Relational correlates of unprotected oral and vaginal sex and among African-American adolescent females

Sexual Health ◽  
2013 ◽  
Vol 10 (3) ◽  
pp. 284 ◽  
Author(s):  
Richard A. Crosby ◽  
Dexter R. Voisin ◽  
Ralph J. DiClemente ◽  
Gina M. Wingood ◽  
Laura F. Salazar ◽  
...  

ObjectivesTo identify relational correlates of unprotected oral sex (UOS) and vaginal intercourse (UVI) among African-American females. Methods: Participants (n = 715) provided data on demographics, sexual communication self efficacy (SCSE), sexual communication frequency, condom self-efficacy, power in sexual relationships, fear of negotiating condom use, UOS and UVI. Results: Participants reporting low SCSE were 2.5 and 1.6 times more likely to report UOS and UVI respectively. Additionally, participants who reported fear of condom negotiation were 3.1 times more likely to report UVI. Conclusions: Interventions promoting stronger SCSE may be a protective factor against having UOS and UVI among African-American females.

Sexual Health ◽  
2015 ◽  
Vol 12 (4) ◽  
pp. 322 ◽  
Author(s):  
Andrea Swartzendurber ◽  
Sarah H. Murray ◽  
Jessica M. Sales ◽  
Robin R. Milhausen ◽  
Stephanie A. Sanders ◽  
...  

Background Ample evidence shows that partner sexual communication is related to condom use. Although communication about safer sex may often occur when sexual arousal is high, no studies have examined arousability, one’s propensity for sexual arousal and partner sexual communication. The purpose of this study was to examine associations between sexual arousability and partner-related mediators of condom use among African American female adolescents, who have disproportionate risk for HIV and sexually transmissible infections (STIs). Methods: The study analysed self-reported baseline data from 701 African American females aged 14–20 years participating in a HIV/STI trial. Linear regression models examined associations between arousability and partner-related mediators of condom use (partner sexual communication self-efficacy, partner sexual communication frequency, sex refusal self-efficacy and condom use self-efficacy), controlling for age, impulsivity and relationship power. Results: Greater arousability was significantly associated with reduced levels of each partner communication outcome assessed (partner sexual communication self-efficacy, partner sexual communication frequency and sex refusal self-efficacy) but was not associated with condom use self-efficacy. Conclusions: Arousal and other positive aspects of sex have largely been ignored by HIV/STI prevention efforts, which primarily focus on individual behaviour. A population-level sexual health approach focusing on sexual wellbeing may reduce stigma, facilitate partner sexual communication and be more effective at reducing HIV/STI rates than traditional approaches.


2016 ◽  
Vol 37 (2) ◽  
pp. 267-283 ◽  
Author(s):  
Tiarney D. Ritchwood ◽  
Dolly Penn ◽  
Courtney Peasant ◽  
Tashuna Albritton ◽  
Giselle Corbie-Smith

This study examines the role of condom use knowledge and attitudes, and parent-teen communication about sex and relationship quality on reports of condom use self-efficacy among rural, African American youth. Participants were 465 North Carolinian youth (10-14 years). Results indicated that greater condom use self-efficacy was predicted by greater knowledge of condom use (β = .206; p < .001), more favorable attitudes toward condom use (β = −.20; p < .0001) and parent-teen communication about sex (β = .13; p < .05), and actual parent-teen communication about sex and dating (β = .14; p < .05). There was low agreement between parents and youth on measures related to parent-teen communication about sex. Findings call for interventions targeting improvement of condom use knowledge among early adolescents, as well as parent-teen communication about sex. In addition, given the low parent-teen agreement regarding sexual communication, parent-teen sexual communication is an important point of intervention.


Sexual Health ◽  
2013 ◽  
Vol 10 (5) ◽  
pp. 467 ◽  
Author(s):  
Jerris L. Raiford ◽  
Puja Seth ◽  
Nikia D. Braxton ◽  
Ralph J. DiClemente

Background This study explored the role of masculinity and perceived condom use skills in African-American men’s abusive response to female partners’ condom requests. Methods: Eighty African-American men aged 18–29 years completed measures on sexual behaviour, responses to condom requests, condom use self-efficacy and other masculine constructs. Men also were tested for sexually transmissible infections. Results: Men’s condom use self-efficacy explained 16.5% of the variance in abusive response to condom requests, beyond demographics and masculine constructs. The full model accounted for 63% of the variance. Conclusions: Many HIV interventions with women encourage condom negotiation. Findings highlight the need to address men’s condom use skills and masculine norms.


2013 ◽  
Vol 2013 ◽  
pp. 1-8 ◽  
Author(s):  
Lakaii A. Jones ◽  
Catherine Cook-Cottone

Objective. To investigate media and cultural influences in eating disorder development in African-American adolescent females. Method. Fifty-seven participants were recruited through churches and community organizations to complete a questionnaire. Results. Mainstream sociocultural identification was associated with more eating disorder behavior in African-American females; cultural ethnic identification was not significantly associated with eating disorder behavior in African-American females, mainstream sociocultural identification, cultural ethnic identification, and body dissatisfaction significantly predicted eating disorder behavior; and cultural ethnic identification was positively correlated with mainstream sociocultural identification. This study provides support for the importance of eating disorder prevention interventions that focus specifically on African-American girls.


Sexual Health ◽  
2011 ◽  
Vol 8 (1) ◽  
pp. 125 ◽  
Author(s):  
Puja Seth ◽  
Gina M. Wingood ◽  
Ralph J. DiClemente ◽  
Richard A. Crosby ◽  
Laura F. Salazar ◽  
...  

Background:An important policy question is whether high-risk populations can be identified and prioritised for human papillomavirus (HPV) immunisation. Methods: Data collection included an audio computer-assisted survey interview and testing of Trichomonas vaginalis, Chlamydia trachomatis, Neisseria gonorrhoeae, and HPV among 295 African-American adolescent females. Results: The results indicated that 43.1% tested positive for HPV. Logistic regression analyses indicated that HPV prevalence was not associated with other sexually transmissible infections (prevalence ratio (PR) = 0.85, 95% confidence interval (CI) = 0.51–1.41), unprotected vaginal sex (PR = 1.04, 95% CI = 0.56–1.92), having sex with an older male partner (PR = 1.12, 95% CI = 0.64–1.96), and having a casual partner (PR = 0.89, 95% CI = 0.54–1.48). Additionally, t-tests indicated that HPV prevalence was not associated with frequency of vaginal sex (t = 0.17, P = 0.87), protected sex (t = –0.16, P = 0.87), number of recent (t = 0.40, P = 0.69) or lifetime (t = 1.45, P = 0.15) sexual partners. However, those testing positive for HPV were younger (t = 1.97, P = 0.05) and reported current use of birth control pills (PR = 2.38, 95% CI = 1.00–5.63). Conclusions: It may not be possible to identify those with elevated risk of HPV acquisition. Thus, HPV vaccination, regardless of risk indicators, may be the most efficacious public health strategy.


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