregnancy and HIV (and other STIs) among African-American youth, it is noteworthy that no previous study of parent-adolescent sexual communication has focused on African-American fathers. This study involved the qualitative analysis of focus group data obtained from 14 African-American fathers of adolescent boys between the ages of 11 and 14 years. The results of this analysis revealed three general themes, which were entitled: (1) “Fathers Want to be Response-Able,” (2) “What Would Michael Jordan Do?” and (3) “Having Sex Could Mean Kissing Your Future Goodbye.” The findings show that African-American fathers place a high value on fatherhood and accept their roles as sex educators of their male children. Overall, the study's results have important implications for the design and implementation of effective HIV prevention programs for African-American adolescent boys.
摘要本研究的目的是探讨非裔美国父亲在性教育和艾滋病预防方面的作用。鉴于一些研究已经表明了父母-青少年性交流和青少年性行为之间的关系,以及非裔美国青年中不成比例的高青少年怀孕率和艾滋病毒(和其他性传播感染),值得注意的是,之前没有关于父母-青少年性交流的研究关注非裔美国父亲。这项研究包括对14名11至14岁的青春期男孩的非裔美国父亲的焦点小组数据进行定性分析。分析的结果揭示了三个主题,它们被命名为:(1)“父亲想要有反应能力”(2)“迈克尔·乔丹会怎么做?”(3)“做爱可能意味着和你的未来吻别。”研究结果表明,非裔美国父亲非常重视父亲的角色,并接受自己作为男孩性教育者的角色。总的来说,这项研究的结果对设计和实施有效的非洲裔青少年艾滋病预防计划具有重要意义。
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引用次数: 21
Getting an Early Start 早点开始
Pub Date : 2006-12-18 DOI: 10.1300/J499v07n01_02
E. Pluhar, Tanya Jennings, C. Dilorio
Abstract Little information exists on communication about sexuality between parents and préadolescent children. This study collected qualitative data on family sexuality communication from 3 focus groups conducted with African American mothers of 6-10 year old children. Two broad themes emerged from the data: “Beyond the Birds and the Bees” and “Let's Talk about Sex. But How?” These themes are discussed in terms of previous literature and implications for sexuality education and research.
摘要:关于父母与青春期前儿童性行为的交流,目前的资料很少。本研究收集了3个焦点小组对6-10岁儿童的非裔美国母亲进行的家庭性交流的定性数据。从这些数据中出现了两个广泛的主题:“超越鸟类和蜜蜂”和“让我们谈谈性”。但是如何?”这些主题将根据先前的文献和对性教育和研究的影响进行讨论。
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引用次数: 17
Education and Training Needs of School Staff Relevant to Preventing Risk Behaviors and Promoting Health Behaviors Among Gay, Lesbian, Bisexual, and Questioning Youth 男同性恋、女同性恋、双性恋及有问题青少年预防危险行为及促进健康行为的学校工作人员教育培训需求
Pub Date : 2006-12-18 DOI: 10.1300/J499v07n01_03
R. Sawyer, J. Porter, T. Lehman, C. Anderson, K. Anderson
Abstract A national-level needs assessment of high school psychologists, social workers, counselors, and nurses was conducted to identify training and educational resource material needs of these staff relevant to providing health and mental health services to gay, lesbian, bisexual, and questioning (GLBQ) youth. Systematic sampling procedures were employed with professional membership lists of five national organizations. A self-administered survey, extensively pilot tested, was completed by 941 school staff. Results revealed that most staff acknowledged the presence of GLBQ youth in their schools; reported “accepting” attitudes toward these students; perceived GLBQ students to be at much higher risk, than their heterosexual counterparts, for several health and mental health problems; indicated that they should be providing more services to these students; and identified a number of barriers related to school climate, lack of staff training, and community/parental opposition that hamper service provision to GLBQ youth. Based on these findings, the authors recommend that school professionals discuss effective strategies for risk prevention and health promotion for GLBQ youth within their specific school-based setting, and the delivery of professional development activities to school health professionals on topics of GLBQ youth and health.
摘要本研究在全国范围内对高中心理学家、社工、辅导员和护士进行了需求评估,以确定这些工作人员在为男同性恋、女同性恋、双性恋和有问题(GLBQ)青少年提供健康和精神卫生服务方面的培训和教育资源材料需求。系统抽样程序采用了五个国家组织的专业成员名单。941名学校工作人员完成了一项自我管理的调查,并进行了广泛的试点测试。结果显示,大多数工作人员承认他们学校中存在GLBQ青年;报告对这些学生的“接受”态度;认为GLBQ学生在一些健康和心理健康问题上比异性恋学生面临更高的风险;指出他们应该为这些学生提供更多的服务;并确定了一些与学校氛围、缺乏工作人员培训以及社区/家长反对有关的障碍,这些障碍阻碍了向GLBQ青年提供服务。基于这些发现,作者建议学校专业人员在其特定的学校环境中讨论GLBQ青年风险预防和健康促进的有效策略,并向学校卫生专业人员提供有关GLBQ青年和健康主题的专业发展活动。
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引用次数: 23
The Relationship Between Substance Use and STD/HIV-Related Sexual Risk Behaviors Among U.S. Adolescents 美国青少年药物使用与性病/艾滋病相关性危险行为之间的关系
Pub Date : 2006-01-05 DOI: 10.1300/J499v06n02_05
D. Howard, M. Wang
Abstract This study examined the relationship between substance use and STD/HIV sexual risk behaviors among sexually active adolescents. Participants included ninth through twelfth grade sexually active youth (N = 7,669) who completed the 1999 national Youth Risk Behavior Survey. Multivariate logistic regression was used to examine all significant independent relationships. Use of cigarettes, cocaine and glue/ inhalants was associated with unprotected sex and multiple sexual partners. Alcohol use, binge drinking and marijuana use were associated with multiple sexual partners. Use of inhalants and glue differentiated youth who engaged in none versus two STD/HIV risk behaviors. Substance use behavior, particularly harder drugs, may place adolescents at increased risk for acquiring an STD or HIV.
摘要本研究旨在探讨性活跃青少年药物使用与性病/艾滋病性危险行为的关系。参与者包括完成1999年全国青少年危险行为调查的九年级至十二年级性活跃青少年(N = 7669)。采用多元逻辑回归检验所有显著的独立关系。使用香烟、可卡因和胶/吸入剂与无保护的性行为和多个性伴侣有关。酗酒、酗酒和吸食大麻与多个性伴侣有关。吸入剂和胶水的使用区分了没有性病/艾滋病风险行为的青少年和有两种风险行为的青少年。物质使用行为,特别是更严重的毒品,可能会增加青少年感染性病或艾滋病毒的风险。
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引用次数: 26
Preparing Adolescents for Success in School 为青少年在学校的成功做好准备
Pub Date : 2006-01-05 DOI: 10.1300/J499v06n02_02
D. Watson, W. J. Mcculler, Lorrie Bisesi, Susie Tanamly, T. Sim, Julia A. Kavich
Abstract Adolescents enrolled in alternative school settings evidence risk behaviors at a higher rate compared to students attending regular high schools. Histories of substance use, juvenile delinquency, high school expulsion, poor school attendance, and HIV-risk behaviors are typical. These youth are particularly vulnerable to HIV-risk behaviors and substance use. This paper describes a school-based indicated prevention model for adolescents in the alternative high school setting. Preparing Adolescents for Success in School (PASS) combines the indicated programs Reconnecting Youth and Street Smart and adapts them for use in this setting. Program goals include reducing substance use, delinquent behavior, HIV-risk behaviors, school problems, and negative mood states and increasing decision-making skills, coping skills, social support, and knowledge of HIV prevention.
与就读普通高中的学生相比,就读另类学校的青少年有更高的风险行为。药物使用史、青少年犯罪、高中开除、缺勤和艾滋病毒风险行为是典型的。这些青年特别容易受到艾滋病毒风险行为和药物使用的影响。本文描述了一种以学校为基础的替代性高中青少年指示性预防模式。为青少年在学校取得成功做好准备(PASS)结合了所指出的“重新连接青年”和“街头智慧”计划,并使它们适应这种情况。该项目的目标包括减少药物使用、不良行为、艾滋病毒风险行为、学校问题和消极情绪状态,并提高决策技能、应对技能、社会支持和艾滋病毒预防知识。
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引用次数: 7
期刊
Journal of HIV/AIDS prevention in children & youth
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