Risky sexual behavior in college students: Relationships between number of sexual partners,disclosure of previous risky behavior,and alcohol use

To examine relationships between disclosure of previous sexually risky behavior to current sexual partners, multiple sexual partners, condom and alcohol use, and vulnerability to Acquired Immunodeficiency Syndrome, an anonymous survey was administered to 427 unmarried undergraduates. Of the 262 sexually active students (66%), one third reported having more than one sexual partner in the prior 11 weeks and three fourths reported inconsistent or no condom use. Failure to disclose having previous sexual partners, not using condoms, and testing positive for human immunodeficiency virus (HIV) or other sexually transmitted diseases (STDs) was common among both men and women. Students with multiple sexual partners were less likely to disclose about previous partners and about failure to use condoms, and more likely to use alcohol prior to sexual activity. Although 40.8% of respondents said they did not use or were less likely to use condoms while drinking, no relationship between alcohol and condom use assessed during the last discrete incident was found. College students continue to engage in sexual activity that puts them at risk for contracting HIV and other STDs. Self-disclosure about past risky behavior, when it occurs, does not appear to lead to higher levels of condom use.The authors contributed equally to this study.Received Ph.D. from West Virginia University. Research interests: AIDS prevention, community-based behavior change, and women in higher education.Received Ph.D. from University of California, Davis. Research interests: Cognitive neuroscience, attention, and alternate states of consciousness.     

Self-Esteem Enhancing Reasons for Having Sex and The Sexual Behaviors of African American Adolescents

A sample of 146 African American adolescents living in impoverished neighborhoods with high HIV rates participated in the Chicago HIV Prevention and Adolescent Mental Health Project (CHAMP), a longitudinal study of adolescent HIV risk exposure. The current study examined self-reported reasons why African American adolescents may participate in risky sexual behavior. Adolescents completed a questionnaire regarding their sexual behaviors and reasons for having sex at Wave 3 of data collection. Findings from the study revealed that females used condoms less consistently while males had more sexual partners and sexually debuted earlier. Regression analyses also indicated that males were more likely to endorse self-esteem enhancing reasons for having sex and those who did also reported a higher number of sexual partners. Males were more likely to endorse power-related reasons for having sex and those who did tended to sexually debut earlier. Across both genders, results suggested that those adolescents who endorsed more self-esteem enhancing reasons for having sex were less likely to use condoms consistently. Implications for prevention programs and future research are discussed. Doctoral candidate in the Clinical Psychology Program at Loyola University Chicago. She received her Master of Arts from Loyola University Chicago in Clinical Psychology. Her research interests are in HIV/AIDS prevention in African American communities, particularly amongst adolescent girls. Professor of Clinical Psychology and Director of Clinical Training at Loyola University. He received his Ph.D. in Clinical Psychology from Virginia Commonwealth University. His interests lie in family relations during early and late adolescence, developmental psychopathology, the interface between developmental psychology and clinical child psychology, pediatric psychology (e.g., adolescents with physical disabilities), statistical applications in psychology, and research design. Associate Professor of Psychology in Psychiatry at the University of Illinois at Chicago. She received her Ph.D. in Child Psychology from the University of Minnesota at Minneapolis Her research interests lie in normative developmental processes during the transition to adolescence.     

A comparative study of pregnant teenagers' parenting attitudes and knowledge of sexuality and child development

A survey was taken to determine pregnant teenagers' knowledge of sexuality and child development and their parenting attitudes relative to comparison groups. The results indicate that the knowledge and attitude base of pregnant teenagers is almost identical to that of never-pregnant teenagers. However, adult mothers scored slightly but significantly higher than the teenagers on a measure of child development knowledge and considerably lower than the teenagers on a measure of knowledge of sexuality. The results illustrate the importance of using comparison groups in studies of pregnant teenagers. The implications for sex education programs include focusing on factors beyond sexual knowledge or lack of it as an explanation for teenage pregnancy. Further research is needed on teenage values, handling of sexual information, and perception of contraceptive availability.     

Male adolescent birth control behavior: The importance of developmental factors and sex differences

A survey of sex and birth control behavior of 51 male adolescents aged 15–17 was conducted utilizing a structured interview protocol. The purpose of the study was to describe male adolescent birth control behavior incorporating developmental issues, and to interpret the findings in light of what is known about female birth control behavior. Based on research with teenage females, three social influences were examined for their possible impact on male birth control behavior. A new operational definition ofmale effective birth control usage involving the effectiveness of the method and the consistency of its usage was developed. Findings similar to those obtained from research on females suggest that adolescent sexual partners may be the only direct social influence on adolescents' birth control usage. Results indicating differences from research with females suggest that in general: male birth control behavior is primarily self-oriented, males are more likely to be effective contraceptors with casual partners than with girl friends, males are more likely to communicate about sex and birth control with similar age peers than with family members and/or other adults, and that teen males view sex and birth control decisions as female decisions.He also conducts private psychotherapy, specializing in marital and family therapy. His doctorate from the University of Pennsylvania is from a unique joint program in marital/family therapy and sex education. His interests include sex roles and their impact on intimate relationships, adolescent development, and male sexuality. This article is based on his doctoral dissertation.faculty member in the Human Sexuality Program. Dr. Rose served as supervisor on Dr. Cohen's doctoral dissertation.     

Gender differences associated with young people's emotional reactions to sexual intercourse

The differences between male and female adolescents' emotional reactions to their most recent occasion of sexual intercourse were examined. The sample included 932 sexually active Australian secondary school students who completed a self-report questionnaire concerning their sexual behavior. The majority of young people reported that they felt happy or good following their most recent occasion of sex. Females were more likely than males to report negative emotions such as feeling bad and used, but there was no difference between the percentage of males and the percentage of females who reported feeling guilty. Girls were more likely to feel bad, used, or guilty last time if they were drunk/high or had sex with someone who was not a steady partner. Boys who had sex with someone other than a steady partner last time were more likely to feel guilty. Peer and parental influences were also associated with feelings of guilt. Girls who were more confident that they could talk to one of their parents/guardians about sex, and boys who believed that most of their peers were sexually active, were less likely to have felt guilty.Received B.A. (Hons) from University of Queensland. Research interests include adolescents mental and sexual health.Received B.A.(Hons) from University of Queensland. Interested in the areas of sex roles and sexual behavior among adolescents.Received Ph.D. from Murdoch University. Research interests include population studies of sexual behavior and mental health.Received M.B.B.S., M.D. from University of Sydney. Research interests include adolescent health, psychological response in disasters, coping with grief and loss and living with HIV/AIDS.     

Sexual Behavior and Perceived Peer Norms: Comparing Perinatally Hiv-infected and Hiv-affected Youth

A large proportion of perinatally HIV-infected (PHIV) children are becoming adolescents and exploring their sexuality. This study explored the prevalence of sexual behaviors (kissing, touching, engaging in oral sex, or having vaginal/anal intercourse) in a sample of predominantly ethnic minority youths (N = 339; 54.1% Black and 30.4% Latino; 51% female; ages 9–16) perinatally exposed to HIV (61% HIV+). Using logistic regression, we tested the association between sexual behavior and HIV status, demographic characteristics, and peer influences regarding sexual behavior. PHIV youth were less likely to be sexually active. Among sexually active youth, PHIV youth were more likely to engage in touching behavior than HIV-negative youth and were less likely to engage in penetrative sex. Youths reporting that a greater number of their peers believed that sexually active boys were “cool” or “popular” were more likely to report sexual behavior. The association between sexual behavior and peers believing sexually active girls were “cool” or “popular” varied by age, gender, and HIV status. Furthermore, friends’ sexual activity was associated with sexual intercourse. Prevention programs should strengthen messages addressing peer norms regarding sexuality, as well as address specific issues related to adolescent HIV.

Sexual attitudes and behavior of bulimic women: A preliminary investigation

One-hundred and seventeen college-aged women at varying risk for developing bulimia answered a number of questions addressing their attitudes toward and comfort with sexuality as well as their sexual and contraceptive history. Risk for developing bulimia was unrelated to sexual attitudes and weakly related to greater comfort with sexuality. High-risk women reported first engaging in intercourse at earlier ages and were also more likely to engage in risky contraceptive behavior than their lower risk counterparts. Despite their tendency to report a greater number of previous sexual partners, high-risk women currently engaged and expected to continue to engage in sex less frequently than lower risk women. Taken together with previous findings, results suggest that the relationship between risk for bulimia and certain patterns of sexual behavior reflects a general cycle of impulsive and controlling behavior exhibited by high-risk women. Limitations and implications of the present study are discussed.Half-time Editorial Assistant, Journal of Social and Clinical Psychology. Quarter-time research assistant, University of Kansas. Obtained M.A. and currently working on Ph.D. in clinical psychology at the University of Kansas. Research interests include hope as it relates to personal health beliefs, eating disorders, and sexual attitudes.Obtained Ph.D. in human development from the University of Kansas. Presently studying adolescent pregnancy and parenting.Obtained Ph.D. in behavioral sciences from the University of Chicago. Presently researching item response theory.     

LGB and Questioning Students in Schools: The Moderating Effects of Homophobic Bullying and School Climate on Negative Outcomes

Lesbian, gay, and bisexual students (LGB) and those questioning their sexual orientation are often at great risk for negative outcomes like depression, suicidality, drug use, and school difficulties (Elliot and Kilpatrick, How to Stop Bullying, A KIDSCAPE Guide to Training, 1994; Mufoz-Plaza et al., High Sch J 85:52–63, 2002; Treadway and Yoakam, J School Health 62(7):352–357, 1992). This study examined how school contextual factors such as homophobic victimization and school climate influence negative outcomes in LGB and questioning middle school students. Participants were 7,376 7th and 8th grade students from a large Midwestern county (50.7% Female, 72.7% White, 7.7% Biracial, 6.9% Black, 5.2% Asian, 3.7% Hispanic, and 2.2% reported “other”). LGB and sexually questioning youth were more likely to report high levels of bullying, homophobic victimization, and various negative outcomes than heterosexual youth. Students who were questioning their sexual orientation reported the most bullying, the most homophobic victimization, the most drug use, the most feelings of depression and suicidality, and more truancy than either heterosexual or LGB students. A positive school climate and a lack of homophobic victimization moderated the differences among sexual orientation status and outcomes. Results indicate that schools have the ability to lessen negative outcomes for LGB and sexually questioning students through creating positive climates and reducing homophobic teasing.     

College Women and Personal Goals: Cognitive Dimensions that Differentiate Risk-Reduction Sexual Decisions

As the twenty-first century begins, a high level of participation in premarital sexual intercourse by college women is well-documented. But, in the research exploring risk-reduction sexual behaviors, the relationship of cognitive abilities to responsible sexual behavior has been under-researched. Anonymous questionnaires were administered to 626 never-married, heterosexual women at a midwestern university to examine personal goal-setting, a cognitive variable postulated to be related to risk-reduction sexual behavior. Women who frequently set goals were more religious, optimistic about life, conservative in sexual attitudes, comfortable with their sexuality, and more psychologically sexually satisfied. Those who less often set goals were more likely to drink alcohol prior to sexual intercourse, become more intoxicated, and less likely to ask if new sex partners had STI(s). The cognitive variable, goal-setting, did differentiate college women who made responsible sexual decisions from those who engaged in risk-taking sexual behaviors.Professor Emerita of Family and Consumer Science, Texas State University-San Marcos. Received her PhD from the University of Texas, Austin in Child Development and Family Relations and is a Certified Marriage and Family Therapist, American Association of Marriage and Family Therapists and licensed in the State of Texas. Her research interests include sexual attitudes and behavior of college students, adoption attitudes of unmarried pregnant teens, and teen pregnancy/parenting programs.University of Wisconsin-Eau Claire. Received his PhD from the University of Florida in Family Sociology and is a Clinical Fellow, American Academy of Clinical Sexologists and Fellow, National Council on Family Relations. His research interests include sexual attitudes and behavior of college students, adoption attitudes of unmarried pregnant teens, female sexual adjustment, and perceptions of the female physiological sexual response.     

High School Context,Heterosexual Scripts,and Young Women’s Sexual Development

Adolescence is a critical period for sexual development, and previous research demonstrates that school cultures play an important role in shaping adolescent sexual behavior. However, little is known about the role of school context for developing sexual attitudes and sexual sense of self. This study explores how sexual cultures that emerge within high schools shape the sexual development of young women during the transition to adulthood. Using three waves of data from the National Longitudinal Study of Adolescent to Adult Health, a sample of 9th to 12th graders in U.S. schools in 1994–1995 who were surveyed in 1996 and in 2001 when they were 20 to 26 years old (N?=?1,017), this study measures school sexual cultures using the aggregated sexual beliefs and behaviors of students within the school. Multilevel analyses are used to explore the association between these school sexual cultures and young women’s sexual attitudes (perceived obstacles to using birth control, guilt and shame about sex, and expectations of sexual pleasure) in adolescence and their sexual experiences (equal initiation of sex with partner and frequent orgasm with partner) in adulthood. Overall, the results suggest that schools play an important role in young women’s developing attitudes toward sex and contraception. High school sexual cultures are also associated with young women’s sexual behavior in adult heterosexual relationships, as young women who attended schools with students who had higher levels of religious attendance or guilt and shame about sex were less likely to report being an equal initiator in their adult relationships. However, the relatively small impact of high school sexual cultures on young women’s sexual experiences in adulthood, particularly in terms of sexual pleasure, suggests that more proximal contexts and relationships may play a more significant role in shaping their current sexual behaviors.     

Adolescents’ Experiences of Sexual Assault by Peers: Prevalence and Nature of Victimization Occurring Within and Outside of School

This study examined adolescent peer-on-peer sexual assault victimization occurring within and outside school. The sample consisted of 1,086 7th through 12th grade students, with a mean age of 15. Most of the respondents were White (54%) or Black (45%), and approximately half of respondents were female (54%). A modified version of the Sexual Experiences Survey was used to assess opposite sex sexual victimization in 7th through 12th grade students. Rates of peer sexual assault were high, ranging from 26% of high school boys to 51% of high school girls. School was the most common location of peer sexual victimization. Characteristics of assault varied by location, including type of victimization, victims’ grade level, relationship to the perpetrator, type of coercion, and how upsetting the assault was. Distinctions between sexual assault occurring in and out of school are conceptualized with literature on developmental changes in heterosexual relationships and aggression.

Sexual risk behavior,knowledge, and condom use among adolescents in juvenile detention

This paper reports on sexual behavior, knowledge of sexually transmitted diseases (including AIDS) and condoms, and condom use among African-American and white incarcerated adolescents in Seattle, Washington. One hundred nineteen adolescents in a juvenile detention facility completed questionnaires that assessed their lifetime and recent sexual behaviors, an objective test of disease and condom knowledge, attitudes and norms regarding condom use with steady and casual partners, prior condom use, and intentions to use condoms. The results indicate that these adolescents are at high risk by a number of indicators: They have a high average number of partners, have unprotected vaginal and anal sex, and many have sex with known or suspected drug users. Their overall knowledge of condoms and sexual transmitted diseases risks is high, but high knowledge is not correlated with positive attitudes; for one attitude measure, high knowledge is significantly correlated with negative attitudes toward condom use. These findings suggest that programs designed solely to increase knowledge are unlikely to effect behavior change.This research presented in this paper was supported by a research grant from the National Institute of Allergy and Infectious Diseases.Received Ph.D. in social psychology from the University of Washington. Research interests are in sexual decision making and attitude-behavior relationships.Received Ph.D. in educational psychology from the University of Washington. Research interests are in sexual behavior and health.Received Ph.D. in sociology from the University of Washington. Research interests are in problem behaviors of adolescence.     

Adolescent Female Athletes' Sexual Risk-Taking Behaviors

Data from the Centers for Disease Control and Prevention (CDC) 1993 Youth Risk Behavior Surveillance (YRBS) of a sample of U.S. female adolescents (N = 7839) were compared to a cohort of 9th through 12th grade high performance female athletes (N = 141) with regard to risk-taking behavior on eight items related to sexual activity (i.e., ever engaged in sexual intercourse, age of first sexual intercourse, number of lifetime sexual partners, current sexual activity, condom use, use of the birth control pill, contracting a sexually transmitted disease (STD), and incidence of alcohol or drug use prior to last sexual activity). Chi-square analyses (p < .05) showed that with the exception of alcohol or drug use prior to last sexual activity, and use of birth control pills, the six other risk-taking behaviors were significantly different between the U.S. female sample and the female athletes. In all instances, except for contracting an STD, U.S. females reported engaging in sexual risk-taking behaviors more frequently than the high performance athletes, and furthermore, were more likely to be sexually active than the high performance athletes (50% vs. 21%). Among the high performance athletes, only lifetime sexual activity showed significant difference by grade, with sophomores and seniors reporting more frequent involvement in sexual activity. These findings suggest that participation in a high performance sports activity is positively associated with some reduced sexual risk-taking behaviors for adolescent females.     

Sex education for emotionally disturbed adolescents

Under investigation were effects of a course in sex education on a population of emotionally disturbed adolescents who were enrolled as day patients in a school program that is part of the Adolescent Treatment Program of the Institute of Pennsylvania Hospital. Subjects included 7 females, and 8 males, aged 15-18, with severe socio-emotional and educational problems. Pre-and posttesting were used to measure changes. Measures included a short form questionnaire assessing sexual knowledge and attitudes, the Draw-a-Person test, and behavioral observations by teachers, faculty, and Adolescent Treatment Program staff. The results of the study indicated that patients responded age appropriately and gained knowledge and an increased openness about sexuality issues. On the knowledge section of the questionnaire areas addressed in class, such as contraception, were the areas that students showed improvement in student response. The attitudes section revealed an increase in uncertainty about their own values, or conversely, an increase in establishing their values more firmly. In the Draw-a-Person test there was a greater degree of openness and less defensiveness in the posttest drawings. Most postcourse drawings also included more sexual signs and showed nudity. Behavioral changes were noted in the student's increased class contributions and participation, as well as in a more frequent focus of issues relating to sexuality and maturation. In addition, there was no regression or dysfunction as a result of the materials presented, and therapeutic and educational processes were not disrupted by the patient's involvement in the course. It was concluded that a sex education course is clinically and educationally useful on many levels within a therapeutic setting.     

Pubertal Timing and Early Sexual Intercourse in the Offspring of Teenage Mothers

Early puberty is associated with stressful family environments, early sexual intercourse, and teenage pregnancy. We examined pubertal timing and sexual debut among the 14-year-old offspring of teenage mothers. Mothers (71% Black, 29% White) were recruited as pregnant teenagers (12–18 years old). Data were collected during pregnancy and when offspring were 6, 10 and 14 years old (n = 318). Adolescents (50% male) compared the timing of their pubertal maturation to same-sex peers. There was a significant 3-way interaction effect of race, sex, and pubertal timing on sexual debut (n = 305). This effect remained significant in a model controlling for maternal age at first intercourse, substance use, exposure to trauma, authoritative parenting, and peer sexual activity (n = 255). Early maturation was associated with early sex in daughters, and may be one pathway for the inter-generational transfer of risk for teenage pregnancy among daughters of teenage mothers.     

Family communication and the sexual behavior and attitudes of college students

Ninety-five college students and both of their parents completed questionnaires that measured sexual attitudes, sexual behavior, general family communication, and parent-child communication about sex. Generally, parents and children from high sexual communication families had sexual attitudes that were significantly correlated whereas those from low sexual communication families did not, although this relationship was not apparent for fathers and daughters. The quality of family communication seemed unrelated to the extent of family sexual discussions, although the parents' reports on the quality of general family communication was significantly related to sexual inexperience, particularly for males. Contraceptive use for females was significantly related to the extent of parent-child communication about sex reported by the student. General family communication as well as parent-child discussion about sex both seem important factors in the study of family impact on sexuality.Ph.D. in Psychology from the University of Georgia. Current research interest is parent-child communication about sex.     

Developmental Differences in Adolescents’ and Young Adults’ Use of Mothers, Fathers, Best Friends, and Romantic Partners to Fulfill Attachment Needs

Adolescents and young adults (three age groups: 12–15, 16–19, and 20–28 years) reported their use of parents, and peers to fulfill attachment functions (proximity-seeking, safe haven, and secure base.) The use of each target figure varied with age and attachment function. Mothers were an important source of security across this age range. They were used as secure base consistently more than fathers or peers for all age groups, and regardless of whether or not participants had romantic partners; but were used less for proximity and safe haven by the two older groups. Best friends were used most and more than others as a safe haven; but were used less by young adults (vs. early adolescents) and by older adolescents with romantic partners. Romantic partners were used most and more than others for proximity; but were used less by early adolescents than by older participants. Fathers were selected less than other targets for all attachment functions. Those with romantic partners turned to them more than to others, and young adults selected their romantic partners as much as friends for safe haven. Those insecurely attached to mother turned to her less and to romantic partners more than did those securely attached. Implications for developmental changes in adolescent attachments are discussed. Professor of Psychology and Applied Human Sciences, Concordia University. Received PhD in social psychology from Ohio State University. Research interests include close interpersonal relationships and adjustment. Received MA in social/developmental psychology from Wilfrid Laurier University. Research interests include attachment and well-being in adolescence Received PhD in developmental psychology from Stanford University. Research interests include parenting, attachment, and adjustment in adolescence Received BA in Psychology (Honors) from Concordia University. Research interests include romantic relationships in adolescence     

Factors Associated with Academic Achievement for Sexual and Gender Minority and Heterosexual Cisgender Students: Implications from a Nationally Representative Study

Research on sexual and gender minority student achievement indicates that such students report lowered achievement relative to other students. Increased victimization and less school belonging, amongst other factors, have been identified as contributing to these inequalities. However, supportive schooling structures and caregiver support may support their achievement. A nationally representative survey of secondary school students was used to identify specific factors that support achievement for sexual minority (n?=?485), gender minority (n?=?298), and heterosexual cisgender (where one’s sex assigned at birth “matches” a binary gender identity, i.e., a male assigned at birth identifies as a boy/man, n?=?7064) students in New Zealand. While reported victimization did not affect achievement for sexual and gender minority students, school belonging, and teacher expectations of success, emerged as significant factors. Differences emerged between sexual minority and gender minority achievement factors, suggesting a range of detailed policy implications and recommendations.

     

Psychological Distress,Substance Use,and HIV/STI Risk Behaviors Among Youth

Psychological distress has been inconsistently associated with sexual risk behavior in youth, suggesting additional factors, such as substance use, may explain this relationship. The mediating or moderating role of substance use on the relationship between psychological distress and sexual risk behaviors was prospectively examined over the four high school years in a sample of urban youth (N = 850; 80% African American; 50% female). Growth curve modeling was used to estimate changes in sexual risk across adolescence and to test its association to psychological distress symptoms and frequency of substance use. Substance use was associated with psychological distress. Greater psychological distress was associated with increased sexual intercourse frequency, decreased condom use, and increased number of partners. Substance use fully mediated the relationship between psychological distress and intercourse frequency and condom use, and partially mediated the relationship between psychological distress and number of partners. We found no differences in mediation by sex or race/ethnicity and no evidence to support moderation of psychological distress and substance use on sexual risk. Findings suggest that psychological distress is associated with sexual risk because youth with greater psychological distress are also more likely to use substances. Practical implications for adolescent HIV/STI prevention are discussed.