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Saewyc EM, Lin C, Parrilla JS, Nath R, Ybarra ML. First time sexual experiences of sexual minority adolescent girls in the United States. PSYCHOLOGY & SEXUALITY 2022. [DOI: 10.1080/19419899.2022.2049631] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Affiliation(s)
- Elizabeth M. Saewyc
- Stigma and Resilience among Vulnerable Youth Centre, University of British Columbia School of Nursing, Vancouver, BC, Canada
| | - Chichun Lin
- Stigma and Resilience among Vulnerable Youth Centre, University of British Columbia School of Nursing, Vancouver, BC, Canada
| | - Julia Santana Parrilla
- Stigma and Resilience among Vulnerable Youth Centre, University of British Columbia School of Nursing, Vancouver, BC, Canada
| | - Ronita Nath
- Stigma and Resilience among Vulnerable Youth Centre, University of British Columbia School of Nursing, Vancouver, BC, Canada
| | - Michele L. Ybarra
- Center for Innovative Public Health Research, Santa Ana, California, USA
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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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Goodreau SM, Pollock ED, Wang LY, Barrios LC, Dunville RL, Aslam MV, Katz DA, Hart-Malloy R, Rosenthal EM, Trigg M, Fields M, Hamilton DT, Rosenberg ES. Predicting the impact of sexual behavior change on adolescent STI in the US and New York State: a case study of the teen-SPARC tool. Ann Epidemiol 2020; 47:13-18. [PMID: 32713502 PMCID: PMC7385281 DOI: 10.1016/j.annepidem.2020.05.009] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/19/2019] [Revised: 04/30/2020] [Accepted: 05/19/2020] [Indexed: 10/24/2022]
Abstract
PURPOSE Adolescents aged 13-18 years bear a large burden of sexually transmitted infections (STIs) and changing adolescent sexual risk behavior is a key component of reducing this burden. We demonstrate a novel publicly available modeling tool (teen-SPARC) to help state and local health departments predict the impact of behavioral change on gonorrhea, chlamydia, and HIV burden among adolescents. METHODS Teen-SPARC is built in Excel for familiarity and ease and parameterized using data from CDC's Youth Risk Behavior Surveillance System. We present teen-SPARC's methods, including derivation of national parameters and instructions to obtain local parameters. We model multiple scenarios of increasing condom use and estimate the impact on gonorrhea, chlamydia, and HIV incidence, comparing national and New York State (NYS) results. RESULTS A 1% annual increase in condom use (consistent with Healthy People 2020 goals) could prevent nearly 10,000 cases of STIs nationwide. Increases in condom use of 17.1%, 2.2%, and 25.5% in NYS would be necessary to avert 1000 cases of gonorrhea, 1000 cases of chlamydia, and 10 cases of HIV infection, respectively. Additional results disaggregate outcomes by age, sex, partner sex, jurisdiction, and pathogen. CONCLUSION Teen-SPARC may be able to assist health departments aiming to tailor behavioral interventions for STI prevention among adolescents.
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Affiliation(s)
- Steven M Goodreau
- Department of Anthropology, University of Washington, Seattle; Center for Studies in Demography and Ecology, University of Washington, Seattle.
| | - Emily D Pollock
- Department of Anthropology, University of Washington, Seattle; Center for Studies in Demography and Ecology, University of Washington, Seattle
| | - Li Yan Wang
- Division of Adolescent and School Health, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention, Atlanta, GA
| | - Lisa C Barrios
- Division of Adolescent and School Health, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention, Atlanta, GA
| | - Richard L Dunville
- Division of Adolescent and School Health, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention, Atlanta, GA
| | - Maria V Aslam
- Office of the Director, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention, Atlanta, GA
| | - David A Katz
- Department of Global Health, University of Washington, Seattle
| | - Rachel Hart-Malloy
- AIDS Institute, New York State Department of Health, Albany, NY; Department of Epidemiology and Biostatistics, University at Albany School of Public Health, State University of New York, Rensselaer
| | - Elizabeth M Rosenthal
- Department of Epidemiology and Biostatistics, University at Albany School of Public Health, State University of New York, Rensselaer
| | - Monica Trigg
- Department of Epidemiology, Emory University, Atlanta, GA
| | - Megan Fields
- Department of Epidemiology, Emory University, Atlanta, GA
| | - Deven T Hamilton
- Center for Studies in Demography and Ecology, University of Washington, Seattle
| | - Eli S Rosenberg
- Department of Epidemiology and Biostatistics, University at Albany School of Public Health, State University of New York, Rensselaer
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