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Syndemic Profiles and Sexual Health Risks Among Sexually Exploited Adolescent Girls in Taiwan: A Latent Class Analysis.
Chen, Ji-Kang; Wang, Shu-Chen; Wang, Li-Chih.
Afiliação
  • Chen JK; Department of Social Work, Chinese University of Hong Kong, Sha Tin, Hong Kong. jkchen@swk.cuhk.edu.hk.
  • Wang SC; National Academy for Educational Research, New Taipei, Taiwan.
  • Wang LC; Department of Special Education, National Tsing Hua University, Hsinchu City, Taiwan.
Arch Sex Behav ; 52(4): 1631-1641, 2023 05.
Article em En | MEDLINE | ID: mdl-36749407
ABSTRACT
Sexually exploited adolescent girls are disproportionately affected by adverse psychosocial conditions, such as intra-familial child physical and sexual abuse, extra-familial violence and sexual assault, alcohol and drug use, and suicide. Syndemic theory suggests that these adverse psychosocial or syndemic conditions are concentrated and co-occurring in socially marginalized populations, including sexually exploited adolescents, and increase their sexual health risks, including pregnancy, abortion, and the acquisition of sexually transmitted diseases (STDs). To examine clusters of syndemic conditions, latent class analysis (LCA) was conducted to classify 335 sexually exploited girls in Taiwan into subgroups based on their probability of experiencing each syndemic condition. We used syndemic class membership to predict their sexual health outcomes, specifically pregnancy, abortion, and the acquisition of STDs. The results of LCA revealed three classes, which were "low-risk syndemic," "moderate-risk syndemic," and "high-risk syndemic." The risk of acquisition of STDs among sexually exploited girls in the "high-risk syndemic class" and "moderate-risk syndemic class" was 239% and 135% higher, respectively, than the risk of acquisition of STDs among sexually exploited girls in the "low-risk syndemic class." Differences between these three classes in pregnancy and abortion were not significant. Our findings support the syndemic theory that a pattern of syndemic conditions is associated with an increased risk of acquiring STDs. Interventions aimed at reducing the acquisition of STDs among sexually exploited girls in Taiwan should adopt a comprehensive approach to address co-occurring conditions.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Infecções Sexualmente Transmissíveis / Transtornos Relacionados ao Uso de Substâncias / Saúde Sexual Tipo de estudo: Etiology_studies / Prognostic_studies / Risk_factors_studies Limite: Adolescent / Female / Humans / Pregnancy País/Região como assunto: Asia Idioma: En Revista: Arch Sex Behav Ano de publicação: 2023 Tipo de documento: Article País de afiliação: Hong Kong

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Infecções Sexualmente Transmissíveis / Transtornos Relacionados ao Uso de Substâncias / Saúde Sexual Tipo de estudo: Etiology_studies / Prognostic_studies / Risk_factors_studies Limite: Adolescent / Female / Humans / Pregnancy País/Região como assunto: Asia Idioma: En Revista: Arch Sex Behav Ano de publicação: 2023 Tipo de documento: Article País de afiliação: Hong Kong