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Boyd DT, Jones KV, Quinn CR, Hill M, Nelson LE, Beauchamp G, Emel L, Hightow-Weidman L, Shoptaw S, Magnus M, Piwowar-Manning E, Mayer KH, Fields SD, Wheeler DP, Dyer TV, Wilton L. Ethnic identity and social support as mediators between childhood sexual abuse and depression among black men who have sex with men. CHILD ABUSE & NEGLECT 2024; 157:107064. [PMID: 39303435 DOI: 10.1016/j.chiabu.2024.107064] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/02/2024] [Revised: 09/09/2024] [Accepted: 09/16/2024] [Indexed: 09/22/2024]
Abstract
BACKGROUND Survivors of childhood sexual abuse (CSA) often experience long-term adverse mental health effects, a trend that has been observed in research focusing on men who have sex with men (MSM), especially Black MSM. OBJECTIVE The aim of this study was to investigate the direct and indirect effects of childhood sexual abuse on depression symptoms among Black MSM through early sexual debut, histories of incarceration, ethnic identity, and social support. In addition, we examine the role of social support and ethnic identity as mediators of depression symptoms. PARTICIPANTS AND SETTING The HPTN 073 study enrolled and followed 226 HIV-uninfected Black MSM in three US cities (Los Angeles; Washington, DC; and Chapel Hill, North Carolina) from February 2013 to September 2015. Study participants were offered once-daily oral emtricitabine/tenofovir preexposure prophylaxis combined with counseling and followed for 52 weeks. METHODS A path analysis was used to examine direct and indirect effects of CSA experiences on depression symptoms through incarceration, early sexual debut ethnic identity, and social support, and to see whether social support and ethnic identity mediated the relationship between incarceration and depression symptoms. RESULTS Our results indicate that childhood sexual abuse was direct and positively associated with early sexual debut (β = 0.21, p < .001). Both ethnic identity (β = -0.14, p < .001) and social support (β = -0.82, p < .001) were direct and negatively associated with depressive symptoms. CONCLUSION Our research underscores the significant impact of CSA factors on the life trajectories of some Black MSM, including experiences such as incarceration, sexual debut, and depression symptoms.
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Affiliation(s)
- Donte T Boyd
- The Ohio State University, College of Social Work, Columbus, OH, USA; Center for Interdisciplinary Research on AIDS, School of Public Health, Yale University, New Haven, CT, USA.
| | - Kristian V Jones
- University of Washington, School of Social Work, Seattle, WA, USA
| | - Camille R Quinn
- University of Michigan, School of Social Work, Ann Arbor, MI, USA
| | - Mandy Hill
- University of Texas, McGovern Medical School, Houston, TX, USA
| | - LaRon E Nelson
- Center for Interdisciplinary Research on AIDS, School of Public Health, Yale University, New Haven, CT, USA; Yale School of Nursing, New Haven, CT, USA
| | - Geetha Beauchamp
- Statistical Center for HIV/AIDS Research and Prevention, Fred Hutchinson Cancer Center, Seattle, WA, USA
| | - Lynda Emel
- Statistical Center for HIV/AIDS Research and Prevention, Fred Hutchinson Cancer Center, Seattle, WA, USA
| | | | - Steve Shoptaw
- University of California Los Angeles, David Geffen School of Medicine, Division of Family Medicine, Los Angeles, California, USA
| | - Manya Magnus
- George Washington University, Milken Institute School of Public Health, Department of Epidemiology, DC, USA
| | | | | | - Sheldon D Fields
- Pennsylvania State University, Ross and Carl Nese College of Nursing, University Park, PA, USA
| | | | - Typhanye V Dyer
- University of Maryland, Department of Epidemiology and Biostatistics, College Park, MD, USA
| | - Leo Wilton
- State University of New York at Binghamton, Department of Human Development, Binghamton, NY, USA; University of Johannesburg, Department of Humanities, South Africa
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Hong JS, Valido A, Hahm HC, VanHook CR, Espelage DL, Voisin DR. Would Caring Teachers Buffer the Link Between Violence Victimization and Early Sexual Initiation? Comparing Heterosexual and Non-Heterosexual African American Youth. ARCHIVES OF SEXUAL BEHAVIOR 2023; 52:2789-2798. [PMID: 36810635 DOI: 10.1007/s10508-023-02557-y] [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: 12/04/2021] [Revised: 02/04/2023] [Accepted: 02/06/2023] [Indexed: 06/18/2023]
Abstract
This study investigated the relationship between youth violence exposures (i.e., peer and neighborhood) and early sexual initiation. It also explored whether caring relationships with teachers might moderate this relationship and whether results differed for heterosexual versus non-heterosexual African American youth. The study sample (N = 580) comprised 475 heterosexual and 105 non-heterosexual youths, 319 female and 261 male, ages 13 to 24 years (M age = 15.8). Students were assessed for peer and neighborhood violence, relationship with teachers, early sexual initiation, sexual orientation, and socioeconomic status. Major results indicated a positive relationship between exposure to peer and neighborhood violence and early sexual initiation for heterosexual youth but not those who identified as non-heterosexual. Further, identifying as female (vs. male) was significantly associated with later sexual initiation for both heterosexual and non-heterosexual youth. In addition, caring teachers moderated the relationship between exposure to peer violence and age of sexual initiation among non-heterosexual youth. Programs and interventions to curtail violence sequelae would need to consider the unique effects of various types of youth violence exposures and the significance of sexual orientation.
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Affiliation(s)
- Jun Sung Hong
- School of Social Work, Wayne State University, 5447 Woodward Avenue, Detroit, MI, 48202, USA.
- Department of Social Welfare, Ewha Womans University, 52 Ewha Yeodae-Gil, Seodaemun-Gu, Seoul, South Korea.
| | - Alberto Valido
- School of Education, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
| | | | - Cortney R VanHook
- School of Social Work, University of Pittsburgh, Pittsburgh, PA, USA
| | - Dorothy L Espelage
- School of Education, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
| | - Dexter R Voisin
- Jack, Joseph and Morton Mandel School of Applied Social Sciences, Case Western Reserve University, Cleveland, OH, USA
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Robbins T, Szucs LE, Trujillo L, Young E. AIDS or HIV Education and Sexual Behaviors Among Adolescent Sexual Minority Males: National HIV Behavioral Surveillance, 3 U.S. Cities, 2015. AIDS EDUCATION AND PREVENTION : OFFICIAL PUBLICATION OF THE INTERNATIONAL SOCIETY FOR AIDS EDUCATION 2023; 35:201-212. [PMID: 37410370 PMCID: PMC11057022 DOI: 10.1521/aeap.2023.35.3.201] [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] [Indexed: 07/07/2023]
Abstract
In the U.S., HIV transmission rates have increased among male-male sexual contacts. Sex education reduces HIV-related risks; yet impacts for adolescent sexual minority males (ASMM) are less known. Data from a sample (n = 556) of ASMM (aged 13-18) in three U.S cities were used to examined associations between HIV education in school and sexual behaviors. Outcomes of interest included: sexually transmitted infection (STI), multiple sex partners, and condomless anal intercourse (CAI) with a male (all past 12 months). Adjusted prevalence ratios (aPR) and 95% confidence intervals (CI) were calculated. Of 556 ASMM, 84% reported received HIV education. Among sexually active ASMM (n = 440) who received HIV education, fewer reported an STI (10% vs. 21%, aPR: 0.45, CI [0.26, 0.76]) and CAI (48% vs. 64%, aPR: 0.71, CI [0.58, 0.87]) than ASMM who did not receive HIV education. Protective effects of school HIV education on sexual behaviors are promising and suggest prevention education is vital to reducing HIV- and STI-related risks among ASMM.
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Affiliation(s)
- Taylor Robbins
- Division of HIV Prevention, Centers for Disease Control and Prevention, Atlanta, Georgia
| | - Leigh E Szucs
- Division of Adolescent and School Health, Centers for Disease Control and Prevention, Atlanta
| | - Lindsay Trujillo
- ICF International, Fairfax, Virginia. Emily Young is also affiliated with the Oak Ridge Institute for Science and Education, Oak Ridge, Tennessee
| | - Emily Young
- Division of Adolescent and School Health, Centers for Disease Control and Prevention, Atlanta
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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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Monroe P, Campbell JA, Harris M, Egede LE. Racial/ethnic differences in social determinants of health and health outcomes among adolescents and youth ages 10-24 years old: a scoping review. BMC Public Health 2023; 23:410. [PMID: 36855084 PMCID: PMC9976510 DOI: 10.1186/s12889-023-15274-x] [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: 05/10/2022] [Accepted: 02/14/2023] [Indexed: 03/02/2023] Open
Abstract
INTRODUCTION With the recent emergence of the Healthy People 2030 goals there is a need to understand the role of SDOH on health inequalities from an upstream perspective. This review summarizes the recent body of evidence on the impact of SDOH across adolescence and youth health outcomes by race/ethnicity using the Health People 2030 Framework. METHODS A systematic, reproducible search was performed using PubMed, Academic Search Premier, PsychInfo, and ERIC. A total of 2078 articles were screened for inclusion. A total of 263 articles met inclusion criteria, resulting in 29 articles included for final synthesis. RESULTS Across the 29 articles, 11 were cross-sectional, 16 were cohort, and 2 were experimental. Across SDOH categories (economic stability, education access and quality, health care access and quality, neighborhood and built environment, and social and community context), 1 study examined self-efficacy, 6 educational attainment, 10 behavior, 5 smoking, 11 alcohol use, 10 substance use, and 1 quality of life. The majority of outcomes represented in this search included health behaviors such as health risk behavior, smoking, alcohol use, and substance use. Across the 29 articles identified, significant differences existed across outcomes by race/ethnicity across SDOH factors, however magnitude of differences varied by SDOH category. DISCUSSION SDOH differentially affect adolescents and youth across race/ethnicity. The lived adverse experiences, along with structural racism, increase the likelihood of adolescents and youth engaging in risky health behaviors and negatively influencing health outcomes during adolescence and youth. Research, public health initiatives, and policies integrating SDOH into interventions at early stage of life are needed to effectively reduce social and health inequalities at a population level.
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Affiliation(s)
- Patricia Monroe
- Center for Advancing Population Science, Medical College of Wisconsin, 8701 Watertown Plank Rd, Milwaukee, WI, 53226, USA
| | - Jennifer A Campbell
- Center for Advancing Population Science, Medical College of Wisconsin, 8701 Watertown Plank Rd, Milwaukee, WI, 53226, USA
- Division of General Internal Medicine, Department of Medicine, Medical College of Wisconsin, Milwaukee, WI, USA
| | - Melissa Harris
- Center for Advancing Population Science, Medical College of Wisconsin, 8701 Watertown Plank Rd, Milwaukee, WI, 53226, USA
| | - Leonard E Egede
- Center for Advancing Population Science, Medical College of Wisconsin, 8701 Watertown Plank Rd, Milwaukee, WI, 53226, USA.
- Division of General Internal Medicine, Department of Medicine, Medical College of Wisconsin, Milwaukee, WI, USA.
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Robinson MS, England M, Luthy KE, Peterson NE. HPV Infection and Vaccination: A Question and Answer Guide for School Nurses. NASN Sch Nurse 2023; 38:134-144. [PMID: 36757046 DOI: 10.1177/1942602x221146758] [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: 02/10/2023]
Abstract
School nurses frequently interact with school-age children and their parents/guardians regarding vaccinations. As a trusted source of information, the school nurse is in a unique position to share vaccine information with parents/guardians and school-age children that may dispel myths and, consequently, improve vaccination rates. Nevertheless, some parents/guardians are still reluctant to vaccinate their school-age children against Human Papilloma Virus (HPV) for a variety of reasons. Common barriers to HPV vaccination include a lack of understanding of the vaccine's purpose, concerns regarding the vaccine's safety, and insufficient recommendation from healthcare workers. However, school nurses have many duties in addition to ensuring vaccine compliance. School nurses may have difficulty remaining up-to-date on evidence-based answers to parents'/guardians' questions about HPV vaccine. Therefore, the purpose of this article is to provide school nurses with a quick reference question and answer guide to parents'/guardians' common HPV-related vaccination questions.
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Nailescu C, Ermel AC, Shew ML. Human papillomavirus-related cancer risk for solid organ transplant recipients during adult life and early prevention strategies during childhood and adolescence. Pediatr Transplant 2022; 26:e14341. [PMID: 35808949 DOI: 10.1111/petr.14341] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/17/2022] [Revised: 05/03/2022] [Accepted: 05/27/2022] [Indexed: 11/27/2022]
Abstract
Malignancies are among the top three causes of patient death in pediatric and adult kidney transplant (KT) recipients. Solid organ transplant (SOT) recipients, including KT individuals, experience more cancer compared with the general population, including human papillomavirus (HPV)-related anogenital and oropharyngeal cancers. This article describes the epidemiology, pathophysiology and natural history of the HPV infection in both the general population and in SOT recipients, as well as its role in the development of HPV-related pre-cancerous lesions and cancers. Emphasis is given to the primary prevention strategy, HPV vaccination in SOT recipients, and its particularities compared with the general population. Secondary prevention strategies in SOT recipients are discussed and compared with the general population, highlighting cervical cancer screening needs within SOT populations. The article emphasizes how these primary and secondary HPV prevention strategies applied during childhood and adolescence by the pediatric transplant professionals, can lower the burden of HPV-related cancers for SOT recipients in subsequent years, during their adult life.
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Affiliation(s)
- Corina Nailescu
- Section of Pediatric Nephrology and Hypertension, Department of Pediatrics, Riley Hospital for Children, Indiana University School of Medicine, Indianapolis, Indiana, USA
| | - Aaron C Ermel
- Section of Infectious Diseases, Department of Medicine, Indiana University Health University Hospital, Indiana University School of Medicine, Indianapolis, Indiana, USA
| | - Marcia L Shew
- Section of Adolescent Medicine, Department of Pediatrics, Riley Hospital for Children, Indiana University School of Medicine, Indianapolis, Indiana, USA
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Childs K, Viglione J, Chapman JE, Drazdowski TK, McCart MR, Sheidow AJ. Delinquency, Substance Use, and Risky Sexual Behaviors among Youth who are involved in the Justice System and Predominantly Reside in Rural Communities: Patterns and Associated Risk Factors. JOURNAL OF CRIME AND JUSTICE 2022; 46:211-230. [PMID: 36970184 PMCID: PMC10035540 DOI: 10.1080/0735648x.2022.2103014] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/04/2021] [Accepted: 07/05/2022] [Indexed: 10/15/2022]
Abstract
There is a significant gap in research examining the prevalence of problem behaviors among youth involved in the juvenile justice system in rural areas. The current study sought to address this gap by exploring the behavioral patterns of 210 youth who were on juvenile probation in predominantly rural counties and who were identified as having a substance use disorder. First, we examined the correlation among 7 problem behaviors representing different forms of substance use, delinquency, and sexual risk-taking and 8 risk factors related to recent service utilization, internalizing and externalizing difficulties, and social support networks. Then, we used latent class analysis (LCA) to identify distinct behavioral profiles based on the observed problem behaviors. LCA identified a 3-class model representing distinct groups labeled Experimenting (70%), Polysubstance Use + Delinquent Behaviors (24%), and Diverse Delinquent Behaviors (6%). Finally, we assessed differences (i.e., ANOVA, χ2) in each risk factor across the behavioral profiles. Important similarities and differences in the association among the problem behaviors, behavioral profiles, and the risk factors were revealed. These findings underscore the need for an interconnected behavioral health model within rural juvenile justice systems that is able to address youths' multidimensional needs including criminogenic, behavioral, and physical health needs.
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Affiliation(s)
- Kristina Childs
- University of Central Florida, Department of Criminal Justice
| | - Jill Viglione
- University of Central Florida, Department of Criminal Justice
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9
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Van Ouytsel J, Lu Y, Temple JR. An Exploratory Study of Online Early Sexual Initiation through Pressured and Unwanted Sexting. JOURNAL OF SEX RESEARCH 2022; 59:742-748. [PMID: 34410166 PMCID: PMC8857311 DOI: 10.1080/00224499.2021.1963650] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/13/2023]
Abstract
Sexting in young adolescents may be an online form of early sexual debut. We assess the link between potentially problematic sexting (i.e., pressured and receiving unwanted sexts) with known risky behaviors (i.e., substance use and early sexual behavior) among middle school students aged 12 and under. The ethnically diverse sample consisted of 1131 youth (53% female) enrolled in the 7th grade in one of 24 schools in southeast Texas. Participants self-identified as 31% Hispanic, 9% White, 24% Black, 19% Asian, 11% other, and 6% unknown. Participants self-reported pressured sexting, receiving unwanted sexts, history of sexual activity, and substance use. Two-point-one percent of adolescents reported sending a sext under pressure and 13.7% reported having received an unwanted sexting image. Participants with a history of sexual intercourse, relative to their non-sexually experienced counterparts, reported higher rates of being pressured into sexting and receiving unwanted sexts. Further, a portion of youth who experienced pressured or unwanted sexting also reported the use of various substances, relative to their non-sexting counterparts. Our study underscores the need for comprehensive sex education to begin at an early age and include age-appropriate information on sexting, digital citizenship, relationships, and substance use.
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Affiliation(s)
| | - Yu Lu
- Department of Health and Exercise Science, University of Oklahoma
| | - Jeff R Temple
- Center for Violence Prevention, University of Texas Medical Branch
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10
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Lindberg LD, Kantor LM. Adolescents' Receipt of Sex Education in a Nationally Representative Sample, 2011-2019. J Adolesc Health 2022; 70:290-297. [PMID: 34743916 DOI: 10.1016/j.jadohealth.2021.08.027] [Citation(s) in RCA: 31] [Impact Index Per Article: 15.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/21/2021] [Revised: 08/25/2021] [Accepted: 08/30/2021] [Indexed: 10/19/2022]
Abstract
PURPOSE Updated estimates of adolescents' receipt of sex education are needed to monitor trends and potential inequities. METHODS Using nationally representative data from the 2011-2015 and 2015-2019 National Survey of Family Growth, we use logistic regression to examine changes in the receipt of formal sex education by gender. For 2015-2019, we estimate patterns by gender and race/ethnicity for content, timing, and location of instruction. RESULTS Between 2011-2015 and 2015-2019, there were few significant changes in adolescents' receipt of formal sex education. Between these periods, instruction on waiting until marriage to have sex declined (73%-67% female [F.], p = .005; 70%-58% males [M.], p < .001). In both the periods, about half of the adolescents received sex education that meets the minimum standard articulated in national goals. In 2015-2019, there were significant gender differences in the instruction about waiting until marriage to have sex (67% F., 58% M., p < 001) and condom skills (55% F., 60% M., p = .003). Non-Hispanic Black and Hispanic males were less likely than non-Hispanic White males to receive formal instruction before the first sex on sexually transmitted infection/HIV, birth control, or where to get birth control. Many adolescents reported religious settings as the sources of instruction about waiting until marriage to have sex (56% F. and 49% M.), but almost none received instruction about birth control from those settings. CONCLUSIONS Differences in the receipt of sex education, by gender, race/ethnicity, and the location of instruction, leave many adolescents without critical information. Gaps in meeting national objectives indicate the need to expand the provision of sex education.
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Affiliation(s)
| | - Leslie M Kantor
- Department of Urban-Global Public Health, Rutgers University, Rutgers School of Public Health, New York, New Jersey
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11
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Rind B. Reactions to Minor-Older and Minor-Peer Sex as a Function of Personal and Situational Variables in a Finnish Nationally Representative Student Sample. ARCHIVES OF SEXUAL BEHAVIOR 2022; 51:961-985. [PMID: 35018515 DOI: 10.1007/s10508-021-02224-0] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/17/2019] [Revised: 11/07/2021] [Accepted: 11/08/2021] [Indexed: 06/14/2023]
Abstract
Felson et al. (2019) used a large-scale nationally representative Finnish sample of sixth and ninth graders to estimate the population prevalence of negative subjective reactions to sexual experiences between minors under age 18 and persons at least 5 years older and between minors and peer-aged partners for comparison. They then accounted for these reactions in multivariate analysis based on contextual factors. The present study argued that focusing exclusively on negative reactions short-changed a fuller scientific understanding. It analyzed the full range of reactions in the same sample, focusing on positive reactions. For reactions in retrospect, boys frequently reacted positively to minor-older sex (68%, n = 280 cases), on par with positive reactions to boy-peer sex (67%, n = 1510). Girls reacted positively to minor-older sex less often (36%, n = 1047) and to girl-peer sex half the time (48%, n = 1931). In both minor-older and minor-peer sex, rates of positive reactions were higher for boys vs. girls, adolescents vs. children, when partners were friends vs. strangers or relatives, with intercourse vs. lesser forms of sexual intimacy, with more frequent sex, and when not coerced. Boys reacted positively more often with female than male partners. In minor-older sex, partner age difference mattered for girls but not boys, and the minor's initiating the sex (14% for girls, 46% for boys) produced equally high rates of positive reactions. Most of these factors remained significant in multivariate analysis. The frequency of positive reactions, their responsiveness to context, the similarity in reaction patterns with minor-peer sex, and the generalizability of the sample were argued to contradict the trauma view often applied to minor-older sex, holding it to be intrinsically aversive irrespective of context.
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Nailescu C, Shew ML. Human papillomavirus infection-related cancer risk for kidney transplant recipients during adult life can be reduced by vaccination during childhood and adolescence. Front Pediatr 2022; 10:1057454. [PMID: 36533243 PMCID: PMC9749905 DOI: 10.3389/fped.2022.1057454] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/29/2022] [Accepted: 11/15/2022] [Indexed: 12/02/2022] Open
Abstract
Malignancies are found between the first three reasons of mortality in pediatric and adult kidney transplant recipients, who overall have disproportionately higher rates of cancer compared to the general population, including human papillomavirus (HPV)-related genital, anal and oropharynx region cancers. Therefore, preventing HPV in this patient population is extremely important. HPV-vaccine was demonstrated to prevent HPV infection in individuals with intact immune systems. In addition, recent data reported less precancerous HPV lesions and cervical cancers with use of HPV vaccine. Since HPV is a sexually transmitted virus that is typically acquired shortly after the onset of sexual activity, it is best to administer the HPV vaccine immunization prior to the onset of sexual activity. This article reviews the epidemiology and pathophysiology of the HPV infection, as well as its role in the development of HPV-related pre-cancerous lesions and cancers in both general population and kidney transplant recipients. The focus is on the most effective primary prophylactic strategy, which is the HPV vaccination. The particularities of HPV vaccination strategies in kidney transplant recipients are compared to the general population. In addition, the article analyzes the various causes of suboptimal HPV immunization rates in kidney transplant candidates and recipients and discusses vaccination optimization strategies that can be applied during childhood and adolescence to reduce the burden of HPV-related disease states and cancer among adult kidney transplant recipients.
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Affiliation(s)
- Corina Nailescu
- Department of Pediatrics, Riley Hospital for Children, Indiana University, Indianapolis, IN, United States
| | - Marcia L Shew
- Department of Pediatrics, Riley Hospital for Children, Indiana University, Indianapolis, IN, United States
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Roman Lay AA, Fujimori E, Simões Duarte L, Vilela Borges AL. Prevalence and correlates of early sexual initiation among Brazilian adolescents. PLoS One 2021; 16:e0260815. [PMID: 34905552 PMCID: PMC8670678 DOI: 10.1371/journal.pone.0260815] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/05/2021] [Accepted: 11/17/2021] [Indexed: 11/18/2022] Open
Abstract
Background Early adolescence is a critical stage in adolescents. This is the phase at which many young people start their sexual life early, increasing the risk of sexually transmitted infections and unintended pregnancy. Few studies have analyzed the factors associated with early sexual initiation in very young adolescents in low- and middle-income countries. Therefore, this study assessed the early sexual initiation stratified by sex and its correlates in a sample of Brazilian adolescents. Methods The study sample included Brazilian adolescents aged 12–14 who participated in The Study of Cardiovascular Risk in Adolescents (ERICA), a multicenter, school-based, country-wide, cross-sectional study. Early sexual initiation was defined as the first sexual intercourse at or before 14 years old. Multivariate logistic regression was used to identify independent factors associated with early sexual initiation. Results The prevalence of early sexual initiation was 7% among girls and 18% in boys. In a multivariate analysis, the adolescent’s age, mother’s schooling, smoking, alcohol consumption, and Tanner Stages were associated with early sexual initiation for both boys and girls. For girls, living with both parents, common mental disorders, and age at menarche were predictors of early sexual initiation, while race and type of school were correlated to early sexual initiation only for boys. Conclusions The early sexual initiation was associated with sociodemographic, lifestyle risk factors and secondary sexual characteristics in both sexes, while there were differences between the predictors of early sexual initiation among girls and boys. It emphasizes the importance of sex education and promotes healthy lifestyles in environments through families and schools in early adolescence.
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Affiliation(s)
| | - Elizabeth Fujimori
- Public Health Nursing Department, School of Nursing, University of São Paulo, São Paulo, Brazil
| | - Luciane Simões Duarte
- Public Health Nursing Department, School of Nursing, University of São Paulo, São Paulo, Brazil
| | - Ana Luiza Vilela Borges
- Public Health Nursing Department, School of Nursing, University of São Paulo, São Paulo, Brazil
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Offiong A, Lindberg L, Jennings JM, Dittus PJ, Marcell AV. Parent, partner and individual contexts of very early first sex experiences among young men and their links to subsequent reproductive health outcomes. CULTURE, HEALTH & SEXUALITY 2021; 23:1672-1686. [PMID: 32787716 PMCID: PMC7899140 DOI: 10.1080/13691058.2020.1795266] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/21/2020] [Accepted: 07/08/2020] [Indexed: 06/11/2023]
Abstract
Research indicates that upwards to 30% of US urban Black male adolescents report first sex younger than age 13; however, there is limited literature on the sexual and reproductive health outcomes and contexts of these early first sex experiences. This exploratory study described sexual and reproductive health histories and explored personal, partner and parent contextual factors associated with first sex experiences occurring at 13 years or younger among a sample of US urban young men aged 15-24. Participants were assessed on their demographics and sexual health histories and a subset of young men were assessed on the contextual factors related to their first sex experience. Pearson chi-squared tests examined factors associated with early first sex and Fisher's exact tests examined associated contextual factors. First sex at 13 years or younger was reported by 29% of young men. A higher proportion of young men who had first sex at 13 or younger than those who had sex onset at 14 or older reported having got someone pregnant, having a "much older" first partner, and relationship satisfaction with their mother (16%) and father (12%). Study findings highlight the need to better understand urban young men's early first sex experiences, including the support needed to promote their healthy sexual development.
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Affiliation(s)
- Asari Offiong
- School of Medicine, Johns Hopkins University, Baltimore, MD, USA
- Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA
| | | | - Jacky M. Jennings
- School of Medicine, Johns Hopkins University, Baltimore, MD, USA
- Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA
| | | | - Arik V. Marcell
- School of Medicine, Johns Hopkins University, Baltimore, MD, USA
- Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA
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15
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Yu C, Lou C, Lian Q, Tu X, Zhang J, Zuo X. The pattern of romantic and sexual related experiences among Chinese young adolescents: an exploration with multi-group latent class analysis. Reprod Health 2021; 18:184. [PMID: 34544440 PMCID: PMC8454020 DOI: 10.1186/s12978-021-01235-3] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/23/2021] [Accepted: 09/02/2021] [Indexed: 02/08/2023] Open
Abstract
Background Studies on very young adolescents’ romantic and sexual experiences would help inform the context in which early sex arises. However, such studies are scant in China due to sparse data and cultural issues. Method This study used the GEAS baseline data conducted among1776 adolescents in Shanghai. Multi-group latent class analysis was used to explore adolescents’ romantic and sexual experiences patterns and subgroups. Multi-nominal logistic regression was performed to identify the factors distinguishing different subgroups subsequently. Results There were gender differences in the lifetime prevalence for very young adolescents’ romantic and sexual-related behaviors. The Multi-group latent class analysis indicated that the participants could be classified into three classes: general group, early romance group, and sex exploratory group. Multi-nominal logistic regression showed youth in the early romance group were more likely to had friends of both gender, ever had a romantic relationship, and had more autonomy in deciding where to go than the general group; while male respondents in the sex exploratory group were older, ever had a romantic relationship, believed that boys should be more sexually active and more proactive than girls, had more autonomy on deciding where to go, and perceived less school connection and neighborhood cohesion. Female respondents in the sex exploratory group were older and less empowered in decision-making than the general group. Conclusions The result provides a picture of romantic and sexual behavior patterns among both gender of very young adolescents in China. Current sex education needs not only to be culturally appropriate but also to address the harm of gender inequality and stereotypes, as well as to provide accessible and supportive services to help young adolescents personalize their received information and strengthen their skills in communication, decision making, and critical thinking. Studies on teenagers' romantic and sexual experiences would help to prevent early sex arises before it really takes place. However, such studies are limited, especially in China. The traditional culture thought that youth should not start romance before college. This study used the Global Early Adolescent Study Shanghai site baseline data collected among1776 teenagers to explore their romantic and sexual experiences patterns and identify the influencing factors. There were significant gender differences in teenagers’ romantic and sexual-related behaviors. According to the multi-group latent class analysis, we classified the teenagers into three classes: the general group, the early romance group, and the sex exploratory group. The multi-nominal logistic regression showed youth in the early romance group were more likely to had friends of both boys and girls, ever had boyfriend/girlfriend and were freer to go out than the general group; while boys in the sex exploratorygroup were older, ever had a boyfriend/girlfriend, believed it was normal for boys to be sexually active than girls, had more freedom to go out, and had less perception of care from school adults and neighborhood. Girls in the sex exploratory group were older and less likely to make decisions on their own. Given the result we found, we call for health researchers and educators to conduct sex education programs promoting more equal gender norms and provide services to help young adolescents get right information and strengthen their skills in communication, decision making and critical thinking.
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Affiliation(s)
- Chunyan Yu
- NHC Key Lab. of Reproductive Regulation (Shanghai Institute for Biomedical and Pharmaceutical Technologies), Fudan University, 779 Old Hu Min Road, 200237, Shanghai, People's Republic of China
| | - Chaohua Lou
- NHC Key Lab. of Reproductive Regulation (Shanghai Institute for Biomedical and Pharmaceutical Technologies), Fudan University, 779 Old Hu Min Road, 200237, Shanghai, People's Republic of China
| | - Qiguo Lian
- NHC Key Lab. of Reproductive Regulation (Shanghai Institute for Biomedical and Pharmaceutical Technologies), Fudan University, 779 Old Hu Min Road, 200237, Shanghai, People's Republic of China
| | - Xiaowen Tu
- NHC Key Lab. of Reproductive Regulation (Shanghai Institute for Biomedical and Pharmaceutical Technologies), Fudan University, 779 Old Hu Min Road, 200237, Shanghai, People's Republic of China
| | - Jiashuai Zhang
- NHC Key Lab. of Reproductive Regulation (Shanghai Institute for Biomedical and Pharmaceutical Technologies), Fudan University, 779 Old Hu Min Road, 200237, Shanghai, People's Republic of China.,School of Public Health, Fudan University, Shanghai, China
| | - Xiayun Zuo
- NHC Key Lab. of Reproductive Regulation (Shanghai Institute for Biomedical and Pharmaceutical Technologies), Fudan University, 779 Old Hu Min Road, 200237, Shanghai, People's Republic of China.
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16
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Boyd DT, Quinn CR, Waller B, Aquino G. Family Matters: The Support of Parents to Change Black Male's Attitudes Towards HIV. JOURNAL OF FAMILY ISSUES 2021; 42:1787-1804. [PMID: 36505510 PMCID: PMC9731171 DOI: 10.1177/0192513x20957044] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/17/2023]
Abstract
This study explored the associations between family (mother and father support), peers, and individual factors (self-efficacy) and how these relationships influence HIV attitudes among African American males 12 to 19 years of age, with an average age of 16 years. For this study, we used restricted data obtained from Wave I of the National Longitudinal Study of Adolescent to Adult Health (ADD Health). Descriptive statistics suggest that most of the sample had negative attitudes towards HIV. Bivariate regression analysis followed by a linear regression analysis was conducted to identify the factors that were associated with HIV attitudes. Major findings from regression analysis indicate that mother support, father support, self-efficacy, and age, predicted HIV attitudes. Mother support positively predicted positive HIV attitudes and surprisingly, father support negatively predicted HIV attitudes. Our findings can be used to better inform HIV prevention and intervention programs to help Black males stay healthy.
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17
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Baiden P, Panisch LS, Kim YJ, LaBrenz CA, Kim Y, Onyeaka HK. Association between First Sexual Intercourse and Sexual Violence Victimization, Symptoms of Depression, and Suicidal Behaviors among Adolescents in the United States: Findings from 2017 and 2019 National Youth Risk Behavior Survey. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18157922. [PMID: 34360215 PMCID: PMC8345499 DOI: 10.3390/ijerph18157922] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 06/19/2021] [Revised: 07/22/2021] [Accepted: 07/22/2021] [Indexed: 11/16/2022]
Abstract
The objective of this study was to investigate the association between first sexual intercourse and sexual violence victimization, symptoms of depression, and suicidal ideation among sexually active adolescents in the United States. Data for this study came from the U.S. 2017 and 2019 iterations of the National Youth Risk Behavior Survey. An analytic sample of 6252 adolescents aged 14–18 years old (49.5% female) who reported ever having sexual intercourse was analyzed using Poisson regression. The outcome variables investigated in this study were sexual violence victimization, symptoms of depression, suicidal ideation, a suicide plan, and suicide attempts, and the main explanatory variables were age at first sexual intercourse and forced sexual intercourse. We also analyzed differences by gender and race. Of the 6252 adolescents who reported ever having sexual intercourse, 7.1% had their first sexual intercourse before age 13, and 14.8% experienced forced sexual intercourse. About 16% of adolescents experienced sexual violence during the past year, 42.6% reported symptoms of depression, 23.9% experienced suicidal ideation, 19.3% made a suicide plan, and 11.1% attempted suicide during the past year. In the regression analysis, early sexual intercourse was significantly and positively associated with suicidal ideation (relative risk (RR) = 1.15, 95% Confidence Interval (CI) = 1.02–1.30), suicide plan (RR = 1.18, 95% CI = 1.00–1.38), and suicide attempts (RR = 1.36, 95% CI = 1.15–1.61). Controlling for the effects of covariates, history of forced sexual intercourse was positively associated with the five outcomes examined with the relative risk ranging between 1.59 and 6.01. Findings of this study suggest that history of early or forced sexual intercourse is associated with poor mental health outcomes among adolescents and underscores the importance of developing interventions that offer psychological support in reducing the adverse impact of early sexual intercourse and forced sexual intercourse on adolescent health.
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Affiliation(s)
- Philip Baiden
- School of Social Work, University of Texas at Arlington, Arlington, TX 76019, USA;
- Correspondence:
| | - Lisa S. Panisch
- Department of Psychiatry, University of Rochester Medical Center, Rochester, NY 14642, USA;
| | - Yi Jin Kim
- Department of Social Work, University of Mississippi, University, MS 38677, USA;
| | - Catherine A. LaBrenz
- School of Social Work, University of Texas at Arlington, Arlington, TX 76019, USA;
| | - Yeonwoo Kim
- Department of Kinesiology, University of Texas at Arlington, Arlington, TX 76019, USA;
| | - Henry K. Onyeaka
- Department of Psychiatry, Massachusetts General Hospital, Boston, MA 02114, USA;
- Department of Psychiatry, Harvard Medical School, Boston, MA 02114, USA
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18
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Boyd DT, Waller B, Quinn CR. Reimaging an AIDS free generation: Examining youth and young adults' personal agency and its association with HIV testing. Prev Med Rep 2021; 22:101335. [PMID: 33680722 PMCID: PMC7930588 DOI: 10.1016/j.pmedr.2021.101335] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/22/2020] [Revised: 11/11/2020] [Accepted: 01/23/2021] [Indexed: 12/28/2022] Open
Abstract
Exploring youth and young adult's agency may be a way to increase HIV testing and help end the HIV epidemic. We used data from the National Survey of Teens and Young Adults (15-24) on HIV/AIDS (N = 1,437). Data were collected from September 21-October 1, 2012. The sample included 748 girls and 689 boys; and the mean age is 20 years (SD: 3.02). Youth and young adults completed a 40-question survey on attitudes and knowledge about HIV. Using a multivariable logistic regression analysis, study findings suggest that focusing on protective health behaviors like the role youth can play in ending the epidemic and hearing about an AIDS-free generation were both associated with an increase in HIV testing. Our study finds that enhancing the role and influence of personal agency can inform HIV prevention and intervention programs that are specific to youth.
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Affiliation(s)
- Donte T. Boyd
- Graduate College of Social Work, University of Houston, Houston, TX, United States
| | - Bernadine Waller
- School of Social Work, Adelphi University, City Garden, NY, United States
| | - Camille R. Quinn
- College of Social Work, The Ohio State University, Columbus, OH, United States
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19
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Berenson AB, Hirth JM, Chang M. Prevalence of genital human papillomavirus by age and race/ ethnicity among males. Clin Infect Dis 2021; 73:1625-1633. [PMID: 33983416 DOI: 10.1093/cid/ciab429] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/19/2021] [Indexed: 12/11/2022] Open
Abstract
BACKGROUND Genital and oral cancers are often caused by human papillomavirus (HPV) types that can be prevented through HPV vaccination. Since HPV is sexually transmitted, knowledge of penile prevalence of vaccine-type HPV among US males can help predict potential disparities in these cancers. This study examines penile HPV prevalence by age and race/ethnicity among males. METHODS This study was a secondary analysis of publicly available data from the National Health and Nutrition Examination Survey (NHANES). Using data from penile swab samples collected from males between 2013 and 2016, the prevalence of 4vHPV and 9vHPV vaccine types was examined across age groups and by race/ethnicity. Logistic regression models adjusting for demographics, sexual behavior and circumcision were examined to determine whether associations remained after accounting for confounders. RESULTS Among 2,548 males evaluated, HPV infection prevalence differed by race/ethnicity with black males exhibiting a higher prevalence of HPV. Examination of 4vHPV type prevalence by age group showed that 18-26 year old males had a lower prevalence compared to older age groups. After controlling for confounders, 4vHPV prevalence was only significantly elevated among 27-34-year old males, those who were single, and males with 3+ lifetime sex partners. In adjusted models, 9vHPV type prevalence remained elevated among black males compared to white males. CONCLUSION Variations in 9vHPV type prevalence between blacks and whites indicate future disparities in HPV-related genital cancers may continue in the US during the next decade. Revaccinating certain populations with the 9vHPV vaccine may be appropriate to help mitigate this.
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Affiliation(s)
- Abbey B Berenson
- Center for Interdisciplinary Research in Women's Health, Department of Obstetrics and Gynecology, The University of Texas Medical Branch, Galveston, TX, USA
| | - Jacqueline M Hirth
- Center for Interdisciplinary Research in Women's Health, Department of Obstetrics and Gynecology, The University of Texas Medical Branch, Galveston, TX, USA
| | - Mihyun Chang
- Center for Interdisciplinary Research in Women's Health, Department of Obstetrics and Gynecology, The University of Texas Medical Branch, Galveston, TX, USA
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20
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Voisin DR, Takahashi LM. The Relationship Between Violence Syndemics and Sexual Risk Behaviors Among African American Adolescents: Implications for Future Research. J Adolesc Health 2021; 68:937-944. [PMID: 33431249 DOI: 10.1016/j.jadohealth.2020.11.015] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/28/2020] [Revised: 10/28/2020] [Accepted: 11/15/2020] [Indexed: 01/20/2023]
Abstract
PURPOSE We present a conceptual framework based on a review of the literature to highlight the interconnecting and reinforcing elements of a violence syndemic and how this syndemic influences sexual risk behaviors among African American heterosexual adolescents. METHODS We review existing peer-reviewed published research from 2000 to 2020 that links a violence syndemic (i.e., racism and race-related stress, neighborhood and police violence, peer violence, and family violence and disruptions) to adolescent sexual risk behaviors. Empirical findings and theoretical underpinnings are used to document this relationship and illuminate the factors that mediate this relationship. RESULTS Empirical studies support the links between specific types of violence and sexual risk behaviors among African American adolescents. Further, existing studies point to the important relationships among the specific types of violence, supporting a violence syndemic approach. CONCLUSIONS While more researchers are examining socio-ecological contextual factors as important predictors for sexual risk behaviors, there remains inadequate understanding about how violence types reinforce one another to heighten sexual risk behaviors among African American heterosexual adolescents. This article presents new directions for adolescent research, especially how a violence syndemic approach can be used to explain sexual risk, but also to refocus intervention design on the complex burdens experienced by this population.
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Affiliation(s)
- Dexter R Voisin
- Factor-Inwentash Faculty of Social Work, University of Toronto, Toronto, Ontario, Canada.
| | - Lois M Takahashi
- Sol Price School of Public Policy, University of Southern California, Los Angeles, California.
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21
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Halkitis PN, LoSchiavo C, Martino RJ, De La Cruz BM, Stults CB, Krause KD. Age of Sexual Debut among Young Gay-identified Sexual Minority Men: The P18 Cohort Study. JOURNAL OF SEX RESEARCH 2021; 58:573-580. [PMID: 32609010 PMCID: PMC7775328 DOI: 10.1080/00224499.2020.1783505] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/28/2023]
Abstract
Age of sexual debut is a critical health indicator for young sexual minority men (YSMM), associated with an increased likelihood of HIV acquisition, use of alcohol, tobacco, and other substances, and psychological distress. This study examined the age of same-sex sexual debut for five sexual behaviors in a sample of racially/ethnically and socioeconomically diverse gay-identified YSMM in New York City. The mean age of sexual debut of any behavior was 14.5 years old and 19% of the sample reported sexual debut prior to age 13. Overall, mutual masturbation occurred at the youngest mean age, followed by performed oral, received oral, receptive anal, and insertive anal intercourse. There were significant differences by race/ethnicity and perceived familial socioeconomic status (SES), such that Black and Hispanic/Latino men had earlier ages of debut for performed oral and receptive and insertive anal sex, while upper SES men had later ages of debut for receptive and insertive anal intercourse. These findings are relevant to trends in HIV incidence in the U.S., which are highest among Black and Hispanic/Latino YSMM and may be associated with earlier age of sexual debut. These findings also underscore a need for comprehensive and inclusive sex education at younger ages.
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Affiliation(s)
- Perry N. Halkitis
- School of Public Health, Rutgers University, 683 Hoes Ln. West, Piscataway, NJ 08854
- Center for Health, Identity, Behavior & Prevention Studies, Rutgers School of Public Health, 1 Riverfront Plaza, Suite 1020, Newark, NJ 07102
| | - Caleb LoSchiavo
- School of Public Health, Rutgers University, 683 Hoes Ln. West, Piscataway, NJ 08854
- Center for Health, Identity, Behavior & Prevention Studies, Rutgers School of Public Health, 1 Riverfront Plaza, Suite 1020, Newark, NJ 07102
| | - Richard J. Martino
- Center for Health, Identity, Behavior & Prevention Studies, Rutgers School of Public Health, 1 Riverfront Plaza, Suite 1020, Newark, NJ 07102
| | - Blas Martin De La Cruz
- Center for Health, Identity, Behavior & Prevention Studies, Rutgers School of Public Health, 1 Riverfront Plaza, Suite 1020, Newark, NJ 07102
- School of Social Work, Rutgers University, 120 Albany St., Tower One - Suite 200, New Brunswick, NJ 08901
| | - Christopher B. Stults
- Center for Health, Identity, Behavior & Prevention Studies, Rutgers School of Public Health, 1 Riverfront Plaza, Suite 1020, Newark, NJ 07102
- Baruch College, City University of New York, 55 Lexington Ave., New York, NY 10010
| | - Kristen D. Krause
- School of Public Health, Rutgers University, 683 Hoes Ln. West, Piscataway, NJ 08854
- Center for Health, Identity, Behavior & Prevention Studies, Rutgers School of Public Health, 1 Riverfront Plaza, Suite 1020, Newark, NJ 07102
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22
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Teadt S, Burns JC, Montgomery TM, Darbes L. African American Adolescents and Young Adults, New Media, and Sexual Health: Scoping Review. JMIR Mhealth Uhealth 2020; 8:e19459. [PMID: 33016890 PMCID: PMC7573696 DOI: 10.2196/19459] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/18/2020] [Revised: 07/20/2020] [Accepted: 08/03/2020] [Indexed: 12/28/2022] Open
Abstract
Background Rates of sexually transmitted infections and unintended pregnancies are disproportionately high among African American adolescents and young adults (AYA). New media platforms such as social networking sites, microblogs, online video sites, and mobile phone applications may be a promising approach in promoting safe sex and preventing sexually transmitted infections. Objective The purpose of this scoping review was to address promising approaches in new media that may serve as valuable tools in health promotion, prevention, education, and intervention development aimed at African American AYA. Methods An electronic search was conducted using Google Scholar, Scopus, Cumulative Index to Nursing and Allied Health (CINHAL), and PubMed online databases. Concept blocks and MeSH terminology were used to identify articles around African American youth and new media. Results The search yielded 1169 articles, and 16 publications met the criteria. Studies from the review found themes in new media that included feasibility, changing attitudes, and improving knowledge related to sexual health behavior among youth of color. Conclusions New media is a promising and feasible platform for improving the sexual health of African American AYA. Further research is suggested to better understand the benefits of new media as a sexual health promotion tool among this specific population.
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Affiliation(s)
- Sierra Teadt
- School of Public Health, University of Michigan, Ann Arbor, MI, United States
| | - Jade C Burns
- Department of Health Behavior and Biological Sciences, School of Nursing, University of Michigan, Ann Arbor, MI, United States
| | - Tiffany M Montgomery
- College of Nursing & Health Professions, Drexel University, Philadelphia, PA, United States
| | - Lynae Darbes
- Department of Health Behavior and Biological Sciences, School of Nursing, University of Michigan, Ann Arbor, MI, United States
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23
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Lalas J, Garbers S, Gold MA, Allegrante JP, Bell DL. Young Men's Communication With Partners and Contraception Use: A Systematic Review. J Adolesc Health 2020; 67:342-353. [PMID: 32624356 DOI: 10.1016/j.jadohealth.2020.04.025] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/20/2019] [Revised: 04/17/2020] [Accepted: 04/22/2020] [Indexed: 10/23/2022]
Abstract
PURPOSE The rate of adolescent unintended pregnancy in the U.S. is high compared with that in other developed countries. While past research and interventions have focused on young women, the role of young men in pregnancy prevention has increasingly been recognized. Studies have assessed young men's knowledge and attitudes toward pregnancy prevention as well as their role in male-controlled methods of birth control such as condoms or withdrawal. However, less is known about how young men contribute to decision-making about contraceptive methods other than condoms with female partners. The purpose of this systematic review was to explore how young men communicate with their female partners and the effect of such communication on contraception use to prevent pregnancy. METHODS We conducted a systematic review of six databases to identify English language articles published from January 1, 2002, through March 24, 2019. The review specifically explored how young men aged 11-24 years communicate with and affect their female partner (noncondom) contraceptive use. The systematic review explored additional questions, including those pertaining to the timing of partner communication in a relationship, communication strategies used by young men, and which dynamics of partner communication were measured in studies. RESULTS Of the 12 articles identified as exploring male partner communication, five of the articles used quantitative analysis to measure any association between partner communication and contraception use, three of which produced statistically significant findings suggesting that communication increases the use of contraception other than condoms. Seven qualitative studies provided supporting narratives from young men describing communication with partners and how they influence contraception use by female partners. The articles also explored timing and strategies of communication, as well as topics, prompts, and communication cues used by young men. Measurements of both communication and contraception varied across studies. CONCLUSIONS With the small number of studies identified in this systematic review, we conclude that future research needs to corroborate the relationship between partner communication and contraception use with more robust and precise measurements of both communication and contraception.
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Affiliation(s)
- Jolene Lalas
- Department of Health and Behavior Studies, Teachers College, Columbia University, New York, New York.
| | - Samantha Garbers
- Heilbrunn Department of Population and Family Health, Columbia University Mailman School of Public Health, New York, New York
| | - Melanie A Gold
- Heilbrunn Department of Population and Family Health, Columbia University Mailman School of Public Health, New York, New York; Department of Pediatrics, Columbia University Irving Medical Center, New York, New York; New York-Presbyterian Hospital, New York, New York
| | - John P Allegrante
- Department of Health and Behavior Studies, Teachers College, Columbia University, New York, New York; Department of Sociomedical Sciences, Columbia University Mailman School of Public Health, New York, New York
| | - David L Bell
- Heilbrunn Department of Population and Family Health, Columbia University Mailman School of Public Health, New York, New York; Department of Pediatrics, Columbia University Irving Medical Center, New York, New York; New York-Presbyterian Hospital, New York, New York
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24
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Boyd DT, Waller B, Quinn CR. Understanding of personal agency among youth to curtail HIV rates. CHILDREN AND YOUTH SERVICES REVIEW 2020; 116:105179. [PMID: 36778097 PMCID: PMC9912712 DOI: 10.1016/j.childyouth.2020.105179] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/18/2023]
Abstract
We aimed to discover which social factors influence protective health behaviors among Black youth. We measured study variables based on data from the National Survey of Teens and Young Adults on HIV/AIDS. Participants include youth aged 15 to 24 who completed a 40-question, web-based survey. The analytical sample of participants (n = 270) only comprised African American youth, mean age 20 years (SD: 0.28). Using multiple regression analysis, study findings suggest that focusing on protective health behaviors, such as personal agency among youth, with variables like personal perception and concern and HIV testing could be one way to reduce their risk of HIV transmission. Enhancing the role and influence of personal agency given their testing behaviors can inform HIV prevention and intervention programs that are specific to Black youth. Our findings identify targets for intervention to enhance personal agency in this population, including enhancing HIV risk prevention.
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25
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Niu L, Hoyt LT, Salandy A, Nucci-Sack A, Shankar V, Strickler H, Burk RD, Schlecht NF, Diaz A. The interaction between pubertal timing and childhood maltreatment on the risk of human papillomavirus infection among adolescent girls and young women. Prev Med 2020; 138:106126. [PMID: 32389680 PMCID: PMC7808758 DOI: 10.1016/j.ypmed.2020.106126] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/29/2019] [Revised: 04/20/2020] [Accepted: 05/03/2020] [Indexed: 12/13/2022]
Abstract
PURPOSE The goal of this study was to evaluate the effect of pubertal timing, and its interaction with prior childhood maltreatment, on the risk of cervical human papillomavirus (HPV) among sexually active adolescent minority female adolescents and young adults. METHODS This cross-sectional study includes 842 adolescent girls and young women (aged 12 to 20 years; predominately Black and Hispanic) enrolled in an HPV vaccine surveillance study at a large adolescent health clinic in New York City between 2007 and 2016. Pubertal timing was assessed by self-reported age at menarche at baseline, with "early" and "late" defined as one standard deviation below (<11 years) or above (>13 years) the mean. Childhood exposure to abuse (sexual, physical and emotional) and neglect (physical and emotional) was assessed using the Childhood Trauma Questionnaire. Over 40 types of HPV infection were detected using the polymerase chain reaction in cervical Pap specimens. RESULTS Results from multivariable logistic regression showed that early and late pubertal timing were marginally associated with a higher risk of HPV infection, adjusting for demographic and health covariates. Childhood maltreatment moderated the association between early pubertal timing and HPV infection: early pubertal timing was associated with a higher risk for HPV infection among maltreated girls (OR = 3.32, 95%CI:1.61-6.85), but not among non-maltreated girls (OR = 0.96, 95%CI:0.61-1.50; p-interaction<0.01). CONCLUSIONS Variation in the timing of puberty and history of childhood maltreatment may have implications for adolescent sexual and reproductive health. Findings suggest that clinicians need to assess the biological and psychosocial risks in caring for youth.
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Affiliation(s)
- Li Niu
- Department of Psychology, Fordham University, NY, USA; Department of Pediatrics, Mount Sinai Adolescent Health Center, Mount Sinai Hospital, New York, NY, USA
| | | | - Anthony Salandy
- Department of Pediatrics, Mount Sinai Adolescent Health Center, Mount Sinai Hospital, New York, NY, USA.
| | - Anne Nucci-Sack
- Department of Pediatrics, Mount Sinai Adolescent Health Center, Mount Sinai Hospital, New York, NY, USA
| | - Viswanathan Shankar
- Department of Epidemiology & Population Health, Albert Einstein College of Medicine, Bronx, NY, USA
| | - Howard Strickler
- Department of Epidemiology & Population Health, Albert Einstein College of Medicine, Bronx, NY, USA
| | - Robert D Burk
- Department of Epidemiology & Population Health, Albert Einstein College of Medicine, Bronx, NY, USA; Departments of Pediatrics, Microbiology & Immunology, Obstetrics, Gynecology & Women's Health, Albert Einstein College of Medicine, Bronx, NY, USA
| | - Nicolas F Schlecht
- Department of Epidemiology & Population Health, Albert Einstein College of Medicine, Bronx, NY, USA; Department of Cancer Prevention & Control, Roswell Park Comprehensive Cancer Center, Buffalo, NY, USA
| | - Angela Diaz
- Department of Pediatrics, Mount Sinai Adolescent Health Center, Mount Sinai Hospital, New York, NY, USA; Department of Environmental Medicine and Public Health, Icahn School of Medicine at Mount Sinai, Manhattan, NY, USA
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26
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Valencia MLC, Tran BT, Lim MK, Choi KS, Oh JK. Association Between Socioeconomic Status and Early Initiation of Smoking, Alcohol Drinking, and Sexual Behavior Among Korean Adolescents. Asia Pac J Public Health 2020; 31:443-453. [PMID: 31431057 DOI: 10.1177/1010539519860732] [Citation(s) in RCA: 25] [Impact Index Per Article: 6.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/28/2022]
Abstract
We analyzed data from the Korean Youth Risk Behavior Web-based Survey (N = 68 043), a nationally representative survey, to examine the association between early initiation of smoking, alcohol drinking, and sexual activity and socioeconomic determinants among adolescents. The prevalence rates of early initiation of smoking (i.e, starting at age 12 years or younger), alcohol drinking, and sexual activity were 4.8%, 10.3%, and 1.4%, respectively. Adolescents with a low level of perceived household income, low level of father's education, and those living without family were more likely to start these risky behaviors early. Early initiation of smoking was significantly affected by affordability.
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Affiliation(s)
- Mei Lin C Valencia
- 1 Department of Cancer Control and Population Health, National Cancer Center Graduate School of Cancer Science and Policy, Goyang-si, Republic of Korea
| | - Binh Thang Tran
- 1 Department of Cancer Control and Population Health, National Cancer Center Graduate School of Cancer Science and Policy, Goyang-si, Republic of Korea
| | - Min Kyung Lim
- 1 Department of Cancer Control and Population Health, National Cancer Center Graduate School of Cancer Science and Policy, Goyang-si, Republic of Korea.,2 National Cancer Control Institute, National Cancer Center, Goyang-si, Republic of Korea
| | - Kui Son Choi
- 1 Department of Cancer Control and Population Health, National Cancer Center Graduate School of Cancer Science and Policy, Goyang-si, Republic of Korea.,2 National Cancer Control Institute, National Cancer Center, Goyang-si, Republic of Korea
| | - Jin-Kyoung Oh
- 1 Department of Cancer Control and Population Health, National Cancer Center Graduate School of Cancer Science and Policy, Goyang-si, Republic of Korea.,2 National Cancer Control Institute, National Cancer Center, Goyang-si, Republic of Korea
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27
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Nailescu C, Nelson RD, Verghese PS, Twombley KE, Chishti AS, Mills M, Mahan JD, Slaven JE, Shew ML. Human Papillomavirus Vaccination in Male and Female Adolescents Before and After Kidney Transplantation: A Pediatric Nephrology Research Consortium Study. Front Pediatr 2020; 8:46. [PMID: 32154194 PMCID: PMC7045870 DOI: 10.3389/fped.2020.00046] [Citation(s) in RCA: 12] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/13/2019] [Accepted: 01/28/2020] [Indexed: 01/10/2023] Open
Abstract
Background: Kidney transplant (KT) recipients have higher incidence of malignancies, including Human Papillomavirus (HPV)-associated cancers. Thus, HPV vaccines may have an important role in preventing HPV-related disease in this population; however, immunogenicity and safety data are lacking. Objective: To examine the immunological response and tolerability to HPV vaccination in pediatric KT recipients compared to future KT candidates. Methods: The quadrivalent HPV vaccine was administered to girls and boys age 9-18 recruited from seven centers part of the Pediatric Nephrology Research Consortium. Subjects were recruited for three groups: (1) CKD: chronic kidney disease stages 3, 4, and 5 not on dialysis; (2) Dialysis; (3) KT recipients. The outcome consisted of antibody concentrations against HPV 6, 11, 16, and 18. Geometric mean titers (GMTs) and seroconversion rates were compared. Vaccine tolerability was assessed. Results: Sixty-five participants were recruited: 18 in the CKD, 18 in the dialysis, and 29 into the KT groups. KT patients had significantly lower GMTs after vaccination for all serotypes. The percentages of subjects who reached seroconversion were overall lower for the KT group, reaching statistical significance for HPV 6, 11, and 18. Comparing immunosuppressed subjects (anyone taking immunosuppression medications, whether KT recipient or not) with the non-immunosuppressed participants, the former had significantly lower GMTs for all the HPV serotypes and lower seroconversion rates for HPV 6, 11, and 18. KT females had higher GMTs and seroconversion rates for certain serotypes. There were no adverse events in either group. Conclusions: HPV vaccine was well-tolerated in this population. Pediatric KT recipients had in general lower GMTs and seroconversion rates compared to their peers with CKD or on dialysis. Immunosuppression played a role in the lack of seroconversion. Our results emphasize the importance of advocating for HPV vaccination prior to KT and acknowledge its safety post transplantation. Future studies are needed to investigate the effect of a supplemental dose of HPV vaccine in KT recipients who do not seroconvert and to evaluate the long-term persistence of antibodies post-KT.
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Affiliation(s)
- Corina Nailescu
- Department of Pediatrics, Indiana University, Riley Hospital for Children, Indianapolis, IN, United States
| | - Raoul D Nelson
- Department of Pediatrics, University of Utah, Primary Children's Hospital, Salt Lake City, UT, United States
| | - Priya S Verghese
- Department of Pediatrics, University of Minnesota Masonic Children's Hospital, Minneapolis, MN, United States
| | - Katherine E Twombley
- Department of Pediatrics, Medical University of South Carolina Children's Hospital, Charleston, SC, United States
| | - Aftab S Chishti
- Department of Pediatrics, Kentucky Children's Hospital, University of Kentucky, Lexington, KY, United States
| | - Michele Mills
- Department of Pediatrics, C. S. Mott Children's Hospital, University of Michigan, Ann Arbor, MI, United States
| | - John D Mahan
- Department of Pediatrics, Nationwide Children's Hospital, The Ohio State University, Columbus, OH, United States
| | - James E Slaven
- Department of Biostatistics, Indiana University, Indianapolis, IN, United States
| | - Marcia L Shew
- Department of Pediatrics, Indiana University, Riley Hospital for Children, Indianapolis, IN, United States
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