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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Correlates of sexual risk behaviors among high school students in Colorado: Analysis and implications for school-based HIV/AIDS programs
Maternal and Child Health Journal, Volume 15, No. 6, Year 2011
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Description
Objectives of this study are to examine correlates of antecedent sexual risk exposures associated with HIV/AIDS infection among adolescents participating in the 2005 Colorado Youth Behavioral Risk Survey (CYBRS), and to determine gender differences associated with these exposures since previous studies have produced mixed findings. Variables assessing these relationships were drawn from CYBRS, 2005. We used χ2 to assess bivariate relationships and multinomial logistic regression to evaluate associations among dependent variables (sexual risk behaviors, age at first sex, and number of sexual partners in the past 3 months) and independent variables (in-school HIV/AIDS education, use of illegal substances, physically forced sex, and alcohol use). We found no significant effect of having received in-school HIV/AIDS education on all outcome measures. Compared with females, males were more likely to initiate sex at a relatively younger age, report unprotected sex with multiple partners, and drink alcohol before sexual intercourse. Among females, using 2 illegal substances increased the odds of early sexual debut by 12 times, while using ≥3 substances increased the same odds to 44-fold. Likewise, binge drinking was also associated with higher odds of having multiple partners. Hispanic ethnicity and physically forced sex variables were consistently associated with high risk sexual behaviors, early sexual initiation, and increased number of sexual partners. Efforts to control the HIV/AIDS epidemic among adolescents may need to focus on targeted interventions aimed at addressing gender- and racial/ethnic-specific risk exposures among this population group, including risk behaviors linked with lifetime physically forced sex. The need to re-examine the role of in-school HIV prevention programs to build adequate competencies among students, parents and community leaders to reduce risk exposures associated with HIV/AIDS infection among youth is emphasized. © 2010 Springer Science+Business Media, LLC.
Authors & Co-Authors
Nkansah-Amankra, Stephen
United States, Greeley
University Northern Colorado
Diedhiou, Abdoulaye
United States, Columbia
University of South Carolina
Agbanu, Harry L K
Ghana, Accra
University of Ghana
Harrod, Curtis
United States, Greeley
University Northern Colorado
Dhawan, Ashish
United States, Long Branch
Monmouth Medical Center
Statistics
Citations: 40
Authors: 5
Affiliations: 4
Identifiers
Doi:
10.1007/s10995-010-0634-3
ISSN:
10927875
e-ISSN:
15736628
Research Areas
Infectious Diseases
Sexual And Reproductive Health
Substance Abuse
Study Design
Cross Sectional Study
Study Approach
Quantitative
Participants Gender
Female