Older Partners and STD Prevalence Among Pregnant African American Teens

Begley, Elin; Crosby, Richard A.; DiClemente, Ralph J.; Wingood, Gina M.; Rose, Eve

doi:10.1097/00007435-200303000-00006

Cited by 66 publications

(64 citation statements)

References 9 publications

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“…6,7,31 The current research extends previous research and suggests that these women continue to be at risk for negative sexual health outcomes as adults. Longitudinal research is needed to further understand and explain the pathway from first sex with an older partner to adult sexual risk behavior.…”

Section: Discussionsupporting

confidence: 75%

“…[1][2][3]6,7 This study is one of the first to report an association between having an older first sex partner and adult sexual risk behavior. A greater age discrepancy at first intercourse was associated with having more episodes of unprotected sex in the past 3 months with a steady partner and with having a greater proportion of episodes of unprotected sex with a steady partner in the past 3 months, even after controlling for demographic covariates, substance use, and depression.…”

Section: Discussionmentioning

confidence: 88%

“…[3][4][5] In addition, having an older sexual partner is associated with negative sexual health outcomes during adolescence, including a lower likelihood of using contraception, less condom use, greater likelihood of pregnancy, and greater likelihood of sexually transmitted disease (STD) diagnosis. [1][2][3]6,7 For example, using data from the National Survey of Family Growth, Darroch et al 2 found that adolescent females who had a sex partner who was !6 years older had a pregnancy rate almost four times that of adolescent females with a similar-aged sex partner. Among pregnant African American adolescents, those with a sex partner !2 years older were almost four times more likely to test positive for Chlamydia than those with a similar-aged partner.…”

mentioning

confidence: 99%

“…Among pregnant African American adolescents, those with a sex partner !2 years older were almost four times more likely to test positive for Chlamydia than those with a similar-aged partner. 6 Early sexual experiences are perceived as important life events, 8 which may influence and shape subsequent sexual behavior. Numerous studies have documented an association between abusive childhood sexual experiences and adult sexual risk behavior.…”

mentioning

confidence: 99%

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Age of Partner at First Adolescent Intercourse and Adult Sexual Risk Behavior Among Women

Senn

Carey

2011

Journal of Women's Health

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Background: Adolescent females who have early sexual experiences with older male partners report high rates of sexual risk behavior during adolescence, but little is known about whether these early sexual experiences are associated with adult sexual risk behavior. The purpose of this study was to investigate whether having first consensual sex with an older partner was associated with sexual risk behavior in adulthood. Methods: Participants were 292 women (66% African American, mean age ¼ 26 years) attending a public sexually transmitted disease (STD) clinic who reported having voluntary vaginal sex before age 18. Participants completed a computerized survey assessing child=adolescent sexual experiences and current adult sexual risk behavior. Results: Participants were, on average, 14.6 years at first vaginal intercourse; their partners were, on average, 17.5 years. After controlling for covariates, a greater partner age difference at first intercourse was associated with more episodes of unprotected sex with a steady partner and a greater proportion of episodes of unprotected sex with a steady partner in the past 3 months. Conclusions: Having an older first sex partner during adolescence was associated with sexual risk behavior in adulthood. Early sexual experiences may be important life events that influence subsequent sexual behavior. Sexual health interventions need to target female adolescents before they initiate sexual intercourse to reduce risk for STDs and human immunodeficiency virus (HIV) infection.

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Section: Discussionsupporting

confidence: 75%

Section: Discussionmentioning

confidence: 88%

mentioning

confidence: 99%

mentioning

confidence: 99%

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Age of Partner at First Adolescent Intercourse and Adult Sexual Risk Behavior Among Women

Senn

Carey

2011

Journal of Women's Health

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“…In addition, seven other behavioral risk factors for the acquisition of STI were assessed: having vaginal sex with a male who has been incarcerated, having vaginal sex with a male considered to be a ''casual'' partner, having vaginal sex with a boyfriend who has sex with other female partners, having male sex partners that are typically at least 5 years older than the respondent, having any vaginal sex in the past 60 days that was not protected by a condom, having vaginal sex with two or more partners in the past 60 days, and having vaginal sex with four or more partners since age of debut. Various epidemiological investigations support the strength of these risk factors for the acquisition of non-viral STIs (Begley et al 2003;Crosby et al 2001;DiClemente et al 2005b;Rosenberg et al 1999).…”

Section: Self-reported Measuresmentioning

confidence: 95%

African-American Female Adolescents Who Engage in Oral, Vaginal and Anal Sex: “Doing It All” as a Significant Marker for Risk of Sexually Transmitted Infection

et al. 2008

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African-American female adolescents who engaged in vaginal sex only (N = 272) were compared to adolescents who engaged in two types (vaginal plus oral or anal; N = 295) and three types (vaginal, oral and anal; N = 144) on a constellation of other sexual risk behaviors (SRBs) and on sexually transmitted infections (STIs). Adjusted contrasts among groups revealed that adolescents who engaged in two and in three types of sex as compared to those who engaged in vaginal sex only were more likely to engage in six of the seven SRBs, but were just as likely to have a STI. One SRB, having >/= 4 lifetime sex partners, was in turn associated with STI. Two-way interactions indicated that having a casual sex partner and having multiple sex partners in the last 60 days increased the likelihood of STI, but only for adolescents who engaged in all three types.

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Child Protection Intervention and the Sexual and Reproductive Health of Female Adolescents Ages 13 to 17 Years

et al. 2022

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IMPORTANCE Child maltreatment adversely affects health and development, but evidence is needed regarding whether and how Child Protective Services (CPS) interventions may mitigate risks.OBJECTIVE To assess whether different forms of CPS intervention are associated with sexual and reproductive health outcomes among female adolescents investigated by CPS for suspected exposure to maltreatment during childhood. DESIGN, SETTING, AND PARTICIPANTSThis cohort study used linked, longitudinal, statewide administrative data from Wisconsin, including medical assistance and CPS records, to examine the rates and correlates of sexual and reproductive health outcomes (sexual transmitted infections, pregnancies, births, and high-risk sexual behavior) among 9392 female adolescents tracked from age 13 through 17 years who were investigated by CPS for suspected exposure to maltreatment prior to their 13th birthday. The study assesses how these outcomes were associated with types and frequency of CPS involvement and intervention and with adolescent and family demographic characteristics. Participants were female adolescents born from 2000 through 2002 who were investigated by Wisconsin CPS for suspected exposure to maltreatment before 13 years of age and who were covered by medical assistance at least 85% of the time from 13 to 17 years of age.EXPOSURES Varying levels and intensities of CPS interventions, ranging from a single investigation to adoption from foster care.MAIN OUTCOMES AND MEASURES Dependent variables were pregnancy, birth, sexually transmitted infection, and an aggregate measure of sexual health concerns from 13 to 17 years of age. Primary explanatory variables were the intensity of CPS intervention (investigation only, in-home services, and foster care) and frequency of maltreatment concerns (number of investigations, continued involvement during adolescence). Logistic regression was used to assess the association of CPS measures with differences in sexual health outcomes. Data were analyzed from March 1 to October 12, 2021.RESULTS This cohort study included 9392 female adolescents, among whom 3156 (33.6%) were born in 2000, 3064 (32.6%) in 2001, and 3173 (33.8%) in 2002; 2501 adolescents [26.6%] were Black, 1568 [16.7%] were Hispanic, 1024 [10.9%] were multiracial, 4024 [42.8%] were White, and 275 [2.9%] were listed as other [which included American Indian, Asian or Pacific Islander, or unknown race or ethnicity]). By 18 years of age, sizable proportions of maltreated female adolescents had at least 1 concerning sexual health outcome (23.5%), including diagnoses of gonorrhea, chlamydia, or trichomoniasis (8.4%), pregnancy (11.2%), and parenthood (6.1%). Compared with CPS investigation without formal intervention, foster care was associated with lower odds of pregnancy (adjusted odds ratio, 0.82; 95% C, 0.69-0.98) and live birth (adjusted odds ratio, 0.78; 95% CI, 0.61-0.99). Recurrent and ongoing CPS involvement was associated with adverse sexual health outcomes.CONCLUSIONS AND RELEVANCE This cohort study found t...

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Older Partners and STD Prevalence Among Pregnant African American Teens

Cited by 66 publications

References 9 publications

Age of Partner at First Adolescent Intercourse and Adult Sexual Risk Behavior Among Women

Age of Partner at First Adolescent Intercourse and Adult Sexual Risk Behavior Among Women

African-American Female Adolescents Who Engage in Oral, Vaginal and Anal Sex: “Doing It All” as a Significant Marker for Risk of Sexually Transmitted Infection

Child Protection Intervention and the Sexual and Reproductive Health of Female Adolescents Ages 13 to 17 Years

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