학술논문

The Sexual Health Needs of Adolescent Boys Involved in a Pregnancy
Document Type
article
Source
Journal of Adolescent Health. 64(4)
Subject
Pediatric
Prevention
Sexually Transmitted Infections
Behavioral and Social Science
Infectious Diseases
Adolescent Sexual Activity
Teenage Pregnancy
Infection
Reproductive health and childbirth
Good Health and Well Being
Peace
Justice and Strong Institutions
Adolescent
Adolescent Behavior
Condoms
Criminal Law
Female
Humans
Illegitimacy
Male
Masculinity
Pregnancy
Prevalence
Risk-Taking
Sexual Behavior
Sexual Health
Sexually Transmitted Diseases
Surveys and Questionnaires
Adolescent male
Sexual behavior
Venue-based sampling
Fatherhood
Community-based research
Medical and Health Sciences
Education
Psychology and Cognitive Sciences
Public Health
Language
Abstract
PurposeLittle is known about fatherhood in middle adolescence. To better understand their sexual health needs, we describe relationship characteristics, perception of masculinity, and associated sexually transmitted infection (STI) risk behaviors in a community-based sample of urban middle adolescent boys who have fathered a child or been involved with a pregnancy.MethodsWe used venue-based sampling to recruit 339 boys (aged 14-17 years) in neighborhoods with high STI prevalence. We administered a brief survey on sexual relationship and pregnancy history, STI risk, juvenile justice involvement, and masculinity.ResultsFifteen percent had either fathered a child or been involved with a pregnancy. In multivariate analysis, controlling for age and ethnicity, adolescent fathers were more likely to be involved with juvenile justice and engage in STI risk behaviors. These included condom nonuse and partner checking a cell phone. Although of borderline significance, older partners, past STI testing, and drug or alcohol use at last sex improved model fit.ConclusionAdolescent fathers have distinct relational and sexual health needs. Their specific needs should be targeted by prevention programs.