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“Who Are at Higher Sexual Risk?” Latent Class Analysis of Behavioral Intentions among Spanish Adolescents

机译:“谁处于更高的性风险?”西班牙青少年行为意图的潜在阶级分析

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摘要

Consistent condom use tends to be limited in youth, which makes this group especially vulnerable for sexually transmitted infections (STIs) and unplanned pregnancies. It is known that sexual risk may vary as a function of behavioral intentions (e.g., condom use intention or having sex under the influence of alcohol), but no studies have yet characterized the sexual risk profiles considering behavioral intentions. This study utilizes latent class analysis (LCA) to explore the subtyping of behavioral intentions related to sexual risk in a community-based sample of adolescents aged 14 to 16 years from Spain. Multinomial logistic regression was used to assess the association between class membership and participants’ sociodemographic variables (sex, age, educational level, socioeconomic status, and family situation), and behavioral variables (sexual experience and percentage of condom use). Among the 1557 participants, four latent classes of risk were identified: “Condom + drugs,” “abstinent,” “condom + no drugs,” and “no condom + drugs.” Differences in adolescents’ sex, age, educational level, sexual experience, and condom use across latent classes were found. Findings highlight opportunities for psychologists, educators, and health-care providers to promote condom use in adolescents with differing sexual risk profiles. Increased understanding of behavioral intentions among adolescents may help to reduce sexual risk behaviors in this group.
机译:一致的避孕套使用往往受青春势利的限制,这使得该组特别容易受到性传播感染(STIS)和无计划的怀孕。众所周知,性风险可能因行为意图的函数而变化(例如,避孕套使用意图或在酒精的影响下具有性行为),但没有研究表明考虑到行为意图的性风险概况。本研究利用潜在阶级分析(LCA)来探讨与西班牙14至16岁的社区青少年的社区型样本相关的行为意图亚型。多项式逻辑回归用于评估阶级成员和参与者的社会渗透变量(性,年龄,教育水平,社会经济地位和家庭情况)之间的关联,以及行为变量(性经验和避孕套的百分比)。在1557名参与者中,确定了四种潜在的风险:“安全套+毒品”,“戒备”,“避孕套”,“避孕套”,“没有安全套+毒品”。发现了青少年性别,年龄,教育程度,性经验和普及阶段的避孕套的差异。调查结果突出了心理学家,教育工作者和保健提供者的机会,以促进具有不同性风险概况的青少年的安全套。增加了对青少年行为意图的理解可能有助于减少该群体的性风险行为。

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