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Neighborhood Factors and their influence on adolescent femalesâ perceptions of STD, HIV/AIDS, and pregnancy risk.

Teenage sexual behavior is a serious public health concern in the United States due to risks for STDs, and HIV/AIDS. In addition, adolescent pregnancy imposes great taxpayer and other social costs to society. Previous research has shown that neighborhood characteristics influence adolescent femalesâ sexual risk perceptions and behaviors. However, neighborhood characteristics have rarely been compared to adolescentsâ perceptions of their own neighborhoods when examining perceptions of STDs, HIV/AIDS, or pregnancy. In fact, it is reasonable to explore the degree to which adolescents in certain neighborhood contexts may perceive pregnancy as an adaptive strategy. This study uses longitudinal data from the in-home interviews of the National Adolescent Health Survey Wave 1 to examine neighborhood characteristics, adolescent femalesâ perceptions of their neighborhood, attitudes towards STDs, HIV, and pregnancy, and parent perceptions of the neighborhood. The results show significant between group mean differences for adolescentsâ femalesâ living in neighborhoods with high poverty rates for their perceptions toward chances of contracting an STD. In addition, adolescent females living in neighborhoods with high rates of unemployment and high proportions of young children yielded higher perceptions of risk of AIDS without protection. Adolescent femalesâ perceptions of safety in their neighborhood predicted perceptions of risk towards pregnancy; however, neighborhood perceptions did not significantly predict any other perceptions of risk. Neighborhood perceptions did not mediate the relationship between neighborhood characteristics and perceptions of risk for STDs, HIV/AIDS, or pregnancy. Lastly, favorable perceptions about pregnancy as a life event were predicted by high proportions of young children in the neighborhood, with less favorable perceptions predicted by low unemployment and perceptions the neighborhood as a safe place.

Identiferoai:union.ndltd.org:NCSU/oai:NCSU:etd-05162008-164405
Date20 August 2008
CreatorsBaker, Alison Mary
ContributorsRupert Nacoste, Mary Wyer, Craig Brookins
PublisherNCSU
Source SetsNorth Carolina State University
LanguageEnglish
Detected LanguageEnglish
Typetext
Formatapplication/pdf
Sourcehttp://www.lib.ncsu.edu/theses/available/etd-05162008-164405/
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