دورية أكاديمية
أعرض في EDS

Sexual Debut in Early Adolescence and Individual, School, and Neighborhood Social Capital.

التفاصيل البيبلوغرافية
العنوان: Sexual Debut in Early Adolescence and Individual, School, and Neighborhood Social Capital.
المؤلفون: Cribb Fabersunne C; Department of Pediatrics, University of California, San Francisco, San Francisco, California. Electronic address: Camila.cribbfabersunne@ucsf.edu., Milliren C; Division of Adolescent Medicine, Department of Medicine, Boston Children's Hospital, Boston, Massachusetts; Institutional Centers for Clinical and Translational Research, Boston Children's Hospital, Boston, Massachusetts., Schuster MA; Kaiser Permanente Bernard J. Tyson School of Medicine, Pasadena, California., Elliott MN; RAND Corporation, Santa Monica, California., Emery ST; The University of Texas Health Science Center at Houston (UTHealth) School of Public Health, Houston, Texas., Cuccaro PM; The University of Texas Health Science Center at Houston (UTHealth) School of Public Health, Houston, Texas., Davies SL; Department of Health Behavior, University of Alabama Birmingham, Birmingham, Alabama., Richmond T; Division of Adolescent Medicine, Department of Medicine, Boston Children's Hospital, Boston, Massachusetts; Department of Pediatrics, Harvard Medical School, Boston, Massachusetts.
المصدر: The Journal of adolescent health : official publication of the Society for Adolescent Medicine [J Adolesc Health] 2024 Aug; Vol. 75 (2), pp. 333-343. Date of Electronic Publication: 2024 Jun 06.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Elsevier Country of Publication: United States NLM ID: 9102136 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1879-1972 (Electronic) Linking ISSN: 1054139X NLM ISO Abbreviation: J Adolesc Health Subsets: MEDLINE
أسماء مطبوعة: Original Publication: New York, NY : Elsevier, c1991-
مواضيع طبية MeSH: Social Capital* , Schools*, Humans ; Adolescent ; Female ; Male ; Longitudinal Studies ; Adolescent Behavior ; Residence Characteristics/statistics & numerical data ; Neighborhood Characteristics ; Sexual Behavior/statistics & numerical data
مستخلص: Purpose: Sexual debut in early adolescence is associated with poor health outcomes in adulthood. We examined the associations of social capital within families, schools, and neighborhoods with early sexual debut.
Methods: Using data from the Healthy Passages cohort, a longitudinal multilevel study of adolescents, we performed a series of cross-classified multilevel logistic regression models to examine (1) the relative contribution of schools and neighborhoods to the variance and (2) the association of markers of social cohesion/social capital in families, schools, and neighborhoods with sexual debut by 10th grade.
Results: There were 4,001 youth participants nested in 115 schools and 751 neighborhoods, with a high degree of cross-classification (1,340 unique combinations of school and neighborhoods). In models adjusting for individual demographics, neighborhoods contributed more to the variance (log odds U [95% confidence interval {CI}] [intra class correlation {ICC}%]) in sexual debut than schools: U neighborhoods  = 0.11 (0.02, 0.23) [3.2%] versus U schools  = 0.07 (0.01, 0.16) [2%]. Restriction of dating and family cohesion, markers of family social capital, were associated with reduced odds of sexual debut by 10th grade (odds ratio = 0.45 95% CI: 0.41-0.49 and 0.93, 95% CI: 0.86, 1.00). Neighborhood cohesion and education level were associated with early debut. Although reduced, there remained significant, unexplained variance in both the school and neighborhood level in the fully adjusted model (U school  = 0.08 [0.01, 0.17] [2.3%], U neighborhood  = 0.08 [0.02, 0.17] [2.2%]).
Discussion: Markers of social capital at the family and neighborhood levels were associated with sexual debut by 10th grade. Developers of public health programs aiming to delay sexual debut should consider family-focused and neighborhood-focused interventions.
(Copyright © 2024 Society for Adolescent Health and Medicine. Published by Elsevier Inc. All rights reserved.)
فهرسة مساهمة: Keywords: Coitarche; Cross-classified model; Family cohesion; Neighborhood cohesion; Parental monitoring; Reproductive health; Sexual debut; Sexual health; Sexual practices; Social capital
تواريخ الأحداث: Date Created: 20240606 Date Completed: 20240718 Latest Revision: 20240718
رمز التحديث: 20240719
DOI: 10.1016/j.jadohealth.2024.04.007
PMID: 38842988
قاعدة البيانات: MEDLINE
الوصف
تدمد:1879-1972
DOI:10.1016/j.jadohealth.2024.04.007