Modeling ecodevelopmental context of sexually transmitted disease/HIV risk and protective behaviors among African-American adolescents

Ya-Huei Li,1 Osaro Mgbere,1,2 Susan Abughosh,1 Hua Chen,1 Paula Cuccaro,3 Ekere James Essien1,3 1Department of Pharmaceutical Health Outcomes and Policy, College of Pharmacy, University of Houston, Texas Medical Center, Houston, TX, USA; 2Houston Health Department, Houston, TX, USA; 3Depart...

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Autores principales:	Li Y, Mgbere O, Abughosh S, Chen H, Cuccaro P, Essien EJ
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2017
Materias:	STDs HIV Sexual risk behavior Ecological systems Ecodevelopmental Model African American Adolescents. Immunologic diseases. Allergy RC581-607
Acceso en línea:	https://doaj.org/article/ff2187d1c8ef42c18d93e22cf8333193
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spelling	oai:doaj.org-article:ff2187d1c8ef42c18d93e22cf83331932021-12-02T05:19:23ZModeling ecodevelopmental context of sexually transmitted disease/HIV risk and protective behaviors among African-American adolescents1179-1373https://doaj.org/article/ff2187d1c8ef42c18d93e22cf83331932017-05-01T00:00:00Zhttps://www.dovepress.com/modeling-ecodevelopmental-context-of-sexually-transmitted-diseasehiv-r-peer-reviewed-article-HIVhttps://doaj.org/toc/1179-1373Ya-Huei Li,1 Osaro Mgbere,1,2 Susan Abughosh,1 Hua Chen,1 Paula Cuccaro,3 Ekere James Essien1,3 1Department of Pharmaceutical Health Outcomes and Policy, College of Pharmacy, University of Houston, Texas Medical Center, Houston, TX, USA; 2Houston Health Department, Houston, TX, USA; 3Department of Health Promotion and Behavioral Sciences, School of Public Health, University of Texas Health Science Center, Houston, TX, USA Abstract: Risk and protective processes are integrated developmental processes that directly or indirectly affect behavioral outcomes. A better understanding of these processes is needed, in order to gauge their contribution to sexual risk behaviors. This retrospective cross-sectional study modeled the ecodevelopmental chain of relationships to examine the social contexts of African-American (AA) adolescents associated with sexually transmitted disease (STD)- and HIV-risk behaviors. We used data from 1,619 AA adolescents with an average age of 16±1.8 years obtained from the first wave of the National Longitudinal Study of Adolescent Health for this study. Confirmatory factor analysis followed by structural equation modeling was conducted to identify the latent constructs that reflect the social–interactional components of the ecodevelopmental theory. Among contextual factors, findings indicated that a feeling of love from father, school, religion, and parent attitudes toward adolescent sexual behavior were all factors that played significant roles in the sexual behavior of AA adolescents. AA adolescents who reported feeling love from their father, feeling a strong negative attitude from their parents toward having sex at a very young age, and having a strong bond with school personnel were associated with better health statuses. The level of parents’ involvement in their children’s lives was reflected in the adolescents’ feeling of love from parents and moderated by their socioeconomic status. Being male, attaining increased age, and being a sexual minority were associated with higher likelihood of exhibiting risky sexual behavior. In contrast, higher socioeconomic status and fathers’ level of involvement were indirectly associated with reduced STD/HIV-related sexual risk behavior. In conclusion, our findings suggest that interventions aimed at maximal protection against STD/HIV-related risk behavior among AA adolescents should adopt both self- and context-based strategies that promote positive functioning in the family, school, and peer microsystems. Keywords: STDs, HIV, sexual risk behavior, ecological systems, ecodevelopmental model, African-American adolescentsLi YMgbere OAbughosh SChen HCuccaro PEssien EJDove Medical PressarticleSTDsHIVSexual risk behaviorEcological systemsEcodevelopmental ModelAfrican American Adolescents.Immunologic diseases. AllergyRC581-607ENHIV/AIDS: Research and Palliative Care, Vol Volume 9, Pp 119-135 (2017)
institution	DOAJ
collection	DOAJ
language	EN
topic	STDs HIV Sexual risk behavior Ecological systems Ecodevelopmental Model African American Adolescents. Immunologic diseases. Allergy RC581-607
spellingShingle	STDs HIV Sexual risk behavior Ecological systems Ecodevelopmental Model African American Adolescents. Immunologic diseases. Allergy RC581-607 Li Y Mgbere O Abughosh S Chen H Cuccaro P Essien EJ Modeling ecodevelopmental context of sexually transmitted disease/HIV risk and protective behaviors among African-American adolescents
description	Ya-Huei Li,1 Osaro Mgbere,1,2 Susan Abughosh,1 Hua Chen,1 Paula Cuccaro,3 Ekere James Essien1,3 1Department of Pharmaceutical Health Outcomes and Policy, College of Pharmacy, University of Houston, Texas Medical Center, Houston, TX, USA; 2Houston Health Department, Houston, TX, USA; 3Department of Health Promotion and Behavioral Sciences, School of Public Health, University of Texas Health Science Center, Houston, TX, USA Abstract: Risk and protective processes are integrated developmental processes that directly or indirectly affect behavioral outcomes. A better understanding of these processes is needed, in order to gauge their contribution to sexual risk behaviors. This retrospective cross-sectional study modeled the ecodevelopmental chain of relationships to examine the social contexts of African-American (AA) adolescents associated with sexually transmitted disease (STD)- and HIV-risk behaviors. We used data from 1,619 AA adolescents with an average age of 16±1.8 years obtained from the first wave of the National Longitudinal Study of Adolescent Health for this study. Confirmatory factor analysis followed by structural equation modeling was conducted to identify the latent constructs that reflect the social–interactional components of the ecodevelopmental theory. Among contextual factors, findings indicated that a feeling of love from father, school, religion, and parent attitudes toward adolescent sexual behavior were all factors that played significant roles in the sexual behavior of AA adolescents. AA adolescents who reported feeling love from their father, feeling a strong negative attitude from their parents toward having sex at a very young age, and having a strong bond with school personnel were associated with better health statuses. The level of parents’ involvement in their children’s lives was reflected in the adolescents’ feeling of love from parents and moderated by their socioeconomic status. Being male, attaining increased age, and being a sexual minority were associated with higher likelihood of exhibiting risky sexual behavior. In contrast, higher socioeconomic status and fathers’ level of involvement were indirectly associated with reduced STD/HIV-related sexual risk behavior. In conclusion, our findings suggest that interventions aimed at maximal protection against STD/HIV-related risk behavior among AA adolescents should adopt both self- and context-based strategies that promote positive functioning in the family, school, and peer microsystems. Keywords: STDs, HIV, sexual risk behavior, ecological systems, ecodevelopmental model, African-American adolescents
format	article
author	Li Y Mgbere O Abughosh S Chen H Cuccaro P Essien EJ
author_facet	Li Y Mgbere O Abughosh S Chen H Cuccaro P Essien EJ
author_sort	Li Y
title	Modeling ecodevelopmental context of sexually transmitted disease/HIV risk and protective behaviors among African-American adolescents
title_short	Modeling ecodevelopmental context of sexually transmitted disease/HIV risk and protective behaviors among African-American adolescents
title_full	Modeling ecodevelopmental context of sexually transmitted disease/HIV risk and protective behaviors among African-American adolescents
title_fullStr	Modeling ecodevelopmental context of sexually transmitted disease/HIV risk and protective behaviors among African-American adolescents
title_full_unstemmed	Modeling ecodevelopmental context of sexually transmitted disease/HIV risk and protective behaviors among African-American adolescents
title_sort	modeling ecodevelopmental context of sexually transmitted disease/hiv risk and protective behaviors among african-american adolescents
publisher	Dove Medical Press
publishDate	2017
url	https://doaj.org/article/ff2187d1c8ef42c18d93e22cf8333193
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Modeling ecodevelopmental context of sexually transmitted disease/HIV risk and protective behaviors among African-American adolescents

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