Developmental investigation of age at sexual debut and subsequent sexual risk behaviours: a study of high-risk young black males

Sexual Health ◽  
2015 ◽  
Vol 12 (5) ◽  
pp. 390 ◽  
Author(s):  
Richard Crosby ◽  
Angelica Geter ◽  
JaNelle Ricks ◽  
Jamal Jones ◽  
Laura F. Salazar
Keyword(s):  
Sexual Risk ◽  
Black Males ◽  
Sexual Debut ◽  
Safer Sex ◽  
Self Report ◽  
Risk Behaviours ◽  
Safer Sex Practices ◽  
Sexual Risk Behaviours ◽  
Sex Practices ◽  
Young Black Males

Background The purpose of this study was to identify unmediated associations of early sexual debut (ESD) on the current safer sex practices of young Black men (YBM). Methods: A cross-sectional study of YBM (n = 697) attending clinics treating sexually transmissible diseases (STIs) in three cities was conducted. ESD was dichotomised at the age of 13 years and under. A series of regression models were used to test the moderating effects of ESD and perceived parental monitoring (PPM). A regression model also tested the effect of years of sexual experience (YSE) on sexual risk behaviours, while controlling for ESD. Results: Mean age of debut was 13.95 years. ESD results varied with significance for pregnancy (P < 0.001), sexual partners (P < 0.001), and ever having chlamydia (assessed by self report), but this final association was only found for older males (P = 0.03). PPM held no moderating effect on any of the sexual risk outcomes. YSE was correlated with an increase in recent unprotected vaginal sex (AOR = 1.19, 95%CI = 1.10–1.27) and having a pregnant partner at the time of enrolment (AOR = 1.30, 95%CI = 1.17–1.43). Conclusions: The findings provide mixed evidence for unmediated associations of ESD among young Black males. The study strongly posits that ESD may actually be a mediating variable rather than a causal explanation for sexual risk. The findings also suggest that advancing YSE foster diminishing vigilance in safer sex practices. These outcomes should be utilised to inform intervention development.

scholarly journals P170 Assess the risk behaviours and safer sex practices among male attendees in a sexual health setting

2015 ◽  
Vol 91 (Suppl 1) ◽  
pp. A72.1-A72
Author(s):  
Dilmini Mendis ◽  
Lilani Rajapaksa ◽  
PSK Gunathunga ◽  
M Jayalath ◽  
RC Fernando
Keyword(s):  
Sexual Health ◽  
Safer Sex ◽  
Risk Behaviours ◽  
Safer Sex Practices ◽  
Sex Practices

Sexual risk behavior and HIV infection among adolescents in secondary schools in Jos, Nigeria

2014 ◽  
Vol 41 (2) ◽  
pp. 86-89 ◽  
Author(s):  
C John ◽  
SN Okolo ◽  
C Isichei
Keyword(s):  
Hiv Infection ◽  
Risk Behavior ◽  
Sexual Risk ◽  
Sexual Risk Behavior ◽  
Sexual Debut ◽  
Hiv Positive ◽  
Sexually Active ◽  
Risk Behaviours ◽  
Nonconsensual Sex ◽  
Sexual Risk Behaviours

Background: In adolescents sexual risk behaviours are believed to enhance the transmission of HIV infection. This study, therefore aims to examine prevalent sexual risk behaviours of adolescents in secondary schools in a town in northern Nigeria and its relation to HIV infection.Method: A total of 883 subjects drawn from 10 schools out of 37, were recruited for the study. Structured self administered questionnaire was given to each subject. Consenting subjects received group pretest counseling and had HIV screening using Determine HIV test kits. HIV positive subjects had confirmatory test using Unigold test kit.Result: Males accounted for 42.5% (374) out of the 883 students studied. Of this, 169 (19.2%) were sexually active. Mean age at sexual debut was 13.8±2.9 years; 13.3±2.7 years for males and 14.6±3.2 years for females, p=0.006. Males 101 (27%) were more sexually experienced as against 13.4% of the females, p<0.0001. Among the sexually active37.6% had two or more sex partners, and 63.9% of them never used condoms. In the sexually active, 54 (42.5%) had nonconsensual sex (NCS), with more of NCS occurring in younger subjects p<0.0001, more females p<0.0001, associated with less condom use (p=0.02). Nine (eight females and one male) of the 883 subjects tested HIV positive. among the sexually active subjects, only four tested HIV positive. Condom use among the sexually active, HIV positive subjects was 25%.Conclusion: Prevalent sexual risk behaviors noted were early sexual debut, nonconsensual sex, unprotected sex and multiple sex partners.Key words: Adolescents, Sexual risk behavior, HIV infection, Jos

scholarly journals HIV, syphilis and sexual risk behaviours among men who have sex with men in Agadir and Marrakesh, Morocco: Table 1

2013 ◽  
Vol 89 (Suppl 3) ◽  
pp. iii45-iii48 ◽  
Author(s):  
Lisa Grazina Johnston ◽  
Kamal Alami ◽  
M Houssine El Rhilani ◽  
Mehdi Karkouri ◽  
Othoman Mellouk ◽  
...  
Keyword(s):  
Sexual Risk ◽  
Risk Behaviours ◽  
Sex With Men ◽  
Sexual Risk Behaviours

Unsafe injecting practices, sexual risk behaviours and determinants of HIV among men who inject drugs: Results from Integrated Biological and Behavioural Surveillance in India

2018 ◽  
Vol 29 (11) ◽  
pp. 1066-1075
Author(s):  
Pradeep Kumar ◽  
Bhavna Sangal ◽  
Shreena Ramanathan ◽  
Savina Ammassari ◽  
Srinivasa Raghavan Venkatesh
Keyword(s):  
Drug Use ◽  
Hiv Infection ◽  
Sexual Risk ◽  
Multivariable Analysis ◽  
High Risk Group ◽  
Sexual Practices ◽  
Risk Behaviours ◽  
Indian States ◽  
Behavioural Surveillance ◽  
Sexual Risk Behaviours

In India, while an overall reduction in HIV is achieved among most key populations, the continued higher prevalence among people who inject drugs (PWIDs) is an area of concern. This paper analyses unsafe injecting and sexual risk behaviours in male PWIDs according to HIV status and also examines the determinants of HIV infection in this high-risk group. Data from India’s Integrated Biological and Behavioural Surveillance, conducted across 29 Indian states and Union Territories among 19,902 male PWIDs, were used. Informed consent was obtained and men aged 15 years or more, who used psychotropic substances or drugs in the past three months for non-medical reasons were recruited for the survey. Results from the multivariable analysis suggest that drug use debut at age 25 years or above (adjusted odds ratio [AOR]: 1.41, confidence interval [CI]: 1.05–1.88), engagement in drug use for a longer duration (AOR: 1.81, CI: 1.32–2.48), injecting three times or more per day (AOR: 1.53, CI: 1.1–2.12), sharing of needle/syringes (AOR: 1.34, CI: 1.02–1.76), self-reported sexually transmitted infections (AOR: 1.55, CI: 1.12–2.14) and higher self-risk perception for exposure to HIV (AOR: 2.08, CI: 1.58–2.75) increase the likelihood of HIV infection. Sustained higher prevalence, unsafe injecting and risky sexual practices are major challenges which may prevent India from reaching the ‘end of AIDS’ by 2030. This underscores the need for adoption of a tailored, evidence-driven HIV prevention approach that adequately addresses local needs to limit the spread of HIV within this population, and thereby prevents the onward transmission of HIV to the general population.

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