Sexual Risk Behavior Differences Among Sexual Minority High School Students — United States, 2015 and 2017

Rasberry, Catherine N.; Lowry, Richard; Johns, Michelle M.; Robin, Leah; Dunville, Richard; Pampati, Sanjana; Dittus, Patricia; Balaji, Alexandra B.

doi:10.15585/mmwr.mm6736a3

Cited by 43 publications

(23 citation statements)

References 10 publications

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“…A search on PubMed in September 2019 yielded over four thousand articles with "unsafe sex," "risky sex," "risky sexual behavior," "highrisk sexual behavior," or "sexual risk behavior" in the title or abstract alone, including papers recently published in STD and other leading journals. [1][2][3][4][5][6][7][8][9][10] We propose that the language we use to describe sexual behavior should be updated to reflect the current landscape of sexual health and sexually transmitted infections (STIs). In 2014, at the request of HIV advocates, the Centers for Disease Control and Prevention agreed to discontinue the use of the phrase "unprotected sex," opting for the more precise "condomless sex."…”

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confidence: 99%

Words Matter: Putting an End to “Unsafe” and “Risky” Sex

Marcus

Snowden

2019

Sexual Trans Dis

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Change is constant in sexual health, as in health care more broadly. Novel pathogens are identified, epidemics emerge and reemerge, and new preventive and therapeutic agents are introduced and taken up by populations. On the other hand, some care strategies and practices fall by the wayside among clinicians and populations. Just as health and health care evolve, so too should the language that we use to describe them.

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confidence: 99%

Words Matter: Putting an End to “Unsafe” and “Risky” Sex

Marcus

Snowden

2019

Sexual Trans Dis

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“…A study in Nordic countries demonstrated that cultural and socioeconomic factors were associated with substance use among youths [47]. This was supported by a study in the United States that was conducted in different minority high school children with different cultural backgrounds, and it demonstrated that there were different risk behaviors, including sexual behaviors, particularly related to HIV infection [48]. This finding coincides with our study, which found that some behaviors, including sexual behaviors, are different between sexes and tribes, such as ear piercing, alcohol use, smoking, sexual experience, number of sexual partners, etc., which might be affected by the participants’ cultures and socioeconomic statuses.…”

Section: Discussionmentioning

confidence: 91%

Sexual behaviors and seroprevalence of HIV, HBV, and HCV among hill tribe youths of Northern Thailand

Apidechkul

2019

BMC Public Health

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Background Sexual behaviors reflect the degree of exposure to human immunodeficiency virus (HIV), hepatitis B virus (HBV), and hepatitis C virus (HCV), especially in people in sexually active stages, such as youths. Hill tribe people have their own cultures, beliefs and lifestyles related to their behaviors, including sexual behaviors, which may lead to HIV, HBV, and HCV infections, especially among youths. The study aimed to examine sexual behaviors and assess the seroprevalence of HIV, HBV, and HCV among hill tribe youths. Methods A cross-sectional study was conducted. The participants were recruited from 60 randomly selected hill tribe villages in Chiang Rai Province, Thailand. A validated questionnaire and 5 mL blood specimens were used to collect data. Data were collected by a self-reporting method. Rapid immunochromatographic tests were used to detect hepatitis B surface antibody (anti-HBs), hepatitis B surface antigen (HBsAg), hepatitis C antibody (anti-HCV), and human immunodeficiency virus antibody-I and- II (anti-HIV-1 and -2). Chi-square and Fisher’s exact test were used to detect the associations between variables. Results A total of 1325 participants were recruited for the analysis. The majority were females (60.5%) and aged 15–17 years (58.9%). A total of 14.5% smoked, 22.4% drank alcohol, 14.2% were tattooed, and 61.4% had their ears pierced. Among the 30.3% who had sexual experience, 42.0% experienced one-night stands, 26.9% had sexual contact with a prostitute within 1 year prior to the study, 18.9% used alcohol prior to having sexual intercourse, and 15.7% had been tested for HIV/AIDS previously. Among males, 11.5% were males who had sex with males (MSM), and 4.6% were bisexual. Among females, 83.0% were females who had sex with males, and 5.0% were females who had sex with females. Different sexes and tribes were found to have significantly different risk behaviors and sexual behaviors, such as overall males having a greater proportion of sexual experience than females, and Lahu, Akha and Hmong had a higher proportion of sexual experience, having sexual experience with one-night stands, and having sexual experience with a prostitute 1 year prior to the study than others. Among the 836 obtained blood samples, none were positive for anti-HIV-I and -II, 6.4% were positive for anti-HBs, 1.9% were positive for HBsAg, and 0.2% were positive for anti-HCV. Conclusion Hill tribe youths in Thailand are at risk of STIs such as HBV and HCV infections according to their risk behaviors and sexual behaviors, which differ between sexes and tribes. Effective behavioral interventions should be promoted among hill tribe youths to minimize the risk for these diseases in the future.

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“…With such ubiquitous use of YRBS throughout the U.S., this data source is readily available yet not used to its full potential to better understand youth risks and outcomes. Although the YRBS has been used in the literature as a data source to describe teen sexual health behaviors (Demissie, Clayton, & Dunville, 2019; Harper, Clayton, Andrzejewski, & Johns, 2018; Raspberry et al, 2018) it is not used in published literature to measure teen pregnancy. This study is an example of how this widely available data set can be utilized to gain a better understanding this important youth health outcome and provide insight to developing effective public health nursing interventions to prevent teen pregnancy.…”

Section: Discussionmentioning

confidence: 99%

Teen pregnancy in Chicago: Who is at risk?

Cygan

McNaughton

Reising

et al. 2020

Public Health Nursing

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Background: Teenage pregnancy, with its associated health and social consequences for young people and society as a whole, is one of the nation's most important public health issues. The purpose of this study was to use Youth Risk Behavior Survey (YRBS) data describe self-reported, pregnancy experiences in 9-12th grade Chicago Public Schools (CPS) students and identify teens at highest risk based on gender, grade-level, race, ethnicity, and sexual orientation. Methods: Secondary data analysis of the 2017 CPS high school Youth Risk BehaviorSurvey was conducted. Results:The survey response rate was 73% (n = 1,883). 4.9% (n = 91) of CPS students in grades 9 -12 reported a pregnancy experience, and 1.9% (n = 34) reported being "unsure" of a pregnancy experience. Statistically significant differences in the likelihood of self-reporting a pregnancy experience were found based on grade level (p = .000), race (p = .023), and sexual orientation (p = .000). Conclusion:While risk for a teen pregnancy experience varies across all groups, public health nurses can use YRBS data to better understand pregnancy risk in the populations they serve and can leverage core competencies, and robust community relationships to adapt, implement and evaluate evidence-based teen pregnancy prevention programs for maximum impact on teens at greatest risk.

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Sexual Risk Behavior Differences Among Sexual Minority High School Students — United States, 2015 and 2017

Cited by 43 publications

References 10 publications

Words Matter: Putting an End to “Unsafe” and “Risky” Sex

Words Matter: Putting an End to “Unsafe” and “Risky” Sex

Sexual behaviors and seroprevalence of HIV, HBV, and HCV among hill tribe youths of Northern Thailand

Teen pregnancy in Chicago: Who is at risk?

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