Document Detail


Effects of out-of-school care on sex initiation among young adolescents in low-income central city neighborhoods.
MedLine Citation:
PMID:  15630061     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To examine the association between patterns of out-of-school care over time and the initiation of sex among young adolescents living in low-income urban families. DESIGN: A prospective cohort study (using a 16-month follow-up) examining the predictive value of changes in out-of-school-care arrangements on early sex initiation. SETTING AND PARTICIPANTS: By using a multistage stratified area probability sampling strategy, we selected 494 subjects aged 11 to 13 years living in low-income central city neighborhoods who did not report having had sexual intercourse by time 1. MAIN OUTCOME MEASURE: Adolescent report of having had sexual intercourse by time 2. RESULTS: Bivariate results suggested that 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 at an organized/supervised activity. Adjusting for demographic attributes, parental monitoring, parental curfews, and family routines, remaining in out-of-home care or self-care 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-school hours at home with an adult may help reduce the risk of early sex initiation among youth in low-income urban areas.
Authors:
Kathleen M Roche; Jonathan Ellen; Nan Marie Astone
Publication Detail:
Type:  Journal Article; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Archives of pediatrics & adolescent medicine     Volume:  159     ISSN:  1072-4710     ISO Abbreviation:  Arch Pediatr Adolesc Med     Publication Date:  2005 Jan 
Date Detail:
Created Date:  2005-01-04     Completed Date:  2005-01-27     Revised Date:  2007-11-14    
Medline Journal Info:
Nlm Unique ID:  9422751     Medline TA:  Arch Pediatr Adolesc Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  68-73     Citation Subset:  AIM; IM    
Affiliation:
Department of Population and Family Health Sciences, The Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, USA. kroche@jhsph.edu
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adolescent Behavior / psychology*
Age Factors
Child
Child Care*
Coitus / psychology*
Female
Humans
Longitudinal Studies
Male
Prospective Studies
Self Care
Sex Factors
Social Environment
Socioeconomic Factors
United States
Urban Population*
Grant Support
ID/Acronym/Agency:
R01 AI36986/AI/NIAID NIH HHS

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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