照顾者与青少年的沟通模式以及美国印第安青少年的性健康和生殖健康。

IF 2 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Journal of Immigrant and Minority Health Pub Date : 2024-12-01 Epub Date: 2024-07-12 DOI:10.1007/s10903-024-01616-3
Jeffrey Thiele, Olivia Williamson, Olivia Ceavers, Paula FireMoon, Olivia Johnson, Elizabeth Rink, Michael Anastario
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引用次数: 0

摘要

美国印第安人社区曾遭受殖民暴力,因此,改善美国印第安人照顾者与青少年之间的沟通被认为是一项具有土著前瞻性的战略,有助于缓解美国印第安青少年在性健康和生殖健康(SRH)方面面临的差距。对非美国印第安人和美国印第安人进行的研究表明,父母与青少年之间就性健康和生殖健康进行有效沟通有助于减少青少年的性风险行为。对青少年性风险行为与分别评估照顾者和青少年的沟通模式之间关系的研究十分有限。本研究旨在探讨美国美国印第安青少年中照顾者与青少年沟通模式与性参与、初次性行为年龄和安全套使用之间的关联。该研究利用了从 Nen ŨnkUmbi/EdaHiYedo 收集到的照顾者和青少年基线数据,Nen ŨnkUmbi/EdaHiYedo 是一项阶梯式楔形设计试验,对象是居住在蒙大拿州 Fort Peck Reservation 的美国印第安青少年。在本研究中,113 名照顾者与 145 名青少年进行了匹配。研究考察了照顾者与青少年之间的沟通模式与青少年性行为、初次性行为年龄以及受保护的阴道和/或肛门性行为次数之间的关系。研究采用多变量模型对混杂因素进行调整,并考察了照顾者与青少年的沟通与青少年性风险结果之间的关系。青少年自我报告的与照顾者就性健康和生殖健康话题进行沟通的总体水平的提高与青少年发生性行为的可能性增加有显著关系。在受保护的阴道和/或肛门性行为次数方面,观察到青少年与照顾者的沟通和趋同之间存在明显的交互效应,即照顾者的沟通(无论青少年自我报告与照顾者的沟通情况如何)与受保护的性行为次数增加有关。这项研究填补了现有文献的空白,报告了分别对照顾者和青少年进行评估的性健康和生殖健康交流与青少年性危险行为之间的关系。研究结果强调了让美国印第安人照顾者参与性健康和生殖健康干预以改善美国印第安人青少年性健康和生殖健康结果的重要性,并为未来的实验研究提供了信息,这些研究将评估照顾者沟通方式的改变对青少年性健康和生殖健康的潜在影响。
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Caregiver-Youth Communication Patterns and Sexual and Reproductive Health Among American Indian Youth.

Improving communication between American Indian caregivers and their youth has been suggested as an Indigenous-forward strategy to help alleviate the sexual and reproductive health (SRH) disparities faced by American Indian youth as a result of the legacy of colonial violence against American Indian communities. Studies with non-American Indian and American Indian populations suggest that effective communication about SRH between parents and youth plays a role in reducing sexual risk behaviors among youth. There is limited research that examines youth sexual risk behaviors in relation to communication patterns separately assessed in caregivers and youth. The current study aimed to examine the association between caregiver-youth communication patterns and engagement in sex, age at sexual debut, and condom use among American Indian youth in the United States. The study draws on baseline caregiver and youth data collected from Nen ŨnkUmbi/EdaHiYedo, a stepped wedge design trial with American Indian youth living on the Fort Peck Reservation in Montana. 113 caregiver responses were matched to 145 youth for the current study. Caregiver-youth communication patterns were examined in relation to youth engagement in sex, age at sexual debut, and number of protected acts of vaginal and/or anal sex. Multivariable models were used to adjust for confounders and to examine relationships between caregiver-youth communication and youth sexual risk outcomes. An increase in overall level of self-reported youth communication with caregivers about sexual and reproductive health topics was significantly associated with a greater likelihood of youth ever having engaged in sex. A significant interaction effect between youth communication and convergence with caregiver response was observed for the number of protected acts of vaginal and/or anal sex, where caregiver communication (regardless of self-reported youth communication with caregivers) was associated with a greater number of protected sex acts. This study fills a gap in the extant literature by reporting on relationships between communication about SRH, assessed separately in caregivers and youth, and youth sexual risk behaviors. Findings emphasize the importance of involving American Indian caregivers in SRH interventions to improve SRH outcomes among American Indian youth, and inform future experimental research that will evaluate how changes in caregiver communication potentially impact youth SRH.

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来源期刊
Journal of Immigrant and Minority Health
Journal of Immigrant and Minority Health PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
3.70
自引率
5.30%
发文量
104
期刊介绍: Journal of Immigrant and Minority Health is an international forum for the publication of peer-reviewed original research pertaining to immigrant health from contributors in many diverse fields including public health, epidemiology, medicine and nursing, anthropology, sociology, population research, immigration law, and ethics. The journal also publishes review articles, short communications, letters to the editor, and notes from the field.
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