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世界核心医学期刊文摘（儿科学分册） 2005年第6期1卷 23-24页

作者： Rickert V. I. Wiemann C. M. Vaughan R. D. White J. W. 郭战宏 heilbrunn dept. of pop. /fam. hlth. Mailman School of Public Health Columbia University 60 Haven Ave New York NY 10032 United States Dr.

Objectives: To investigate the occurrence of rape/attempted rape and verbal sexual coercion among an ethnically diverse adolescent pop.lation and to evaluate whether unique risk factors existed for victims of either type of forced sexual experience. Design: Cross-sectional survey assessing sexual violence within the past 12 months, behaviors that occurred on each subject’s most recent date, and the occurrence of unwanted sexual experiences on any dates in the past year and details about that date. Subjects identified as experiencing either rape/attempted rape or verbal sexual coercion were compared with nonvictims using bivariate and multivariate analyses. Setting: Urban adolescent health care facility. Participant: Female adolescents and young adults (n = 689) between the ages of 14 and 23 years who presented for care and met the eligibility criteria. Results: Approximately 30%of youngwomen reported having an unwanted sexual experience in the past year. The risk of rape/attempted rape was increased by past mild to moderate (adjusted odds ratio [AOR] = 4.27) or severe (AOR = 15.24) physical aggression by the dating partner; date-specific behaviors, including decreased level of romantic involvement [AOR] = 0.63 per point decline)-and going to the perpetrator’s house to be alone (AOR = 3.01); past sexual victimization as an adolescent (AOR = 4.70); and lower levels of self-reported ethnic identity (AOR = 1.07 per point decline). More important, alcohol use by the victim or perpetrator was unrelated to an increased risk of rape/attempted rape. The risk of verbal sexual coercion was increased by past mild to moderate (AOR = 4.38) or severe (AOR = 13.79) verbal aggression from the dating partner; date-specific behaviors, including decreased level of romantic involvement (AOR = 0.70 per point decline) and greater number of past dates (AOR = 7.53); going to the perpetrator’s house to be alone (AOR = 3.52); past sexual victimization as an adolescent (AOR = 9.83); pressures

关键词：青少年群体性暴力城市青少年语言性保健机构性经历多元分析发生次数横断面调查风险分布

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校外监护对低收入中心城市居民区青少年性启蒙的作用

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世界核心医学期刊文摘（儿科学分册） 2005年第5期1卷 39-39页

作者： Roche K. M. Ellen J. Astone N. M. 虎小毅 dept. of pop. and fam. H lth. Sci. J. Hopkins Bloomberg Sch. Pub. Hlth. 615 N Wolfe St Baltimore MD 21205 United StatesDr.

Objective: To examine the association between patterns of outof-school care o ver time and the initiation of sex among young adolescents living in low-income urban fam.lies. Design: A prospective cohort study (using a 16-month follow-u p) examining the predictive value of changes in out-of-school-care arrangemen ts on early sex initiation. Setting and Participants: By using a multistage stra tified area probability sampling strategy, we selected 494 subjects aged 11 to 1 3 years living in low-income central city neighborhoods who did not report havi ng had sexual intercourse by time *** Outcome Measure: Adolescent report of having had sexual intercourse by time ***: Bivariate results suggested th at being at home with an adult during out-of-school hours was related to less sex initiation than self-care, care at another person’s home, and attendance a t an organized/supervised activity. Adjusting for demographic attributes, parent al monitoring, parental curfews, and fam.ly routines, remaining in out-of-home care or selfcare was associated with a 2.5 times (95%confidence interval, 1. 3-5.1 times) increase in the likelihood of initiating sexual intercourse when compared with being at home with an adult at both assessment times. Conclusion: Policies and programs that enable young adolescents to spend their out-of-scho ol hours at home with an adult may help reduce the risk of early sex initiation among youth in low-income urban areas.

关键词：收入中心外监护城市居民区城市家庭早期性课外时间性交史评估阶段统计学特征自我监护

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