Brief Report: Sexual Debut Among 14- to 17-year-old Sexual Minority Males: A Preliminary Investigation of Early HIV Risk and Sexual Health Needs

Nelson, Kevin; Perry, Nicholas S.; Stout, Claire; Carey, Michael P.

doi:10.1097/qai.0000000000002342

Cited by 8 publications

(5 citation statements)

References 17 publications

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“…Violent experiences, licit/ illicit drug use, homelessness, poverty, and the low level of schooling of youths and their parents increase the chances of poor decision-making and risky behaviours, including those related to sexual behaviour, that are harmful to health [30,31]. Although most of the population of our study have already completed high school and could not receive further intervention in this setting, there is a need to implement sexual health education and school permanence strategies for adolescents to mitigate these effects, especially programmes that consider the specificities of young people in sexual minority groups [32][33][34][35]. Of all the other microorganisms tested, only MH was associated with NG infection.…”

Section: Discussionmentioning

confidence: 98%

Prevalence of Neisseria gonorrhoeae and Chlamydia trachomatis infections among adolescent men who have sex with men and transgender women in Salvador, Northeast Brazil

Oliveira,

Marques,

Medeiros

et al. 2023

Epidemiol. Infect.

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Adolescent men who have sex with men (AMSM) and transgender women (ATGW) enrolled as part of the PrEP1519 study between April 2019 and February 2021 in Salvador were tested for Neisseria gonorrhoeae (NG) and Chlamydia trachomatis (CT) infections.We performed realtime polymerase chain reaction using oropharyngeal, anal, and urethral swabs; assessed factors associated with NG and CT infections using multivariable Poisson regression analysis with robust variance; and estimated the prevalence ratios (PRs) and 95% confidence intervals (95% CIs). In total, 246 participants were included in the analyses (median age: 18.8; IQR: 18.2-19.4 years). The overall oropharyngeal, anal, and urethral prevalence rates of NG were 17.9%, 9.4%, 7.6%, and 1.9%, respectively. For CT, the overall, oropharyngeal, anal, and urethral prevalence rates were 5.9%, 1.2%, 2.4%, and 1.9%, respectively. A low level of education, clinical suspicion of STI (and coinfection with Mycoplasma hominis were associated with NG infection. The prevalence of NG and CT, especially extragenital infections, was high in AMSM and ATGW. These findings highlight the need for testing samples from multiple anatomical sites among adolescents at a higher risk of STI acquisition, implementation of school-based strategies, provision of sexual health education, and reduction in barriers to care.

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Section: Discussionmentioning

confidence: 98%

Prevalence of Neisseria gonorrhoeae and Chlamydia trachomatis infections among adolescent men who have sex with men and transgender women in Salvador, Northeast Brazil

Oliveira,

Marques,

Medeiros

et al. 2023

Epidemiol. Infect.

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“…Intercourse may be considered a weaker indicator of sexual development among sexual minority youth [ 49 ]. However, research has shown that adolescents identifying with sexual minorities may have experiences of intercourse even more commonly and earlier than heterosexually identifying peers [ 63 , 64 ].…”

Section: Discussionmentioning

confidence: 99%

Aspects of Gender and Sexuality in Relation to Experiences of Subjection to Sexual Harassment among Adolescents in General Population

Kaltiala

2022

IJERPH

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Subjection to sexual harassment (SH) has been reported more commonly by girls than by boys, by sexual and gender minority youth more than by mainstream youth, and by sexually active youth more than by those not yet experienced in romantic and erotic encounters. However, the research so far has not addressed these correlates simultaneously. This study aimed to explore independent associations between experiencing SH and these aspects of sex, gender and sexuality—considering all of them concurrently. A cross sectional survey with data from Finland was used, with an analyzable sample of 71,964 adolescents aged 14 to 16-years- of age, collected in 2017. The data were analysed using cross-tabulations with chi-square statistics and logistic regression analyses. The types of SH studied were gender harassment, unwelcome sexual attention, and sexual coercion. Girls, sexual and gender minority youth, and youth engaging in romantic and erotic encounters had experienced all three types of SH more commonly than boys, mainstream youth and those not sexually active. Associations between minority status and experiences of sexual harassment were stronger among boys, and being sexually active had stronger associations with subjection to sexual harassment in girls. The findings appear to support the assumption that sexual harassment serves both as a means of perpetuating heteronormativity and the sexual double standard.

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“…Associations between youth experiences of forced sexual intercourse and adverse mental health outcomes have been well established [55,56]. However, only a few examined the association between ESI and negative mental health outcomes [27,35,36,[57][58][59], and the results are mixed [37,60]. Therefore, the objective of this study was to examine the association between ESI, forced sexual intercourse and SV victimization, symptoms of depression, and suicidal behaviors among adolescents who had ever had sexual intercourse.…”

Section: Discussionmentioning

confidence: 99%

“…A burgeoning number of studies investigating ESI have found that ESI is associated with various sexual risk behaviors such as sex without regular condom use, having multiple sexual partners, sex under the influence of alcohol or drugs, and transactional sex [22][23][24][25]. ESI has also been found to be associated with unintended pregnancy [21,26], sexually transmitted infections (STIs) [16,19,27], and increased risk of contracting human immunodeficiency virus (HIV) [28,29]. Samek et al [30] examined data on 1512 adolescent same-sex twins from the Minnesota Twin Family Study and found that ESI was significantly associated with subsequent sexual-risk taking behaviors.…”

Section: Introductionmentioning

confidence: 99%

Association between First Sexual Intercourse and Sexual Violence Victimization, Symptoms of Depression, and Suicidal Behaviors among Adolescents in the United States: Findings from 2017 and 2019 National Youth Risk Behavior Survey

Baiden

Panisch

Kim

et al. 2021

IJERPH

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The objective of this study was to investigate the association between first sexual intercourse and sexual violence victimization, symptoms of depression, and suicidal ideation among sexually active adolescents in the United States. Data for this study came from the U.S. 2017 and 2019 iterations of the National Youth Risk Behavior Survey. An analytic sample of 6252 adolescents aged 14–18 years old (49.5% female) who reported ever having sexual intercourse was analyzed using Poisson regression. The outcome variables investigated in this study were sexual violence victimization, symptoms of depression, suicidal ideation, a suicide plan, and suicide attempts, and the main explanatory variables were age at first sexual intercourse and forced sexual intercourse. We also analyzed differences by gender and race. Of the 6252 adolescents who reported ever having sexual intercourse, 7.1% had their first sexual intercourse before age 13, and 14.8% experienced forced sexual intercourse. About 16% of adolescents experienced sexual violence during the past year, 42.6% reported symptoms of depression, 23.9% experienced suicidal ideation, 19.3% made a suicide plan, and 11.1% attempted suicide during the past year. In the regression analysis, early sexual intercourse was significantly and positively associated with suicidal ideation (relative risk (RR) = 1.15, 95% Confidence Interval (CI) = 1.02–1.30), suicide plan (RR = 1.18, 95% CI = 1.00–1.38), and suicide attempts (RR = 1.36, 95% CI = 1.15–1.61). Controlling for the effects of covariates, history of forced sexual intercourse was positively associated with the five outcomes examined with the relative risk ranging between 1.59 and 6.01. Findings of this study suggest that history of early or forced sexual intercourse is associated with poor mental health outcomes among adolescents and underscores the importance of developing interventions that offer psychological support in reducing the adverse impact of early sexual intercourse and forced sexual intercourse on adolescent health.

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Brief Report: Sexual Debut Among 14- to 17-year-old Sexual Minority Males: A Preliminary Investigation of Early HIV Risk and Sexual Health Needs

Cited by 8 publications

References 17 publications

Prevalence of Neisseria gonorrhoeae and Chlamydia trachomatis infections among adolescent men who have sex with men and transgender women in Salvador, Northeast Brazil

Prevalence of Neisseria gonorrhoeae and Chlamydia trachomatis infections among adolescent men who have sex with men and transgender women in Salvador, Northeast Brazil

Aspects of Gender and Sexuality in Relation to Experiences of Subjection to Sexual Harassment among Adolescents in General Population

Association between First Sexual Intercourse and Sexual Violence Victimization, Symptoms of Depression, and Suicidal Behaviors among Adolescents in the United States: Findings from 2017 and 2019 National Youth Risk Behavior Survey

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