Syndemic Profiles and Sexual Health Risks Among Sexually Exploited Adolescent Girls in Taiwan: A Latent Class Analysis.

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 s...

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Publicado en:Archives of Sexual Behavior Vol. 52; no. 4; pp. 1631 - 1642
Autores principales: Chen, Ji-Kang, Wang, Shu-Chen, Wang, Li-Chih
Formato: Artículo
Publicado: Springer Nature May2023
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Acceso en línea:Ver este registro en EBSCOhost
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      dt: May2023
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      pub: Springer Nature
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        163294585
        10.1007/s10508-023-02545-2
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        atl: Syndemic Profiles and Sexual Health Risks Among Sexually Exploited Adolescent Girls in Taiwan: A Latent Class Analysis.
      aug:
        au:
          Chen, Ji-Kang
          Wang, Shu-Chen
          Wang, Li-Chih
        affil:
          Department of Social Work, Chinese University of Hong Kong, Sha Tin, Hong Kong
          National Academy for Educational Research, New Taipei, Taiwan
          Department of Special Education, National Tsing Hua University, Hsinchu City, Taiwan
      su:
        Taiwan
        Sexual health
        Sexually transmitted diseases
        Teenage girls
        Syndemics
      sug:
        subj:
          Sexual health
          Sexually transmitted diseases
          Teenage girls
          Taiwan
          Syndemics
      keyword:
        Poly-victimization
        Sexual exploitation
        Substance use
        Suicide
        Syndemic
        Poly-victimization
        Sexual exploitation
        Substance use
        Suicide
        Syndemic
      ab: 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.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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