1
|
Weyandt L, DuPaul GJ, Shepard E, Labban JD, Francis A, Beatty A, Anastopoulos AD. Longitudinal Examination of Sexual Risk Behavior in College Students With and Without Attention-Deficit/Hyperactivity Disorder. ARCHIVES OF SEXUAL BEHAVIOR 2023; 52:3505-3519. [PMID: 37548880 PMCID: PMC10703957 DOI: 10.1007/s10508-023-02660-0] [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: 03/04/2022] [Revised: 07/05/2023] [Accepted: 07/06/2023] [Indexed: 08/08/2023]
Abstract
The present study sought to identify differences in the rates and predictors of risky sexual behavior among college students with and without attention-deficit hyperactivity disorder (ADHD). Current ADHD diagnosis, medication status among those with ADHD, executive functioning, substance use, comorbid anxiety, comorbid depression, and gender were identified as potential predictors of increased risky sexual behavior. Multiple group latent growth curve modeling was used to estimate trajectories of risky sexual behavior across four years of college among college students with ADHD (nmedicated = 99, nunmedicated = 105) and a comparison group (n = 217) recruited from colleges throughout the eastern United States (M age = 18.23 years, 53% female, 70% White). First-year college students with ADHD reported significantly higher rates of sexual risk behavior than their peers without ADHD, with no significant differences found based on medication status. Students with ADHD who were taking medication for ADHD reported significant decreases in risky sexual behavior over time. Among college students with ADHD, anxiety was related to increased current risky sexual behavior in the medicated group, while depression was predictive of decreased future risky sexual behavior in the unmedicated group. Alcohol and cannabis use were significantly associated with increased mean levels of risky sexual behavior across all three groups, and cannabis use was associated with decreased future risky sexual behavior within the comparison group. Executive functioning deficits and male gender were predictive of risky sexual behavior within the comparison group. The results demonstrate that college students with ADHD, regardless of medication status, are at an increased likelihood of engaging in risky sexual behavior.
Collapse
Affiliation(s)
- Lisa Weyandt
- Department of Psychology, Interdisciplinary Neuroscience Program, University of Rhode Island, Kingston, RI, 02881, USA
| | | | - Emily Shepard
- Department of Psychology, Interdisciplinary Neuroscience Program, University of Rhode Island, Kingston, RI, 02881, USA.
| | - Jeffrey D Labban
- School of Health and Human Sciences, University of North Carolina Greensboro, Greensboro, NC, USA
| | - Alyssa Francis
- Department of Psychology, Interdisciplinary Neuroscience Program, University of Rhode Island, Kingston, RI, 02881, USA
| | - Avery Beatty
- Department of Psychology, Interdisciplinary Neuroscience Program, University of Rhode Island, Kingston, RI, 02881, USA
| | - Arthur D Anastopoulos
- School of Health and Human Sciences, University of North Carolina Greensboro, Greensboro, NC, USA
| |
Collapse
|
2
|
Fisher SC, Howley MM, Romitti PA, Desrosiers TA, Jabs EW, Browne ML. Maternal periconceptional alcohol consumption and gastroschisis in the National Birth Defects Prevention Study, 1997-2011. Paediatr Perinat Epidemiol 2022; 36:782-791. [PMID: 35437856 PMCID: PMC9990374 DOI: 10.1111/ppe.12882] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/05/2021] [Revised: 03/14/2022] [Accepted: 03/22/2022] [Indexed: 11/28/2022]
Abstract
BACKGROUND Gastroschisis is particularly prevalent among offspring of young women and has increased over recent decades. Although previous studies suggest that maternal alcohol consumption is associated with increased gastroschisis risk, none have explored whether maternal age modifies that association. OBJECTIVE The objective of the study was to evaluate associations between self-reported maternal periconceptional alcohol consumption (1 month prior through the third month after conception) and risk of gastroschisis among offspring, by maternal age. METHODS We used data from the National Birth Defects Prevention Study (NBDPS), a multi-site population-based case-control study. The analysis included 1450 gastroschisis cases and 11,829 unaffected liveborn controls delivered during 1997-2011 in ten US states. We estimated adjusted odds ratios (aOR) and 95% confidence intervals (CI) for the individual and joint effects of alcohol consumption and young maternal age at delivery (<25 years vs ≥25 years) on gastroschisis risk. We estimated the relative excess risk due to interaction (RERI) to quantify additive interaction. RESULTS Periconceptional alcohol consumption was common regardless of maternal age (women <25 years: cases 38.8%, controls 29.3%; women ≥25: cases 43.5%, controls 39.5%). Compared with women ≥25 years who did not consume alcohol, we observed increased risk of gastroschisis among women <25 years, with higher estimates among those who consumed alcohol (women <25 years who did not consume alcohol. aOR 5.90, 95% CI 4.89, 7.11; women <25 years who did consume alcohol: aOR 8.21, 95% CI 6.69, 10.07). Alcohol consumption among women ≥25 years was not associated with gastroschisis (aOR 1.12, 95% CI 0.88, 1.42). This suggests super-additive interaction between alcohol consumption and maternal age (RERI -2.19, 95% CI 1.02, 3.36). CONCLUSIONS Periconceptional alcohol consumption may disproportionately increase risk of gastroschisis among young mothers. Our findings support public health recommendations to abstain from alcohol consumption during pregnancy.
Collapse
Affiliation(s)
- Sarah C Fisher
- Birth Defects Registry, New York State Department of Health, Albany, New York, USA
| | - Meredith M Howley
- Birth Defects Registry, New York State Department of Health, Albany, New York, USA
| | - Paul A Romitti
- Department of Epidemiology, College of Public Health, University of Iowa, Iowa City, Iowa, USA
| | - Tania A Desrosiers
- Department of Epidemiology, Gillings School of Global Public Health, University of North Carolina, Chapel Hill, North Carolina, USA
| | - Ethylin Wang Jabs
- Department of Genetics and Genomic Sciences, Icahn School of Medicine at Mount Sinai, New York, New York, USA
- Department of Genetic Medicine, Johns Hopkins School of Medicine, Baltimore, Maryland, USA
| | - Marilyn L Browne
- Birth Defects Registry, New York State Department of Health, Albany, New York, USA
- Department of Epidemiology and Biostatistics, School of Public Health, University at Albany, Rensselaer, New York, USA
| |
Collapse
|
3
|
Hopkins D, Wilson C, Allard R. Sexually Transmitted Infections in U.S. Military Women: A Scoping Review 2000-2018. Womens Health Issues 2021; 31 Suppl 1:S43-S52. [PMID: 34454703 DOI: 10.1016/j.whi.2021.01.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/27/2020] [Revised: 12/28/2020] [Accepted: 01/26/2021] [Indexed: 10/20/2022]
Abstract
PURPOSE High rates of sexually transmitted infections (STIs) have been documented among U.S. military servicemembers. The purpose of this scoping review is to evaluate the literature to determine what is known about the risk factors, preventive measures, and health outcomes regarding STIs among active duty servicewomen. METHODS A search of six bibliographic databases and the grey literature identified articles published from January 1, 2000, to December 31, 2018. A two-level review process was used to evaluate the inclusion of articles. RESULTS Fifty-six articles were included. The majority of studies (n = 47) were descriptive (95%). The primary STIs of focus were chlamydia (66%) and gonorrhea (38%), with a lesser focus on herpes simplex virus 1 and 2 (17%) and syphilis (11%). There were no studies on chancroid or pubic lice. Chlamydia and gonorrhea were highly prevalent. Age, race, and gender were nonmodifiable risk factors, whereas behaviors, beliefs, socioeconomic level, marital status, and concomitant or repeat infections were modifiable risk factors. Educational programs and studies evaluating efficacious STI prevention methods were lacking. STI diagnoses occurred in servicewomen at their home stations as well as in deployed settings. CONCLUSION STIs remain an ongoing public health challenge with insufficient research to guide military and health care leaders. Future research should focus on prospective designs that leverage identified risk factors and at-risk populations where the most impact can be made to promote reproductive health.
Collapse
Affiliation(s)
- Dawnkimberly Hopkins
- David Grant Medical Center, Clinical Investigation Facility, Travis AFB, Fairfield, California.
| | - Candy Wilson
- Uniformed Services University of the Health Sciences, Daniel K. Inouye Graduate School of Nursing, Bethesda, Maryland
| | - Rhonda Allard
- Uniformed Services University of the Health Sciences, James A. Zimble Learning Resources Center, Bethesda, Maryland
| |
Collapse
|
4
|
Kim Y, Min HY, Lee J, Kim SJ. An integrative review of studies of condom use among Korean college students. CHILD HEALTH NURSING RESEARCH 2021; 27:43-55. [PMID: 35004496 PMCID: PMC8650878 DOI: 10.4094/chnr.2021.27.1.43] [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: 12/14/2020] [Revised: 12/27/2020] [Accepted: 12/29/2020] [Indexed: 11/07/2022] Open
Abstract
PURPOSE The purpose of this study was (a) to synthesize studies of condom use among South Korean college students, and (b) to appraise the quality of each article using Gough's weight of evidence. METHODS Studies published in English and Korean were searched in electronic databases using the terms "student or college student or university student or undergraduate", "condom", and "Korea*". RESULTS Twenty studies met the inclusion criteria, showed appropriate quality, and were therefore selected for review. The variables related to condom use were measured in terms of condom-related factors, factors related to non-condom-related knowledge and attitudes, and other factors. Knowledge, attitudes, and self-efficacy were associated with condom use, and there were differences in condom-related factors among men and women. CONCLUSION Based on these findings, it was confirmed that sexual education is needed for both men and women to promote condom use. Education on condom use should not only focus directly on condoms, but should also address other aspects of knowledge and attitudes to influence health beliefs. In addition, developing educational programs targeting adolescents and parents will have a positive effect on college students' condom use.
Collapse
Affiliation(s)
- Yoonjung Kim
- Doctoral Candidate, College of Nursing, Ewha Womans University, Seoul, Korea
| | - Hye Young Min
- Doctoral Candidate, College of Nursing, Ewha Womans University, Seoul, Korea
| | - Jungmin Lee
- Lecturer, School of Nursing, Hallym University, Chuncheon, Korea
| | - Shin-Jeong Kim
- Professor, School of Nursing, Research Institute of Nursing Science, Hallym University, Chuncheon, Korea
| |
Collapse
|
5
|
Lee J, Seon J. Racial/Ethnic Differences in Health Behaviors and Its Roles on Depressive Symptoms among Young Female Adults. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:ijerph17197202. [PMID: 33019719 PMCID: PMC7579617 DOI: 10.3390/ijerph17197202] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 09/04/2020] [Revised: 09/29/2020] [Accepted: 09/30/2020] [Indexed: 06/11/2023]
Abstract
This study explores the role of health behaviors on depressive symptoms across young adult females and differences in the relationship across race/ethnicity. The data come from the National Longitudinal Survey of Youth 1979 Child and Young Adult. Seven hundred and seven non-Hispanic White females, 592 African American females, and 349 Hispanic females were selected. Multiple linear regression and logistic regression analyses were conducted. African American and Hispanic females were more likely to eat fast food than non-Hispanic Whites. African Americans reported that they ate fruit less frequently in comparison with non-Hispanic Whites. Fruit intake was related to lower levels of depressive symptoms. Hispanics moderated the association between fruit intake and depressive symptoms. Females should be encouraged to eat more fruit during young adulthood in order to diminish the likelihood of depressive symptoms. In addition, strategies for promoting healthy behaviors should consider the varied effects of race/ethnicity on depressive symptoms among young female adults.
Collapse
Affiliation(s)
- Jaewon Lee
- Department of Social Welfare, Inha University, Incheon 22212, Korea;
| | - Jisuk Seon
- Department of Social Welfare, Kyungnam University, Changwon 51767, Korea
| |
Collapse
|
6
|
Pilewska-Kozak AB, Pałucka K, Łepecka-Klusek C, Stadnicka G, Jurek K, Dobrowolska BB. Perception of health, health behaviours and the use of prophylactic examinations in postmenopausal women. BMC WOMENS HEALTH 2020; 20:71. [PMID: 32290849 PMCID: PMC7155283 DOI: 10.1186/s12905-020-00931-9] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 12/10/2019] [Accepted: 03/19/2020] [Indexed: 02/08/2023]
Abstract
Background Pro-health behaviours aim at disease prevention, recovery from an illness and maintenance of good health in a physical, mental and social sphere. The study had two main objectives: (a) to analyse health behaviours of postmenopausal women and their understanding of the notion of health, and (b) to analyse the relationship between individual categories of health behaviours and prophylactic activities undertaken by postmenopausal women. Methods A cross-sectional study was conducted among a convenience sample of 510 postmenopausal women. Three study instruments were used: an original questionnaire and two instruments designed by Juczyński: the List of Health Criteria and the Health Behaviour Inventory. Results In the view of the respondents health was primarily synonymous with a feature, because the following three associations were given the highest priority when defining health: to be healthy means ‘have all body parts functioning well’ (M = 1.82), ‘do not experience any physical problems’ (M = 1.43) and ‘not be sick, only occasionally suffer from flu, cold or indigestion’. The score for health behaviours was average (M = 86.18). The highest score was achieved in the area of prophylactic behaviours. General indicator of health-related behaviours was higher in women who rated their health as very good (p < 0.05). Women whose general indicator of health-related behaviours was higher regularly performed prophylactic gynaecological examinations (p < 0.05). Conclusions Results showed that women after menopause treat health mainly as a feature of their body and condition specific for this period of life. The analysis of postmenopausal women’s health behaviours and their perception of health helped to identify areas that require the focus of medical personnel in regard to health promotion and prophylaxis. The average general indicator of health-related behaviours is positive for this group of women as it shows that they care about their health, especially in terms of prophylaxis.
Collapse
Affiliation(s)
- Anna B Pilewska-Kozak
- Chair and Department of Gynecology and Gynecological Endocrinology, Faculty of Health Sciences, Medical University of Lublin, Aleje Racławickie 23, 20-049, Lublin, Poland.
| | - Klaudia Pałucka
- Chair and Department of Gynecology and Gynecological Endocrinology, Faculty of Health Sciences, Medical University of Lublin, Aleje Racławickie 23, 20-049, Lublin, Poland
| | - Celina Łepecka-Klusek
- Chair and Department of Gynecology and Gynecological Endocrinology, Faculty of Health Sciences, Medical University of Lublin, Aleje Racławickie 23, 20-049, Lublin, Poland
| | - Grażyna Stadnicka
- Chair and Department of Development in Midwifery, Faculty of Health Sciences, Medical University of Lublin, Lublin, Poland
| | - Krzysztof Jurek
- Faculty of Social Sciences, Institute of Sociology, John Paul II Catholic University in Lublin, Lublin, Poland
| | - Beata B Dobrowolska
- Chair of Development in Nursing, Faculty of Health Sciences, Medical University of Lublin, Lublin, Poland
| |
Collapse
|
7
|
Fergus KB, Copp HL, Tabler JL, Nagata JM. Eating disorders and disordered eating behaviors among women: Associations with sexual risk. Int J Eat Disord 2019; 52:1310-1315. [PMID: 31267548 PMCID: PMC9714254 DOI: 10.1002/eat.23132] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/01/2019] [Revised: 06/19/2019] [Accepted: 06/20/2019] [Indexed: 01/27/2023]
Abstract
OBJECTIVE To evaluate the association between eating disorders or disordered eating behaviors and sexual risk in young women. METHOD We used prospective cohort data of young women ages 18-26 years from the National Longitudinal Study of Adolescent to Adult Health (N = 5,899). Exposures of interest (at 18-26 years) included a self-reported eating disorder diagnosis or disordered eating behaviors including fasting/skipping meals, vomiting, diet pills, or laxative/diuretic use to lose weight and binge eating. Sexual risk outcomes at 7-year follow-up included the number of new sexual partners, condom use, and sexually transmitted infections. RESULTS Having either an eating disorder or reporting any disordered eating behavior was associated with a greater number of new sexual partners (B = 1.09, 95% CI [0.18, 2.00]) and lower odds of condom use (odds ratio 0.70, 95% CI [0.53, 0.94] among a subsample of sexually active, unmarried women). DISCUSSION Young women with eating disorders or who engage in disordered eating behaviors are at higher risk for multiple new sexual partners and unprotected sex. Clinicians caring for young adults with eating disorders may consider screening for sexual risk behaviors.
Collapse
Affiliation(s)
- Kirkpatrick B. Fergus
- Department of Urology, University of California-San Francisco, San Francisco, California
| | - Hillary L. Copp
- Department of Urology, University of California-San Francisco, San Francisco, California
| | - Jennifer L. Tabler
- Department of Criminal Justice and Sociology, University of Wyoming, Laramie, Wyoming
| | - Jason M. Nagata
- Department of Pediatrics, University of California-San Francisco, San Francisco, CA
| |
Collapse
|