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Thamotharan S, Hahn HA, Ramos A, Harris B, Johnson MW, Fields SA. Validation of the Sexual Discounting Task for Use in Adolescents. ARCHIVES OF SEXUAL BEHAVIOR 2024; 53:2291-2304. [PMID: 38480647 DOI: 10.1007/s10508-024-02830-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/11/2020] [Revised: 02/08/2024] [Accepted: 02/09/2024] [Indexed: 06/14/2024]
Abstract
The Sexual Discounting Task (SDT) was developed to evaluate the effects of delay on decision making as it relates to sexual risk-taking behaviors. Though previously validated with other populations, including urban emerging adults, the current study sought to validate the SDT with adolescents. A sample of adolescents (N = 155; 61% female) between ages 14 and 21 (Mage = 19.5 years) was recruited to complete the SDT (involving choices between immediate unprotected sex and delayed sex with a condom with hypothetical sexual partners) and the Delay Discounting Task (a delay discounting task for money outcomes). Additionally, they completed several self-report measures assessing demographics, sexual behavior, and sexual history. If the condom was readily available, respondents were more likely to use a condom for partners who were judged "most likely to have an STI" and for those that participants were "least likely to have sex with." Moreover, when a condom was not immediately available, greater self-reported sexual risk-taking was related to greater sexual discounting (i.e., greater effects of delay on decreasing condom use). Furthermore, sexual discounting was greater among partners deemed more desirable and those judged "least likely to have an STI." Differences in sexual discounting were significant after controlling for immediately available condom use. Findings from the current study suggest that the SDT is clinically meaningful for adolescents and is sensitive to factors that influence real-world decisions to use condoms. Future treatment and prevention should consider delay discounting as an important variable affecting sexual risk behavior.
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Affiliation(s)
- Sneha Thamotharan
- Office of Justice, Equity, Diversity, & Inclusion, Advocate Health-Health Sciences System, Wake Forest University School of Medicine, Bowman Gray Center for Medical Education, Winston Salem, NC, USA
| | - Hunter A Hahn
- Department of Psychology, The Ohio State University, Columbus, OH, USA
| | - Ashley Ramos
- Allergy and Immunology, Children's National Hospital, Washington, DC, USA
| | - Bethany Harris
- Department of Psychological and Brain Sciences, Texas A&M University, College Station, TX, 77845, USA
| | - Matthew W Johnson
- Department of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, MD, USA
| | - Sherecce A Fields
- Department of Psychological and Brain Sciences, Texas A&M University, College Station, TX, 77845, USA.
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2
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Tafro A, Koletić G, Milas G, Štulhofer A. The Role of Religiosity and Personal Faith in Young People's Sexual Debut and Sexual Risk Taking: A Bayesian Approach. INTERNATIONAL JOURNAL OF SEXUAL HEALTH : OFFICIAL JOURNAL OF THE WORLD ASSOCIATION FOR SEXUAL HEALTH 2024; 36:100-110. [PMID: 38600898 PMCID: PMC10903667 DOI: 10.1080/19317611.2024.2308822] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/04/2023] [Accepted: 01/17/2024] [Indexed: 04/12/2024]
Abstract
Using a Bayesian statistical approach, this study aimed to provide a robust assessment of associations between religiosity and personal faith, timing of sexual initiation and sexual risk taking in young people. To produce posterior probability distribution of the estimation of associations, this study combined two population-based surveys of emerging Croatian adults and meta-analytical estimates pertaining to international studies published between 2000 and 2020. Regardless of the prior used, age at sexual debut was delayed by both religiosity (correlations ranged from 0.10 to 0.13) and personal faith (r = 0.09-0.13). Apart from delaying sexual debut, the findings suggest a very limited role of religiosity and personal faith in the protection of sexual and reproductive health among young people.
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Affiliation(s)
- Azra Tafro
- Faculty of Forestry and Wood Technology, University of Zagreb, Zagreb, Croatia
| | - Goran Koletić
- Faculty of Humanities and Social Sciences, University of Zagreb, Zagreb, Croatia
| | - Goran Milas
- Institute of Social Sciences Ivo Pilar, Zagreb, Croatia
| | - Aleksandar Štulhofer
- Faculty of Humanities and Social Sciences, University of Zagreb, Zagreb, Croatia
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3
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Monte LL, Rufino AC, Madeiro A. Prevalence and factors associated with risky sexual behavior among Brazilian school adolescents. CIENCIA & SAUDE COLETIVA 2024; 29:e03342023. [PMID: 38324822 DOI: 10.1590/1413-81232024292.03342023] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/13/2023] [Accepted: 05/24/2023] [Indexed: 02/09/2024] Open
Abstract
This article evaluated the prevalence and factors associated with risky sexual behavior (RSB) among Brazilian school adolescents. This is a cross-sectional study with data collected from the National Survey of School Health, 2019 edition, with a representative sample of 7th grade of elementary school to 3rd year of high school Brazilian school adolescents. This work evaluated sociodemographic, behavioral, sexual and reproductive health, mental health, sociability characteristics, medical advice received at school, and body image. RSB was characterized as the non-use of a condom during sexual intercourse. The data were analyzed using hierarchical Poisson regression modeling. The prevalence of RSB was of 40.3%, with the lowest proportion appearing in the North region (37.4%). The highest prevalence of RSB was found among female adolescents, whose first sexual intercourse occurred at 13 years of age or under, who were victims of sexual violence, who practiced bullying, and who used illicit drugs, cigarettes, and alcohol. Those who used a condom during their first sexual intercourse showed the lowest prevalence of RSB. The high prevalence of RSB among Brazilian school adolescents, together with the knowledge of the associated factors, serves to define strategies to favor improvements in the sexual and reproductive health of these young people.
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Affiliation(s)
- Layanne Lima Monte
- Programa de Pós-Graduação em Saúde e Comunidade, Universidade Federal do Piauí. Av. Frei Serafim, 2280, Centro/Sul. 64001-450 Teresina PI Brasil.
| | - Andréa Cronemberger Rufino
- Programa de Pós-Graduação em Saúde e Comunidade, Universidade Federal do Piauí. Av. Frei Serafim, 2280, Centro/Sul. 64001-450 Teresina PI Brasil.
| | - Alberto Madeiro
- Programa de Pós-Graduação em Saúde e Comunidade, Universidade Federal do Piauí. Av. Frei Serafim, 2280, Centro/Sul. 64001-450 Teresina PI Brasil.
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Chan HO, Beech A. Risky Sexual Behavior and Psychopathy: Testing the Relationship in a Non-Clinical Sample of Young Adults in Hong Kong. Behav Sci (Basel) 2024; 14:94. [PMID: 38392448 PMCID: PMC10885930 DOI: 10.3390/bs14020094] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/21/2023] [Revised: 01/18/2024] [Accepted: 01/25/2024] [Indexed: 02/24/2024] Open
Abstract
This study aims to investigate the relationship between risky sexual behavior (RSB) and psychopathy in a non-clinical sample of 714 Hong Kong adults, shedding light on sex differences. Our findings reveal that males exhibit significantly higher mean levels of RSB (general, penetrative, and nonpenetrative), as well as egocentric (Factor 1) and callous (Factor 3) traits of psychopathy, along with increased sexual desire compared to females. Regression analyses indicate that elevated levels of antisociality (Factor 2) and callousness (Factor 3) traits of psychopathy, along with sexual desire, emerge as significant risk factors for engaging in general, penetrative, and nonpenetrative RSB. Intriguingly, higher age and being in a long-term relationship are associated with RSB. The implications of this study suggest potential avenues for reducing, if not entirely preventing, the inclination to engage in RSB in the presence of psychopathic traits.
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Affiliation(s)
- Heng Oliver Chan
- Department of Social Policy, Sociology, and Criminology, School of Social Policy, University of Birmingham, Birmingham B15 2TT, UK
| | - Anthony Beech
- School of Psychology, University of Birmingham, Birmingham B15 2TT, UK
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Schieber E, Wang A, Ou G, Herbert C, Nguyen HT, Deveaux L, Li X. The influence of socioenvironmental risk factors on risk-taking behaviors among Bahamian adolescents: a structural equation modeling analysis. Health Psychol Behav Med 2024; 12:2297577. [PMID: 38196916 PMCID: PMC10776066 DOI: 10.1080/21642850.2023.2297577] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/20/2022] [Accepted: 12/13/2023] [Indexed: 01/11/2024] Open
Abstract
Background Adolescents' risk-taking behaviors can have profound impacts on their future health. Few studies have established a relationship between multiple social environmental factors and adolescent risk behaviors. We used structural equation modeling to examine the role of parental monitoring and environmental risks on adolescents' behavioral intentions and risk behaviors. Methods Data were collected through the baseline survey of a national implementation project among 2205 Grade 6 students in 24 government schools in The Bahamas in 2019. Structural equation modeling examined relations among parental monitoring, environmental risk factors, behavioral intentions, and risk behaviors. Results Students had engaged in various delinquent, substance use, and sexual risks. In the structural equation model, parental monitoring demonstrated direct negative (protective) effects on behavioral intentions and risk behaviors, whereas environmental risk factors had a direct positive effect on adolescent behavioral intentions and risk behaviors. The model had an R2 value of 0.57 for adolescent risk behaviors. Conclusion Parental monitoring and environmental risk factors had strong influences on risk-taking behaviors of early adolescents. Future adolescent health behavior interventions should consider offering additional prevention resources to early adolescents who are exposed to multiple environmental risk factors.
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Affiliation(s)
- Elizabeth Schieber
- Department of Population and Quantitative Health Sciences, UMass Chan Medical School, Worcester, MA, USA
| | - Ava Wang
- High School Internship Program with UMass Chan, Lexington High School, Lexington, MA, USA
| | - Grace Ou
- High School Internship Program with UMass Chan, Lexington High School, Lexington, MA, USA
| | - Carly Herbert
- Department of Population and Quantitative Health Sciences, UMass Chan Medical School, Worcester, MA, USA
| | - Hoa T. Nguyen
- Department of Population and Quantitative Health Sciences, UMass Chan Medical School, Worcester, MA, USA
| | | | - Xiaoming Li
- Department of Health Promotion, Education, and Behavior, University of South Carolina Arnold School of Public Health, Columbia, SC, USA
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Emery CR, Wong PWC, Haden-Pawlowski V, Pui C, Wong G, Kwok S, Liu AY, Abdullah A. Neglect, online invasive exploitation, and childhood sexual abuse in Hong Kong: Breaking the links. CHILD ABUSE & NEGLECT 2024; 147:106591. [PMID: 38128374 DOI: 10.1016/j.chiabu.2023.106591] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/29/2023] [Revised: 11/25/2023] [Accepted: 11/30/2023] [Indexed: 12/23/2023]
Abstract
BACKGROUND Childhood sexual abuse (CSA) is a form of maltreatment that involves a child in sexual activity that she or he cannot fully comprehend or is unable to give informed consent to. The empirical link between child neglect and contact child sexual abuse is well established but little research examines mediators that explain this link. OBJECTIVE This study tests online risk behaviors and unwanted sexual experiences online as sequential mediators of the neglect - CSA relationship. PARTICIPANT AND SETTING The study uses a representative cross-sectional sample of 1097 Hong Kong adolescents. METHODS Preacher and Hayes' (2008) non-parametric bootstrap approach was used to test three mediation hypotheses. RESULTS Baseline logistic regression models showed neglected children had 11.2 times higher odds of reporting contact CSA (p < .001). Similarly, neglect was associated with 3.5 times higher odds of more online risk behavior (p < .001), which in turn was associated with 2.7 times higher odds of more online invasive exploitation (p < .001). Online invasive exploitation was associated with 2.7 times higher odds of reporting offline contact CSA (p < .001). The study found online risk behaviors to be a significant mediator of the relationship between neglect and online invasive exploitation (unwanted online sexual experiences). Online invasive exploitation, in turn, mediated the relationship between online risk behaviors and offline contact CSA. CONCLUSION The findings highlight the importance of intervening against neglect as it appears to play a vital role in the etiology of contact CSA in Hong Kong.
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Affiliation(s)
- Clifton R Emery
- Department of Social Work and Social Administration, The University of Hong Kong, Hong Kong.
| | - Paul W C Wong
- Department of Social Work and Social Administration, The University of Hong Kong, Hong Kong.
| | | | - Cayla Pui
- Save the Children Hong Kong, Hong Kong.
| | | | - Steve Kwok
- Department of Social Work and Social Administration, The University of Hong Kong, Hong Kong
| | - Amy Yinan Liu
- Sandra Rosenbaum School of Social Work, University of Wisconsin-Madison, United States
| | - Alhassan Abdullah
- College of Education, Psychology and Social Work, Flinders University, Australia.
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Koletić G, Jurković L, Tafro A, Milas G, Landripet I, Štulhofer A. A meta-analytic exploration of associations between religious service attendance and sexual risk taking in adolescence and emerging adulthood. J Health Psychol 2023; 28:1103-1116. [PMID: 37073440 DOI: 10.1177/13591053231164542] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/20/2023] Open
Abstract
Findings since 2000 about the association between the frequency of religious service attendance (formal religiosity) and sexual risk taking in adolescents and emerging adults were explored. A systematic literature search (April 2020) focused on articles with data on religiosity and age at sexual debut, number of sexual partners, condom use at most recent sexual intercourse, and consistent condom use. A total of 27 studies with 37,430 participants (Mage = 18.4, range: 12-25, 43.5% male) were included. In random-effects meta-analysis, the link between formal religiosity and sexual risk taking was significant only for age at sexual debut (r = 0.09, 95% CI = 0.05, 0.13) and the number of sexual partners (r = -0.14, 95% CI = -0.19, -0.09). Weak associations between the constructs of interest indicate that formal religiosity is not sufficient to protect young people's sexual health.
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Affiliation(s)
| | | | | | - Goran Milas
- Institute of Social Sciences Ivo Pilar, Croatia
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Cheah YK, Zainuddin NH, Kee CC, Lim KH, Omar MA, Cheong YL. Lifestyles and Sexual Behaviour Among School-Going Adolescents: A Mediational Role of Mental Health. Clin Child Psychol Psychiatry 2023; 28:1341-1357. [PMID: 36428238 DOI: 10.1177/13591045221142497] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
Sexual behaviour and mental health among adolescents are major public health issues. This study examines how lifestyles affect sexual behaviour among school-going adolescents in Malaysia, and the potential mediational role of mental health. It is the first to our knowledge to explore the mediating effect of mental health on sexual behaviour with a focus on a fast-growing developing country. Data were obtained from the National Health and Morbidity Survey 2017 (n = 27,497). Structural equation modelling was utilized to examine depression and anxiety as mediators of the relationships between sexual behaviour and smoking, alcohol drinking and illicit drug use, controlling for sociodemographic factors. Results showed that adolescents who smoked, consumed alcohol, used illicit drugs, and had depression and anxiety were more likely to engage in sexual behaviour than others. Depression and anxiety partially mediated the relationships between sexual behaviour and smoking, and illicit drug use. The association between alcohol drinking and sexual behaviour was fully mediated by depression and anxiety. In conclusion, lifestyles may affect sexual behaviour through mediation of mental health. Therefore, policymakers should take mental health factors into consideration when designing adolescent sexual behaviour preventative interventions.
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Affiliation(s)
- Yong Kang Cheah
- School of Economics, Finance and Banking, College of Business, Universiti Utara Malaysia, Sintok, Kedah, Malaysia
| | - Nabilah Hanis Zainuddin
- Sector for Biostatistics and Data Repository, National Institutes of Health, Ministry of Health Malaysia, Shah Alam, Selangor, Malaysia
| | - Chee Cheong Kee
- Sector for Biostatistics and Data Repository, National Institutes of Health, Ministry of Health Malaysia, Shah Alam, Selangor, Malaysia
| | - Kuang Hock Lim
- Special Research Centre, Institute for Medical Research, Ministry of Health Malaysia, Jalan Pahang, Kuala Lumpur, Malaysia
| | - Mohd Azahadi Omar
- Sector for Biostatistics and Data Repository, National Institutes of Health, Ministry of Health Malaysia, Shah Alam, Selangor, Malaysia
| | - Yoon Ling Cheong
- Special Research Centre, Institute for Medical Research, Ministry of Health Malaysia, Jalan Pahang, Kuala Lumpur, Malaysia
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Chan HC(O. Youth sexual offending in Hong Kong: examining the role of self-control, risky sexual behaviors, and paraphilic interests. Front Psychiatry 2023; 14:1143271. [PMID: 37377476 PMCID: PMC10292797 DOI: 10.3389/fpsyt.2023.1143271] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/12/2023] [Accepted: 05/23/2023] [Indexed: 06/29/2023] Open
Abstract
Introduction Little is known about the nature and prevalence of sexual offending among youth in Hong Kong. Methods Testing self-control theory and sexual health risk factors (i.e., risky sexual behaviors [general and two subtypes] and paraphilic interests [general and 14 subtypes]), the prevalence of self-reported sexual offending behaviors (i.e., threat of sexual assault, penetrative sexual assault, and nonpenetrative sexual offense) was examined in a community-based sample of 863 young people (aged 17 to 20) in Hong Kong. Results In this study, men reported significantly higher levels of threat of sexual assault and of general and 12 subtypes of paraphilic interests than women; and women reported a significantly higher level of a specific paraphilic interest subtype (i.e., transvestic fetishism) than men. Logistic regressions found that, in general, a low level of self-control and high levels of risky sexual behaviors and paraphilic interests were important factors in the participants' likelihood of issuing threats of sexual assault and engaging in penetrative and nonpenetrative sexual assault. Discussion Important practical implications for reducing the tendency of young people to engage in sexual offending behavior can be derived from this study.
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Kaufman-Parks AM, Longmore MA, Manning WD, Giordano PC. The Influence of Peers, Romantic Partners, and Families on Emerging Adults' Sexual Behavior. ARCHIVES OF SEXUAL BEHAVIOR 2023; 52:1561-1573. [PMID: 36469145 PMCID: PMC10588127 DOI: 10.1007/s10508-022-02489-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/19/2021] [Revised: 11/17/2022] [Accepted: 11/17/2022] [Indexed: 06/08/2023]
Abstract
Prior research acknowledges that families and peers influence adolescents' sexual behaviors. Far fewer studies have explored whether and how families and peers influence sexual behaviors among emerging adults, especially among those in committed intimate partnerships, while also accounting for dynamics specific to the intimate relationship and respondents' sociodemographic characteristics. Even less is known about whether and how previous romantic relationship experiences might influence emerging adults' future sexual behavior both within and outside the confines of committed intimate partnerships. Drawing on longitudinal data from the Toledo Adolescent Relationships Study, we examined how emerging adults' family backgrounds, peers' sexual attitudes and behaviors, and past and current relationship experiences influenced their engagement in casual sex and sexual non-exclusivity. We found that each of these contexts was significant predictors of emerging adults' casual sex, and that both peers and romantic relationship experiences significantly influenced the likelihood of engaging in sexually non-exclusive behaviors among those in committed dating, cohabiting, and marital partnerships. We discuss potential theoretical mechanisms linking these relationships and provide suggestions for future research.
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Affiliation(s)
- Angela M Kaufman-Parks
- Department of Sociology & Criminology, Assumption University, Worcester, MA, 01609, USA.
| | - Monica A Longmore
- Department of Sociology, Bowling Green State University, Bowling Green, OH, USA
| | - Wendy D Manning
- Department of Sociology, Bowling Green State University, Bowling Green, OH, USA
| | - Peggy C Giordano
- Department of Sociology, Bowling Green State University, Bowling Green, OH, USA
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Singh M, Shekhar C, Gupta J. Transition in the ages at key reproductive events and its determinants in India: evidence from NFHS 1992-93 to 2019-21. BMC Womens Health 2023; 23:145. [PMID: 36991456 PMCID: PMC10061699 DOI: 10.1186/s12905-023-02271-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/14/2022] [Accepted: 03/09/2023] [Indexed: 03/31/2023] Open
Abstract
INTRODUCTION Reproductive health events have changed fertility and family planning needs, depicting the changing life patterns of women and the population to which they belong. Understanding the pattern at which these events occur helps in understanding the fertility pattern, family formation and the idea about health essential needs for women. This paper attempts to see the variation in reproductive events (first cohabitation, first sex and first birth) over three decades and also to see potential contributing factors among the reproductive age group of women using secondary data from Data Source: All rounds of the National Family Health Survey (1992-93 to 2019-2021) have been utilized. METHODS AND RESULTS Cox Proportional Hazard Model illustrates that all regions have initiated their first birth later than women who belong to the east region similar pattern has been obtained for first cohabitation and first sex except for the central region. Multiple Classification Analysis (MCA) depicts the increasing pattern in the predicted mean age at first cohabitation, sex and birth for all demographic characteristics; the highest increment was found in SC women, Uneducated women and Muslim women. Kaplan Meier Curve demonstrates that women with no education, primary or secondary education are shifting towards higher educated women. Most importantly, the results of the multivariate decomposition analysis (MDA) revealed that education played the largest contribution among the compositional factors in the overall increase in mean ages at key reproductive events. CONCLUSIONS Though reproductive health has long been essential in women's lives, they are still very confined to specific domains. Over time the government has formulated several proper legislative measures relating to various domains of reproductive events. However, given that the large size and heterogeneity in social and cultural norms result in changing ideas and choices regarding the initiation of reproductive events, national policy formulation needs to be improved or amended.
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Affiliation(s)
- Mayank Singh
- Department of fertility & Social Demography, International Institute for Population Sciences (IIPS), Mumbai, 400088, India
| | - Chander Shekhar
- Department of fertility & Social Demography, International Institute for Population Sciences (IIPS), Mumbai, 400088, India
| | - Jagriti Gupta
- Department of fertility & Social Demography, International Institute for Population Sciences (IIPS), Mumbai, 400088, India.
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Ryu DH. Trends in Early Sexual Initiation and Its Association with Socio-Environmental Factors among Korean Adolescents. CHILDREN (BASEL, SWITZERLAND) 2023; 10:613. [PMID: 37189862 PMCID: PMC10136636 DOI: 10.3390/children10040613] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/21/2023] [Revised: 03/20/2023] [Accepted: 03/23/2023] [Indexed: 05/17/2023]
Abstract
There has been no research on the trends in early sexual initiation associated with socio-environmental factors in Korea. This study aimed to examine the trends of early sexual initiation with various socio-environmental factors among adolescents. The Korea Youth Risk Behavior Web-based Survey data were used, and two pooled datasets extracted from the 2006-2008 and 2014-2016 waves were conducted and compared. In this study, early sexual initiation was defined as sexual intercourse at the age of 13 years or younger. The weighted percentage and 95% confidence interval reporting early sexual initiation were estimated, and multiple logistic regression was performed for each subgroup of socio-environmental variables with the 2006-2008 pooled data as a reference. Regardless of sex, the weighted percentage of adolescents with sexual experience who reported early sexual initiation increased in 2014-2016 with statistical significance in most cases. Moreover, the possibility of experiencing early sexual intercourse overtime was more prominent among girls than boys. While indifference to adolescent sexual behavior continues, more adolescents become involved in early sexual initiation. Socio-environmental considerations, such as the establishment of safe environments for adolescents' sexual activity, along with systematized monitoring mechanisms, should be administered.
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Affiliation(s)
- Dong-Hee Ryu
- Department of Preventive Medicine, Daegu Catholic University School of Medicine, Daegu 42472, Republic of Korea
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13
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Lin M, Chu M, Li X, Ma H, Fang Z, Mao L, Wang P, Chen T, Chiang YC. Factors influencing adolescent experimental and current smoking behaviors based on social cognitive theory: A cross-sectional study in Xiamen. Front Public Health 2023; 11:1093264. [PMID: 37033036 PMCID: PMC10073720 DOI: 10.3389/fpubh.2023.1093264] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/08/2022] [Accepted: 02/28/2023] [Indexed: 04/11/2023] Open
Abstract
Introduction China has the largest youth population in the world. To better implement the Smoke-free School Initiative, this study aims to examine the protective and risk factors for different smoking behaviors (never smoked, experimental smoking, and current smoking) among school adolescents based on social cognitive theory. Methods This research was a secondary analysis of a cross-sectional survey of middle schools in Huli District of Xiamen, China. The final sample consisted of 1937 participants with an average age of 15.41 (SD = 1.64). Descriptive statistics were used to summarize the sociodemographic characteristics of the sample. Multivariate multinomial logistic regression analysis was performed using four models. Results Of the respondents, 1685 (86.99%) were never smokers, 210 (10.84%) were experimental smokers, and 42 (2.17%) were current smokers. Social norms, positive outcome expectations, anti-smoking self-efficacy, and attitudes toward control tobacco policies were associated with adolescents' smoking behaviors. The number of smoking family members, classmates smoking, the perception that smoking is cool and attractive, and attitudes toward control tobacco policies were the predictors of current smoking behavior (p < 0.05). In contrast, friends smoking and individual and social relationship motivation were associated with only experimental smoking (p < 0.05). Discussion The relationship of social norms, positive outcome expectations, anti-smoking self-efficacy, and attitudes toward control tobacco policies varied across smoking behaviors. Family, school, society and the government need to cooperate in prevention and intervention programs for adolescent smoking. The relationships between these factors and adolescents' different smoking behaviors needs to be further verified.
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Affiliation(s)
- Manzhi Lin
- Xiamen Huli District Center for Disease Control and Prevention, Xiamen, China
| | - Meijie Chu
- State Key Laboratory of Molecular Vaccinology and Molecular Diagnostics, School of Public Health, Xiamen University, Xiamen, China
| | - Xian Li
- State Key Laboratory of Molecular Vaccinology and Molecular Diagnostics, School of Public Health, Xiamen University, Xiamen, China
| | - Honghao Ma
- State Key Laboratory of Molecular Vaccinology and Molecular Diagnostics, School of Public Health, Xiamen University, Xiamen, China
| | - Zhiwei Fang
- State Key Laboratory of Molecular Vaccinology and Molecular Diagnostics, School of Public Health, Xiamen University, Xiamen, China
| | - Li Mao
- State Key Laboratory of Molecular Vaccinology and Molecular Diagnostics, School of Public Health, Xiamen University, Xiamen, China
| | - Pengjun Wang
- State Key Laboratory of Molecular Vaccinology and Molecular Diagnostics, School of Public Health, Xiamen University, Xiamen, China
- School of Management, Xuzhou Medical University, Xuzhou, China
| | - Tianmu Chen
- State Key Laboratory of Molecular Vaccinology and Molecular Diagnostics, School of Public Health, Xiamen University, Xiamen, China
| | - Yi-Chen Chiang
- State Key Laboratory of Molecular Vaccinology and Molecular Diagnostics, School of Public Health, Xiamen University, Xiamen, China
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Huang Y, Lu J, Širůček J. The associations between social environment and adolescents’ psychosomatic health: An ecological perspective. Front Psychol 2023; 14:1141206. [PMID: 36993890 PMCID: PMC10040858 DOI: 10.3389/fpsyg.2023.1141206] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/10/2023] [Accepted: 02/15/2023] [Indexed: 03/14/2023] Open
Abstract
ObjectivesIt has been known that social environments are associated with adolescents’ health. However, the complex relationship between diverse types of social environments and adolescents’ psychosomatic heath remained unclear. Thus, using an ecological perspective, the current study aimed to examine the associations between social environment and adolescents’ psychosomatic health.MethodsWe used the data from the Health Behavior in School-aged Children (HBSC) project conducted in the Czech Republic in 2018. A total of 13377 observations were included.ResultsThe region, as a macrosystem, could not explain the variance in adolescents’ psychological and somatic health. The quality of neighborhood environment (exosystem) was significantly related to adolescents’ psychological and somatic health. At the microsystem level, teacher support had stronger, family support had weaker, and peer support had no association with psychological and somatic health. At the mesosystem level, the interactions between family, teacher, and friend support were negligible for adolescents’ psychological and somatic health.ConclusionsThe results underscore the importance of teachers’ support and neighborhood environment for adolescents’ psychosomatic health. Therefore, the findings suggest the need to improve teacher-adolescent relationships and the neighborhood community quality.
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Affiliation(s)
- Yi Huang
- Psychology Research Institute, Faculty of Social Studies, Masaryk University, Brno, Czechia
- Department of Psychology, Faculty of Social Studies, Masaryk University, Brno, Czechia
| | - Jinjin Lu
- Department of Education Studies, Academy of Future Education, Xi’an Jiaotong-Liverpool University, Suzhou, China
- *Correspondence: Jinjin Lu,
| | - Jan Širůček
- Department of Psychology, Faculty of Social Studies, Masaryk University, Brno, Czechia
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Chan HC(O, Myers WC. Risky Sexual Behavior, Paraphilic Interest, and Sexual Offending: The Study of a Community Sample of Young Adults in Hong Kong. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:4279. [PMID: 36901292 PMCID: PMC10002374 DOI: 10.3390/ijerph20054279] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/17/2023] [Revised: 02/22/2023] [Accepted: 02/25/2023] [Indexed: 06/18/2023]
Abstract
Limited information is available on the prevalence and nature of sexual offending in Hong Kong. This cross-sectional study seeks to explore the role of risky sexual behavior (RSB) and paraphilic interests in self-reported sexual offending behavior (i.e., nonpenetrative-only, penetrative-only, and nonpenetrative-plus-penetrative sexual assault) in a community sample of young adults in Hong Kong. Using a large sample (N = 1885) of university students, the lifetime prevalence of self-reported sexual offending was 18% (n = 342; 23% males (n = 166), 15% females (n = 176)). Based on the study subsample of 342 participants who self-reported sexual offending (aged 18-35), the findings indicated that males reported significantly higher levels of general, penetrative-only, nonpenetrative-plus-penetrative sexual assault; and paraphilic interest in voyeurism, frotteurism, biastophilia, scatophilia, and hebephilia than females; while females reported a significantly higher level of transvestic fetishism than males. No significant difference was found in RSB between males and females. Logistic regressions found that the participants who possessed a higher level of RSB, particularly penetrative behaviors, and paraphilic interest in voyeurism and zoophilia were less likely to engage in a nonpenetrative-only sexual offense. Conversely, the participants who possessed higher levels of RSB, especially penetrative behaviors, and paraphilic interest in exhibitionism and zoophilia, were more likely to engage in nonpenetrative-plus-penetrative sexual assault. The implications for practice in areas such as public education and offender rehabilitation are discussed.
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Affiliation(s)
- Heng Choon (Oliver) Chan
- Department of Social Policy, Sociology, and Criminology, School of Social Policy, University of Birmingham, Birmingham B15 2TT, UK
| | - Wade C. Myers
- Division of Forensic Psychiatry, Warren Alpert Medical School of Brown University, Providence, RI 02903, USA
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16
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Karle A, Agardh A, Larsson M, Arunda MO. Risky sexual behavior and self-rated mental health among young adults in Skåne, Sweden - a cross-sectional study. BMC Public Health 2023; 23:9. [PMID: 36597068 PMCID: PMC9808998 DOI: 10.1186/s12889-022-14823-0] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/16/2022] [Accepted: 12/07/2022] [Indexed: 01/04/2023] Open
Abstract
BACKGROUND Risky sexual behavior is a public health challenge that significantly affects young people's health and well-being in Sweden and throughout the world. Moreover, poor mental health, anxiety and depression among adolescents and young adults have increased in recent years. However, although hypothesized, the associations between general mental health and risky sexual behavior among young adults are less established. Thus, this study aimed to examine the association between self-rated mental health and risky sexual behavior among young adults in southern Sweden. METHODS Population-based, cross-sectional survey data from 2968 participants aged 18-30 years old residing in southern Sweden was used (response rate 42%). The survey included questions on sexual behavior, alcohol habits, sociodemographic background, and mental health. Logistic regression was used to examine the associations between mental health, depression, anxiety, and risky sexual behavior, stratified by sex (gender). Indicators for risky sexual behavior included not using a condom, non-condom use with casual partner, and multiple (≥2) sexual partners during the last year. RESULTS Generally, male participants rated their depression and anxiety levels considerably lower than their female counterparts. Poor mental health, high depression, and high anxiety scores (levels) were significantly associated with having multiple sexual partners among among female participants; adjusted odds ratios (aOR) was 1.3 (95% CI 1.01 to 1.71). However, findings among males were not statistically significant. Furthermore, overall results indicated that higher depression and anxiety scores were associated with 1.4 and 1.6 higher odds, respectively, of not using condom with a casual partner in the most recent sexual encounter. Similarly, higher anxiety scores were associated with non-condom use in the latest sexual encounter, aOR 1.4 (1.1-1.7), but no significant gender-specific associations were found. CONCLUSION The associations found between poor mental health factors and multiple sex partners among females warrant consideration in future public health interventions. Further research to increase the understanding of the causal mechanisms that link mental health factors and risky sexual behavior, especially multiple sex partners, among young adult females is needed to support evidence-based interventions.
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Affiliation(s)
- Anna Karle
- Social Medicine and Global Health, Department of Clinical Sciences, Lund University, Jan Waldenströms gata 35, 205 02, Malmö, Sweden
| | - Anette Agardh
- Social Medicine and Global Health, Department of Clinical Sciences, Lund University, Jan Waldenströms gata 35, 205 02, Malmö, Sweden
| | - Markus Larsson
- Social Medicine and Global Health, Department of Clinical Sciences, Lund University, Jan Waldenströms gata 35, 205 02, Malmö, Sweden
| | - Malachi Ochieng Arunda
- Social Medicine and Global Health, Department of Clinical Sciences, Lund University, Jan Waldenströms gata 35, 205 02, Malmö, Sweden.
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17
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Ruiz-Tagle Maturana JA, Cáceres DD, Castillo-Carniglia Á. Association between substance use and number of sexual partners: evidence from Chile. JOURNAL OF SUBSTANCE USE 2022. [DOI: 10.1080/14659891.2022.2153755] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/12/2022]
Affiliation(s)
- José Antonio Ruiz-Tagle Maturana
- Programa de Doctorado en Políticas Públicas, Universidad Mayor, Santiago, Chile
- Programa de Bioestadística, Escuela de Salud Pública, Universidad de Chile, Santiago, Chile
- Millennium Nucleus for the Evaluation and Analysis of Drug Policies (nDP), Chile
| | - Dante D. Cáceres
- Environmental Health Program, Public Health School, Faculty of Medicine, Universidad de Chile, Santiago, Chile
- Health Sciences School, Universidad de Tarapacá, Arica, Chile
| | - Álvaro Castillo-Carniglia
- Millennium Nucleus for the Evaluation and Analysis of Drug Policies (nDP), Chile
- Society and Health Research Center, Facultad de Ciencias Sociales y Artes, Universidad Mayor, Santiago, Chile
- Millennium Nucleus on Sociomedicine (SocioMed), Chile
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18
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Kaggwa MM, Muwanguzi M, Najjuka SM, Nduhuura E, Kajjimu J, Mamun MA, Arinaitwe I, Ashaba S, Griffiths MD. Risky sexual behaviours among Ugandan university students: A pilot study exploring the role of adverse childhood experiences, substance use history, and family environment. PLoS One 2022; 17:e0277129. [PMID: 36383509 PMCID: PMC9668123 DOI: 10.1371/journal.pone.0277129] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/16/2022] [Accepted: 10/21/2022] [Indexed: 11/17/2022] Open
Abstract
BACKGROUND University students are known to have risky sexual behaviours (RSBs). The severity of the RSB is influenced by many factors, including the family environment, exposure to adverse childhood events (ACEs), and the use of addictive substances. However, there is limited information about the influence of ACEs and the family environment of these students in low-and medium-income countries (LMICs). Therefore, a pilot study was conducted among university students from a LMIC, Uganda. METHODS The present study comprised a cross-sectional online survey among Ugandan students at a public university (N = 316; 75% male; 52.2% aged between 18-22 years). The survey included questions relating to socio-demographic information, family environmental information, the Sexual Risk Survey (SRS), and the Adverse Childhood Experiences-International Questionnaire (ACE-IQ). RESULTS Over half (53.8%) reported having had sexual intercourse. Males reported over two times higher mean total SRS score compared to females (χ2 = 4.06, p = 0.044). Approximately one-sixth of the sample had drunk alcohol or used illicit psychoactive substances in the past six months (16.1%). Among four regression analysis models, sociodemographic variables predicted the highest variance (13%), followed by family environment variables (10%), and both psychoactive substance use history (past six months) and ACEs individually explained approximately 5% variance in total SRS score, with the final model predicting 33% of the variance in RSB. CONCLUSIONS The present study demonstrated a gender disparity with males involved in more RSB than females, as has been reported in most previous RSB studies. Family environment, sociodemographic factors, substance use, and ACEs all appear to contribute to RSB among university students. These findings will benefit other researchers exploring factors associated with RSB among university students and will help develop interventions to reduce RSB to protect students from unwanted pregnancies, sexually transmitted diseases, and HIV/AIDS.
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Affiliation(s)
- Mark Mohan Kaggwa
- Department of Psychiatry, Mbarara University of Science & Technology, Mbarara, Uganda
- African Centre for Suicide Prevention and Research, Mbarara, Uganda
- Department of Psychiatry and Behavioural Neurosciences, McMaster University, Hamilton, Canada
| | - Moses Muwanguzi
- Faculty of Medicine, Mbarara University of Science & Technology, Mbarara, Uganda
| | | | - Elicana Nduhuura
- Faculty of Medicine, Mbarara University of Science & Technology, Mbarara, Uganda
| | - Jonathan Kajjimu
- Faculty of Medicine, Mbarara University of Science & Technology, Mbarara, Uganda
| | - Mohammed A. Mamun
- CHINTA Research Bangladesh, Savar, Dhaka, Bangladesh
- Department of Public Health and Informatics, Jahangirnagar University, Savar, Dhaka, Bangladesh
| | - Innocent Arinaitwe
- Faculty of Medicine, Mbarara University of Science & Technology, Mbarara, Uganda
| | - Scholastic Ashaba
- Department of Psychiatry, Mbarara University of Science & Technology, Mbarara, Uganda
| | - Mark D. Griffiths
- Psychology Department, Nottingham Trent University, Nottingham, United Kingdom
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Ongaro F, Tocchioni V. Adding up risks: Sexual debut and substance use among Italian university students. ADVANCES IN LIFE COURSE RESEARCH 2022; 53:100491. [PMID: 36652209 DOI: 10.1016/j.alcr.2022.100491] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/27/2021] [Revised: 05/31/2022] [Accepted: 06/01/2022] [Indexed: 06/17/2023]
Abstract
Adolescence and youth are periods of great changes in an individual's life, during which experiencing first events of the transition to adulthood and, sometimes, violating social norms. Literature has identified an association of risk behaviours with timing of first sexual intercourse, but scant information is available about their relationship with the use of protection or the choice of a casual partner. This study focuses on the relation between initiation of risk behaviours (get drunk and drug use) and initiation of intercourse. Using event history analysis - also in their competing risk form - on data on Italian university students collected in 2000-2001 and in 2017, we intend to verify to what extent the initiation and the timing to risk behaviours is associated with the circumstances of first intercourse (timing, use of protection, type of partner), and if and how initiation to risk behaviours interacts differently with age at sexual debut. Our results show that in a country such as Italy, where family and sexual norms are relatively traditional, young people who got drunk, used marijuana or ecstasy at least one time in their life are more likely to experience risky sexual intercourse.
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Affiliation(s)
- Fausta Ongaro
- Dipartimento di Scienze Statistiche, Università degli Studi di Padova, Via Cesare Battisti 241, 35121 Padova, Italy.
| | - Valentina Tocchioni
- Dipartimento di Statistica, Informatica, Applicazioni "G. Parenti", Università degli Studi di Firenze, Italy.
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20
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Francis AR, Oster DR, Weyandt L, DuPaul GJ, Anastopoulos AD, Gudmundsdottir BG, Beatty A. Factor Structure of the Sexual Risk Survey Among U.S. College Students with and without ADHD: Assessing Clinical Utility with a High-Risk Population. ARCHIVES OF SEXUAL BEHAVIOR 2022; 51:2931-2942. [PMID: 35543921 DOI: 10.1007/s10508-021-02249-5] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/18/2019] [Revised: 10/28/2021] [Accepted: 11/20/2021] [Indexed: 06/15/2023]
Abstract
Young adults, particularly college students, report a higher prevalence of risky sexual behavior than the general population, increasing their likelihood for unplanned pregnancy, sexually transmitted infections (STIs), and negative psychological outcomes. Although sexual risk behavior and its consequences are a major public health concern, current prevention literature is insufficient and relies on sexual risk measures with limited psychometric support. The present study, therefore, examined the psychometric properties of a sexual risk survey (SRS; Turchik, Garske, in Arch Sex Behav 38:936-948, 2009), using data from the first year of a longitudinal study following the outcomes of college students with and without attention-deficit/hyperactivity disorder (ADHD; N = 410). Principal components analyses were conducted to assess the factorial structure of the SRS comparing results from a general college population and a college population considered to be high-risk (ADHD). Results revealed four components across both samples. Internal consistency estimates for component scores and total scores ranged from .627 to 918. Implications of the findings are discussed and suggestions for future studies are advanced.
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Affiliation(s)
- Alyssa R Francis
- Department of Psychology, University of Rhode Island, Kingston, RI, 02881, USA.
| | | | - Lisa Weyandt
- Department of Psychology, University of Rhode Island, Kingston, RI, 02881, USA
| | - George J DuPaul
- Department of Education and Human Services, Lehigh University, Bethlehem, PA, USA
| | - Arthur D Anastopoulos
- Department of Human Development and Family Studies, The University of North Carolina, Greensboro, NC, USA
| | | | - Avery Beatty
- Department of Psychology, University of Rhode Island, Kingston, RI, 02881, USA
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21
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Allsop Y, Anderman EM. Developing Sexual Self-Efficacy Beliefs During Adolescence: Do Health Teachers Really Matter? J Youth Adolesc 2022; 51:2061-2076. [PMID: 35794443 DOI: 10.1007/s10964-022-01646-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/03/2021] [Accepted: 06/14/2022] [Indexed: 11/29/2022]
Abstract
Teacher attitudes and instructional strategies impact success of human sexuality programs. Limited prior research has examined the relations of teachers' attitudes and instruction to the development of adolescents' sexual self-efficacy beliefs. This study examined how adolescents' perceptions of their health teachers (i.e., teacher value of content, teacher affinity, teacher caring for students) predict changes in efficacy beliefs related to HIV/STD and pregnancy prevention, and if perceptions of mastery goal structure predicted adaptive efficacy beliefs. Data were collected in 4 Midwestern/Appalachian high schools in health class where the delivery of a 14-lesson sexual health curriculum occurred. Participants included 561 students (50.4% 9th graders, 43.5% female, 56.3% White, 53.7% did not have a current romantic partner, and 59.7% had previously not engaged in sexual activity). The findings indicate students' perceptions of teachers valuing the content predicted perceptions of mastery goal structure for all sexual self-efficacy beliefs: learning efficacy, condom negotiation efficacy, refusal self-efficacy, and situational self-efficacy. Students who perceive a mastery goal structure in health class, and who feel their teachers value learning about HIV/STD and pregnancy prevention, are likely to experience positive adaptive self-efficacy beliefs related to sexual health, ultimately leading to behaviors indicative of decreased STDs among teenagers and safe sexual practices, such as abstinence, the use of a condom, and saying "no" to having sex.
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Affiliation(s)
- Yvonne Allsop
- The Ohio State University, Department of Educational Studies, 101 B Ramseyer Hall, 29 W. Woodruff Avenue, Columbus, OH, 43210, USA.
| | - Eric M Anderman
- The Ohio State University, Department of Educational Studies, 101 B Ramseyer Hall, 29 W. Woodruff Avenue, Columbus, OH, 43210, USA
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22
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Rosen B, Dauria E, Shumway M, Smith JD, Koinis-Mitchell D, Tolou-Shams M. Association of pregnancy attitudes and intentions with sexual activity and psychiatric symptoms in justice-involved youth. CHILDREN AND YOUTH SERVICES REVIEW 2022; 138:106510. [PMID: 38107676 PMCID: PMC10723635 DOI: 10.1016/j.childyouth.2022.106510] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/19/2023]
Abstract
Context With over one-third of detained girls experiencing teenage pregnancy, it is critical that the juvenile justice system better addresses the sexual and reproductive health (SRH) needs of youth. Although pregnancy attitudes and intentions (PAI) are associated with pregnancy outcomes among the general adolescent population, this relationship has not been examined among justice-involved youth. Methods Participants were drawn from a longitudinal study characterizing trajectories of behavioral and reproductive health and recidivism among newly justice-involved youth in a Northeast family court. Baseline and four-month follow-up data from 288 justice-involved youth (JIY) were analyzed to characterize PAI; examine associations between pregnancy intentions and unprotected sexual activity (i.e., no hormonal, intrauterine, or barrier protection against pregnancy); and explore the relationship between pregnancy intentions and psychiatric symptoms. Results At baseline, 39% of JIY youth were sexually active, 44% of these youth reported inconsistent condom use and 14% had not used birth control at last sexual intercourse. Nearly half of sexually active youth reported some intent around pregnancy and those with any pregnancy intentions were more likely to report depression, low self-esteem, substance use, and trauma history. Pregnancy intentions at baseline predicted higher rates of unprotected sexual activity at four months (OR: 16.9, CI = 2.48-115.7). Conclusions This study highlights the importance of developing and implementing more comprehensive SRH assessments and brief interventions for youth entering the justice system.
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Affiliation(s)
- Brooke Rosen
- Department of Psychiatry and Behavioral Sciences, University of California, San Francisco, 401 Parnassus Avenue, San Francisco, CA 94143, United States
- Department of Psychiatry and Behavioral Sciences, University of Washington, 1959 NE Pacific Street, Box 356560, Seattle, WA 98195, United States
| | - Emily Dauria
- Department of Psychiatry and Behavioral Sciences, University of California, San Francisco, 401 Parnassus Avenue, San Francisco, CA 94143, United States
- Department of Community and Behavioral Health Sciences, Graduate School of Public Health, University of Pittsburgh, United States
- Department of Psychiatry and Behavioral Sciences, Department of Psychiatry and Behavioral Sciences, 1001 Potrero Avenue, Building 5, Room 7M18, San Francisco, CA, 94110, United States
| | - Martha Shumway
- Department of Psychiatry and Behavioral Sciences, University of California, San Francisco, 401 Parnassus Avenue, San Francisco, CA 94143, United States
| | - Jaime Dumoit Smith
- Department of Psychiatry and Behavioral Sciences, University of California, San Francisco, 401 Parnassus Avenue, San Francisco, CA 94143, United States
- Department of Psychiatry and Behavioral Sciences, 1001 Potrero Avenue, Building 20, Suite 2100, San Francisco, CA 94110, United States
| | - Daphne Koinis-Mitchell
- Department of Psychiatry and Human Behavior, Warren Alpert Medical School of Brown University, Rhode Island Hospital Department of Psychiatry, 1 Hoppin St. Coro West, 2nd Floor, Providence, RI 02903, United States
- Department of Pediatrics, Warren Alpert Medical School of Brown University, Providence, RI, United States
| | - Marina Tolou-Shams
- Department of Psychiatry and Behavioral Sciences, University of California, San Francisco, 401 Parnassus Avenue, San Francisco, CA 94143, United States
- Department of Psychiatry and Behavioral Sciences, Department of Psychiatry and Behavioral Sciences, 1001 Potrero Avenue, Building 5, Room 7M18, San Francisco, CA, 94110, United States
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Gottfredson NC, Bhushan NL, Reyes HLM, Pettifor AE, Kahn K. Effects of Early Social Bonds on Adolescent Trajectories of Sexual Risk Behaviors Among South African Girls. AIDS Behav 2022; 26:1173-1182. [PMID: 34622349 PMCID: PMC8940619 DOI: 10.1007/s10461-021-03472-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/13/2021] [Indexed: 11/25/2022]
Abstract
The goal of this manuscript is to advance HIV risk behavior prevention efforts for South African adolescent girls by identifying distinct trajectory patterns across multiple behavioral domains for adolescent and young adults. We draw from a sample of N = 1070 adolescent girls from South Africa who were between the ages of 13-15 at baseline. Participants were followed across 6 waves of data collection between 2011 and 2019. We focus on predicting trajectories between ages 15 and 21. All participants were HIV negative and had not experienced sexual debut at baseline. We examine group-based multi-variable trajectories across several known HIV risk behaviors: earlier age of sexual debut, engaging in unprotected sex, engaging in transactional sex, earlier age at first pregnancy, and exposure to physical IPV. We characterized three prototypical joint trajectories: abstainers (54%), early unprotected sex (36%), and high-risk sexually active (11%). We then predicted membership based on the following baseline risk and protective factors: household expenditures, bonding to school, parental monitoring, number of close friends, and community engagement. We found that school bonding and parental monitoring were the strongest predictor of sexual risk, and that, among those in both the early unprotected sex and high-risk groups, risky behaviors like unprotected and transactional sex most frequently occurred early in adolescence. These findings suggest that interventions should target girls early in adolescence, and that interventions focused at improving school bonding and promoting parental involvement may be most effective at preventing risky sexual behavior.
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Affiliation(s)
| | | | | | - Audrey E Pettifor
- Department of Epidemiology, UNC Gillings School of Global Public Health, Chapel Hill, USA
| | - Kathleen Kahn
- MRC/Wits Rural Public Health and Health Transitions Research Unit (Agincourt), University of Witwatersrand, Johannesburg, South Africa
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McCabe K, Hotton A, Loyd AB, Floyd B, Donenberg G, Fletcher FE. The process of adapting a sexual health intervention for Black early adolescents: a stakeholder engagement approach. HEALTH EDUCATION RESEARCH 2022; 37:7-22. [PMID: 34865042 PMCID: PMC9092122 DOI: 10.1093/her/cyab041] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/26/2021] [Revised: 08/13/2021] [Accepted: 11/16/2021] [Indexed: 06/13/2023]
Abstract
Young Black women are disproportionately affected by sexually transmitted infections (STIs) and HIV. Notably, few sexual health interventions for Black girls have documented the process of utilizing stakeholder input from the Black community to culturally tailor content. We conducted formative work in Chicago to adapt a mother-daughter HIV/STI prevention intervention originally designed for Black adolescent girls aged 14-18 years to meet the needs of early adolescent girls aged 11-13 years. Our iterative process involved three phases: (i) soliciting feedback from an expert panel and community advisory board; (ii) conducting focus groups with experienced research participants; and (iii) theater testing a new curriculum in the target population. Key findings of this process indicate the importance of sophisticated community engagement strategies to shape research design and program implementation. Findings may be used to inform processes for future adaptation work, especially in sexual health programs for young Black girls and their mothers.
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Affiliation(s)
- K McCabe
- Sinai Urban Health Institute, Sinai Chicago, 1500 S. Fairfield, Chicago, IL 60608, USA
| | - A Hotton
- Department of Medicine, University of Chicago, 5841 S. Maryland Ave, Chicago, IL 60637, USA
| | - A B Loyd
- Department of Psychology, University of California, 900 University Ave, Riverside, CA 92521, USA
| | - B Floyd
- Department of Community Health Sciences, University of Illinois at Chicago, 1603 W. Taylor St, 654 SPHPI, Chicago, IL 60612, USA
| | - G Donenberg
- Center for Dissemination and Implementation Science, University of Illinois at Chicago, 818 S. Wolcott Ave, SRH 6th Floor, Chicago, IL 60612, USA
| | - F E Fletcher
- Center for Medical Ethics and Health Policy, Baylor College of Medicine, One Baylor Plaza, Suite 310DK, Houston, TX 77030, USA
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Banks DE, Hahn AM, Goodrum NM, Bernard DL, Adams ZW, McCart MR, Chapman J, Sheidow AJ, de Arellano MA, Danielson CK. Sexual Risk Behavior among Adolescents Seeking Treatment for Posttraumatic Stress Disorder: Exploring Psychosocial & Symptom Correlates. JOURNAL OF CHILD & ADOLESCENT TRAUMA 2022; 15:181-191. [PMID: 35222783 PMCID: PMC8837759 DOI: 10.1007/s40653-021-00378-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 06/17/2021] [Indexed: 06/14/2023]
Abstract
Adolescents exposed to trauma experience disproportionate rates of HIV/STI. However, integrated treatment for trauma and sexual risk behavior is rare. To inform integrated prevention efforts, the current study describes prevalence and correlates of sexual risk behavior among adolescents seeking treatment for symptoms of posttraumatic stress and substance use disorders. Adolescents aged 13-18 years (N = 135; 88% female) with histories of interpersonal violence exposure completed pre-treatment questionnaires in a randomized controlled trial of an integrated psychotherapy for trauma and substance use symptomology. Adolescents reported high rates of sexual risk behaviors relative to national estimates and general mental health treatment samples. Symptoms of reexperiencing, substance use, and peer deviance were related to sexual risk behavior beyond the influence of other trauma symptoms. Individual and contextual psychosocial factors may be stronger predictors of sexual risk behavior than posttraumatic stress disorder symptoms among adolescents with trauma symptomology. Integrated interventions targeting traumatic stress, substance use, and sexual risk behavior concurrently may prevent revictimization and HIV/STI incidence among trauma-exposed youth.
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Affiliation(s)
- Devin E. Banks
- Department of Psychiatry & Behavioral Sciences, Medical University of South Carolina, Columbia, US
- Department of Psychological Sciences, University of Missouri—St. Louis, St. Louis, MO US
| | - Austin M. Hahn
- Department of Psychiatry & Behavioral Sciences, Medical University of South Carolina, Columbia, US
| | - Nada M. Goodrum
- Department of Psychiatry & Behavioral Sciences, Medical University of South Carolina, Columbia, US
| | - Donte L. Bernard
- Department of Psychiatry & Behavioral Sciences, Medical University of South Carolina, Columbia, US
| | - Zachary W. Adams
- Department of Psychiatry, Indiana University School of Medicine, Indianapolis, IN US
| | | | | | | | - Michael A. de Arellano
- Department of Psychiatry & Behavioral Sciences, Medical University of South Carolina, Columbia, US
| | - Carla Kmett Danielson
- Department of Psychiatry & Behavioral Sciences, Medical University of South Carolina, Columbia, US
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Hunt G, Sanders E, Petersen MA, Bogren A. "BLURRING THE LINE:" INTOXICATION, GENDER, CONSENT AND SEXUAL ENCOUNTERS AMONG YOUNG ADULTS. CONTEMPORARY DRUG PROBLEMS 2022; 49:84-105. [PMID: 36092964 DOI: 10.1177/00914509211058900] [Citation(s) in RCA: 8] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Social concern about sexual practices and sexual consent among young adults has increased significantly in recent years, and intoxication has often played a key role in such debates. While many studies have long suggested that alcohol plays a role in facilitating (casual) sexual encounters, intoxication has largely either been conceptualized as a risk factor, or researchers have focused on the pharmacological effects of alcohol on behaviors associated with sexual interaction and consent. To date little work has explored how young adults define and negotiate acceptable and unacceptable levels of intoxication during sexual encounters, nor the ways in which different levels of intoxication influence gendered sexual scripts and meanings of consent. This paper explores the latter two research questions using data from 145 in-depth, qualitative interviews with cisgender, heterosexual young adults ages 18-25 in the San Francisco Bay Area. In examining these interview data, by exploring the relationship between intoxication and sexual consent, and the ways in which gender plays out in notions of acceptable and unacceptable intoxicated sexual encounters, we highlight how different levels of intoxication signal different sexual scripts. Narratives about sexual encounters at low levels of intoxication highlighted the role of intoxication in achieving sexual sociability, but they also relied on the notion that intoxicated consent was dependent on the social relationship between the partners outside drinking contexts. Narratives about sexual encounters in heavy drinking situations were more explicitly gendered, often in keeping with traditionally gendered sexual scripts. In general we found that when men discussed their own levels of intoxication, their narratives were more focused on sexual performance and low status sex partners, while women's and some men's narratives about women's levels of intoxication were focused on women's consent, safety, and respectability. Finally, some participants rely on 'consent as a contract' and 'intoxication parity'- the idea that potential sexual partners should be equally intoxicated - to handle relations of power in interpersonal sexual scripts. Since these notions are sometimes deployed strategically, we suggest that they may serve to "black-box" gendered inequalities in power between the parties involved.
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Affiliation(s)
- Geoffrey Hunt
- Centre for Alcohol and Drug Research, Aarhus University, Denmark.,Institute for Scientific Analysis, Alameda, California
| | - Emile Sanders
- Institute for Scientific Analysis, Alameda, California
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Bhushan NL, Phanga T, Maseko B, Vansia D, Kamtsendero L, Gichane MW, Maman S, Pettifor AE, Rosenberg NE. Contraceptive Conversations among Adolescent Girls and Young Women and Their Partners, Peers, and Older Female Family Members in Lilongwe, Malawi: A QualitativeAnalysis. Stud Fam Plann 2021; 52:397-413. [PMID: 34585384 PMCID: PMC8664985 DOI: 10.1111/sifp.12174] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
In sub-Saharan Africa, adolescent girls and young women (AGYW) have high levels of unmet need for contraception, particularly those who are unmarried or nulliparous. Conversations with partners, peers, and family members influence AGYW contraceptive decision-making yet little is known about conversation content and impact or how they vary by relationship status and parity. This paper draws on qualitative data from 60 AGYW (aged 15-24) participating in a sexual and reproductive health study in Malawi to examine contraceptive conversation patterns among participants and their social ties. AGYW's relationship status and parity influenced whether they talked about contraceptives, who they talked to about contraceptives, and the type of contraceptives that were endorsed during conversations. Unmarried and nulliparous AGYW were less likely to discuss contraceptives with all social ties and when conversations occurred, norms and misinformation regarding nonbarrier methods were reinforced, and condoms were largely prescribed. Conversations with intimate partners often provided permission for contraceptive use while conversations with peers and older women in the family provided information on contraceptive methods. Our results highlight the unique roles that social ties play in AGYW contraceptive decision-making and suggest that existing contraceptive conversation patterns might exclude unmarried, nulliparous AGYW from accurate and comprehensive contraceptive information and options.
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Affiliation(s)
- Nivedita L Bhushan
- RTI International, Center for Communication Science, Research Triangle Park, NC, United States
| | | | | | | | | | - Margaret W Gichane
- Department of Obstetrics, Gynecology & Reproductive Sciences, Advancing New Standards in Reproductive Health (ANSIRH), University of California, San Francisco, CA, United States
| | - Suzanne Maman
- Department of Health Behavior, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States
| | - Audrey E Pettifor
- Department of Epidemiology, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States
| | - Nora E Rosenberg
- Department of Health Behavior, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States
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Bauman LJ, Watnick D, Silver EJ, Rivera A, Sclafane JH, Rodgers CRR, Leu CS. Reducing HIV/STI Risk Among Adolescents Aged 12 to 14 Years: a Randomized Controlled Trial of Project Prepared. PREVENTION SCIENCE : THE OFFICIAL JOURNAL OF THE SOCIETY FOR PREVENTION RESEARCH 2021; 22:1023-1035. [PMID: 33606173 PMCID: PMC8541978 DOI: 10.1007/s11121-021-01203-0] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/04/2021] [Indexed: 11/01/2022]
Abstract
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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Affiliation(s)
- Laurie J Bauman
- Preventive Intervention Research Center, Department of Pediatrics, Albert Einstein College of Medicine, 1300 Morris Park Avenue VE6B25, Bronx, NY, 10461, USA.
| | - Dana Watnick
- Department of Pediatrics, Albert Einstein College of Medicine, Bronx, NY, USA
| | | | - Angelic Rivera
- Department of Pediatrics, Albert Einstein College of Medicine, Bronx, NY, USA
| | | | - Caryn R R Rodgers
- Department of Pediatrics, Albert Einstein College of Medicine, Bronx, NY, USA
| | - Cheng-Shiun Leu
- Mailman School of Public Health, Columbia University, New York City, NY, USA
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Doggui R, Adib K, Baldacchino A. Understanding Fatal and Non-Fatal Drug Overdose Risk Factors: Overdose Risk Questionnaire Pilot Study-Validation. Front Pharmacol 2021; 12:693673. [PMID: 34650429 PMCID: PMC8506126 DOI: 10.3389/fphar.2021.693673] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/11/2021] [Accepted: 08/09/2021] [Indexed: 11/13/2022] Open
Abstract
Background: Drug overdoses (fatal and non-fatal) are among the leading causes of death in population with substance use disorders. The aim of the current study was to identify risk factors for fatal and non-fatal drug overdose for predominantly opioid-dependent treatment-seeking population. Methods: Data were collected from 640 adult patients using a self-reported 25-item Overdose Risk (OdRi) questionnaire pertaining to drug use and identified related domains. The exploratory factor analysis (EFA) was primarily used to improve the interpretability of this questionnaire. Two sets of EFA were conducted; in the first set of analysis, all items were included, while in the second set, items related to the experience of overdose were removed. Logistic regression was used for the assessment of latent factors' association with both fatal and non-fatal overdoses. Results: EFA suggested a three-factor solution accounting for 75 and 97% of the variance for items treated in the first and second sets of analysis, respectively. Factor 1 was common for both sets of EFA analysis, containing six items (Cronbach's α = 0.70) focusing around "illicit drug use and lack of treatment." In the first set of analysis, Factors 2 (Cronbach's α = 0.60) and 3 (Cronbach's α = 0.34) were focusing around "mental health and emotional trauma" and "chronic drug use and frequent overdose" domains, respectively. The increase of Factor 2 was found to be a risk factor for fatal drug overdose (adjusted coefficient = 1.94, p = 0.038). In the second set of analysis, Factors 2 (Cronbach's α = 0.65) and 3 (Cronbach's α = 0.59) as well as Factor 1 were found to be risk factors for non-fatal drug overdose ever occurring. Only Factors 1 and 3 were positively associated with non-fatal overdose (one in a past year). Conclusion: The OdRi tool developed here could be helpful for clinical studies for the overdose risk assessment. However, integrating validated tools for mental health can probably help refining the accuracy of latent variables and the questionnaire's consistency. Mental health and life stress appear as important predictors of both fatal and non-fatal overdoses.
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Affiliation(s)
- Radhouene Doggui
- Chronic Disease Prevention Research Laboratory, Centre de Formation Médicale du Nouveau Brunswick, Université de Sherbrooke, Sherbrooke, QC, Canada
| | - Keyrellous Adib
- Faculty of Medicine and Health Sciences, University of Nottingham, Nottingham, United Kingdom
| | - Alex Baldacchino
- Division of Population and Behavioral Science, University of St Andrews School of Medicine, Scotland, United Kingdom
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Koletić G, Landripet I, Tafro A, Jurković L, Milas G, Štulhofer A. Religious faith and sexual risk taking among adolescents and emerging adults: A meta-analytic review. Soc Sci Med 2021; 291:114488. [PMID: 34662764 DOI: 10.1016/j.socscimed.2021.114488] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/24/2021] [Revised: 10/11/2021] [Accepted: 10/12/2021] [Indexed: 10/20/2022]
Abstract
RATIONALE Although there is some evidence that religious faith may offer protection against sexual risk taking in adolescence and emerging adulthood, no attempts have been made to systematically quantify the association. OBJECTIVE Using data from studies conducted in the 2000-2020 period, this meta-analysis aimed to estimate the link between religious faith and four sexual risk-taking behaviors in samples of adolescents and emerging adults. METHODS Five different search systems were used to conduct a systematic literature search in April 2020. Studies that contained quantitative data on religious faith and at least one indicator of sexual risk taking (age at sexual debut, number of sexual partners, condom use at most recent sexual intercourse, and consistent condom use) were searched for. In total, 35 articles published in peer-reviewed journals, in English, were identified. Random-effects meta-analytic approach was used to assess target associations among 41,758 adolescents and emerging adults (Mage = 18.9 years, 37% male). To estimate the effect across the four risk indicators, we employed robust variance estimation (RVE) method. RESULTS We found small associations between religious faith on the one hand and age at sexual debut (r = 0.08, 95% CI = 0.03, 0.12) and the number of sexual partners on the other hand (r = -0.15, 95% CI = -0.21, -0.09). No association with condom use was observed. With all studies included, the overall effect size was 0.11 (95% CI = 0.06, 0.16), indicating a small (protective) role of religious faith in young people's sexual risk taking. CONCLUSIONS Considering the limited role of religious faith in young people's sexual and reproductive health, comprehensive sexuality education remains essential for risk-reduction, even among more religious young people.
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Affiliation(s)
- Goran Koletić
- Faculty of Humanities and Social Sciences, University of Zagreb, Zagreb, Croatia.
| | - Ivan Landripet
- Faculty of Humanities and Social Sciences, University of Zagreb, Zagreb, Croatia
| | - Azra Tafro
- Faculty of Forestry and Wood Technology, University of Zagreb, Zagreb, Croatia
| | - Luka Jurković
- Faculty of Humanities and Social Sciences, University of Zagreb, Zagreb, Croatia
| | - Goran Milas
- Institute of Social Sciences Ivo Pilar, Zagreb, Croatia
| | - Aleksandar Štulhofer
- Faculty of Humanities and Social Sciences, University of Zagreb, Zagreb, Croatia
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Assessing Willingness to Engage in Risky Driving Behaviour Using Naturalistic Driving Footage: The Role of Age and Gender. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph181910227. [PMID: 34639528 PMCID: PMC8508183 DOI: 10.3390/ijerph181910227] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 08/27/2021] [Revised: 09/24/2021] [Accepted: 09/25/2021] [Indexed: 11/17/2022]
Abstract
Young novice drivers are more prone than older drivers to get involved in a risky driving situation. Some young drivers underestimate risk while overestimating their driving abilities, increasing the likelihood of engaging in risky behaviour. Age and inexperience both influence risk estimation, though it is not clear which of these variables is more important. Can drivers’ willingness to engage in risky behaviour be assessed in a similar way to hazard perception skill using video-based risky situations? The aim of the current study was to assess whether a video-based tool could measure the willingness to participate in risky driving situations and whether it can distinguish between different types of risky driving scenarios across gender and driver age groups. We also explored the moderating effect of age and gender on drivers’ experience in relation to the risky manoeuvres and participants’ willingness to engage in risky situations. Participants were presented with naturalistic videos from the perspective of the driver that contained active risky situations (result of driver’s own actions) and were asked to make a decision regarding a potential action (to overtake a bus/bicycle or pass through an amber light) and whether they would accelerate at this point. Participants reported that they were more willing to accelerate and overtake cyclists and buses and less willing to pass a light in amber. Young drivers were more willing to both engage in the risky behaviours and accelerate than older drivers, with young males reporting higher scores than the other groups. Gender differences were observed, with males being more prone to overtake and pass through a light in amber than females; however, this difference was not observed for the intention to accelerate. All the above effects remained when we tested the impact of experience on decision making while controlling for age and gender, although driving experience was no longer significant. These results demonstrate that drivers’ intention to assume risk can indeed be measured in a similar video-based methodology to that used by hazard perception tests. The findings raise the possibility of assessing and training drivers on a wider range of safety-related behaviours.
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Righi MK, Bogen KW, Kuo C, Orchowski LM. A Qualitative Analysis of Beliefs About Sexual Consent Among High School Students. JOURNAL OF INTERPERSONAL VIOLENCE 2021; 36:NP8290-NP8316. [PMID: 30973037 DOI: 10.1177/0886260519842855] [Citation(s) in RCA: 21] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/25/2023]
Abstract
Examining how adolescents understand the concept of sexual consent, and expect to garner or confer consent in sexual encounters, can contribute to the design of age- and developmentally appropriate prevention programs that promote healthy adolescent dating and sexual relationships. The current qualitative study utilized semi-structured in-depth interviews (N = 33) to explore perceptions of sexual consent among high school students (ages 14-18). Thematic analysis identified three salient themes pertaining to (a) the definition of consent as indicating a verbal "yes" to engage in sexual activity, (b) beliefs that an array of verbal and nonverbal strategies would be utilized to garner or convey consent in actual sexual encounters, and (c) expectations that consent would be communicated differently following an initial sexual encounter. Specifically, whereas consent was defined as a verbal provision of affirmative consent, both male and female adolescents believed girls typically conveyed consent nonverbally in sexual encounters. Adolescent girls indicated that they would convey sexual refusal through nonverbal cues, whereas adolescent boys reported they would proceed with sexual activity until they heard the verbal expression of "no." Regardless of gender, participants shared the perception that adolescents who previously engaged in sexual activity can expect that sexual activity will happen again without the need for verbal consent, particularly within established relationships. These findings highlight important discrepancies in adolescents' definition of sexual consent-primarily through verbal consent-and how they behaviorally indicated sexual consent and sexual refusal-primarily through nonverbal actions.
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Ssewanyana D, Abubakar A, Mabrouk A, Kagonya VA, Nasambu C, Dzombo JT, Angwenyi V, Kabue M, Scerif G, Newton CR. The Occurrence of Sexual Risk Behaviors and Its Association With Psychological Well-Being Among Kenyan Adolescents. FRONTIERS IN REPRODUCTIVE HEALTH 2021; 3:659665. [PMID: 36303989 PMCID: PMC9580808 DOI: 10.3389/frph.2021.659665] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/28/2021] [Accepted: 06/18/2021] [Indexed: 12/12/2022] Open
Abstract
Objective: Sexual risk behavior during adolescence is an important public health problem. Self-esteem and hopefulness are potentially important psychological factors that may play a role in the behavioral regulation mechanisms of adolescents. These factors are inadequately explored in sub-Saharan Africa. This study aimed at exploring patterns and associated factors for sexual risk behavior (SRB), self-esteem, and hopefulness among adolescents from a resource-poor setting in Kenya. Method: A cross-sectional study conducted in 2019 among 296 adolescents (12–17 years old) from rural Kilifi (n = 133) and urban informal settings of Nairobi (n = 163) in Kenya. Participants completed the Kilifi Health Risk Behavior Questionnaire, Rosenberg self-esteem questionnaire, and Hope scale administered via computerized tablets. A binary outcome variable based on the experience of adolescents of at least one of the five forms of SRB: transactional sex, sexual violence, intergenerational sex, early sexual debut, and condom non-use was generated. Bi-variate analysis was conducted to summarize various social-demographic and psychosocial factors. A multivariable logistic regression model was fitted to investigate factors associated with the occurrence of SRB, self-esteem, and hopefulness among adolescents. Results: About 13% of the participants had experienced a form of SRB, and among these, 36% reported co-occurrence of multiple forms of SRB. Adolescent SRB was largely characterized by having experienced sexual violence, as well as intergenerational and transactional sex. Higher scores of hopefulness were reported among adolescents who never experienced SRB (P = 0.03) at bivariate analysis level. However, both self-esteem and hopefulness were not significantly associated with the occurrence of SRB in the adjusted logistic regression analysis. Having depressive symptoms (Adj. OR = 3.8, 95% CI: 1.39–10.4), feeling unsafe in the neighborhood (Adj. OR = 3.4, 95% CI: 1.6–7.2), and being in higher compared with lower primary education level (Adj. OR = 0.3, 95% CI: 0.1–0.8) were statistically significantly associated with the occurrence of SRB. Conclusion: Targeted reproductive health interventions, designed with the cognizance of structural and social drivers of adolescent SRB, are needed to concurrently tackle multiple forms of SRB. It is important to integrate mental health promotion within these interventions. More research is needed to understand the mechanisms and implications of self-esteem and hopefulness for adolescent sexual and reproductive health.
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Affiliation(s)
- Derrick Ssewanyana
- Neuroassement Group, Kenya Medical Research Institute (KEMRI)/Wellcome Trust Research Programme, Centre for Geographic Medicine Research, Kilifi, Kenya
- Alliance for Human Development, Lunenfeld-Tanenbaum Research Institute, Toronto, ON, Canada
- Derrick Ssewanyana
| | - Amina Abubakar
- Neuroassement Group, Kenya Medical Research Institute (KEMRI)/Wellcome Trust Research Programme, Centre for Geographic Medicine Research, Kilifi, Kenya
- Department of Public Health, Pwani University, Kilifi, Kenya
- Institute for Human Development, Aga Khan University, Nairobi, Kenya
- *Correspondence: Amina Abubakar
| | - Adam Mabrouk
- Neuroassement Group, Kenya Medical Research Institute (KEMRI)/Wellcome Trust Research Programme, Centre for Geographic Medicine Research, Kilifi, Kenya
- Institute for Human Development, Aga Khan University, Nairobi, Kenya
| | - Vincent A. Kagonya
- Neuroassement Group, Kenya Medical Research Institute (KEMRI)/Wellcome Trust Research Programme, Centre for Geographic Medicine Research, Kilifi, Kenya
| | - Carophine Nasambu
- Neuroassement Group, Kenya Medical Research Institute (KEMRI)/Wellcome Trust Research Programme, Centre for Geographic Medicine Research, Kilifi, Kenya
| | - Judith Tumaini Dzombo
- Neuroassement Group, Kenya Medical Research Institute (KEMRI)/Wellcome Trust Research Programme, Centre for Geographic Medicine Research, Kilifi, Kenya
| | - Vibian Angwenyi
- Institute for Human Development, Aga Khan University, Nairobi, Kenya
| | - Margaret Kabue
- Institute for Human Development, Aga Khan University, Nairobi, Kenya
| | - Gaia Scerif
- Department of Experimental Psychology, University of Oxford, Oxford, United Kingdom
| | - Charles R. Newton
- Neuroassement Group, Kenya Medical Research Institute (KEMRI)/Wellcome Trust Research Programme, Centre for Geographic Medicine Research, Kilifi, Kenya
- Department of Public Health, Pwani University, Kilifi, Kenya
- Institute for Human Development, Aga Khan University, Nairobi, Kenya
- Department of Psychiatry, University of Oxford, Oxford, United Kingdom
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Watkins AM, Carson DC. Gang membership, gender, and sexual behavior in and outside a romantic relationship. SOCIOLOGICAL SPECTRUM : THE OFFICIAL JOURNAL OF THE MID-SOUTH SOCIOLOGICAL ASSOCIATION 2021; 41:387-406. [PMID: 34531629 PMCID: PMC8439159 DOI: 10.1080/02732173.2021.1936715] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/13/2023]
Abstract
Prior research consistently finds that gang youth, compared to nongang youth, are more involved in risky behaviors such as violence and drug sales. Less attention has been given to comparisons in sexual behavior. While research demonstrates that gang membership is associated with risky sex and many gang members indicate that sex is a motivation for joining a gang, prior research is limited in its ability to account for self-selection into a gang, variations in involvement across gender, and different forms of sexual activity. This research addresses these limitations by using Add Health data and propensity score matching to examine the relationship between gang membership and sexual behavior inside and out of a romantic relationship as well as how this relationship differs by gender. While findings indicate that gang membership increases the likelihood of sexual intercourse, nonromantic sex, and the number of nonromantic sex partners, no unique gender differences were identified.
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Affiliation(s)
- Adam M. Watkins
- Criminal Justice Program, Bowling Green State University, Bowling Green, United States
| | - Dena C. Carson
- Paul H. O’Neill School of Public and Environmental Affairs, Indiana University Purdue University Indianapolis, Indianapolis, United States
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Santa Maria D, Lightfoot M, Nyamathi A, Businelle M, Paul M, Quadri Y, Padhye N, Jones J, Calvo Armijo M. A Nurse Case Management HIV Prevention Intervention (Come As You Are) for Youth Experiencing Homelessness: Protocol for a Randomized Wait-list Controlled Trial. JMIR Res Protoc 2021; 10:e26716. [PMID: 34018967 PMCID: PMC8178739 DOI: 10.2196/26716] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/22/2020] [Revised: 01/29/2021] [Accepted: 04/08/2021] [Indexed: 11/25/2022] Open
Abstract
Background Youth experiencing homelessness are more likely than housed youth to experience premature death, suicide, drug overdose, pregnancy, substance use, and mental illness. Yet while youth experiencing homelessness are 6 to 12 times more likely to become infected with HIV than housed youth, with HIV prevalence as high as 16%, many do not access the prevention services they need. Despite adversities, youth experiencing homelessness are interested in health promotion programs, can be recruited and retained in interventions and research studies, and demonstrate improved outcomes when programs are tailored and relevant to them. Objective The study aims to compare the efficacy of a nurse case management HIV prevention and care intervention, titled Come As You Are, with that of usual care among youth experiencing homelessness aged 16 to 25 years. Methods The study is designed as a 2-armed randomized wait-list controlled trial. Participants (n=450) will be recruited and followed up for 9 months after the intervention for a total study period of 12 months. Come As You Are combines nurse case management with a smartphone-based daily ecological momentary assessment to develop participant-driven HIV prevention behavioral goals that can be monitored in real-time. Youth in the city of Houston, Texas will be recruited from drop-in centers, shelters, street outreach programs, youth-serving organizations, and clinics. Results Institutional review board approval (Committee for the Protection of Human Subjects, University of Texas Health Science Center at Houston) was obtained in November 2018. The first participant was enrolled in November 2019. Data collection is ongoing. To date, 123 participants have consented to participate in the study, 89 have been enrolled, and 15 have completed their final follow-up. Conclusions There is a paucity of HIV prevention research regarding youth experiencing homelessness. Novel and scalable interventions that address the full continuum of behavioral and biomedical HIV prevention are needed. This study will determine whether a personalized and mobile HIV prevention approach can reduce HIV risk among a hard-to-reach, transient population of youth at high risk. International Registered Report Identifier (IRRID) DERR1-10.2196/26716
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Affiliation(s)
- Diane Santa Maria
- Cizik School of Nursing, University of Texas Health Science Center at Houston, Houston, TX, United States
| | - Marguerita Lightfoot
- Center for AIDS Prevention Studies and UCSF Prevention Research Center, University of California San Francisco, San Francisco, CA, United States
| | - Adey Nyamathi
- Sue & Bill Gross School of Nursing, University of California Irvine, Irvine, CA, United States
| | - Michael Businelle
- TSET Health Promotion Research Center, University of Oklahoma Health Sciences Center, Oklahoma City, OK, United States
| | - Mary Paul
- Baylor College of Medicine, Houston, TX, United States
| | - Yasmeen Quadri
- Department of Family and Community Medicine, Baylor College of Medicine, Houston, TX, United States
| | - Nikhil Padhye
- Cizik School of Nursing, University of Texas Health Science Center at Houston, Houston, TX, United States
| | - Jennifer Jones
- Cizik School of Nursing, University of Texas Health Science Center at Houston, Houston, TX, United States
| | - Margarita Calvo Armijo
- Cizik School of Nursing, University of Texas Health Science Center at Houston, Houston, TX, United States
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36
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Bhushan NL, Fisher EB, Maman S, Speizer IS, Gottfredson NC, Phanga T, Vansia D, Pettifor AE, Rosenberg NE. Communication, social norms, and contraceptive use among adolescent girls and young women in Lilongwe, Malawi. Women Health 2021; 61:440-451. [PMID: 33941050 PMCID: PMC8182971 DOI: 10.1080/03630242.2021.1917479] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/31/2019] [Revised: 03/05/2021] [Accepted: 04/09/2021] [Indexed: 01/09/2023]
Abstract
In Malawi, 50% of adolescent girls and young women (AGYW) have had a first child by age 19 and 45% report their pregnancies as unintended or mistimed. Yet, uptake of contraception remains low. Understanding how interactions with social ties impact AGYW contraceptive use might explain low uptake beyond individual and environmental factors. Data are from Girl-Power, a study among sexually active AGYW, aged 15-24, in Malawi. We used logistic regression models to examine whether contraceptive communication and social norms (descriptive and injunctive) were associated with contraceptive use (non-barrier methods and condoms) and how associations differed across social ties (older women in the family, peers, and partners). The sample included 942 participants: 28% reported using non-barrier methods and 66% reported using condoms. Contraceptive communication with older women in the family (aOR: 1.48, 95% CI: 0.99, 2.20), peers (aOR: 3.12, 95% CI: 1.96, 4.96), and partners (aOR 5.15, 95% CI: 3.13, 8.48) was associated with non-barrier method use. Descriptive norms were associated with non-barrier methods among peers (aOR 2.57, 95% CI: 1.63, 4.96) but not among older women in the family (aOR: 1.22, 95% CI 0.80, 1.88). There were no associations among contraceptive communication, social norms, and condom use across older women in the family, peers, and partners. The findings highlight the need to consider the influence of social ties in the design of future family planning interventions and suggest that interventions that encourage interpersonal communication about contraception and target peer-based descriptive norms have the potential to impact uptake of non-barrier methods.
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Affiliation(s)
- Nivedita L Bhushan
- University of North Carolina Project, Lilongwe, Malawi
- Department of Epidemiology, University of North Carolina, Chapel Hill, USA
| | - Edwin B Fisher
- Department of Health Behavior, University of North Carolina, Chapel Hill, USA
| | - Suzanne Maman
- Department of Health Behavior, University of North Carolina, Chapel Hill, USA
| | - Ilene S Speizer
- Department of Maternal Child Health, University of North Carolina, Chapel Hill, USA
| | - Nisha C Gottfredson
- Department of Health Behavior, University of North Carolina, Chapel Hill, USA
| | | | | | - Audrey E Pettifor
- Department of Epidemiology, University of North Carolina, Chapel Hill, USA
| | - Nora E Rosenberg
- University of North Carolina Project, Lilongwe, Malawi
- Department of Health Behavior, University of North Carolina, Chapel Hill, USA
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Aljuboori D, Seneviratne-Eglin E, Swiergala E, Guerra C. Associations between Family Support and Online Sexual Abuse in Chilean Adolescents: The Mediational Role of Online Risk Behaviors. JOURNAL OF CHILD SEXUAL ABUSE 2021; 30:192-206. [PMID: 33501894 DOI: 10.1080/10538712.2021.1875280] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/28/2020] [Revised: 12/22/2020] [Accepted: 12/22/2020] [Indexed: 06/12/2023]
Abstract
This study evaluated the association between perceived family support, online risk behaviors, and online sexual abuse. This is a cross-sectional, quantitative study. The participants were 380 Chilean students aged 15 to 17 (M =16.12, SD = 0.59, 49.7% female, 50.3% male) who answered self-report instruments. Females experienced more online sexual abuse; however, males engaged in more online risk behaviors. The results of the regression analysis suggested that online risk behaviors was a predictor for online sexual abuse in both males and females. However, high perceived family support was only a protective factor against online risk behaviors and online sexual abuse for females. In addition, online risk behaviors was found to partially mediate the relationship between perceived family support and online sexual abuse for females only. The results of this study highlight the importance of online risk behaviors in the process of online sexual abuse. Also, the results highlighted the importance of family support as a protective factor against online sexual abuse and online risk behaviors mainly in females. For that reason, we think it is necessary to consider the gender variables in the prevention and intervention programs to face the risk of the internet during the adolescence.
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Arruda EPT, Brito LGO, Prandini TR, Lerri MR, Reis RMD, Barcelos TMR, Lara LAS. Sexual Practices During Adolescence. REVISTA BRASILEIRA DE GINECOLOGIA E OBSTETRICIA : REVISTA DA FEDERACAO BRASILEIRA DAS SOCIEDADES DE GINECOLOGIA E OBSTETRICIA 2020; 42:731-738. [PMID: 33254268 PMCID: PMC10309252 DOI: 10.1055/s-0040-1713411] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Abstract
Adolescence is characterized by significant biological and psychological changes. During this time, the increased production of androgens leads to increased sexual behavior, and this may contribute to early initiation of sexual activity. The objectives of the present cross-sectional study of adolescents enrolled in state schools in the city of Ribeirão Preto, state of São Paulo, Brazil, were to determine the average age at the first sexual intercourse (sexarche), the average number of sexual partners, and the frequency of contraceptive and condom use. Information on the age at sexarche, number of sexual partners, use of different contraceptive methods, and use of condoms were obtained using a semistructured questionnaire. Quantitative variables are expressed as means and standard deviations (SDs), and qualitative variables as absolute and relative frequencies. The chi-squared test was used for comparisons of qualitative variables, and the Student t-test for comparisons of continuous variables. All statistical analyses were performed using SAS (version 9.4, North Carolina State University, USA). We evaluated 202 students who answered the questionnaire, 69 males (36.36%) and 133 females (63.64%). The age at sexarche for men ranged from 7 to 18 years old, and for women from 7 to 17 years old. Forty-eight girls (36.01%) and 21 boys (30.43%) were in the first year of high school, 66.94% of adolescents reported sexual intercourse, and 56.25% used a condom during the first sexual intercourse. A total of 36.72% of students said they had safe sex most of the time, and 83.59% said that the first sexual intercourse happened because they "had a crush on" the other person.
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Affiliation(s)
| | | | - Tatiana Rocha Prandini
- Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP, Brazil
| | - Maria Rita Lerri
- Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP, Brazil
| | - Rosana Maria Dos Reis
- Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP, Brazil
| | | | - Lúcia Alves Silva Lara
- Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP, Brazil
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D'Anna LH, Chang K, Wood J, Washington TA. Marijuana Use and Sexual Risk Behavior Among Young Black Men Who Have Sex with Men in California. J Racial Ethn Health Disparities 2020; 8:1522-1532. [PMID: 33197039 DOI: 10.1007/s40615-020-00915-3] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/02/2020] [Revised: 08/21/2020] [Accepted: 10/27/2020] [Indexed: 12/01/2022]
Abstract
Young black men who have sex with men (YBMSM) are disproportionately affected by HIV and continue to experience higher rates of new HIV infections when compared to other population groups. As part of the Peer Promotion of Wellness and Enhanced Linkage to Resources Project, we examined problem marijuana use and the overall sexual risk profile of 250 YBMSM. Eighty percent reported prior use of marijuana in their lifetime (n = 200). Among those, problem marijuana use was correlated with problem use of alcohol (r = 0.51, p < 0.001) and other drugs (r = 0.29, p < 0.001); lower household income (r = - .22, p < .01); homelessness (r = 0.15, p < 0.05); incarceration (r = 0.16, p < 0.05); exchanging sex for money, drugs, or shelter (r = 0.18, p < 0.05); having sex with someone known or suspected of having HIV and/or an STI (r = 0.20, p < 0.01); having sex with someone known or suspected of being an injector (r = 0.24, p < 0.01); and having unprotected sex while under the influence of alcohol or drugs (r = 0.32, p < 0.001). The complex relationship between marijuana and sexual risk behavior was examined while accounting for the possible moderating effects of alcohol or other drugs. Problem marijuana, alcohol, and other drug use each made unique contributions to predicting risky sex behavior. A significant marijuana and other drug interaction was found to predict sexual risk behaviors. Future efforts should include holistic intervention approaches for YBMSM that consider factors facilitating high-risk sexual behaviors.
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Affiliation(s)
- Laura Hoyt D'Anna
- Center for Health Equity Research, California State University, Long Beach, 1250 Bellflower Blvd., FO5-120, Long Beach, CA, 90840, USA.
| | - Kyle Chang
- Center for Health Equity Research, California State University, Long Beach, 1250 Bellflower Blvd., FO5-120, Long Beach, CA, 90840, USA
| | - Jefferson Wood
- Center for Health Equity Research, California State University, Long Beach, 1250 Bellflower Blvd., FO5-120, Long Beach, CA, 90840, USA
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Cork C, White R, Noel P, Bergin N. Randomized Controlled Trials of Interventions Addressing Intimate Partner Violence in Sub-Saharan Africa: A Systematic Review. TRAUMA, VIOLENCE & ABUSE 2020; 21:643-659. [PMID: 29962286 PMCID: PMC7197024 DOI: 10.1177/1524838018784585] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Abstract
BACKGROUND Intimate partner violence (IPV) perpetrated by males is the most prevalent form of violence against women across the globe. A systematic review was carried out to identify published randomized controlled trials of interventions aiming to prevent or reduce IPV in Sub-Saharan Africa. Details were sought on the interventions, outcomes, and risk of bias in evaluations. METHODS Articles were identified by searching MEDLINE, Embase, Web of Science, and PsycInfo. The search included terms pertaining to IPV, the research design, and the target geographical region. To be included, studies needed to have assessed the impact of an intervention on reported incidence, prevalence of IPV, or measures of related attitudes and behaviors. Fifteen papers were included in the final review. Risk of bias was evaluated using the Cochrane Library "Risk of Bias" tool. RESULTS Findings suggest that interventions have the potential to reduce IPV-related behaviors and attitudes. Certain types of IPV were more amenable to change than others. Higher levels of efficacy were identified in interventions that had longer follow-up, addressed IPV as a main aim, and occurred at the community level or multiple levels of the social ecology. CONCLUSIONS Findings should be interpreted in light of varying risks of bias. Suggestions are made for future research and practice.
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Affiliation(s)
- Cliodhna Cork
- Institute of Health and Wellbeing, University of Glasgow, Glasgow, Scotland
| | - Ross White
- Institute of Health and Wellbeing, University of Glasgow, Glasgow, Scotland
- Institute of Psychology, Health and Society, University of Liverpool, Liverpool, United Kingdom
| | - Pia Noel
- Institute of Health and Wellbeing, University of Glasgow, Glasgow, Scotland
- School of Social and Political Sciences, University of Edinburgh, Edinburgh, Scotland
| | - Niamh Bergin
- Institute of Health and Wellbeing, University of Glasgow, Glasgow, Scotland
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Gazendam N, Cleverley K, King N, Pickett W, Phillips SP. Individual and social determinants of early sexual activity: A study of gender-based differences using the 2018 Canadian Health Behaviour in School-aged Children Study (HBSC). PLoS One 2020; 15:e0238515. [PMID: 32881922 PMCID: PMC7470420 DOI: 10.1371/journal.pone.0238515] [Citation(s) in RCA: 18] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/05/2020] [Accepted: 08/18/2020] [Indexed: 11/24/2022] Open
Abstract
Introduction Early sexual activity, often defined as initiation before the age of 16, is a risk behaviour associated with negative health outcomes in adulthood. The objective of this study was to explore links between early sexual activity and individual and contextual characteristics in Canadian youth, and whether these differ for girls and boys. Methods Data were from the 2018 Canadian Health Behaviour in School-aged Children (HBSC) survey administered in classrooms across Canada to students in grades 6 to 10 (ages 11 to 16). The sample includes the 7882 students in grades 9 and 10 who were asked about sexual activity. Individual and contextual measures used included emotional well-being, socioeconomic status, participation in team sports, body image, social media use, family structure, and family support. Descriptive data overall and separately for girls and boys are presented, followed by Poisson regression models to estimate relative risks and associated 95% confidence intervals for strength of associations between characteristics and early sexual activity. Models were adjusted for clustering by school using generalised estimating equations. Results Overall, contextual factors i.e. disrupted family structure or low family support were the characteristics most strongly associated with early sexual activity. Among boys there was an incremental and strong relationship between hours spent in organised sport and early sexual activity. Among girls, poorer body image, lower socioeconomic status, and higher social media use aligned most strongly with early sexual activity. Conclusion Persistent gender stereotypes appear to underlie differences in individual and contextual factors associated with adolescents’ sexual behaviour. Findings from this exploratory analysis may be of benefit to subsequent researchers, policy makers and those who care for youth.
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Affiliation(s)
- Naomi Gazendam
- Department of Family Medicine, Queen's University, Kingston, Ontario, Canada
| | - Kathryn Cleverley
- Department of Family Medicine, Queen's University, Kingston, Ontario, Canada
| | - Nathan King
- Public Health Sciences, Queen's University, Kingston, Ontario, Canada
| | - William Pickett
- Public Health Sciences, Queen's University, Kingston, Ontario, Canada
| | - Susan P. Phillips
- Department of Family Medicine, Queen's University, Kingston, Ontario, Canada
- Public Health Sciences, Queen's University, Kingston, Ontario, Canada
- * E-mail:
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42
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Banks DE, Hensel DJ, Zapolski TCB. Integrating Individual and Contextual Factors to Explain Disparities in HIV/STI Among Heterosexual African American Youth: A Contemporary Literature Review and Social Ecological Model. ARCHIVES OF SEXUAL BEHAVIOR 2020; 49:1939-1964. [PMID: 32157486 PMCID: PMC7321914 DOI: 10.1007/s10508-019-01609-6] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/08/2018] [Revised: 12/03/2019] [Accepted: 12/10/2019] [Indexed: 05/21/2023]
Abstract
Heterosexual African American youth face substantial disparities in sexual health consequences such as HIV and STI. Based on the social ecological framework, the current paper provides a comprehensive, narrative review of the past 14 years of literature examining HIV/STI risk, including risky sexual behavior, among heterosexual African American youth and a conceptual model of risk among this population. The review found that individual psychological and biological factors are insufficient to explain the sexual health disparities faced by this group; instead, structural disadvantage, interpersonal risk, and community dysfunction contribute to the disparity in HIV/STI outcomes directly and indirectly through individual psychological factors. The conceptual model presented suggests that for African American youth, (1) HIV/STI risk commonly begins at the structural level and trickles down to the community, social, and individual levels, (2) risk works in a positive feedback system such that downstream effects compound the influence of structural risks, and (3) contextual and individual risk factors must be considered within the advanced stage of the epidemic facing this population. Despite advanced HIV and STI epidemics among heterosexual African American youth, multisystemic interventions that target structural risk factors and their downstream effects are posited to reduce the disparity among this high-risk population.
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Affiliation(s)
- Devin E Banks
- Department of Psychology, Indiana University Purdue University-Indianapolis, 402 N. Blackford St., LD 124, Indianapolis, IN, 46202, USA.
| | - Devon J Hensel
- Department of Pediatrics, Indiana University School of Medicine, Indianapolis, IN, USA
| | - Tamika C B Zapolski
- Department of Psychology, Indiana University Purdue University-Indianapolis, 402 N. Blackford St., LD 124, Indianapolis, IN, 46202, USA
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Wong WCW, Choi EPH, Holroyd E, Ip P, Fan S, Yip PSF. Impact of household composition and satisfaction with family life on self-reported sexual health outcomes of high-school students in Hong Kong. BMJ SEXUAL & REPRODUCTIVE HEALTH 2020; 46:184-191. [PMID: 31754063 DOI: 10.1136/bmjsrh-2019-200372] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/16/2019] [Revised: 10/31/2019] [Accepted: 11/08/2019] [Indexed: 06/10/2023]
Abstract
BACKGROUND The study aimed to examine the impact of household composition and satisfaction with family life on sexual behaviours among high school male and female students (aged 11-22 years) in Hong Kong. METHOD High schools were randomly selected, and the final sample comprised 25 schools. Students were divided into two groups ('living with both biological parents' vs 'not living with both biological parents'). Students were asked to rate their satisfaction with family life on a five-point Likert scale in a self-administered questionnaire. Dependent variables were sexual experience, sexual harassment, sexting and nude chats. Multiple logistic regression was used to analyse the results. RESULTS 3907 students were included in the analysis. 202 students (5.2%) were sexually active. 505 students had ever (13.0%) sexually harassed others and 303 students (7.8%) had ever been sexually harassed by others. 58 students (1.5%) had ever had nude chats. 1005 students (25.8%) had sexted in the last 12 months. Students who lived with both biological parents were less like to be sexually active, to sext and to have nude chats than those who did not. Students who had higher family life satisfaction were less likely to be sexually active, to sexually harass others, to be sexually harassed by others, to sext and to have nude chats than students who had lower satisfaction with their family life. CONCLUSIONS Sexual health programmes and interventions should consider family functioning. Students who have low family satisfaction and those who do not live with both their biological parents should be targeted for sexual health interventions.
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Affiliation(s)
- William Chi Wai Wong
- Department of Family Medicine and Primary Care, University of Hong Kong, Hong Kong, Hong Kong
| | - Edmond P H Choi
- School of Nursing, University of Hong Kong, Hong Kong, Hong Kong
| | - Eleanor Holroyd
- School of Clinical Sciences, Faculty of Health and Environmental Sciences, Auckland University of Technology, Auckland, New Zealand
| | - Patrick Ip
- Department of Paediatrics and Adolescent Medicine, University of Hong Kong, Hong Kong, Hong Kong
| | - Susan Fan
- The Family Planning Association of Hong Kong, Hong Kong, Hong Kong
| | - Paul S F Yip
- Department of Social Work and Social Administration, University of Hong Kong, Hong Kong, Hong Kong
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Inthavong K, Ha LTH, Anh LTK, Sychareun V. Knowledge of safe sex and sexually transmitted infections among high school students, Vientiane Prefecture, Lao PDR. Glob Health Action 2020; 13:1785159. [PMID: 32741352 PMCID: PMC7480502 DOI: 10.1080/16549716.2020.1785159] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/23/2020] [Accepted: 05/29/2020] [Indexed: 11/21/2022] Open
Abstract
BACKGROUND Adolescent knowledge of safe sex and sexually transmitted infections (STIs) can reduce the risk of STIs as well as unplanned pregnancies. OBJECTIVE To describe the knowledge of safe sex and STIs and to identify related factors among high school students in Vientiane Prefecture, Lao PDR. METHOD This was an analytical cross-sectional study conducted at one high school from January to February 2019. A self-administered questionnaire was used to collect information from respondents. The questionnaires were completed by 337 respondents who were selected by stratified random sampling. The data collected were entered into and analysed using EpiData and Stata 13.0 software. Descriptive and inferential statistics were applied to determine the factors associated with knowledge of safe sex and STIs. RESULTS The results showed that nearly half of the participants (49.5%) had a good knowledge of safe sex and 51.9% of the respondents had a good knowledge of STIs. Significant positive associations were shown between knowledge of safe sex by students living with other people, those who had studied family planning and had religious beliefs reflecting acceptance to using birth control. Other factors positively associated with knowledge of STIs were students being in Grade 10, and who had studied STIs including HIV/AIDS. CONCLUSION In this study, approximately half of the participants were aware of safe sex and had knowledge of STIs. There is a need to have comprehensive sexual education, particularly emphasising family planning, STIs, and HIV/AIDS for all grades in school.
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Affiliation(s)
- Khonesavanh Inthavong
- Faculty of Public Health, University of Health Sciences, Vientiane, Lao PDR
- Hanoi University of Public Health, Vietnam
| | - Le Thi Hai Ha
- Faculty of Social Sciences, Behavior and Health Education, Ministry of Education and Training, Ministry of Health, Hanoi University of Public Health, Vietnam
| | - Le Thi Kim Anh
- Faculty of Fundamental Sciences, Department of Biostatistics, Ministry of Health, Hanoi University of Public Health, Vietnam
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Exposure to sexually explicit media in early adolescence is related to risky sexual behavior in emerging adulthood. PLoS One 2020; 15:e0230242. [PMID: 32275669 PMCID: PMC7147756 DOI: 10.1371/journal.pone.0230242] [Citation(s) in RCA: 27] [Impact Index Per Article: 6.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/24/2019] [Accepted: 02/26/2020] [Indexed: 11/19/2022] Open
Abstract
Background Sexually explicit media exposure during early adolescence has been found to be associated with risky sexual behavior. However, previous study suffered from methodological issue, such as selection bias. Furthermore, little is known about the effect of multi-modality sexually explicit media exposure on risky sexual behavior, and how this relationship can be applied to non-western societies. Objectives This study aimed to improve upon previous studies by using instrumental variable estimation. In addition, this study also included multi-modality of sexually explicit media and three risky sexual behavior measure from a sample of Taiwanese adolescents. Methods Participants were recruited from a prospective longitudinal study (Taiwan Youth Project). All were in 7th grade (mean age = 13.3) when the study was initiated in 2000. Sexually explicit media exposure, including ever-exposure and number of modalities exposed to, was measured in wave 2 (8th grade). Risky sexual behavior was measured in waves 8 (mean age = 20.3) and 10 (mean age = 24.3). A two-stage least squares regression was employed, with pubertal timing as the instrumental variable. Results About 50% of participants had been exposed to sexual media content by 8th grade, from an average of one modality. Sexually explicit media exposure predicted early sexual debut, unsafe sex, and multiple sexual partners (all: p < .05). Furthermore, exposure to more media modalities increased the likelihood of risky sexual behaviors. However, only the effect on early sexual debut was gender invariant. Conclusions Exposure to sexually explicit media in early adolescence had a substantive relationship with risky sexual behavior in the emerging adulthood. Knowledge of this causal like effect provides a basis for building better preventive programs in early adolescence. One prominent way is early education on media literacy, and physicians themselves may need to be familiar with such content to initiate it.
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Martins SL, Hellerstedt WL, Bowman SB, Brady SS, Mason SM. International Travel as a Context for Sexual and Contraceptive Behaviors: A Qualitative Study of Young Women Traveling Outside the U.S. ARCHIVES OF SEXUAL BEHAVIOR 2020; 49:1039-1052. [PMID: 31243616 DOI: 10.1007/s10508-019-1400-2] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/21/2018] [Revised: 01/09/2019] [Accepted: 01/14/2019] [Indexed: 06/09/2023]
Abstract
International travel is popular worldwide, yet its implications for sexual and reproductive health are not fully understood. Few studies have examined the contextual factors that shape women's sexual and contraceptive behaviors-and thus, their risk of unintended pregnancy and sexually transmitted infections (STIs)-while traveling outside their home country. In this qualitative study, female university students with recent (n = 25) or upcoming (n = 19) travel outside the U.S. completed semi-structured interviews from October 2015 to March 2017. Transcripts were analyzed for themes related to contraceptive and sexual behaviors: (1) participants' pre-travel expectations of sex; (2) the circumstances surrounding sexual encounters with men while traveling; (3) negotiation about condom and contraception use with partners; and (4) factors affecting contraceptive adherence. Participants generally expected to be abstinent during travel, citing myriad rationales that included personal values, no perceived opportunities for sex, and the nature of the trip. Some travelers had unexpected sexual encounters, involving health-protecting behaviors and risk-taking (e.g., unprotected sex, substance use). New sexual partnerships were fueled by increased attention from men, situational disinhibition, and perceived heightened intimacy. International travel brought many contraceptive considerations (adequacy of supplies, access to refrigeration, time zone differences, etc.) as well as obstacles that triggered contraceptive lapses and discontinuation. Pill users described the most challenges, while travelers using intrauterine devices expressed appreciation for their maintenance-free contraception. This study suggests complex associations between international travel and young women's sexual and reproductive health. Some travelers were more vulnerable to situational risk factors, while others may have been more insulated. We identify potential intervention opportunities via clinical services, education, and policy to reduce young women's risk of adverse sexual and reproductive health outcomes while traveling abroad. We urge greater recognition of and conversations about contraceptive lapse and unintended pregnancy as potential health risks for female travelers of reproductive age, just as clinical guidelines acknowledge travel-associated STI.
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Affiliation(s)
- Summer L Martins
- Division of Epidemiology and Community Health, University of Minnesota School of Public Health, 1301 2nd Street S., Suite 300, Minneapolis, MN, 55455, USA.
| | - Wendy L Hellerstedt
- Division of Epidemiology and Community Health, University of Minnesota School of Public Health, 1301 2nd Street S., Suite 300, Minneapolis, MN, 55455, USA
| | - Sara B Bowman
- Division of Epidemiology and Community Health, University of Minnesota School of Public Health, 1301 2nd Street S., Suite 300, Minneapolis, MN, 55455, USA
| | - Sonya S Brady
- Division of Epidemiology and Community Health, University of Minnesota School of Public Health, 1301 2nd Street S., Suite 300, Minneapolis, MN, 55455, USA
| | - Susan M Mason
- Division of Epidemiology and Community Health, University of Minnesota School of Public Health, 1301 2nd Street S., Suite 300, Minneapolis, MN, 55455, USA
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Verbeek M, van de Bongardt D, Reitz E, Deković M. A Warm Nest or 'The Talk'? Exploring and Explaining Relations Between General and Sexuality-Specific Parenting and Adolescent Sexual Emotions. J Adolesc Health 2020; 66:210-216. [PMID: 31704106 DOI: 10.1016/j.jadohealth.2019.08.015] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/08/2019] [Revised: 07/24/2019] [Accepted: 08/01/2019] [Indexed: 11/25/2022]
Abstract
PURPOSE The aim of the study was to explore and explain two hypothesized indirect longitudinal pathways and investigate gender differences in linking parenting factors to adolescents' sexual emotions. The general pathway expected higher parent-adolescent relationship quality to be related to more positive and less negative sexual emotions through higher adolescent global self-esteem. The sexuality-specific pathway expected more frequent parent-adolescent sexual communication to be related to more positive and less negative sexual emotions through higher adolescent sexual autonomy. METHODS Online questionnaire data were used from three waves of Project STARS, a longitudinal study on adolescent sexual development. The analysis sample included 248 sexually experienced adolescents (M = 14.74 years at baseline). Adolescents reported on the quality of their parent-adolescent relationship, how often they discussed sexual topics with their parents, their global self-esteem, sexual autonomy, and experience of positive (happy, proud, and loved) and negative (dirty, ashamed, and guilty) emotions after having sex. RESULTS Overall, adolescents experienced more positive than negative emotions after sex. Mplus path model results indicated that, first, higher parent-adolescent relationship quality was related to higher adolescent global self-esteem, but global self-esteem was not related to sexual emotions. Second, more frequent parent-adolescent sexual communication was related to more adolescent sexual autonomy, and more sexual autonomy was related to more positive and less negative sexual emotions. However, no significant indirect effects, nor gender differences were found. CONCLUSIONS Adolescents' sexual autonomy appears to play a particularly important role in how they experience having sex. Concrete suggestions for how the development of adolescents' sexual autonomy may be supported are discussed.
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Affiliation(s)
- Mirthe Verbeek
- Department of Clinical Child and Family Studies, Utrecht University, Utrecht, the Netherlands
| | - Daphne van de Bongardt
- Department of Psychology, Education and Child Studies, Erasmus University Rotterdam, Rotterdam, the Netherlands.
| | - Ellen Reitz
- Department of Clinical Child and Family Studies, Utrecht University, Utrecht, the Netherlands
| | - Maja Deković
- Department of Clinical Child and Family Studies, Utrecht University, Utrecht, the Netherlands
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Knowles A, Rinehart JK, Steinberg L, Frick PJ, Cauffman E. Risky Sexual Behavior among Arrested Adolescent Males: The Role of Future Expectations and Impulse Control. JOURNAL OF RESEARCH ON ADOLESCENCE : THE OFFICIAL JOURNAL OF THE SOCIETY FOR RESEARCH ON ADOLESCENCE 2020; 30 Suppl 2:562-579. [PMID: 30983069 DOI: 10.1111/jora.12499] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Abstract
The current study evaluates two predictors of adolescent sexual risk-taking, specifically whether impulse control or future expectations predict condom use and casual sex. We examine whether risky sex occurs among youth who tend to act without thinking about the future, or instead, youth who report low future expectations. We consider these relations longitudinally among a sample of sexually active justice-involved adolescent males (N = 752, M age = 15.58) a group at heightened risk for sexual risk-taking. We found that optimistic expectations for the future predict a higher likelihood of engaging in consistent condom use, whereas high impulse control is related to a lower likelihood of casual sex. Implications for intervention and research on positive sexual health are discussed.
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Affiliation(s)
| | | | | | - Paul J Frick
- Louisiana State University System
- Australian Catholic University
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Santa Maria D, Daundasekara SS, Hernandez DC, Zhang W, Narendorf SC. Sexual risk classes among youth experiencing homelessness: Relation to childhood adversities, current mental symptoms, substance use, and HIV testing. PLoS One 2020; 15:e0227331. [PMID: 31899781 PMCID: PMC6941897 DOI: 10.1371/journal.pone.0227331] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/15/2018] [Accepted: 12/17/2019] [Indexed: 12/26/2022] Open
Abstract
The aim of this study was to determine whether there are meaningful subgroups with different types of sexual risk behaviors among youth experiencing homelessness and examine the associations between potential classes and other risk variables. A latent class analysis was used to identify classes of youth according to sexual risk behaviors and sexual assault. A two-class solution was found to be the best fit for the data-Lower and Higher Risk groups. The Higher Risk class had significantly higher levels of synthetic marijuana and alcohol use, mental health diagnoses, and were more likely to have been tested for HIV than the Lower Risk group. Youth were more likely to be in the Higher Risk group if they were cisgender female or lesbian, gay, bisexual, or questioning (LGBQ). Nearly all youth (10/11) who reported having HIV infection were in the Higher Risk group. The Lower Risk group were sexually active but had lower rates of risk behaviors and sexual assault. Youth who were not sexually active had the lowest rates of marijuana and alcohol use as well as HIV testing. Health and social service providers should be aware of the added risks for stress, mental distress, mental health diagnoses, and substance use among youth who also report higher risk sexual behaviors and treat as needed.
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Affiliation(s)
- Diane Santa Maria
- Department of Research, Cizik School of Nursing, University of Texas Health Science Center at Houston, Houston, TX, United States of America
| | - Saumali S. Daundasekara
- Department of Health and Human Performance, University of Houston, Houston, TX, United States of America
| | - Daphne C. Hernandez
- Department of Research, Cizik School of Nursing, University of Texas Health Science Center at Houston, Houston, TX, United States of America
| | - Wei Zhang
- Department of Biostatistics and Data Science, School of Public Health, University of Texas Health Science Center at Houston, Houston, TX, United States of America
| | - Sarah C. Narendorf
- University of Houston, Graduate College of Social Work, Houston, TX, United States of America
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Chang E, Kim B. School and individual factors on game addiction: A multilevel analysis. INTERNATIONAL JOURNAL OF PSYCHOLOGY 2019; 55:822-831. [PMID: 31875984 DOI: 10.1002/ijop.12645] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/02/2018] [Accepted: 12/05/2019] [Indexed: 12/28/2022]
Abstract
This study investigated the protective or risk factors of game addiction at individual and school-level using multilevel modelling. Data from Korea Children and Youth Panel Survey was used for the analyses. The findings revealed that individual-level variables, including gender, delinquency, family intimacy, stress, self-esteem and self-control, were significant predictors of game addiction. Furthermore, protective school climate contributed to decreasing the level of game addiction and risky school climates positively predicted game addiction. The effect of individual-level variables on game addiction was different depending on the type or level of school-level variables. Based on the findings, implications and suggestions for future studies were discussed.
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Affiliation(s)
- Eunbi Chang
- Department of Education, Kangwon National University, Chuncheon, South Korea
| | - Boyoung Kim
- Department of Psychology, The Catholic University of Korea, Seoul, South Korea
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