Effect of multi-level social risk factors on developmental trajectories of sexual risk behaviors among Bahamian middle-to-late adolescents.

Autor:	Kim D; Department of Population and Quantitative Health Sciences, UMass Chan Medical School, Worcester, MA, USA., Guo Y; Department of Health Science and Human Performance, University of Tampa, Florida, USA., Wang A; Department of Biochemistry and Molecular Biology, University of Massachusetts Amherst., Fahey N; Department of Pediatrics, UMass Chan Medical School., Rosa V; UMass Chan Medical School., Deveaux C; Department of Newsroom and Bahama Journal, Jones Communication Network., Taylor M; Government and Public Policy Institute, University of The Bahamas., Deveaux L; National HIV/AIDS Programme, Ministry of Health & Wellness, The Bahamas.
Jazyk:	angličtina
Zdroj:	Health psychology and behavioral medicine [Health Psychol Behav Med] 2024 Aug 28; Vol. 12 (1), pp. 2397470. Date of Electronic Publication: 2024 Aug 28 (Print Publication: 2024).
DOI:	10.1080/21642850.2024.2397470
Abstrakt:	Background: Few studies have examined how multi-level social factors interact and affect developmental patterns of sexual risk among middle-to-late adolescents who are at risk of experiencing sexual risk behaviors. We examined developmental trajectories of sexual risk behaviors of boys and girls in middle-to-late adolescence and the effects of exposure to three social risk factors (poor parental monitoring, peer risk, and neighborhood risk). Methods: We followed 2,332 Bahamian adolescents every six months from Grades 10-12. We used group-based trajectory modeling to identify distinct trajectories of sexual risk behaviors for boys and girls. Results: We identified three trajectories each for boys and girls. Peer risk and neighborhood risk predicted a high sexual-risk trajectory for boys, and peer risk (alone or combined with other risk factors) had the greatest impact on the membership of moderate-to-high-risk trajectory for girls. Parental monitoring had a relatively small effect on adolescents' sexual risk behavior. Conclusion: Our results underscore the importance of early identification of adolescents with sexual risk behavior and development of targeted prevention interventions to improve adolescent health outcomes. Competing Interests: No potential conflict of interest was reported by the author(s). (© 2024 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group.)
Databáze:	MEDLINE
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