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.     

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.     

Maternal employment and adolescent sexual behavior

This study investigated whether maternal employment would be associated with teenage sexual attitudes and behaviors likely to increase the probability of teenage pregnancy. Female subjects whose mothers were employed outside the home during the high school years (a) had a greater tendency to begin sexual relations before age 19, (b) expressed less concern regarding the risk of unintended pregnancy, and (c) scored lower on an objective test of their practical knowledge about contraception.Received Ph.D. in social psychology from the University of Washington. Research interests include personality and environmental influences on adjustment.Received Ph.D. from University of Georgia. Current research interests are in behavioral teratology.Received Ph.D. from Oklahoma State University. Research interests are in loneliness and adjustment.Received Ph.D. from North Carolina State University. Research interests are in population and urban sociology.     

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.     

Consistency of adolescents' self-report of sexual behavior in a longitudinal study

This study examines three issues relevant to adolescent self-reported sexual behavior: the extent to which adolescents rescind reports of sexual intercourse, changes in reporting of lifetime sexual intercourse, and changes in reported age at first sexual intercourse. Data come from a three-year longitudinal study of health-compromising behaviors among a cohort a 758 rural adolescents. Students completed a self-administered questionnaire on health behaviors annually in eighth, ninth, and tenth grades. Findings show that 88.8% of students in eighth grade and 94.3% in ninth grade who reported having had sexual intercourse gave the same answer in a subsequent year. Approximately 15% of students reported fewer numbers of lifetime sexual intercourse experiences in tenth grade than they did in ninth grade. Age at first sexual intercourse was reported inconsistently by 67% of the students. Inconsistency rates differed by racial-gender groups, question sensitivity, and prior sexual experience.Received Ph.D. from Johns Hopkins University. Research interests include adolescent health and early adolescent development.Received Ph.D. from Johns Hopkins University. Research interests include personality, stress, and coping.Received Ph.D. from University of Chicago. Research interests include adolescent delinquency and substance use.Received Dr. P.H. from Johns Hopkins University. Research interests include rural adolescents and international health issues.Received Ph.D. from Johns Hopkins University. Research interests include adolescent sexuality and contraceptive decision making.     

Abortion research: attitudes,sexual behavior,and problems in a community college population

One hundred fifty community college students, 95% Caucasian, were surveyed regarding their attitudes toward abortion, their sexual behavior, and their problems. Although 70% of the students were raised Catholic, 82% supported abortion choice. Eighty-six percent had engaged in premarital sex, 70% used contraception, and 26% had premarital pregnancies. When anti-abortion students were compared with pro-abortion students, they had more religiosity, believed that abortion was murder, were more punitive toward the woman and medical personnel involved, were less sexually active, and less likely to know someone who had an abortion. Many students had a history of, and were currently experiencing, serious problems, especially the females.Received Ph.D. in psychology from Tufts University. Research interests include gender development and abuse.Received C.A.S. in school psychology from Harvard University. Research interests include corporal punishment and battered wives.     

Predicting adolescent risk behavior using a personalized cost-benefit analysis

Risk was investigated from the subjective viewpoints of adolescents, with the aim of assessing adolescents' perceptions of what constitutes risky behavior and how risk behaviors and risk judgments relate. Participants were 570 school-based adolescents. Students named risky behaviors perceived as common to similarly aged peers, then rated level of engagement in these behaviors. The perceived positive and negative outcomes of risk were also nominated, and rated on perceived likelihood and desirability/undesirability. The sample viewed risky behaviors as smoking, drinking alcohol, dangerous driving, taking drugs, criminal behavior, sporting risks, antisocial behavior, minor rebellion, school-related risks, and sexual activity. Negative outcomes of risk were categorized as death, disablement, punishment, and social consequences. Payoffs included pleasure, material gain, and avoidance of negative outcomes. There was a consistent pattern of relationships between risk participation and outcome judgment, with perceived pleasantness and likelihood of positive outcomes, and unpleasantness of negative outcomes, strongly associated with behavior.This research was supported by the Australian Rotary Health Research Fund.Received Ph.D. from Florida State University. Research interests: adolescent development, risk taking, and sexuality.Received Ph.D. from Monash University. Research interests: adolescent development, emotional development, and families.     

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.     

Alcohol Use, Outcome Expectancies, and HIV Risk Status among American Indian Youth: A Latent Growth Curve Model with Parallel Processes

Alcohol use is cited as a risk factor for exposure to HIV infection through risky sexual behavior, especially among adolescents. From Social Cognitive Theory, positive outcome expectancies about the use of alcohol have often been presented as a critical aspect of alcohol use. Yet little is known about how they might be related to different aspects of HIV risk. Using latent growth curve modeling with data from 292 American Indian youth across seven years, both alcohol use and positive expectancies increased significantly; a lower-risk group showed significantly slower increases in both. Changes in alcohol use and outcome expectancies were significantly interrelated, providing support for reciprocal influence between the two constructs. Positive alcohol outcome expectancies may provide a preventive intervention point worthy of further consideration as influencing alcohol use and lowering HIV sexual risk among adolescents.Associate Professor at the University of Colorado at Denver and Health Sciences Center. She received her Ph.D. in Community Psychology from Michigan State University. Her major research interests are adolescent development among minority youth with an emphasis on positive and problem behaviors.Associate Professor at the University of Colorado at Denver and Health Sciences Center. She received her Ph.D. in Social Psychology from the University of Michigan. Her major research interests are in areas of American Indian mental health and services research.Assistant Professor at the University of Colorado at Denver and Health Sciences Center. She received her Ph.D. in Sociology from the University of Michigan. Her primary research interests are in demography and contextual effects of individual health behavior, with a special emphasis on adolescent development.In addition to the above people, the Project Team included Sonia Bauduy, Cathy A.E. Bell, Cecelia K. Big Crow, Dedra Buchwald, Nichole Cottier, Amy D. Dethlefsen, Ann Wilson Frederick, Ellen M. Keane, Shelly Hubing, Natalie Murphy, Angela Sam, Jennifer Settlemire, Jennifer Truel, and Frankee White Dress.     

Gender differences in patterns of adolescent sexual behavior

The findings of a questionnaire survey of sexual attitudes and behavior of a large nationwide sample of Israeli adolescents (N=5410) show clear gender differences in patterns of sexual behavior even among kibbutz adolescents who express very permissive attitudes toward premarital coitus and live under conditions which provide easy access to potential sexual partners. Permissive conditions increase rates of coitus among female adolescents, but this sexual experience occurs within the framework of an emotionally involving relationship. Kibbutz girls who report coital rates equal to those of kibbutz and nonkibbutz boys (about 40%) have their first coital relationship with a steady boyfriend with whom they are in love and continue having sexual relations with the same partner. This pattern is similar to that of nonkibbutz females, who report much lower rates of coitus (14%). Males do not necessarily have sexual relations in the context of an emotional relationship. The findings are interpreted in terms of pattern of sex-role socialization.This study was supported by the Israel Center for Demographic Studies and by the Ministry of Health.Research interests are socialization, parent-child interaction, and cross-cultural research.Presently working on Ph.D. in public health at University of California, Berkeley.Research interests are child development and personality.Research interests are clinical obstetrics and gynecology, contraception, sex education, and family planning.Research interests are chronic disease epidemiology and research methodology.     

An integration of theory: Adolescent sexual contacts

The purpose of the present study was to examine the predictive validity of several theoretical factors drawn from control, social learning, and differential association theories for explaining adolescent sexual behavior. The sample consisted of 1478 adolescents who attended ten private schools located in different areas of this country. When examined together in multivariate regression equations, the theoretical factors accounted for 47.2% and 42.7% of the respective variances in frequency of sexual intercourse among males and females. The single factor of differential association with peers accounted for most of the respective variances (males, 33.1%; females, 26.8%). The discussion addressed the theoretical implications of the present findings for future research.The arrangement of names of authors was purely alphabetical, since contributions to it were equal.Received Ph.D. in social welfare from University of Wisconsin-Madison. Research interests: juvenile delinquency, adolescent sexual behavior, and homelessness.Received Ph.D. from Virginia Commonwealth University. Research interests: adolescent sexual behavior, use of forgiveness in clinical practice, and homelessness.     

The Role of Religiosity in the Relationship Between Parents,Peers, and Adolescent Risky Sexual Behavior

Research has documented a negative relationship between religion and risky sexual behavior. Few studies, however, have examined the processes whereby religion exerts this effect. The present study develops and tests a model of various mechanisms whereby parental religiosity reduces the likelihood of adolescents’ participation in risky sexual behavior (early sexual debut, multiple sexual partners, and inconsistent condom use). Structural equation modeling, using longitudinal data from a sample of 612 African American adolescents (55% female), provided support for the model. The results indicated that parental religiosity influenced adolescent risky sexual behavior through its impact on authoritative parenting, adolescent religiosity, and adolescent affiliation with less sexually permissive peers. Some mediating mechanisms differed by the gender of the respondent, suggesting a “double-standard” for daughters but not for sons. Findings also indicated the importance of messages about sexual behavior that are transmitted to adolescents by their peers. Theoretical and policy implications of the findings are discussed.     

The mystique of first intercourse among college youth: The role of partners,contraceptive practices,and psychological reactions

The purpose of this study was to examine first sexual intercourse as it relates to gender differences regarding involvement in various sexual behaviors, the role of the partner, contraceptive practices, sexual guilt, and sexual satisfaction. An anonymous 155-item questionnaire was distributed to 304 never-married female and male undergraduate students at a Midwestern state university. Of these respondents, only those with sexual intercourse experience were included in this study. The overall mean age at first sexual intercourse was 17.7 years for females and 17.8 years for males. Although both males and females experienced first intercourse with older partners, females were more likely to be in committed relationships. First intercourse was characterized by a lack of contraceptive use, primarily due to lack of planning. Compared to males, females were less physiologically and psychologically satisfied with their first sexual intercourse experience.Support for data collection and coding was from the College of Arts and Sciences, University of Wisconsin—Eau Claire and for data analyses from Academic Computing Services, University of Wisconsin—Eau Claire. In addition, tables were produced by the Media Development Center with support from the School of Graduate Studies and Office of University Research, University of Wisconsin-Eau Claire.Received Ph.D. in human ecology from Michigan State University. Her major research interests include the female sexual response and sexual satisfaction; family, health, and stress issues of menopausal women; and work and the family.Received Ph.D. in marriage and family from the University of Florida. His major research interests include sexual altitudes and behavior of college women and men, the female sexual response and sexual satisfaction including perceptions of the Grafenberg Spot and female ejaculation, and attitudes toward adoption among unmarried teens.Received Ph.D. in marriage and family therapy from the Florida State University. Her major interests include the influence of early sexual involvement on contraceptive practices and sexual satisfaction, and adult children of alcoholics.     

Educational correlates of adolescents' sexual attitudes and behavior

Parents' educational attainment is known to be related to their children's educational aspirations and plans, and these variables have been presumed to be inversely related to early adolescent sexual activity. Relationships between these educational variables and adolescents' sexual attitudes and behavior were analyzed in a sample of 810 high school students from two Western states. Parents' educational background was positively related to adolescents' educational plans and performance, and these educational variables were inversely related to adolescents' premarital sexual attitudes and intercourse experience. It seems most plausible to conclude that parents' educational backgrounds affect children's educational interests and grades, which, in turn, affect adolescent sexuality. However, the observed associations also could be interpreted to suggest that early sexual behavior reduces adolescents' educational plans and lowers their school grades.The data analyzed here were collected as part of a prevention demonstration grant (APH 003-6-01-0) awarded to Terrance D. Olson by the Office of Adolescent Pregnancy Programs. This paper is based on the master's thesis of the second author.Received Ph.D. in Family Sociology from the University of Minnesota. Research interests concern the antecedents and consequences of early adolescent sexual behavior.Received a master's degree from the Department of Family and Human Development at Utah State University. Interested in the problem behaviors of young teenagers.     

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.     

Measuring Alcohol Expectancies in Youth

Beliefs about the consequences of using alcohol, alcohol expectancies, are powerful predictors of underage drinking. The Alcohol Expectancies Questionnaire-Adolescent form (AEQ-A) has been widely used to measure expectancies in youth. Despite its broad use, the factor structure of the AEQ-A has not been firmly established. It is also not known whether it assesses similar constructs (i.e., measurement invariance) between boys and girls. This article reports on a confirmatory factor analysis (CFA) of a shortened version of the AEQ-A with 310 youth, ages 10–16, to determine whether a two factor, positive and negative expectancy structure held for this sample and to test measurement invariance across gender. The results support evidence of a 2-factor, positive and negative structure for the abbreviated version of the AEQ-A and show that it assesses equivalent alcohol expectancy constructs among males and females. These findings have important implications for cognitive based approaches to alcohol prevention.Florida State University College of Social Work. She received her Ph.D. in Social Work from the University of North Carolina at Chapel Hill. Her major research interests are youth at risk, substance use prevention, and family engagement in prevention interventionsFlorida State University College of Medicine. She received her Ph.D. in Social Psychology from Arizona State University. Her major research interests are women's health, disease prevention, and health communication.Prevention Research Center, Pacific Institute for Research and Evaluation. She received her Ph.D. in Criminal Justice from the University at Albany. Her major research interests are family-based prevention strategies for adolescent alcohol, drugs, and sexual risk taking; women's alcohol, and other drug problems; prevention of young adult alcohol and drug abuse, risky sexual behavior, and violence.     

Alcohol use among college students: Some competing hypotheses

This paper presents a longitudinal study of alcohol use among college students. Three hypothesized predictors of alcohol use are found to have an independent effect when the other predictors and prior drinking are held constant: the drinking context of the dormitory living group, informal social involvement in college, and lack of commitment to religious and academic values. These predictors are also related to the onset of drinking during the freshman year for those who entered college as abstainers. The pattern varies somewhat for males and females, with the dormitory contextual effect larger for females. Formal involvement in college activities and psychological stress have no independent effect on drinking. The results are discussed in relation to previous work on alcohol use.This research was supported in part by NIAAA Grant AA02863 and NIMH Grant MH28177 and Veterans Administration Research funds.Received Ph.D. in sociology from Stanford University in 1976. Current research interests include adolescent development, statistics, and environmental studies.Received Ph.D. in psychology from University of California, Berkeley, in 1960. Current research interests are personal and environmental influences on behavior.     

Attributional style,depressive features,and self-esteem: Adult children of alcoholic and nonalcoholic parents

Undergraduate adult children of alcoholics (ACOAs; N=57) were compared to children of nonalcoholic parents (CONAs; N=100) on measures of the Beck Depression Inventory (BDI), selfesteem, and attributional style. ACOA status was determined using the Children of Alcoholics Screening Test (Jones, 1981). ACOAs were found to have significantly higher scores on the BDI and to have significantly lower self-esteem, as measured by the Index of Self-Esteem, than CONAs. ACOAs were also more likely to have a depressive attributional style, in that they perceived failure as more internal, stable, and global than CONAs. Further, females had significantly higher BDI scores than males.Received B.A. from West Virginia University. Research interests: adult children of alcoholics and human sexual behavior.Received Ph.D. from West Virginia University. Research interests: the impact of popular culture on adolescents and the impact of parental conflict on children.Received Ph.D. from University of Massachusetts. Research interests: adolescent suicide risk.     

Changes in college students' use and abuse of alcohol,and in their attitudes toward drinking over the course of their college years

Using a November 1987 random sample of 526 undergraduate students attending a midsized, private, midwestern university, this study examines changes in students' alcohol use, alcohol abuse, and attitudes toward drinking over the course of their college careers. This research provides an empirical examination of the supposition that people begin college in an adolescent-like phase in their development and graduate from college in a decidedly more adult-like developmental phase. The data suggest that women appear to mature throughout the college years, gradually progressing toward an adult-like developmental state, at least insofar as their drinking patterns and alcohol-related attitudes are concerned. Men, on the other hand, demonstrated no significant changes over the course of their college careers, suggesting that college may represent little more than a period of protracted adolescence for them.Received Ph.D. in sociology from Washington University in St. Louis. Research interests include alcohol and other drug studies, sexual behavior, HIV/AIDS, and mass media.     

Factors related to cigarette smoking during adolescent pregnancy

Previous research suggests that maternal smoking during pregnancy remains prevalent, particularly among adolescents. However, little is known about the factors related to smoking during adolescent pregnancy. The goal of the present study is to identify intrapersonal, familial, and peer factors that are related to smoking during adolescent pregnancy, and to determine the relative degree to which they affect this behavior. Interviews were conducted with 241 unmarried pregnant adolescents who planned to carry their pregnancies to term. Consistent with previous studies, 27% of the respondents reported daily smoking during pregnancy, and whites reported higher rates of use than members of other racial groups. Smoking during adolescent pregnancy was related to intrapersonal, familial, and peer factors. The results of a regression analysis suggest that perceived parental disapproval of smoking during pregnancy, friends' cigarette use, and race play a particularly important role in this behavior. The implications of these findings for preventive programs are discussed.Research reported here and the preparation of this report were supported by Grant DA-05208 from the National Institute on Drug Abuse.Received M.A. in sociology from the University of Washington. Research interests include health behaviors, and the relationship between social stratification and health.Received Ph.D. in social welfare from the University of Washington. Research interests are in adolescent development, gender issues in adolescent development, and health promotion and problem prevention with children and adolescents. Received Ph.D. in sociology from the University of Washington. Research interests are adolescent problem behaviors, and particularly adolescent sexual decision making.Received M.S. in educational psychology from the University of Wisconsin—Madison. Research interests: adolescent substance use, pregnancy and parenthood, and peer relations.