High-Risk STD/HIV Behavior Among College Students

MacDonald, Noni E.; Wells, George; Fisher, William A.; Warren, Wendy; King, Matthew; Doherty, Joanne; Bowie, William

doi:10.1001/jama.1990.03440230051031

Cited by 225 publications

(61 citation statements)

References 14 publications

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“…Individuals who are unaware of the various STIs and their symptoms often have a lower perception of risk. Some studies have suggested that greater HIV/ AIDS knowledge and perception of risk is associated with greater condom use and safer sex practices [17][18]. Other studies have associated lower risk perception with higher rates of HIV infection [19].…”

Section: Discussionmentioning

confidence: 99%

“…The findings of studies on condom use in relation to number of sexual partners appear to be inconsistent. Some studies suggest that there is greater condom use among individuals with multiple partners [20][21][22] while others report decreased condom use particularly among women [18] and adolescents [23] with multiple partners. It is also important to note that some investigators have shown that individuals report greater condom use with non-regular sexual partners as compared to regular partners [14].…”

Section: Discussionmentioning

confidence: 99%

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Factors Influencing Condom Use Among Sexually Transmitted Infection Clinic Patients in Montego Bay, Jamaica

Nnedu

McCorvey²,

Campbell-Forrester³

et al. 2008

TORSJ

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The use of condoms can reduce the risk of sexually transmitted infections (STIs) including the human immunodeficiency virus (HIV) infection. We conducted this study to determine factors that impact condom use among patients attending an STI clinic in Montego Bay, Jamaica. A questionnaire containing sections on socio-demographic characteristics, knowledge of STIs and HIV, preventive measures for STI/HIV transmission and sexual practices including condom use was administered to 212 participants. Using logistic regression, we determined the relationship between the different factors and condom use during the last sexual episode. Approximately 43% of study participants reported condom use during the last sexual episode. Employment (OR=2.2; 95%CI=1.1-4.1) and greater knowledge of STIs (OR=1.9, 95%CI=1.02-3.6) were associated with increased likelihood of condom use during the last sexual episode. Having multiple sexual partners was associated with decreased likelihood to report condom use (OR=0.3, 95%CI=0.1-0.9). Also, persons belonging to a religious organization were less likely to report condom use (OR=0.5, 95%CI=0.2-0.9). The results of this study can be used in formulating effective strategies to increase condom use in Montego Bay. This would decrease the transmission of STIs and HIV.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Factors Influencing Condom Use Among Sexually Transmitted Infection Clinic Patients in Montego Bay, Jamaica

Nnedu

McCorvey²,

Campbell-Forrester³

et al. 2008

TORSJ

View full text Add to dashboard Cite

show abstract

“…A nationwide study of Canadian college freshmen found that nearly 6% of sexually experienced students had been diagnosed by a doctor with an STD at least once (MacDonald et al, 1990). Rates among U.S. college stu dents range from 12% of sexually experienced students in California (Patrick et al, 1997) to nearly 25% on a midwestern campus (Reinisch et al, 1995).…”

Section: Adverse Consequences Of Sexual Risk Taking On College Campusesmentioning

confidence: 99%

Alcohol use and risky sexual behavior among college students and youth: evaluating the evidence.

Cooper

2002

J. Stud. Alcohol Suppl.

815

844

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ABSTRACT.Objective: To evaluate the empirical associations between alcohol use and risky sex at two levels of analysis. Global associations test whether individuals who engage in one behavior are more likely to engage in the other, whereas event-specific associations test whether the likelihood of engaging in one behavior on a given occasion varies as a function of engaging in the other on that same occasion. Method: Stud ies examining the association between drinking and risky sex in samples of college students and youth were reviewed. Those published in the past 10 years and using event-level methodology or random sampling were emphasized. Results: Findings were generally consistent across levels of analysis, but differed across types of risky behaviors. Drinking was strongly related to the decision to have sex and to indiscriminate forms of risky sex (e.g., having multiple or casual sex partners), but was in consistently related to protective behaviors (e.g., condom use). More over, the links among alcohol use, the decision to have sex and indis criminate behaviors were found in both between-persons and within-persons analyses, suggesting that these relationships cannot be adequately explained by stable individual differences between people who do and do not drink. Analysis of event characteristics showed that drinking was more strongly associated with decreased protective behav iors among younger individuals, on first intercourse experiences and for events that occurred on average longer ago. Conclusions: Future efforts aimed at reducing alcohol use in potentially sexual situations may de crease some forms of risky sex, but are less likely to affect protective behaviors directly. (J.

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“…High-achieving youths with future goals may avoid risk-taking, and by associating with high-achieving peers, these teens are part of a social network that supports positive and healthy behavior. Likewise, low self-efficacy is related to increased sexual risk-taking (DiClemente et al, 1996;Fisher et al, 1999;Kasen et al, 1992), and high self-efficacy is related to more condom use, assertiveness in sexual situations, less risky sexual behavior, and delayed sexual activity (Catania et al, 1989;MacDonald et al, 1990;Sieving et al, 1997).…”

Section: The Personal Context Of Sexual Behaviormentioning

confidence: 99%

Tracing the Roots of Early Sexual Debut Among Adolescents in Psychiatric Care

Donenberg¹,

Bryant²,

Emerson³

et al. 2003

Journal of the American Academy of Child & Adolescent Psych

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Objective: To identify the most important social and personal characteristics related to early sexual debut among troubled teenagers. Method:One hundred ninety-eight youths aged 12-19 years were recruited from outpatient mental health clinics and completed self-reports and interviews about their age of sexual debut; family, peer, and partner relationships (e.g., parental hostile control, negative peer influence, need for intimacy); and personal characteristics (e.g., achievement motivation, externalizing problems). Broad-band (externalizing, internalizing) and narrow-band (depression/anxiety, delinquency) psychopathology was assessed with the Youth Self-Report and Child Behavior Checklist.Results: Optimal Data Analysis was used to generate a classification tree model to identify variables associated with whether or not youths initiated oral, vaginal, and/or anal sexual activity before or after age 14. Three social context variables (parental hostile control, negative and positive peer influence) and one personal characteristic (externalizing problems) correctly classified 87.4% of teenagers as initiating sexual activity at ≤14 or >14 years of age. Conclusions:Parental behavior and peer influence were the most important variables associated with the timing of sexual debut. Results support a social-personal framework for understanding sexual risk-taking among adolescents in psychiatric care, and the data offer relatively strong evidence that specific factors could be used to identify troubled teens at risk for early sexual debut. Keywords adolescents; sexual debut; social-personal context; psychiatric careIt has been 20 years since the first case of acquired immunodeficiency syndrome (AIDS) was diagnosed, and despite efforts to curb the spread of human immunodeficiency virus (HIV), rates of infection are rising among adolescents. Young people account for 25% of new sexually transmitted diseases (STDs) reported annually, and the number of HIV-infected youths doubles every 14 months (Centers for Disease Control and Prevention [CDC], 1998[CDC], , 2000a. Sexual activity is the primary mechanism of HIV transmission among teens (DiClemente, 1996;Pequagnat and Szapocznik, 2000), with 57% of males and 49% of females infected through sexual contact, but only 8% of males and 11% of females infected through intravenous drug use (CDC, 2000a). Teenagers are initiating sex at earlier ages (CDC, 2000a) NIH-PA Author ManuscriptNIH-PA Author Manuscript NIH-PA Author Manuscript debut is associated with higher HIV exposure because it is linked to more frequent sexual intercourse, more lifetime STDs, less consistent contraceptive use, and more sexual partners (Brooks-Gunn and Paikoff, 1993; CDC, 1992;Durbin et al., 1993;Miller et al., 1999). Some youths are at greater risk than others. Teens in psychiatric care, for example, engage in higher rates of sexual risk-taking than their same-age peers (Brown et al., 1997;Donenberg et al., 2001); they initiate sex at earlier ages and report high rates of sex without a condom, sex w...

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High-Risk STD/HIV Behavior Among College Students

Cited by 225 publications

References 14 publications

Factors Influencing Condom Use Among Sexually Transmitted Infection Clinic Patients in Montego Bay, Jamaica

Factors Influencing Condom Use Among Sexually Transmitted Infection Clinic Patients in Montego Bay, Jamaica

Alcohol use and risky sexual behavior among college students and youth: evaluating the evidence.

Tracing the Roots of Early Sexual Debut Among Adolescents in Psychiatric Care

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