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Gil-Llario MD, Morell-Mengual V, García-Barba M, Nebot-García JE, Ballester-Arnal R. HIV and STI Prevention Among Spanish Women Who have Sex with Women: Factors Associated with Dental Dam and Condom Use. AIDS Behav 2023; 27:161-170. [PMID: 35788924 PMCID: PMC9852118 DOI: 10.1007/s10461-022-03752-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/08/2022] [Indexed: 01/24/2023]
Abstract
The scientific community has systematically ignored the needs of women who have sex with women (WSW). The invisibilization of romantic and sexual relationships between women has caused a profound lack of knowledge about the impact of HIV and other STIs on this population subgroup. This study aims to analyze the frequency of dental dam and condom use in WSW and identify the variables that explain the use of these two preventive methods. The sample is composed of 327 women aged between 18 and 60 years (M = 27.82; SD = 8.10). The results indicate that only 4.7% of those who practice cunnilingus and 5.2% of those who practice anilingus report "always" using dental dam (systematic use). Condoms are used systematically by 37.1% of those who practice vaginal penetration and 37.8% of those who practice anal penetration. Age, high perceived self-efficacy, and adequate assertive communication skills are variables significantly related to preventive behavior. The severity attributed to HIV and the perceived risk of infection are protective factors regarding dental dam use. For condom use, high levels of internalized homophobia and drug use are risk factors. Future preventive strategies should provide information on preventive strategies to WSW who, for different reasons, are not involved in LGBT contexts or associations and, therefore, do not have access to training activities and mistakenly believe that they are invulnerable as they do not have sexual relations with men.
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Affiliation(s)
- María Dolores Gil-Llario
- grid.5338.d0000 0001 2173 938XDepartment of Developmental and Educational Psychology, University of Valencia, Valencia, Spain
| | - Vicente Morell-Mengual
- grid.5338.d0000 0001 2173 938XDepartment of Developmental and Educational Psychology, University of Valencia, Valencia, Spain
| | - Marta García-Barba
- grid.9612.c0000 0001 1957 9153Department of Basic and Clinical Psychology and Psychobiology, Jaume I University, Castelló de la Plana, Castellon Spain
| | - Juan E. Nebot-García
- grid.9612.c0000 0001 1957 9153Department of Basic and Clinical Psychology and Psychobiology, Jaume I University, Castelló de la Plana, Castellon Spain
| | - Rafael Ballester-Arnal
- grid.9612.c0000 0001 1957 9153Department of Basic and Clinical Psychology and Psychobiology, Jaume I University, Castelló de la Plana, Castellon Spain
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2
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Wright PJ. Pornography Consumption and Condomless Sex among Emerging U.S. Adults: Results from Six Nationally Representative Surveys. HEALTH COMMUNICATION 2022; 37:1740-1747. [PMID: 33886380 DOI: 10.1080/10410236.2021.1917745] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/12/2023]
Abstract
Using six samples of unmarried U.S. residents aged 18-24 who were part of a larger biennial nationally representative survey (2008-2018), the present study examined whether pornography consumption is a risk factor for condomless sex during emerging adulthood. Condomless sex is the norm in popular, commonly consumed, pornography. Further, emerging adulthood is a time of heightened sexual experimentation and risk taking, and many emerging adults view pornography. Consistent with a sexual scripting perspective on media processes and effects, emerging adults who viewed pornography were more likely to have condomless sex than their peers who did not consume pornography. The link between pornography use and condomless sex was similar for men and women, white youth and youth of color, as well as heterosexual and LGB youth. The link was not moderated by age. Further, the link was robust even when indicators of both sexual and nonsexual sensation seeking predilections were included in analyses. These results are consistent with recent suggestions from public health experts that sex education programs need to include modules on pornography literacy.
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Affiliation(s)
- Paul J Wright
- Communication Science Unit, The Media School, Indiana University
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3
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Thorpe S, Ware S, Tanner AE, Kugler KC, Guastaferro KM, Milroy JJ, Wyrick DL. Sexual sensation seeking, hookups, and alcohol consumption among first-year college students. JOURNAL OF AMERICAN COLLEGE HEALTH : J OF ACH 2021; 69:897-904. [PMID: 31995458 PMCID: PMC7387156 DOI: 10.1080/07448481.2020.1713136] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/05/2019] [Revised: 12/29/2019] [Accepted: 12/30/2019] [Indexed: 06/10/2023]
Abstract
OBJECTIVE To explore sexual sensation seeking (SSS) among an ethnically-diverse sample of first-year college students and their hookup behaviors. PARTICIPANTS 1,480 first-year college students who hooked up in the last 30 days were recruited from four universities in 2016. METHODS Students completed an online survey before completing an online STI and alcohol prevention intervention. RESULTS Male and sexual minority students had significantly higher SSS scores compared to female and heterosexual students respectively. Students with higher SSS scores were less likely to report condom use at last vaginal and anal hookup, more likely to hookup under the influence of alcohol and participate in a wide range of sexual behaviors. There were no significant mean differences in SSS scores by level of intoxication during their last hookup. CONCLUSION These findings highlight the role of SSS in predicting sexual risk behaviors of first-year college students and the overall low SSS scores among this sample.
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Affiliation(s)
- Shemeka Thorpe
- The University of North Carolina at Greensboro, Department of Public Health Education, Greensboro, North Carolina
| | - Samuella Ware
- The University of North Carolina at Greensboro, Department of Public Health Education, Greensboro, North Carolina
| | - Amanda E. Tanner
- The University of North Carolina at Greensboro, Department of Public Health Education, Greensboro, North Carolina
| | - Kari C. Kugler
- The Pennsylvania State University, Department of Biobehavioral Health, University Park, Pennsylvania
| | - Kate M. Guastaferro
- The Pennsylvania State University, Methodology Center, University Park, Pennsylvania
| | - Jeffrey J. Milroy
- The University of North Carolina at Greensboro, Department of Public Health Education, Greensboro, North Carolina
| | - David L. Wyrick
- The University of North Carolina at Greensboro, Department of Public Health Education, Greensboro, North Carolina
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4
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Abdel-Hamid M, Basilowski M, Schönfeld B, Bartels C, Anderson-Schmidt H, Hessmann P, Kownatka M, Dehghan-Vratonjic S, Krieger S, Scherbaum N, Wiltfang J, Kis B, Signerski-Krieger J. Sexual dysfunction in patients with adult attention deficit hyperactivity disorder: A pilot study. THE CANADIAN JOURNAL OF HUMAN SEXUALITY 2021. [DOI: 10.3138/cjhs.2020-0036] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/11/2022]
Abstract
Attention deficit hyperactivity disorder (ADHD) symptomatology, comorbid diseases, and pharmacological treatment with antidepressants can have a negative impact on sexual function, which in turn increases the likelihood of sexual dysfunction in people with ADHD. The objective of this pilot study was to differentiate and delineate possible sexual dysfunction in adults with ADHD. Adult ADHD patients (n = 32, cisgender / heterosexual) and healthy controls (n = 32, cisgender / heterosexual) filled out the DÄS-Zuf questionnaire with 59 items (Krieger, 2013). This questionnaire is divided into the scales “general contentment with life,” “anxiety/depression,” “sexual dysfunction” and “sexual satisfaction.” Patients with ADHD had significantly higher scores on single items measuring various aspects of sexual dysfunction as well as higher scores on the “anxiety/depression” scale and lower scores on the “general contentment with life” scale. Following repeated measures analyses of covariance in which the scale “anxiety/depression” was controlled as covariate, none of the previously differences for single items between ADHD patients and controls remained significant. ADHD patients with methylphenidate showed stronger physical sexual arousal compared to those without methylphenidate. The results of this pilot study suggest several explanations for sexual dysfunction among adults with ADHD and offer tentative routes for practical treatment approaches.
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Affiliation(s)
- Mona Abdel-Hamid
- Department of Psychiatry and Psychotherapy, University Medical Center Göttingen (UMG), Göttingen, Germany
- LVR Hospital Essen, Department of Psychiatry and Psychotherapy, Faculty of Medicine, University of Duisburg-Essen, Essen, Germany
| | - Miriam Basilowski
- LVR Hospital Essen, Department of Psychiatry and Psychotherapy, Faculty of Medicine, University of Duisburg-Essen, Essen, Germany
- WIR Center for Sexual Health and Medicine, St. Elisabeth-Hospital Bochum, Catholic Hospitals Bochum, Bochum, Germany
| | | | - Claudia Bartels
- Department of Psychiatry and Psychotherapy, University Medical Center Göttingen (UMG), Göttingen, Germany
| | - Heike Anderson-Schmidt
- Department of Psychiatry and Psychotherapy, University Medical Center Göttingen (UMG), Göttingen, Germany
| | - Philipp Hessmann
- Department of Psychiatry and Psychotherapy, University Medical Center Göttingen (UMG), Göttingen, Germany
| | - Melanie Kownatka
- LVR Hospital Essen, Department of Psychiatry and Psychotherapy, Faculty of Medicine, University of Duisburg-Essen, Essen, Germany
| | - Sonja Dehghan-Vratonjic
- LVR Hospital Essen, Department of Psychiatry and Psychotherapy, Faculty of Medicine, University of Duisburg-Essen, Essen, Germany
| | - Simone Krieger
- LVR Hospital Essen, Department of Psychiatry and Psychotherapy, Faculty of Medicine, University of Duisburg-Essen, Essen, Germany
| | - Norbert Scherbaum
- LVR Hospital Essen, Department of Psychiatry and Psychotherapy, Faculty of Medicine, University of Duisburg-Essen, Essen, Germany
| | - Jens Wiltfang
- Department of Psychiatry and Psychotherapy, University Medical Center Göttingen (UMG), Göttingen, Germany
| | - Bernhard Kis
- Department of Psychiatry and Psychotherapy, University Medical Center Göttingen (UMG), Göttingen, Germany
- LVR Hospital Essen, Department of Psychiatry and Psychotherapy, Faculty of Medicine, University of Duisburg-Essen, Essen, Germany
- Department of Psychiatry, Psychotherapy and Psychosomatics, St. Elisabeth-Hospital Niederwenigern, Contilia Group, Hattingen, Germany
| | - Jörg Signerski-Krieger
- Department of Psychiatry and Psychotherapy, University Medical Center Göttingen (UMG), Göttingen, Germany
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5
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Boucher Bégin N, Boislard MA, Otis J. Pourquoi les adultes émergents actifs sexuellement ne se font-ils pas systématiquement dépister pour les ITSS ? SEXOLOGIES 2021. [DOI: 10.1016/j.sexol.2021.03.002] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/31/2022]
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6
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Haider MR, Kingori C, Brown MJ, Battle-Fisher M, Chertok IA. Illicit drug use and sexually transmitted infections among young adults in the US: evidence from a nationally representative survey. Int J STD AIDS 2020; 31:1238-1246. [PMID: 32996867 DOI: 10.1177/0956462420950603] [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] [Indexed: 11/16/2022]
Abstract
Young people aged 15-24 years account for half of all new sexually transmitted infections (STIs) in the United States. The aim of this study was to examine the cross-sectional associations of factors linked to STIs among US young adults (18-25 years). This study used the 2015-2018 pooled National Survey on Drug Use and Health data on 55,690 young adults. Almost 3.4% of the respondents reported having an STI in the past year. Among the participants, 38.4% used illicit drugs and 3.7% reported a history of delinquency in the past year. In the survey-weighted logistic regression model, odds for contracting STIs in the preceding year was higher among adults aged 22-25 versus 18-21 years (OR:1.26, 95%CI:1.12-1.42); male versus female (OR:2.44, 95%CI:2.11-2.82); non-Hispanic African American versus non-Hispanic White (OR:1.77, 95%CI:1.55-2.02); widowed/separated/divorced (OR:1.93, 95%CI:1.36-2.75) and never married (OR:1.29, 95%CI:1.07-1.55) versus married; full-time/part-time employed (aOR:1.17, 95% CI:1.04-1.31) compared to unemployed/other; history of delinquency (OR:2.31, 95%CI:1.89-2.83); and use of illicit drugs in the last year (OR:3.10, 95%CI:2.77-3.47). High incidence of illicit drug use by the young adults and its strong association with STI incidence in recent years warrant special attention. Tailored preventive measures should be focused on key predictors.
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Affiliation(s)
- Mohammad Rifat Haider
- Department of Social and Public Health, College of Health Sciences and Professions, Ohio University, Athens, OH, USA
| | - Caroline Kingori
- Department of Social and Public Health, College of Health Sciences and Professions, Ohio University, Athens, OH, USA
| | - Monique J Brown
- Department of Epidemiology and Biostatistics, Arnold School of Public Health, University of South Carolina, Columbia, SC, USA.,South Carolina SmartState Center for Healthcare Quality, Arnold School of Public Health, University of South Carolina, Columbia, SC, USA
| | | | - Ilana Azulay Chertok
- School of Nursing, College of Health Sciences and Professions, Ohio University, Athens, OH, USA
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7
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Banks DE, Hensel DJ, Zapolski TCB. Integrating Individual and Contextual Factors to Explain Disparities in HIV/STI Among Heterosexual African American Youth: A Contemporary Literature Review and Social Ecological Model. ARCHIVES OF SEXUAL BEHAVIOR 2020; 49:1939-1964. [PMID: 32157486 PMCID: PMC7321914 DOI: 10.1007/s10508-019-01609-6] [Citation(s) in RCA: 12] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/08/2018] [Revised: 12/03/2019] [Accepted: 12/10/2019] [Indexed: 05/21/2023]
Abstract
Heterosexual African American youth face substantial disparities in sexual health consequences such as HIV and STI. Based on the social ecological framework, the current paper provides a comprehensive, narrative review of the past 14 years of literature examining HIV/STI risk, including risky sexual behavior, among heterosexual African American youth and a conceptual model of risk among this population. The review found that individual psychological and biological factors are insufficient to explain the sexual health disparities faced by this group; instead, structural disadvantage, interpersonal risk, and community dysfunction contribute to the disparity in HIV/STI outcomes directly and indirectly through individual psychological factors. The conceptual model presented suggests that for African American youth, (1) HIV/STI risk commonly begins at the structural level and trickles down to the community, social, and individual levels, (2) risk works in a positive feedback system such that downstream effects compound the influence of structural risks, and (3) contextual and individual risk factors must be considered within the advanced stage of the epidemic facing this population. Despite advanced HIV and STI epidemics among heterosexual African American youth, multisystemic interventions that target structural risk factors and their downstream effects are posited to reduce the disparity among this high-risk population.
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Affiliation(s)
- Devin E Banks
- Department of Psychology, Indiana University Purdue University-Indianapolis, 402 N. Blackford St., LD 124, Indianapolis, IN, 46202, USA.
| | - Devon J Hensel
- Department of Pediatrics, Indiana University School of Medicine, Indianapolis, IN, USA
| | - Tamika C B Zapolski
- Department of Psychology, Indiana University Purdue University-Indianapolis, 402 N. Blackford St., LD 124, Indianapolis, IN, 46202, USA
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8
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Pirani E, Matera C. Who is at risk? Gendered psychological correlates in Italian students’ sexual risk profiles. GENUS 2020. [DOI: 10.1186/s41118-020-00080-9] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
Abstract
AbstractRecent research has shown that sexual risk behaviours are rising substantially among Italian youth, but this evidence is still undervalued in public discussion. Adopting a multidimensional perspective for sexual risk and addressing gender differences, the present study investigates if and how some individuals’ psychological characteristics—namely body satisfaction, self-esteem and body sensation-seeking—are associated with unsafe and risky sexual behaviours of Italian emerging adults. We exploited the survey SELFY—Sexual and Emotional LiFe of Youths—conducted in 2017 in Italy. Several key points may be highlighted from our study. First, we identify two clusters characterized by high sexual risk-taking behaviours, which include one third of our sample, a non-negligible proportion. Second, we prove that women are generally less inclined to adopt risk-taking behaviours in sexual life. Third, our findings show that body satisfaction, self-esteem and sensation seeking are differently linked to sexual risk taking among women and men. Body satisfaction is associated with a higher probability of adopting risky and promiscuous sexual behaviours among men, while the relationship is not significant among women. Sensation seeking shows a certain relevance in defining sexual risk profiles, especially for men. Overall, our research suggests that body image and self-worth could be relevant areas of intervention for sexual health programs targeting emerging Italian adults. Notably, communication and education strategies on these issues should be differentiated for women and men.
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9
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Abstract
Sexual Sensation Seeking has been identified as a main predictor of unsafe sex that particularly affects LGB people. This study adapts and validates the Sexual Sensation Seeking Scale to Spanish LGB people. For this purpose, we tested the factor structure in 1237 people, ranged from 17 to 60 years old, 880 self-defined as homosexuals and 357 as bisexuals. The results support the appropriateness of this scale for Spanish LGB people and determine two factors, explaining the 49.91% of variance: "physical sensations attraction" and "sexual experiences". Our findings reveal optimal levels of internal consistency in the total scale (α = 0.81) and each factor (α = 0.84 and α = 0.71). Additional analyses have demonstrated convergent validity for this scale. Important implications of the validated Sexual Sensation Seeking Scale in Spanish LGB people are discussed, in order to early detection and preventive interventions for HIV and other sexual health problems.
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10
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Giménez-García C, Ruiz-Palomino E, Gil-Llario MD, Ballester-Arnal R, Castañeiras C. Why Do Young Hispanic Women Take Sexual Risks? Psychological and Cultural Factors for HIV Prevention. J Assoc Nurses AIDS Care 2018; 29:762-769. [PMID: 29907520 DOI: 10.1016/j.jana.2018.05.006] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/27/2017] [Accepted: 05/26/2018] [Indexed: 12/29/2022]
Abstract
Young Hispanic women have been particularly affected by HIV. For this reason, we analyzed the influence of cognitive factors, dispositional variables, and gender culture on the HIV risks of two groups of Hispanic women. Young Argentinian and Spanish women (N = 342) completed the AIDS Prevention Questionnaire, the Spanish version of the Sexual Compulsivity Scale, and the Spanish version of the Sexual Sensation Seeking Scale in order to evaluate knowledge of HIV transmission, HIV, and condom use; self-efficacy; safe-sex intention and safe sex; as well as Sexual Sensation Seeking and Sexual Compulsivity traits. Our findings support a different pattern of HIV risk based on gender inequality, although self-efficacy and sexual sensation seeking seem to have been the main important predictors of unsafe sex and HIV risk. Social and psychological factors should be considered to design HIV prevention strategies aimed at young Hispanic women.
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11
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Psychometric properties and validation of the sexual sensation seeking scale in Spanish adolescents: Brief screening method for use in research and clinical practice. PERSONALITY AND INDIVIDUAL DIFFERENCES 2018. [DOI: 10.1016/j.paid.2017.10.006] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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12
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Thornton LC, Frick PJ, Ray JV, Wall Myers TD, Steinberg L, Cauffman E. Risky Sex, Drugs, Sensation Seeking, and Callous Unemotional Traits in Justice-Involved Male Adolescents. JOURNAL OF CLINICAL CHILD AND ADOLESCENT PSYCHOLOGY 2017; 48:68-79. [PMID: 29236522 DOI: 10.1080/15374416.2017.1399398] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Abstract
The current study examined whether callous-unemotional (CU) traits predicted risky sexual behavior (i.e., unprotected sex, casual sex) and whether substance use and sensation seeking mediated this relationship over 24 months in justice-involved young men. Participants (N = 1,216) were an ethnically and racially diverse sample (46.3% White Latino, 38% Black, 15.7% White non-Latino) of first-time offending male adolescents (ages 13-17 years) from 3 U.S. cities. Participants completed 5 self-reported interviews at 6-month intervals over 2 years. Bootstrapped mediation analyses were conducted to test direct effects of CU traits on risky sexual behaviors, as well as indirect effects through substance use and sensation seeking. CU traits at baseline were positively associated with risky sexual behavior 18-24 months later. CU traits were also associated with the hypothesized mediators, sensation seeking and substance use, measured 6-12 months after baseline. CU traits exerted direct effects on later unprotected sex and casual sex, as well as indirect effects through substance use but not sensation seeking. These effects were largely unchanged when accounting for the youth's level of self-reported delinquency. These findings demonstrate that CU traits predict later risky sexual outcomes, and this is at least partly explained by substance use. Further, the findings highlight the importance of CU traits for several outcomes that are of significant public health concern among justice-involved adolescents, namely, risky sexual behavior and substance use.
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Affiliation(s)
- Laura C Thornton
- a Center for Neurobehavioral Research , Boys Town National Research Hospital
| | - Paul J Frick
- b Department of Psychology , Louisiana State University.,c Learning Sciences Institute of Australia , Australian Catholic University
| | - James V Ray
- d Department of Criminal Justice , University of Central Florida
| | | | - Laurence Steinberg
- f Department of Psychology, Temple University.,g Department of Psychology, King Abdulaziz University
| | - Elizabeth Cauffman
- h Department of Psychology and Social Behavior, University of California, Irvine
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13
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Pittiglio L. Learned Helplessness and Sexual Risk Taking in Adolescent and Young Adult African American Females. AIDS Patient Care STDS 2017; 31:356-361. [PMID: 28719226 DOI: 10.1089/apc.2017.0052] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022] Open
Abstract
Research involving adolescent and young African American (AA) females has demonstrated that they face uncontrollable obstacles which can interfere with the negotiation of safer sexual behaviors. If these obstacles are perceived as uncontrollable, then these females may be at risk for the development of Learned Helplessness (LH). As the LH model predicts, if these obstacles are believed not to be in their control, it may lead to deficits in motivational or cognitive decision-making, deficits that could certainly influence their sexual risk taking behaviors. Therefore, the primary objective for this pilot study was to trial the Learned Helplessness Scale (LHS) to examine the perceptions of LH in this population. A convenience sample of 50 adolescent and young AA females between the ages of 16 and 21 were recruited from two clinics in Southeast Michigan. Scores on the LHS ranged from 20 to 57, with a mean score of 39.1 (standard deviation = 10.49). The higher range of scores in the sample demonstrates a continuum of LH among the participants in the study.
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14
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Santos-Iglesias P, Moyano N, Castro A, Granados MR, Sierra JC. Validation of the Sexual Sensation Seeking Scale in Spanish Samples. J Pers Assess 2017; 100:421-430. [DOI: 10.1080/00223891.2017.1328424] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Affiliation(s)
| | - Nieves Moyano
- Department of Psychology and Sociology, University of Zaragoza, Huesca, Spain
| | - Angel Castro
- Department of Psychology and Sociology, University of Zaragoza, Teruel, Spain
| | - M. Reina Granados
- Mind, Brain, and Behavior Research Center, University of Granada, Spain
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15
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Northey L, Dunkley CR, Klonsky ED, Gorzalka BB. Borderline personality disorder traits and sexuality: Bridging a gap in the literature. THE CANADIAN JOURNAL OF HUMAN SEXUALITY 2016. [DOI: 10.3138/cjhs.252-a8] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
Extant research connecting borderline personality disorder (BPD) to sexuality is sparse. The current study aimed to expand the limited body of research on borderline personality traits and human sexuality, and to shed light on the personality features that contribute specifically to sexual sensation seeking, sexual compulsivity, and sexual risk-taking behaviours. Undergraduate students (n=955) completed an online questionnaire containing scales assessing BPD symptoms (affective instability, identity disturbance, negative relationships, and self-harm), sexual sensation seeking, sexual compulsivity, and sexual risk-taking. Multiple linear regression analyses were conducted and revealed no significant gender X symptom interaction predictors. Results did indicate links between specific BPD symptoms and specific sexuality variables. Total sexual compulsivity and compulsive sexual control behaviours were positively predicted by all four BPD symptoms, whereas compulsive sexual violence was predicted by all symptoms except for identity disturbance. Sexual sensation seeking was positively predicted by negative relationships and self-harm. Sexual risk taking was not significantly predicted by any BPD symptoms. These findings improve our understanding of how individuals with borderline personality traits experience romantic and sexual relationships, and may inform the future development of therapeutic interventions.
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Affiliation(s)
- Lynnaea Northey
- Department of Psychology, Simon Fraser University, Burnaby, BC
| | - Cara R. Dunkley
- Department of Psychology, University of British Columbia, Vancouver, BC
| | - E. David Klonsky
- Department of Psychology, University of British Columbia, Vancouver, BC
| | - Boris B. Gorzalka
- Department of Psychology, University of British Columbia, Vancouver, BC
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16
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Byck GR, Swann G, Schalet B, Bolland J, Mustanski B. Sensation seeking predicting growth in adolescent problem behaviors. Child Psychiatry Hum Dev 2015; 46:466-73. [PMID: 25112599 PMCID: PMC4326633 DOI: 10.1007/s10578-014-0486-y] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Abstract
There is limited literature on the relationship between sensation seeking and adolescent risk behaviors, particularly among African Americans. We tested the association between psychometrically-derived subscales of the Zuckerman Sensation Seeking Scale and the intercepts and slopes of individual growth curves of conduct problems, sexual risk taking, and substance use from ages 13 to 18 years by sex. Boys and girls had different associations between sensation seeking and baseline levels and growth of risk behaviors. The Pleasure Seeking scale was associated with baseline levels of conduct problems in boys and girls, baseline substance use in boys, and growth in sexual risk taking and substance use by girls. Girls had the same pattern of associations with the Danger/Novelty scale as the Pleasure Seeking scale. Knowledge about the relationships between adolescent risk taking and sensation seeking can help in the targeted design of prevention and intervention programs for the understudied population of very low-income, African American adolescents.
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Affiliation(s)
- Gayle R. Byck
- Department of Medical Social Sciences, Feinberg School of Medicine, Northwestern University, Chicago, Illinois
| | - Greg Swann
- Department of Medical Social Sciences, Feinberg School of Medicine, Northwestern University, Chicago, Illinois
| | - Benjamin Schalet
- Department of Medical Social Sciences, Feinberg School of Medicine, Northwestern University, Chicago, Illinois
| | - John Bolland
- College of Human Environmental Sciences, University of Alabama, Tuscaloosa, Alabama
| | - Brian Mustanski
- Department of Medical Social Sciences, Feinberg School of Medicine, Northwestern University, Chicago, Illinois
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17
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Ritchwood TD, Penn DC, DiClemente RJ, Rose ES, Sales JM. Influence of sexual sensation-seeking on factors associated with risky sexual behaviour among African-American female adolescents. Sex Health 2014; 11:540-6. [PMID: 25355174 DOI: 10.1071/sh14075] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/22/2014] [Accepted: 09/04/2014] [Indexed: 11/23/2022]
Abstract
UNLABELLED Background The identification of antecedents to sexual risk among youth is critical to the development and dissemination of multilevel interventions. Therefore, the aim of the present study was to examine the effect of sexual sensation-seeking on partner age, partner communication, and the sexual attitudes and behaviours of African-American female youth. METHODS This study examined survey data collected by audio computer-assisted self-interviews from 701 young African-American females between 14 and 20 years of age. The survey consisted of items designed to measure adolescents' sexual risk and preventive behaviours. RESULTS The results of this study suggest that sexual sensation-seeking is associated with condom use among adolescent African-American females. For adolescents who reported greater sexual sensation-seeking, lower levels of sexual happiness were associated with a decreased likelihood of condom use at last intercourse (β=1.01, P≤0.05). For those reporting lower levels of sexual sensation-seeking, greater sexual enjoyment was associated with a greater likelihood of condom use at last intercourse (β=0.93, P≤0.01). Adolescents with younger sexual partners and lower levels of sexual sensation-seeking reported a higher proportion of condom use in the past 6 months (β=0.70, P=0.01). Higher partner communication self-efficacy and decreasing levels of sexual sensation-seeking were associated with fewer lifetime sexual partners (β=-0.54, P≤0.05). CONCLUSIONS Future research should address the impact of these variables on adolescent relationship dynamics and sexual decision-making.
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Affiliation(s)
- Tiarney D Ritchwood
- Center for Health Equity Research, University of North Carolina at Chapel Hill, 333 South Columbia Street, Chapel Hill, NC 27599, USA
| | - Dolly C Penn
- Preventive Medicine, University of North Carolina at Chapel Hill, 333 South Columbia Street, Chapel Hill, NC 27599, USA
| | - Ralph J DiClemente
- Rollins School of Public Health, Emory University, Atlanta, GA 30322, USA
| | - Eve S Rose
- Rollins School of Public Health, Emory University, Atlanta, GA 30322, USA
| | - Jessica M Sales
- Rollins School of Public Health, Emory University, Atlanta, GA 30322, USA
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Voisin DR, Hotton A, Tan K, DiClemente R. A Longitudinal Examination of Risk and Protective Factors Associated with Drug Use and Unsafe Sex among Young African American Females. CHILDREN AND YOUTH SERVICES REVIEW 2013; 35:1440-1446. [PMID: 23935234 PMCID: PMC3735175 DOI: 10.1016/j.childyouth.2013.05.019] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/11/2023]
Abstract
This study prospectively examined associations among multiple theoretically informed risk (e.g., depression, sexual sensation seeking, and risky peers norms) and protective factors (e.g., social support, STI knowledge, and refusal to have sex self efficacy) on unsafe sex among 715 African American adolescent females aged 15-21 who participated in an STI/HIV prevention intervention. Generalized estimating equation models were used to assess associations between baseline characteristics and sexual risk over a 12-month follow up period. Overall risk in this population was high: at baseline, nearly a third of women reported sex under the influence of alcohol or substances; ≥ 2 partners for vaginal sex, and casual sex partners in the 60 days prior to baseline, and nearly 75% of those reporting vaginal sex used condoms inconsistently. In multivariable analysis, when risk and protective factors were simultaneously considered, higher levels of sexual sensation seeking were associated with having multiple sex partners and inconsistent condom use. Greater perception of risky peer norms was associated with a higher risk of having sex under the influence of alcohol or drugs. In addition, higher sex refusal self-efficacy was protective against having multiple; casual; and concurrent sex partners. Incorporating these salient factors into prevention programs may be critical to the development of targeted interventions for this population.
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Affiliation(s)
- Dexter R. Voisin
- University of Chicago, School of Social Service Administration
- STI/HIV Intervention Network
| | - Anna Hotton
- John H. Stroger Hospital Department of Infectious Diseases
| | - Kevin Tan
- University of Chicago, School of Social Service Administration
| | - Ralph DiClemente
- STI/HIV Intervention Network
- Emory University, Rollins School of Public Health
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