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HIV information and behavioral skills moderate the effects of relationship type and substance use on HIV risk behaviors among African American youth

机译:HIV信息和行为技能可缓解非裔美国人青年中关系类型和物质使用对HIV危险行为的影响

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摘要

The HIV/AIDS epidemic is disproportionately impacting young African Americans. Efforts to understand and address risk factors for unprotected sex in this population are critical in improving prevention efforts. Situational risk factors, such as relationship type and substance use before sex, are in need of further study. This study explored how established cognitive predictors of risky sexual behavior moderated the association between situational factors and unprotected sex among low-income, African American adolescents. The largest main effect on the number of unprotected sex acts was classifying the relationship as serious (event rate ratio=10.18); other significant main effects were alcohol use before sex, participant age, behavioral skills, and level of motivation. HIV information moderated the effect of partner age difference, motivation moderated the effects of partner age difference and drug use before sex, and behavioral skills moderated the effects of alcohol and drug use before sex. This novel, partnership-level approach provides insight into the complex interactions of situational and cognitive factors in sexual risk taking.
机译:艾滋病毒/艾滋病的流行正在严重影响着年轻的非洲裔美国人。努力理解和解决该人群中未保护性行为的危险因素对于改善预防工作至关重要。情境风险因素,例如性关系类型和性交前的性行为使用,需要进一步研究。这项研究探讨了已建立的危险性行为的认知预测因素如何缓解低收入的非洲裔美国青少年中情境因素与无保护的性行为之间的关联。对未受保护的性行为数量最大的主要影响是将这种关系分类为严重(事件发生率比= 10.18);其他重要的主要影响是性交之前饮酒,参与者年龄,行为技能和动机水平。 HIV信息减轻了性伴侣年龄差异的影响,动机减轻了性伴侣年龄差异和性生活前吸毒的影响,行为技能减轻了性生活前饮酒和吸毒的影响。这种新颖的,伙伴关系级别的方法可以洞察性风险承担中情境和认知因素的复杂相互作用。

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