Psychosocial predictors of sexual initiation and high-risk sexual behaviors in early adolescence

被引:34
作者
Caminis A. [1 ]
Henrich C. [2 ]
Ruchkin V. [3 ]
Schwab-Stone M. [4 ]
Martin A. [5 ]
机构
[1] Yale School of Medicine, Yale University, New Haven, CT
[2] Department of Psychology, Georgia State University, Atlanta, GA
[3] Center for Violence Prevention, Skonviks Psychiatric Clinic, Karolinska Institute, Stockholm
[4] Yale School of Medicine Child Study Center, Yale University, New Haven, CT
[5] Yale School of Medicine Child Study Center, Yale University, Yale-New Haven Hospital, New Haven, CT
关键词
Sexual Behavior; Sexual Activity; Middle School; Sexual Intercourse; Sexual Risk Behavior;
D O I
10.1186/1753-2000-1-14
中图分类号
学科分类号
摘要
Background: This longitudinal study examined psychosocial factors associated with risky sexual behavior in early adolescence. Methods: Data were collected through a self-report survey, the Social and Health Assessment (SAHA), which was administered in three waves between 2001 and 2003 to a cohort of incoming sixth grade students in the public school system (149 classes at 17 middle and high schools, N = 1,175) of a small northeastern city in the United States. We first examined whether internalizing and externalizing problems in sixth grade, and the rate of change in these factors during middle school, were predictive of sexual initiation two years later, when most of the sample was in eighth grade. We then assessed whether internalizing and externalizing problems in sixth grade, and the rate of change in these factors during middle school, were predictive of engaging in high risk sexual behavior over the subsequent two years. Results: Externalizing factors are more predictive of sexual risk in early adolescence than are internalizing factors. Specifically, substance use and violent delinquency over the course of middle school were associated with higher, while anxiety with lower, sexual initiation rates during middle school. Additionally, increased substance use over the course of middle school was associated with greater likelihood of engaging in high risk sexual behavior. Conclusion: By identifying particular psychosocial risk factors among young adolescents, the findings of this study have implications for designing multi-dimensional programs aimed at preventing health-compromising sexual behavior among young teens. © 2007 Caminis et al; licensee BioMed Central Ltd.
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共 69 条
[61]  
Lavan H., Johnson J.G., The association between axis I and II psychiatric symptoms and high-risk sexual behavior during adolescence, J Personal Disord, 16, 1, pp. 73-94, (2002)
[62]  
Whitbeck L.B., Hoyt D.R., Miller M., Kao M.Y., Parental support, depressed affect, and sexual experience among adolescents, Youth and Society, 24, pp. 166-177, (1992)
[63]  
Goodson P., Evans A., Edmundson E., Female adolescents and onset of sexual intercourse: A theory-based review of research from 1984 to 1994, J Adolesc Health, 21, 3, pp. 147-156, (1997)
[64]  
Sales J.M., Milhausen R.R., Diclemente R.J., A decade in review: Building on the experiences of past adolescent STI/ HIV interventions to optimize future prevention efforts, Sex Transm Infect, 82, 6, pp. 431-436, (2006)
[65]  
Santelli J., Klein J., Graff C., Allan M., Elster A., Reliability in adolescent reporting of clinician counseling, health care use, and health behaviors, Med Care, 40, 1, pp. 26-37, (2002)
[66]  
Turner C.F., Ku L., Rogers S.M., Lindberg L.D., Pleck J.H., Sonenstein F.L., Adolescent sexual behavior, drug use, and violence: Increased reporting with computer survey technology, Science, 280, 5365, pp. 867-873, (1998)
[67]  
Upchurch D.M., Lillard L.A., Aneshensel C.S., Fang L.N., Inconsistencies in reporting the occurence and timing of first intercourse among adolescents, J Sex Res, 39, 3, pp. 197-206, (2002)
[68]  
Preventing the Sexual Transmission of HIV, the Virus That Causes AIDS: What You Should Know About Oral Sex, (2007)
[69]  
Warren C.W., Kann L., Small M.L., Santelli J.S., Collins J.L., Kolbe L.J., Age of initiating selected health-risk behaviors among high school students in the United States, J Adolesc Health, 21, 4, pp. 225-231, (1997)