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J. Conley (1983)
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Abstract Objective: To expand understanding of the behavioral epidemiology of an important sexually transmitted disease risk factor within a clinical framework of the AMA Guidelines for Adolescent Preventive Services (GAPS): Recommendations and Rationale. Design: Cross-sectional analysis of the fourth year of a longitudinal study of adolescent health behavior. Setting: High schools in a single major urban school district. Participants: Nine hundred and forty-six white, African American, and Hispanic sexually active adolescents. Main Outcome Measures: Number of sexual partners in previous year and other health-risk and health-protective behaviors. Measures are operationalized according to guidelines for adolescent preventive services recommendations. Results: Adolescents with 3 or more sexual partners annually were more involved with potentially health-harming behaviors such as illicit substance use and less involved with potentially health-protective behaviors such as seat belt use. These relationships were independent of sex, ethnic group, or socioeconomic status. Conclusions: The number of sexual partners may be considered part of a larger pattern of adolescent health-risk and health-protective behaviors. The guidelines may provide a useful framework for clinical assessment of these patterns as part of a routine health care visit of adolescent patients.Arch Pediatr Adolesc Med. 1997;151:1139-1143 References 1. Blum R. Contemporary threats to adolescent health in the United States . JAMA . 1987;257:3390-3395.Crossref 2. Kulbok PP, Earls FJ, Montgomery AC. Lifestyle and patterns of health and social behavior in high-risk adolescents . Adv Nurs Sci . 1988;11:22-35.Crossref 3. Jessor R, Jessor SL. Problem Behavior and Psychosocial Development: A Longitudinal Study of Youth . New York, NY: Academic Press; 1977. 4. Donovan JE, Jessor R, Costa FM. Structure of health-enhancing behavior in adolescence: a latent-variable approach . 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The relationships between sexual behavior and health lifestyle . AIDS Care . 1994;6:237-246.Crossref 16. Aral SO, Soskoline V, Joesoef RM, O'Reilly KR. Sex partner recruitment as risk factor for STD: clustering of risky modes . Sex Transm Dis . 1991;18:10-17.Crossref 17. Millstein SG, Moscicki A-B. Sexually transmitted disease in female adolescents: effects of psychosocial factors and high-risk behaviors . J Adolesc Health . 1995; 17:83-90.Crossref 18. Elster AB. Health promotion . In: McAnarney ER, Kreipe RE, Orr DP, Comerci GD, eds. Textbook of Adolescent Medicine . Philadelphia, Pa: WB Saunders Co; 1992: 250-255. 19. Joffe A. Filling in the gaps through research . Arch Pediatr Adolesc Med . 1997; 151:121-122.Crossref 20. Downs SM, Klein JD. Clinical preventive services efficacy and adolescents' risky behaviors . Arch Pediatr Adolesc Med . 1995;149:374-379.Crossref 21. Costa FM, Jessor R, Fortenberry JD, Donovan JE. 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Multivariate analysis versus multiple univariate analyses . Psychol Bull . 1989;105:302-308.Crossref 28. Bray JH, Maxwell SE. Multivariate Analysis of Variance . Newbury Park, Calif. Sage Publications; 1985:1. 29. Costa FM, Jessor R, Donovan JE, Fortenberry JD. Early initiation of sexual intercourse: the influence of psychosocial unconventionality . J Res Adolesc . 1995; 5:93-121.Crossref 30. DuRant RH, Pendergrast RA, Cadenhead C. Exposure to violence and victimization and fighting behavior by urban black adolescents . J Adolesc Health . 1994; 15:311-318.Crossref 31. Donovan JE, Jessor R. Structure of problem behavior in adolescence and young adulthood . J Consult Clin Psychol . 1985;53:890-904.Crossref 32. Donovan JE, Jessor R, Costa FM. Adolescent health behavior and conventionality-unconventionality: an extension of problem-behavior theory . Health Psychol . 1991; 10:52-61.Crossref 33. Elliott DS. Health-enhancing and health-compromising lifestyles . In: Millstein SG, Petersen AC, Nightingale EO, eds. Promoting the Health of Adolescents: New Directions for the Twenty-first Century . New York, NY: Oxford University Press Inc; 1993:119-145. 34. Jessor R, Van Den Bos J, Vanderryn J, Costa FM, Turbin MS. Protective factors in adolescent problem behavior: moderator effects and developmental change . Dev Psychol . 1995;31:923-933.Crossref 35. Catania JA, Gibson DR, Chitwood DD, Coates TJ. Methodological problems in AIDS behavioral research: influences on measurement error and participation bias in studies of sexual behavior . Psychol Bull . 1990;108:339-362.Crossref 36. Sudman S, Bradburn NM. Asking Questions: A Practical Guide to Questionnaire Design . San Francisco, Calif: Jossey-Bass Publishers Inc; 1982:1. 37. Knishkowy B, Palti H. GAPS (AMA guidelines for adolescent preventive services): where are the gaps? Arch Pediatr Adolesc Med . 1997;151:123-128.Crossref
Archives of Pediatrics & Adolescent Medicine – American Medical Association
Published: Nov 1, 1997
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