Sexual Behavior and Contraceptive and Condom Use Among U.S. High School Students, 2013‒2017

Witwer, Elizabeth; Jones, Rachel K.; Lindberg, Laura Duberstein

doi:10.1363/2018.29941

Cited by 15 publications

(6 citation statements)

References 21 publications

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“…This difference may be due to rural-urban variation. However, the study’s prevalence is lower than that of a similar study conducted among the youth of the USA, Tanzania, and Thailand, where prevalence was 57%, 70.06%, and 62.4% respectively [ 21 – 23 ]. This might be due to the differences in perception towards sexual intercourse and relationships.…”

Section: Discussioncontrasting

confidence: 60%

Determinants of condom use during last sexual intercourse among male college youth of Kaski, Nepal: A cross-sectional survey

2021

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Background The National Family Planning program of Nepal has introduced the condom as an important family planning method. Despite the continuous effort from the public and private sectors at various levels, its use among youth remains low. Therefore, this study aimed to assess the factors associated with condom use during the last sexual intercourse among male college youth. Methods We conducted a cross-sectional study and analyzed the responses of 361 male college youth (aged 19 to 24 years who reported being sexually active preceding six months of the survey), among the 903 participants who reported being involved in vaginal and anal sexual intercourse. The chi-square test was primarily used to find the associated factors and then, stepwise logistic regression was performed by selecting the covariates after the multicollinearity test followed by adjustment of confounders. Results We found that more than one-fourth (27.4%) of the sexually active male youth had used the condoms during their last sexual intercourse. Postgraduate male youth were four times more likely to use the condoms during the last sexual intercourse than undergraduate male youth (AOR = 4.09, 95% CI; 2.08–8.06). Similarly, married youth were less likely to use the condoms during the last sexual intercourse with 95% lower odds than their counterparts (AOR = 0.05, 95% CI; 0.01–0.38). Male youth with adequate knowledge about the condoms were 8 times more likely to use them compared to those with inadequate knowledge (AOR = 8.42, 95% CI; 4.34–16.33). Likewise, male youth with favorable attitude towards the condoms were 2.5 times more likely to use them compared to their counterparts (AOR = 2.58, 95% CI; 1.23–5.42). Similarly, male youth having two or more sex partners were 4.5 times more likely to use the condoms than the youth having only a sex partner (AOR = 4.57, 95% CI; 2.38–8.76). Conclusion The study concluded that slightly more than one-fourth (27.4%) of male college youth in Kaski district used the condoms during their last sexual intercourse. Level of education, marital status, knowledge about condoms, attitude toward condoms, and number of sex partners are the determinants of condom use among male college youth so recommended for early behavioral interventions, especially in knowledge and attitude. Further studies focusing on including the rural youth and larger geography may help to reach a firmer conclusion.

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Section: Discussioncontrasting

confidence: 60%

Determinants of condom use during last sexual intercourse among male college youth of Kaski, Nepal: A cross-sectional survey

2021

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“…No country is completely free from adolescents' risky sexual behaviours and its challenges. As a 2018 report from the Center for Disease Control and Prevention (CDC) in the United States indicated that 41% of adolescents are having sexual intercourse and considerable evidence suggests that adolescents sexting (sexting is the sending of sexually explicit messages or images by cell phone) is related to risky sexual behaviours [4]. Also, the study from Center for Disease Control and Prevention (CDC) reported that on the most recent adolescents' risky sexual behaviours survey of United States high school students showed that 41% had sexual intercourse, 30% had sexual intercourse during the previous 3 months, and of these; 43% did not use a condom the last time they had sex, 14% did not use any method to prevent pregnancy, 21% had drunk alcohol or use drugs before their last sexual intercourse [5].…”

Section: Introductionmentioning

confidence: 99%

Correlates of Risky Sexual Behaviours of Adolescents in Rivers State: A Study of Peer Pressure and Social Media Influences

R.¹,

Madume²,

Anieche³

et al. 2023

Scholars Bulletin

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Background: This study investigated the correlates of risky sexual behaviours of adolescents in Rivers State. Six objectives with corresponding research questions and hypotheses were formulated to guide the study. Materials and Methods: The study adopted a correlational research design. The population of the study comprised of all 93,076 in- School Senior Secondary School adolescents in Rivers State. A multistage sampling procedure was used to select a sample of 880 from six LGAs in the three senatorial zones of the State. The instrument for data collection was a validated self-structured questionnaire with reliability coefficients of 0.852 for peer pressure and 0.733 for media using Cronbach alpha. Data collected was analyzed using IBM SPSS (version 25), percentages were used to answer research questions, and binary logistic regression was used to test hypotheses at 0.05 alpha levels. Results and Discussions: The result of the study showed 14.6% prevalence of sexual behaviours. Also, the findings revealed that 73.2% did not used condoms at sexual debut, 7.3% had sexual intercourse with more than one person, 2.6% had paid sexual intercourse, 2.2% have had sexual intercourse with sex worker and 11.3% have had oral sex. Conclusions: The result of the study established a significant relationship between peer pressure and sexual behaviours (p < 0.05) and result revealed a significant association between social media influence and sexual behaviours (p <0.05). The study recommended that sexual health education be taught early right from the home by parents/ guardians and in school by teachers and school health officers with emphasis on the identified correlates peer pressure and media influence. Parents should not purchase high tech android phones for their children and should monitor what they do with phones provided.

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“…Problem of Sexual Risk in Early Adolescents Over half (57%) of US high school students engage in sexual intercourse by the time they graduate (Witwer et al, 2018). Early sexual initiation increases risk for HIV/STIs (CDC 2015) and unintended pregnancy (Heywood et al, 2015).…”

Section: Introductionmentioning

confidence: 99%

Reducing HIV/STI Risk Among Adolescents Aged 12 to 14 Years: a Randomized Controlled Trial of Project Prepared

et al. 2021

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Despite calls for evidence-based HIV/STI prevention programs for youth aged 12 to 14 transitioning to adolescence, few effective programs exist. In a two-group intent-to-treat randomized trial in the Bronx, NY, 397 participants were randomly assigned to Project Prepared or an attention control, TEEN. Participants completed surveys at baseline, 6 months, and 12 months. Prepared had two components, an 11-session program and a 3-week internship. Content covered sexual risk behavior, social cognitions, gender norms, relationships, and resilience. TEEN built communication skills and had the same intensity and structure as Prepared but no sexual content. In both, boys and girls were trained together in mixed groups of ~ 11 teens. Primary outcomes were HIV knowledge, self-efficacy, condom outcome expectancy, and behavioral intentions. Secondary outcomes were relationship expectations and endorsement of risky gender norms. Generalized estimating equation analyses showed youth randomized to Prepared had significant improvements compared to TEEN at T2 in HIV knowledge, sexual self-efficacy, and outcome expectancy for condom use. At T3, there were significant differences favoring Prepared in outcome expectancy for condom use, sexual self-efficacy, and intention for partner communication about HIV/AIDS or STIs. Analyses by gender showed program effects in both boys (intention to talk to a partner about condom use, abstinence self-efficacy, sexual self-efficacy, and condom outcome expectancy) and girls (gender norms, and abstinence outcome expectancy). Prepared effectively reduced risk in young adolescents. ClinicalTrials.gov ID: NCT01880450, Protocol ID: 2008-551

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Sexual Behavior and Contraceptive and Condom Use Among U.S. High School Students, 2013‒2017

Cited by 15 publications

References 21 publications

Determinants of condom use during last sexual intercourse among male college youth of Kaski, Nepal: A cross-sectional survey

Determinants of condom use during last sexual intercourse among male college youth of Kaski, Nepal: A cross-sectional survey

Correlates of Risky Sexual Behaviours of Adolescents in Rivers State: A Study of Peer Pressure and Social Media Influences

Reducing HIV/STI Risk Among Adolescents Aged 12 to 14 Years: a Randomized Controlled Trial of Project Prepared

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