风险承担与青少年避孕效果之间关系的种族和民族差异。

IF 3.4 2区 医学 Q1 DEMOGRAPHY
Perspectives on Sexual and Reproductive Health Pub Date : 2020-12-01 Epub Date: 2020-12-28 DOI:10.1363/psrh.12165
Mónica L Caudillo, Shelby N Hickman, Sally S Simpson
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引用次数: 0

摘要

背景:对于青少年在性以外领域的冒险行为是否与他们使用避孕方法的有效性有关,或者这种关联是否因种族和民族而异,我们知之甚少。方法:使用2011年、2013年和2015年全国青少年风险行为调查的数据,对5971名13-18岁性活跃女性的非性风险行为和避孕方法选择进行调查。使用潜在类别分析确定了白人、黑人和西班牙裔青少年的风险承担情况。使用多项式逻辑回归来估计这些风险状况与最后性交时使用较少或更有效的避孕方法之间的关联。结果:白人和西班牙裔青少年有三种不同的冒险特征,黑人青少年有两种。与低风险“戒除者”组的同龄人相比,“高物质使用和暴力”组的白人青少年不太可能单独使用避孕套(相对风险为0.4)或处方避孕药与避孕套搭配使用(0.3),而不是完全不使用避孕药,更可能使用戒断或不使用任何方法,而不是单独使用避孕套。然而,白人风险较高与使用处方避孕药而非避孕套呈正相关(1.9)。在黑人和西班牙裔女性中,风险较低只与更多使用避孕套有关。结论:未来的研究应该检查旨在减少青少年冒险行为的干预措施是否能提高避孕的有效性,尤其是在白人女性中。然而,增加黑人和西班牙裔青少年使用更有效避孕药具的努力应该针对风险倾向以外的障碍。《性健康和生殖健康展望》,2020,52(4):TK,doi:10.1363/psrh.12165。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Racial and Ethnic Differences in the Relationship Between Risk-Taking and the Effectiveness of Adolescents' Contraceptive Use.

Context: Little is known about whether adolescents' risk-taking in areas other than sex is associated with the effectiveness of their contraceptive method use, or whether any such associations vary by race and ethnicity.

Methods: Data from the 2011, 2013 and 2015 National Youth Risk Behavior Surveys were used to examine nonsexual risk behaviors and contraceptive method choice among 5,971 sexually active females aged 13-18. Risk-taking profiles for White, Black and Hispanic adolescents were identified using latent class analysis. Multinomial logistic regression was used to estimate the associations between these risk profiles and use of less- or more-effective contraceptive methods at last sexual intercourse.

Results: Three distinct risk-taking profiles were identified for White and Hispanic adolescents and two for Black adolescents. Compared with their counterparts in the low-risk "abstainer" group, White adolescents in the "high substance use and violence" group were less likely to use condoms alone (relative risk, 0.4) or a prescription contraceptive paired with condoms (0.3) rather than no contraceptive at all, and more likely to use withdrawal or no method rather than condoms alone (2.4 each). However, higher risk-taking among Whites was positively associated with using prescription contraceptives rather than condoms (1.9). Among Black and Hispanic females, lower risk-taking was associated only with more condom use.

Conclusions: Future studies should examine whether interventions designed to reduce adolescent risk-taking improve the effectiveness of contraceptive use, particularly among White females. However, efforts to increase Black and Hispanic adolescents' use of more-effective contraceptives should target barriers other than risk-proneness. Perspectives on Sexual and Reproductive Health, 2020, 52(4):TK, doi:10.1363/psrh.12165.

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来源期刊
CiteScore
5.10
自引率
3.40%
发文量
24
期刊介绍: Perspectives on Sexual and Reproductive Health provides the latest peer-reviewed, policy-relevant research and analysis on sexual and reproductive health and rights in the United States and other developed countries. For more than four decades, Perspectives has offered unique insights into how reproductive health issues relate to one another; how they are affected by policies and programs; and their implications for individuals and societies. Published four times a year, Perspectives on Sexual and Reproductive Health includes original research, special reports and commentaries on the latest developments in the field of sexual and reproductive health, as well as staff-written summaries of recent findings in the field.
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