{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T06:04:34Z","timestamp":1791957874908,"version":"4.3.4"},"reference-count":33,"publisher":"Guttmacher Institute","issue":"2","license":[{"start":{"date-parts":[[2013,5,6]],"date-time":"2013-05-06T00:00:00Z","timestamp":1367798400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Perspect Sexual Reproductive"],"published-print":{"date-parts":[[2013,6]]},"abstract":"<jats:sec><jats:title>Context<\/jats:title><jats:p>Understanding the interplay of multiple contexts of adolescents\u2019 sexual risk behaviors is essential to helping them avoid pregnancy and <jats:styled-content style=\"fixed-case\">STDs<\/jats:styled-content>. Although a body of research has identified multiple individual\u2010 and family\u2010level variables associated with adolescents\u2019 sexual risk behaviors, relatively few studies have examined relationships between these behaviors and latent indicators of unstable, chaotic environments.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>In 2007\u20132008, a sample of 241 sexually active adolescent females who were at high risk for pregnancy and <jats:styled-content style=\"fixed-case\">STDs<\/jats:styled-content> were recruited through two school\u2010based clinics and two community clinics in Minneapolis and St. Paul. Confirmatory factor analysis was used with baseline data to specify latent constructs of individual risk and family disengagement. Structural equation models examined longitudinal relationships between baseline measures of these constructs and sexual risk behaviors assessed six months later.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The latent construct of individual risk encompassed substance use, violence perpetration, violence victimization and having witnessed violence; that of family disengagement included family disconnection, poor family communication and perceived lack of safety at home. Baseline level of individual risk was positively associated with number of male sex partners six months later (path coefficient, 0.2); it was not associated with consistent condom use at follow\u2010up. Level of family disengagement was negatively associated with condom use consistency six months later (\u22120.3), but was not associated with number of male sex partners.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>To meet the health needs of vulnerable adolescents, health systems should incorporate coordinated and interdisciplinary services that acknowledge adolescents\u2019 relevant familial and social contexts.<\/jats:p><\/jats:sec>","DOI":"10.1363\/4510113","type":"journal-article","created":{"date-parts":[[2013,5,6]],"date-time":"2013-05-06T18:52:06Z","timestamp":1367866326000},"page":"101-107","source":"Crossref","is-referenced-by-count":8,"title":["Life Experiences of Instability and Sexual Risk Behaviors Among High\u2010Risk Adolescent Females"],"prefix":"10.1363","volume":"45","author":[{"given":"Molly","family":"Secor\u2010Turner","sequence":"first","affiliation":[{"name":"Department of Nursing North Dakota State University  Fargo"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Barbara","family":"McMorris","sequence":"additional","affiliation":[{"name":"School of Nursing and Department of Pediatrics, Medical School University of Minnesota  Minneapolis"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Renee","family":"Sieving","sequence":"additional","affiliation":[{"name":"School of Nursing and Department of Pediatrics, Medical School University of Minnesota  Minneapolis"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Linda H.","family":"Bearinger","sequence":"additional","affiliation":[{"name":"Schools of Nursing and Public Health, and Department of Pediatrics, Medical School University of Minnesota  Minneapolis"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"259","published-online":{"date-parts":[[2013,5,6]]},"reference":[{"key":"e_1_2_6_2_1","unstructured":"MartinJAet al. 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