African-American adolescents' knowledge, health-related attitudes, sexual behavior, and contraceptive decisions: Implications for the prevention of adolescent HIV infection.

Lawrence, Janet S. St.

doi:10.1037/0022-006x.61.1.104

Cited by 112 publications

(49 citation statements)

References 41 publications

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“…Research suggests contextual factors such as political unrest, violence and economic conditions can influence sexual risk [10–12]. Youth may be particularly vulnerable to having STIs due to heightened sexual curiosity [13]. One study examining individual psychosocial predictors of risky behavior in young people found that impulsive propensity, the tendency to act without forethought, was associated with sexual risk behavior [14].…”

Section: Introductionmentioning

confidence: 99%

Sexual Risk Behaviors Among Adolescents in Port-au-Prince, Haiti

et al. 2014

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Engagement in sexual activity among Haitian youth is increasing. The present cross-sectional study examined the independent correlates of sexual risk behaviors among 200 (108 male/92 female) 13–18 year-old adolescents in Port-au-Prince, Haiti using face-to-face interviews. The majority (60.0 %) had engaged in sexual intercourse. Multivariate modeling found males to be 3.52 times more likely to have had sex, 5.42 times more likely to report sexual debut before age 14, 9.75 times more likely to have>1 sexual partner, and 3.33 times more likely to not have used a condom during last sex. Adolescents living with parents, grandparents, aunts or uncles were less likely to report having unprotected sex compared with those without adult family members in the home (AOR range 0.26–0.51). The high prevalence of risky sex among males and the protective influence of stable family cohesiveness have important implications for HIV prevention efforts.

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Section: Introductionmentioning

confidence: 99%

Sexual Risk Behaviors Among Adolescents in Port-au-Prince, Haiti

et al. 2014

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“…11 Among sexually experienced youth, findings suggest that greater HIV knowledge is associated with more consistent condom use and greater likelihood of HIV testing. 12,13,14 However, other studies have either failed to replicate this relationship or have found that more knowledge is associated with greater risk-taking. 15,16,17 …”

mentioning

confidence: 99%

HIV Knowledge and Its Contribution to Sexual Health Behaviors of Low-Income African American Adolescents

Swenson

Rizzo

Brown

et al. 2010

Journal of the National Medical Association

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Objectives Although many factors contribute to racial disparities in HIV/AIDS among young African Americans, knowledge is a particularly modifiable factor. However, little information has been published about the current HIV knowledge of African American teens or to what extent knowledge independently contributes to their sexual behavior and health. This study aimed to describe the level of knowledge among this at-risk population and determine whether knowledge contributes to variance in sexual behavior and health beyond that of sociodemographic and psychological factors. Methods African American adolescents (n = 1,658) were recruited in two northeast and two southeast U.S. cities (74% eligible for free/reduced-price school lunch). Analyses utilized data gathered from adolescents using an audio computer-assisted self-interview (ACASI) program. Results On average, participants answered only 50% of HIV knowledge items correctly and were least accurate concerning effective condom use and HIV testing. Controlling for associated sociodemographic and psychological factors, greater knowledge was associated with sexual experience and, among experienced adolescents, with STI/HIV testing and, unexpectedly, less condom use. Conclusions HIV knowledge, which is modifiable, is limited among at-risk African American adolescents and is an important contributor to sexual behavior and health. Findings indicate a need for more comprehensive HIV/AIDS education, particularly with regard to condom use and the benefits of routine STI/HIV testing. Although knowledge might not be sufficiently protective in and of itself, having accurate information about HIV may benefit sexual health by impacting health-promoting attitudes necessary for successful engagement in healthcare-seeking behavior.

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“…They also frequently experiment with drugs during this time, which may impair their cognition, increasing the chance that they will engage in risky sexual behaviors (Rotheram-Borus et al, 2000). Furthermore, adolescence is a time of high sexual activities and often unprotected sex (Lawrence, 1993).…”

mentioning

confidence: 99%

Negative Affect and HIV Risk in Alcohol and Other Drug (AOD) Abusing Adolescent Offenders

Lucenko¹,

Malow

Sanchez-Martinez

et al. 2003

Journal of Child & Adolescent Substance Abuse

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Various depressive symptoms have been linked to elevated levels of HIV risk across diverse adult populations in multiple studies. However, this link has been examined in a much more limited manner among adolescents, despite an exceedingly heightened risk of both HIV and negative affect in this age group. To address the current lack of clinically pertinent knowledge in this area, we analyzed baseline data from 256 male and 107 female inner city, culturally diverse adolescent offenders. Relatively "high" and "low" negative affect subgroups were formed by conducting a median split on scores from the well-validated depressive affect scale of the Millon Adolescent Clinical Inventory (MACI). Compared to the low negative affect subgroup, the high negative affect participants reported significantly more sexual partners, unprotected sex, and increased susceptibility to HIV, as well as more marijuana, cocaine, and alcohol use (all p's < .05). Although demonstrating better condom skills, negative affect participants reported less favorable attitudes towards using condoms, less knowledge about HIV transmission, and lower sexual self-efficacy than non-depressive participants. Symptoms of negative affect are therefore of particular concern for adolescents, who are at risk not only for generally acknowledged difficulties such as suicide, but also for multiple HIV risk factors. The theoretical and applied implications of these findings will be discussed.

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African-American adolescents' knowledge, health-related attitudes, sexual behavior, and contraceptive decisions: Implications for the prevention of adolescent HIV infection.

Cited by 112 publications

References 41 publications

Sexual Risk Behaviors Among Adolescents in Port-au-Prince, Haiti

Sexual Risk Behaviors Among Adolescents in Port-au-Prince, Haiti

HIV Knowledge and Its Contribution to Sexual Health Behaviors of Low-Income African American Adolescents

Negative Affect and HIV Risk in Alcohol and Other Drug (AOD) Abusing Adolescent Offenders

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