HIV-related sexual decisions made by African-American adolescents living in different family structures: study from an ecodevelopmental perspective

Ya-Huei Li,1 Paula Cuccaro,2 Hua Chen,1 Susan Abughosh,1 Paras D Mehta,3 Ekere J Essien1,2 1Department of Pharmaceutical Health Outcomes and Policy, College of Pharmacy, University of Houston, Texas Medical Center, Houston, TX, USA; 2Department of Health Promotion and Behavioral Sciences, University...

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Autores principales:	Li YH, Cuccaro P, Chen H, Abughosh S, Mehta PD, Essien EJ
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2018
Materias:	Ecodevelopmental theory African Americans adolescents family structure parenting function sexual behaviors Immunologic diseases. Allergy RC581-607
Acceso en línea:	https://doaj.org/article/0db42ca2c5674272a293567d2cc8e285
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spelling	oai:doaj.org-article:0db42ca2c5674272a293567d2cc8e2852021-12-02T05:20:19ZHIV-related sexual decisions made by African-American adolescents living in different family structures: study from an ecodevelopmental perspective1179-1373https://doaj.org/article/0db42ca2c5674272a293567d2cc8e2852018-03-01T00:00:00Zhttps://www.dovepress.com/hiv-related-sexual-decisions-made-by-african-american-adolescents-livi-peer-reviewed-article-HIVhttps://doaj.org/toc/1179-1373Ya-Huei Li,1 Paula Cuccaro,2 Hua Chen,1 Susan Abughosh,1 Paras D Mehta,3 Ekere J Essien1,2 1Department of Pharmaceutical Health Outcomes and Policy, College of Pharmacy, University of Houston, Texas Medical Center, Houston, TX, USA; 2Department of Health Promotion and Behavioral Sciences, University of Texas School of Public Health, Houston, TX, USA; 3Department of Industrial Organizational Psychology, University of Houston, Houston, TX, USA Purpose: The purpose of this study was to explore the association between the dynamics of family structure and sexual behaviors of African-American adolescents using the ecodevelopmental theory. Methods: This study stratified data from 1,617 African-American adolescents of the Add Health Wave I respondents with an identified family composition. It examined the associations between family structure, parenting function, and adolescents’ sexual decision-making: age of first sexual intercourse, sexual initiation before age 16, and using a condom during the first and last sexual intercourse.Results: Emotional connection between parents and children (feeling more love from the father: β=0.17, P=0.0312; feeling more love from the mother: β=0.3314, P=0.0420) and mothers’ less permissive attitude toward adolescents’ sexual experience in their teens (β=0.33, P=0.0466) are positively associated with late age of sexual initiation of adolescents living in two-parent households. School-level factors (β=0.07, P=0.0008) and the adolescents’ characteristics (being older: 0.42, P=0.0002; heterosexuality: β=2.28, P=0.0091) are the factors most positively related to the age of sexual initiation for those living with a single parent. Immediate social determinants, other than family factors (such as land use of immediate area [rural]: β=9.84, P<0.0001; the condition of living unit: β=1.55, P=0.0011; and safety of neighborhood: β=4.46, P=0.004), are related to late age of sexual initiation among those living with other relatives/alone. A higher tendency of condom use consistency was present in adolescents living with two parents compared to those living in other family structures. Conclusion: Less parent/child connection and parent/family influence were found in African-American adolescents living with other relatives or alone, suggesting that living with two residential parents plays an essential role in their late sexual initiation and could account for an important element to combat high HIV incidence of African-American adolescents. Keywords: ecodevelopmental theory, African-Americans, adolescents, family structure, parenting function, sexual behaviors Li YHCuccaro PChen HAbughosh SMehta PDEssien EJDove Medical PressarticleEcodevelopmental theoryAfrican Americansadolescentsfamily structureparenting functionsexual behaviorsImmunologic diseases. AllergyRC581-607ENHIV/AIDS: Research and Palliative Care, Vol Volume 10, Pp 19-31 (2018)
institution	DOAJ
collection	DOAJ
language	EN
topic	Ecodevelopmental theory African Americans adolescents family structure parenting function sexual behaviors Immunologic diseases. Allergy RC581-607
spellingShingle	Ecodevelopmental theory African Americans adolescents family structure parenting function sexual behaviors Immunologic diseases. Allergy RC581-607 Li YH Cuccaro P Chen H Abughosh S Mehta PD Essien EJ HIV-related sexual decisions made by African-American adolescents living in different family structures: study from an ecodevelopmental perspective
description	Ya-Huei Li,1 Paula Cuccaro,2 Hua Chen,1 Susan Abughosh,1 Paras D Mehta,3 Ekere J Essien1,2 1Department of Pharmaceutical Health Outcomes and Policy, College of Pharmacy, University of Houston, Texas Medical Center, Houston, TX, USA; 2Department of Health Promotion and Behavioral Sciences, University of Texas School of Public Health, Houston, TX, USA; 3Department of Industrial Organizational Psychology, University of Houston, Houston, TX, USA Purpose: The purpose of this study was to explore the association between the dynamics of family structure and sexual behaviors of African-American adolescents using the ecodevelopmental theory. Methods: This study stratified data from 1,617 African-American adolescents of the Add Health Wave I respondents with an identified family composition. It examined the associations between family structure, parenting function, and adolescents’ sexual decision-making: age of first sexual intercourse, sexual initiation before age 16, and using a condom during the first and last sexual intercourse.Results: Emotional connection between parents and children (feeling more love from the father: β=0.17, P=0.0312; feeling more love from the mother: β=0.3314, P=0.0420) and mothers’ less permissive attitude toward adolescents’ sexual experience in their teens (β=0.33, P=0.0466) are positively associated with late age of sexual initiation of adolescents living in two-parent households. School-level factors (β=0.07, P=0.0008) and the adolescents’ characteristics (being older: 0.42, P=0.0002; heterosexuality: β=2.28, P=0.0091) are the factors most positively related to the age of sexual initiation for those living with a single parent. Immediate social determinants, other than family factors (such as land use of immediate area [rural]: β=9.84, P<0.0001; the condition of living unit: β=1.55, P=0.0011; and safety of neighborhood: β=4.46, P=0.004), are related to late age of sexual initiation among those living with other relatives/alone. A higher tendency of condom use consistency was present in adolescents living with two parents compared to those living in other family structures. Conclusion: Less parent/child connection and parent/family influence were found in African-American adolescents living with other relatives or alone, suggesting that living with two residential parents plays an essential role in their late sexual initiation and could account for an important element to combat high HIV incidence of African-American adolescents. Keywords: ecodevelopmental theory, African-Americans, adolescents, family structure, parenting function, sexual behaviors
format	article
author	Li YH Cuccaro P Chen H Abughosh S Mehta PD Essien EJ
author_facet	Li YH Cuccaro P Chen H Abughosh S Mehta PD Essien EJ
author_sort	Li YH
title	HIV-related sexual decisions made by African-American adolescents living in different family structures: study from an ecodevelopmental perspective
title_short	HIV-related sexual decisions made by African-American adolescents living in different family structures: study from an ecodevelopmental perspective
title_full	HIV-related sexual decisions made by African-American adolescents living in different family structures: study from an ecodevelopmental perspective
title_fullStr	HIV-related sexual decisions made by African-American adolescents living in different family structures: study from an ecodevelopmental perspective
title_full_unstemmed	HIV-related sexual decisions made by African-American adolescents living in different family structures: study from an ecodevelopmental perspective
title_sort	hiv-related sexual decisions made by african-american adolescents living in different family structures: study from an ecodevelopmental perspective
publisher	Dove Medical Press
publishDate	2018
url	https://doaj.org/article/0db42ca2c5674272a293567d2cc8e285
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HIV-related sexual decisions made by African-American adolescents living in different family structures: study from an ecodevelopmental perspective

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