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Hensel, Devon J., Casey L. Bales, Julia F. Taylor, and J. Dennis Fortenberry. "Leveraging a relationship-based sexual health framework for sexual risk prevention in adolescent men in the United States." Sexual Health 15, no. 3 (2018): 238. http://dx.doi.org/10.1071/sh17097.
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Background Studies link sexual health to lower sexual risk in adolescent women, yet no empirical literature evaluates these associations in adolescent men. Methods: Data were drawn from a longitudinal cohort study of sexual relationships and sexual behaviour among adolescent men (n = 72; 14–16 years) in the US. Participants contributed quarterly partner-specific interviews, from which sexual health information and partnered sexual behaviours were drawn. A multidimensional measure of sexual health was constructed and linked to partnered outcomes, including oral–genital, vaginal and anal sex, condom use, partner concurrency and intimate partner violence. Random intercept, mixed-effects linear, ordinal logistic or binary logistic regression were for analyses. Models controlled for participant age, race/ethnicity and relationship length. Results: Adolescent men contributed 651 unique partner-specific interviews. A higher sexual health score with partners was significantly associated with more frequent oral–genital and vaginal sex, as well as higher condom use, lower partner concurrency and lower received and perpetuated intimate partner violence. Conclusion: Positive sexually related experiences in adolescent men contribute to a core of sexual wellbeing, which in turn is linked to lower levels of sexual risk with partners. The present study data support both developmental and public health applications of sexual health, with attention on promoting healthy sexuality as well as risk reduction. Higher sexual health among adolescent men from the US is associated with more frequent condom use, lower partner concurrency and less frequent intimate partner violence. Young men’s exercising the skills associated with healthy sexuality may also reinforce the skills needed to both enjoy sexuality with partners and to avoid adverse sexual outcomes.
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Seth, Puja, Jerris L. Raiford, LaShun S. Robinson, Gina M. Wingood, and Ralph J. DiClemente. "Intimate partner violence and other partner-related factors: correlates of sexually transmissible infections and risky sexual behaviours among young adult African American women." Sexual Health 7, no. 1 (2010): 25. http://dx.doi.org/10.1071/sh08075.
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Background: Intimate partner violence and other partner-related factors have been associated with acquiring sexually transmissible infections (STIs) and engaging in risky sexual behaviour. The present study examined partner-related risk factors for STIs and risky sexual behaviours among an urban sample of African American women. Methods: African American women, between 18 and 29 years (n = 848), participated in the study at baseline. Participants completed a 40-min Audio Computer Assisted Survey Interview assessing sociodemographics, partner-related factors and HIV/STI-associated sexual risk behaviours. Subsequently, participants provided two vaginal swab specimens for STIs. Results: The findings indicated that risky sexual behaviours and STIs were prevalent in this sample: 35.6% reported a risky sexual partner, 65.4% reported inconsistent condom use and 17% tested positive for a laboratory-confirmed STI. Women reporting a history of intimate partner violence were more likely to report risky sexual partners (adjusted odds ratio (AOR) = 2.00; 95% confidence interval (CI) = 1.5–2.8), inconsistent condom use (AOR = 1.60; 95% CI = 1.1–2.3) and test positive for an STI (AOR = 1.46; 95% CI = 0.99–2.1). Women reporting high partner-related barriers to condom use were more likely to report risky sexual partners (AOR = 1.69; 95% CI = 1.2–2.3), inconsistent condom use (AOR = 2.13; 95% CI = 1.5–3.0) and test positive for an STI (AOR = 1.98; 95% CI = 1.3–3.0). Finally, women with older partners were more likely to report risky sexual partners (AOR = 1.53; 95% CI = 1.1–2.1) and test positive for an STI (AOR = 1.46; 95% CI = 1.0–2.2). Conclusions: This study examines partner-related risk factors for STIs and risky sexual behaviours among African American women. These findings underscore the need for combined intimate partner violence and HIV/STI prevention programs for this disproportionately affected high-risk group.
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Karang, Ni Luh Dea Kumala Sari, Dewa Nyoman Wirawan, and Anak Agung Sagung Sawitri. "Sexual behaviours and sexual networks of men who have sex with men in Bali." Public Health and Preventive Medicine Archive 5, no. 1 (July 1, 2017): 72. http://dx.doi.org/10.15562/phpma.v5i1.47.
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Background and purpose: Transmission of HIV and other sexually transmitted infections (STIs) among men who have sex with men (MSM) in Bali Province is increasing. This increased transmission is due to their sexual networks and behaviours. This study aims to examine sexual behaviours and sexual networks among MSM population in Bali Province. Methods: A descriptive cross-sectional study was conducted in Denpasar City and Badung District. A total of 130 MSM were recruited from Denpasar II Public Health Centre and Bali Medica Clinic – Badung District. Data were collected through interviews among MSM who visited both providers for STIs services from August to October 2015. Variables of this study included sociodemographic, sexual network (pattern and density), sexual activities in the last month, sexual role, condom/lubricant use, and history of previous STIs. Data were descriptively analysed. Results: As many as 53.1% respondents were aged <25 years, 90.8% were senior high school or higher degree graduates, 6.2% were married, 91.5% were employed, and 59.2% were having a regular partner. In the last month, as many as 70.8% respondents reported to have sex with first sexual partner, 52.3% with second sexual partners, and 45.6% with third sexual partners. Younger respondents tended to seek for younger sexual partners. The majority of respondents had had insertive sex, as many as 40.0% with their first partner, 44.6% with their second partner, and 43.2% with their third partner. About 20% of respondents were having high density sexual network and 71.5% of respondents were having concurrent sexual partnership. The consistent condom use within six months was 67.6% with the first partner, 72.8% with the second and the third partners. As many as 23% of respondents were diagnosed to have STIs. Conclusion: MSM population in Bali Province seem to have high risk sexual behaviours with great sexual network density, high concurrent sexual partnership, and selective mixing between older and younger MSM population.
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O’Connor, Lois, Kate O'Donnell, Peter Barrett, Ford Colin Ian Hickson, Daniel McCartney, Mick Quinlan, Alicia Barrasa, Margaret Fitzgerald, and Derval Igoe. "Use of geosocial networking applications is independently associated with diagnosis of STI among men who have sex with men testing for STIs: findings from the cross-sectional MSM Internet Survey Ireland (MISI) 2015." Sexually Transmitted Infections 95, no. 4 (December 5, 2018): 279–84. http://dx.doi.org/10.1136/sextrans-2018-053637.
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ObjectivesMSM Internet Survey Ireland (MISI) 2015 was an anonymous, self-completed, cross-sectional internet survey assessing sexual behaviours and health needs among men who have sex with men (MSM) in Ireland. We explored factors associated with self-reported STI diagnosis among MSM who were sexually active and had an STI test in the previous year.MethodsWe compared the study population (n=1158; 37% of total population), with the sexually active MISI population not testing for STIs (n=1620; 52% of total population). Within the study population, we identified sociodemographics and sexual behaviours associated with self-reporting STI diagnosis. We used multivariable logistic regression to estimate adjusted odds ratios (aORs).ResultsThe sociodemographics, lifestyle and sexual behaviours of the study population differed significantly from the sexually active MISI population who did not test for STIs. Within the study population, 65% met a sexual partner via geosocial networking smartphone application (GSNa) and 21% self-reported an STI diagnosis in the previous year. On univariable analysis, factors associated with STI diagnosis included: older age, identifying as gay, HIV-positive status, increasing number of sexual partners in the previous year, condomless anal intercourse (CAI) with ≥2 non-steady partners and using GSNa to meet a new sexual partner in the previous year or most recent sexual partner. On multivariable analysis, STI diagnosis was associated with: being aged 25–39 years (aOR 1.8, 95% CI 1.04 to 3.15), CAI with ≥2 non-steady partners (aOR 2.8, 95% CI 1.84 to 4.34), total number of sexual partners (aOR 1.02, 95% CI 1.00 to 1.03) and using GSNa to meet a new sexual partner (aOR 1.95, 95% CI 1.12 to 3.39).ConclusionsSTI diagnosis among MSM testing for STIs is associated with GSNa use, as well as sexual behaviours. GSNas are key settings for STI prevention interventions, which should prioritise men with high numbers of sexual partners and those with multiple CAI partners.
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Nuwaha, Fred, Elisabeth Faxelid, Stella Neema, Charli Eriksson, and Bengt Hojer. "Psychosocial determinants for sexual partner referral in Uganda: qualitative results." International Journal of STD & AIDS 11, no. 3 (March 1, 2000): 156–61. http://dx.doi.org/10.1258/0956462001915598.
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In order to understand and elicit the psychosocial factors influencing compliance with sexual partner referral, 10 focus group discussions (FGDs) and 40 individual interviews based on the attitude-social influence-self efficacy (ASE) model were held in Mbarara District of Uganda. The focus groups were derived from both rural and urban areas. Informal interviews were held with 20 men and 20 women presenting with symptoms of a sexually transmitted disease (STD) at the outpatient department of Mbarara Hospital. The emerging outcome of attitudinal beliefs regarding health consequences of partner referral were mainly positive. However, outcome beliefs relating to the relationship with the partners were mainly negative. Social influence for sexual partner referral was from health-care providers, partner(s), friends and relatives. The self-efficacy beliefs were mainly negative especially among women. Barriers hampering sexual partner referral were related to poor quality of health care, gender relations and type of sexual partners. There is a need to target these beliefs and self-efficacy expectations in health education and STD counselling and for more research to evaluate the psychosocial determinants of sexual partner referral quantitatively.
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Wanyama, Jane N., Maria S. Nabaggala, Bonnie Wandera, Agnes N. Kiragga, Barbara Castelnuovo, Ivan K. Mambule, Josephine Nakajubi, et al. "Significant rates of risky sexual behaviours among HIV-infected patients failing first-line ART: A sub-study of the Europe–Africa Research Network for the Evaluation of Second-line Therapy trial." International Journal of STD & AIDS 29, no. 3 (August 17, 2017): 287–97. http://dx.doi.org/10.1177/0956462417724707.
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There are limited data on the prevalence of risky sexual behaviours in individuals failing first-line antiretroviral therapy (ART) and changes in sexual behaviour after switch to second-line ART. We undertook a sexual behaviour sub-study of Ugandan adults enrolled in the Europe–Africa Research Network for the Evaluation of Second-line Therapy trial. A standardized questionnaire was used to collect sexual behaviour data and, in particular, risky sexual behaviours (defined as additional sexual partners to main sexual partner, inconsistent use of condoms, non-disclosure to sexual partners, and exchange of money for sex). Of the 79 participants enrolled in the sub-study, 62% were female, median age (IQR) was 37 (32–42) years, median CD4 cell count (IQR) was 79 (50–153) cells/µl, and median HIV viral load log was 4.9 copies/ml (IQR: 4.5–5.3) at enrolment. The majority were in long-term stable relationships; 69.6% had a main sexual partner and 87.3% of these had been sexually active in the preceding six months. At enrolment, around 20% reported other sexual partners, but this was higher among men than women (36% versus 6.7 %, p < 0.001). In 50% there was inconsistent condom use with their main sexual partner and a similar proportion with other sexual partners, both at baseline and follow-up. Forty-three per cent of participants had not disclosed their HIV status to their main sexual partner (73% with other sexual partners) at enrolment, which was similar in men and women. Overall, there was no significant change in these sexual behaviours over the 96 weeks following switch to second-line ART, but rate of non-disclosure of HIV status declined significantly (43.6% versus 19.6%, p <0.05). Among persons failing first-line ART, risky sexual behaviours were prevalent, which has implications for potential onward transmission of drug-resistant virus. There is need to intensify sexual risk reduction counselling and promotion of partner testing and disclosure, especially at diagnosis of treatment failure and following switch to second- or third-line ART.
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Lau, Bobo H. P., Lucia Liu, Celia H. Y. Chan, Cecilia L. W. Chan, Jason J. Ong, Eleanor Holroyd, and William C. W. Wong. "De-Sexualizing Partner Notification: A Qualitative Study on Chinese Young Adults with Chlamydia." International Journal of Environmental Research and Public Health 18, no. 8 (April 12, 2021): 4032. http://dx.doi.org/10.3390/ijerph18084032.
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Background: Chlamydia is common amongst the sexually active population in Hong Kong. As most cases are asymptomatic, partner notification may be helpful in controlling chlamydia. This study examined attitudes towards partner notification for chlamydia among Hong Kong Chinese youths in order to inform a culturally appropriate, patient-empowering sexual health service. Methods: Sixteen individuals (aged 20 to 31) who received a confirmed diagnosis of chlamydia within the previous twelve months of data collection were recruited from two community-based organizations between June and December 2017. Semi-structured individual interviews were conducted by a health psychologist. Results: Nine participants notified a total of eleven current and ex-partners. Seven participants did not notify their sexual partner(s). Our findings revealed how participants struggled with the discrediting sexual aspect of their infection, and how de-sexualizing the infection and selected disclosure facilitated partner notification and social acceptance. Perceived stigma regarding chlamydia however did not dissipate with their disclosure. Participants did not perceive lasting impact of chlamydia on their well-being as they thought they have much control over whether and how to disclose to their (future) partners. All participants agreed there was a pressing need to raise public awareness on this silent but highly prevalent sexually transmitted infection. Conclusions: Our findings illustrate the complex struggle behind communicating about chlamydia to one’s sexual partner and how strategizing the disclosure process served to circumvent embarrassment and foster testing of sexual partners.
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Feinstein, Brian A., Trey V. Dellucci, Patrick S. Sullivan, and Brian Mustanski. "Characterizing Sexual Agreements With One's Most Recent Sexual Partner Among Young Men Who Have Sex With Men." AIDS Education and Prevention 30, no. 4 (August 2018): 335–49. http://dx.doi.org/10.1521/aeap.2018.30.4.335.
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Men who have sex with men (MSM) often create sexual agreements with their partners, but little is known about agreements with serious versus causal partners. We used data from 472 young MSM to examine agreements with one's most recent partner, individual differences across types of partnerships and agreements, and predictors of condomless anal sex (CAS). Two-thirds of participants did not have agreements. Monogamous agreements were most common among those who were seriously dating their partner, but also present among those who were casually dating their partner and those who were not dating their partner. Participants who were seriously dating their partner reported the most frequent sexual health communication. Participants without agreements reported the lowest frequency of and comfort with sexual health communication. Participants who were seriously dating their partner and those with monogamous agreements were most likely to report CAS. HIV prevention should address communication with serious and casual partners.
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Katz, Jennifer, Andrew Carino, and Angela Hilton. "Perceived Verbal Conflict Behaviors Associated With Physical Aggression and Sexual Coercion in Dating Relationships: A Gender-Sensitive Analysis." Violence and Victims 17, no. 1 (February 2002): 93–109. http://dx.doi.org/10.1891/vivi.17.1.93.33641.
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We studied perceived partner verbal behaviors associated with participants’ use of dating aggression. Men’s reports of their partners’ demanding, controlling, and psychologically abusive behaviors during conflicts were expected to predict men’s perpetration against partners. In contrast, women’s reports of their partners’ withdrawal were expected to predict women’s perpetration. Data were collected from heterosexual undergraduates (N = 223) in exclusive dating relationships. Participants’ reports of partner demands and partner psychological abuse were associated with participants’ use of physical aggression and sexual coercion. Reports of partner withdrawal and partner controlling behaviors were associated with participants’ sexual coercion only. Significant moderating effects of gender emerged. As expected, partner demands, controlling behaviors, and psychological abuse were associated with physical aggression and sexual coercion in men, but not women. Partner withdrawal was associated with sexual coercion in both women and men. We conclude that gender-sensitive approaches are necessary to understand and prevent verbal conflict patterns associated with physical aggression and sexual coercion in intimate relationships.
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Katz, Jennifer, Ellen L. Poleshuck, Brittany Beach, and Rachel Olin. "Reproductive Coercion by Male Sexual Partners: Associations With Partner Violence and College Women’s Sexual Health." Journal of Interpersonal Violence 32, no. 21 (August 5, 2015): 3301–20. http://dx.doi.org/10.1177/0886260515597441.
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Reproductive coercion (RC) involves indirect and direct partner behaviors that interfere with effective contraceptive use. RC has been identified as a correlate of intimate partner violence (IPV) among ethnically diverse women sampled from urban health clinics or shelters. Research is needed to determine whether RC is experienced more generally by young women and, if so, whether RC is associated with IPV, multiple indicators of sexual health, or both. In the present study, sexually active undergraduate women ( N = 223, 80% Caucasian/White) provided self-report data on their sexual health and behaviorally specific lifetime experiences of both RC and partner physical violence. About 30% reported experiencing RC from a male sexual partner. Most commonly, RC involved condom manipulation or refusal within an adolescent dating relationship. Experiences of RC and partner violence were not independent; half of the women who reported RC also reported experiencing partner physical violence. Women with a history of RC reported a significantly reduced rate of contraceptive use during last vaginal sex and lower contraceptive and sexual self-efficacy. Additional research on the sociocultural and relational contexts of RC is needed.
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Birnbaum, Gurit E., and Harry T. Reis. "When Does Responsiveness Pique Sexual Interest? Attachment and Sexual Desire in Initial Acquaintanceships." Personality and Social Psychology Bulletin 38, no. 7 (April 18, 2012): 946–58. http://dx.doi.org/10.1177/0146167212441028.
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Three studies examined the contribution of attachment orientation and perceived partner responsiveness to sexual desire in initial acquaintanceships. In all studies, participants discussed a recent negative event with an unfamiliar, opposite-sex partner and then rated how responsive this partner had been during the interaction and their desire to have sex with him or her. Study 1 examined the association between perceived partner responsiveness and sexual desire in randomly paired strangers. Studies 2 and 3 experimentally manipulated partner responsiveness by standardized Instant Messages (Study 2) and a confederate’s responsive or unresponsive reactions during face-to-face interviews (Study 3). Results indicated that perceiving a partner as responsive was associated with heightened interest in sex with this partner, primarily among less avoidant people. These results are consistent with research showing that secure individuals see sex as a means of becoming close to relationship partners, whereas avoidant individuals tend to approach sex in distancing ways.
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Najman, Jake M., Michael P. Dunne, David M. Purdie, Frances M. Boyle, and Peter D. Coxeter. "Sexual Partner Preferences." Marriage & Family Review 40, no. 1 (October 11, 2006): 5–23. http://dx.doi.org/10.1300/j002v40n01_02.
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Hicks, Megan R., Steven M. Kogan, Junhan Cho, and Assaf Oshri. "Condom Use in the Context of Main and Casual Partner Concurrency: Individual and Relationship Predictors in a Sample of Heterosexual African American Men." American Journal of Men's Health 11, no. 3 (May 18, 2016): 585–91. http://dx.doi.org/10.1177/1557988316649927.
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Researchers have identified engagement in sexual concurrency, particularly when condom use is inconsistent, as a risk factor for HIV and other sexually transmitted infections. This risk is particularly salient in rural communities in which dense interconnection of sexual networks can promote the spread of sexually transmitted infections. The authors investigated individual and relationship factors that predict inconsistent condom use in the context of main and casual partner sexual concurrency among 176 rural African American men. The individual psychosocial factors investigated included impulsivity and anger/hostility. Relationship variables included fidelity expectations, criticism from partners, and relationship control in both main and casual relationships. No individual risk factors were associated with main partner inconsistent condom use; however, impulsivity and anger/hostility positively predicted inconsistent condom use with a casual partner. Relationship control in the main partnership predicted inconsistent condom use with the main partner. Criticism from the main partner positively predicted inconsistent condom use with a casual partner. Finally, expectations for a casual partner’s fidelity positively predicted inconsistent condom use with that partner. These findings underscore the importance of considering the influence of one sexual partnership on behavior in another and of taking this complexity into account in the development of preventive interventions.
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Edwards, Katie M., Megan C. Kearns, Christine A. Gidycz, and Karen S. Calhoun. "Predictors of Victim–Perpetrator Relationship Stability Following a Sexual Assault: A Brief Report." Violence and Victims 27, no. 1 (2012): 25–32. http://dx.doi.org/10.1891/0886-6708.27.1.25.
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The researchers assessed the predictors of victim–perpetrator relationship stability following a sexual assault. Participants included 254 women sexually assaulted by a friend, casual dating partner, or steady dating partner. Results suggested that most victim–perpetrator relationships (75%) continued following the sexual assault. Greater trauma symptomatology, less perpetrator blame, and nondisclosure of the assault by victims predicted relationship continuation with the perpetrator. Additionally, the odds of continuing the relationship were greater following acts of sexual coercion than following acts of completed rape. Close relationships (steady dating partner) were more likely to continue following the sexual assault than less close relationships (friends and casual dating partners). Unexpectedly, the odds of relationship stability were greater for women without histories of childhood sexual abuse than women with histories of childhood sexual abuse. Implications for future research and intervention are discussed.
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Bjekić, Milan, and Hristina Vlajinac. "Partner Notification for Gonorrhea and Syphilis in Belgrade." Serbian Journal of Dermatology and Venereology 9, no. 2 (June 27, 2017): 43–48. http://dx.doi.org/10.1515/sjdv-2017-0006.
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Abstract “Contact tracing” or “partner notification” refers to clinicians’ efforts to identify sex partners of infected persons to ensure their medical evaluation and treatment. For many years partner notification has been a cornerstone in the management of patients diagnosed with sexually transmitted infections (STIs) and it is the essential component in the control of these infections. Clinicians’ efforts to ensure the treatment of a patient’s sex partners can reduce the risk for re-infection and potentially diminish transmission of STIs. Partner notification includes three different approaches for notifying the sexual partners of the person infected with a STI: provider referral, patient referral, and contract referral. The aim of our study was to evaluate the efficacy of partner notification among syphilis and gonorrhea cases registered at the City Institute for Skin and Venereal Diseases in Belgrade in 2016, and its contribution to prevention and control of these diseases. A retrospective chart review of patients with gonorrhea and early syphilis registered in 2016 was undertaken. We analyzed data about the possible source of infection as well as sexual orientation, provided on the official form for notification of syphilis and gonorrhea. The study included 112 male patients, 67 with gonorrhea and 45 with syphilis. Out of three modalities of partner notification offered to patients, only patient notification of sexual partner/s was accepted. Although all patients accepted this type of partner notification, index patients with gonorrhea notified only 17 partners (25.4%) and index patients with syphilis also notified 17 partners (37.8%). The effectiveness of partner notification for gonorrhea and syphilis cases was only 30.4%, and its contribution to prevention and control of these diseases was lower than we expected. National guidelines offering standardized protocols for partner notification service provision can improve this process, as a novel approach with non-traditional method of partner notification such as patient-delivered partner therapy.
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Parillo, Kathleen M., Robert C. Freeman, and Paul Young. "Association Between Child Sexual Abuse and Sexual Revictimization in Adulthood Among Women Sex Partners of Injection Drug Users." Violence and Victims 18, no. 4 (August 2003): 473–84. http://dx.doi.org/10.1891/vivi.2003.18.4.473.
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Community-recruited women (n = 1490) were interviewed about their early and adult sexual victimization histories to determine whether there was an association between child sexual abuse and adult revictimization by sex partners and strangers/nonsex partners. Adolescent sexual abuse, lifetime sex-trading, drug treatment, and mental health treatment were examined as mediating variables. One-fourth of the women had been revictimized (i.e., experienced child sexual abuse and at least one instance of adult sexual victimization). Child sexual abuse was associated with both rape and other sexual victimization by a sex partner in adulthood, as well as adult rape by a stranger/nonsex partner. Drug and mental health treatments reduced abused women’s chances of being raped by a sex partner; drug treatment also decreased the likelihood of other sexual victimization by a sex partner. Sex-trading increased abused women’s likelihood of rape by a stranger or nonsex partner. Intervention—including drug treatment—can help women with child sexual abuse histories overcome some of the abuse-related sequelae that make them vulnerable to adult revictimization.
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Simkins, Lawrence. "Risk of HIV Transmission in Sexual Behaviors of College Students." Psychological Reports 76, no. 3 (June 1995): 787–99. http://dx.doi.org/10.2466/pr0.1995.76.3.787.
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The purpose of this study was to investigate the sexual behaviors of college students and assess the extent to which they were engaging in behaviors that have a risk for contracting AIDS. A total of 132 single sexually active students and 58 married students responded to a survey on their sexual behaviors and attitudes. Risk behaviors such as engaging in unprotected sex, having multiple sex partners, practicing anal sex, alcohol use, and infidelity and deceptive communication with partner were examined. Compared with earlier surveys on the same population, there was an increase in concern about contracting AIDS and a significant increase in the percentage of students who took the AIDS antibody test. Although none indicated they would lie to partners about a seropositive AIDS test, a few would not tell their partner unless specifically asked. A small percentage of subjects would have extradyadic relations without informing their steady partners and a small number of respondents indicated they might continue to engage in sexual relations with a seropositive partner or a new partner who recently had a seronegative AIDS test. The risks most predominant in this sample were the practice of unprotected sex, having multiple sex partners, and the consumption of alcohol in conjunction with sexual activity. With the exception of unprotected intercourse, the majority of respondents were engaging in behaviors that pose a minimal risk for contracting AIDS.
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King, Bruce M., Tamara M. Scott, and Sunble E. Wajeeh. "Factors Affecting Individuals Dissuading Sexual Partners from Using Condoms: A Comment on McDermott and Noland." Psychological Reports 96, no. 3 (June 2005): 586–90. http://dx.doi.org/10.2466/pr0.96.3.586-590.
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Undergraduate students at an urban, public university were asked if they had ever attempted to dissuade a sexual partner from using condoms. Over 17% of the men and nearly 15% of the women admitted to having done so, and twice as many said that a sexual partner had attempted to dissuade them. Responses to a questionnaire indicated that individuals who had attempted to dissuade use of condoms did not show a greater tendency to engage in nonsexual risk-taking behaviors. Despite their claims that attempts to dissuade partners from using condoms occurred in committed relationships, condom dissuaders did show evidence of engaging in other high-risk sexual behaviors, e.g., greater number of sexual partners, greater number of sexually transmitted diseases.
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O’Neal, Eryn Nicole, and Brittany E. Hayes. "The case processing of intimate partner sexual assault: a brief review and recommendations for future research." Journal of Gender-Based Violence 4, no. 2 (June 1, 2020): 279–88. http://dx.doi.org/10.1332/239868020x15877396296559.
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Research examining legal responses to violence against women has historically dichotomised sexual assault and intimate partner violence, leaving unanswered questions regarding criminal justice responses to intimate partner violence incidents that involve sexual violence. Although research has examined whether cases involving partners, acquaintances or strangers are handled differently, few scholars consider the specific factors that undermine intimate partner sexual assault case processing. The current article guides future intimate partner sexual assault case-processing research with the hopes of filling this research void. Understanding intimate partner sexual assault case processing is necessary so that police, prosecutors and practitioners can use research-based approaches to increase victim satisfaction and decrease attrition.
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Kim, Ssirai, Sun-Young Lee, and Smi Choi-Kwon. "Cervical Cancer Screening and Human Papillomavirus Vaccination among Korean Sexual Minority Women by Sex of Their Sexual Partners." International Journal of Environmental Research and Public Health 17, no. 23 (November 30, 2020): 8924. http://dx.doi.org/10.3390/ijerph17238924.
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Cervical cancer-preventive behaviors in Korean sexual minority women (SMW) are underexplored. We aimed to assess the differences in cervical cancer screening uptake and completion of human papillomavirus (HPV) vaccination among Korean SMW by sex of their sexual partners. This cross-sectional study used data from the 2017 Korean Sexual Minority Women’s Health Study; we included Korean lesbian and bisexual women aged ≥20 years. They were divided into three groups: SMW with more than one male sexual partner (male only/both), SMW with only female sexual partners (female-only), or no sexual partner (no partner). Among the 671 participants, 266 (39.6%), 294 (43.8%), and 111 (16.5%) belonged to the male-only/both, female-only, and no partner groups, respectively. Compared to the male-only/both group, the female-only group was significantly less likely to have undergone cervical cancer screening (Adjusted odds ratio (AOR) = 0.24, 95% confidence interval (CI) = 0.15–0.37) and to have completed HPV vaccinations (AOR = 0.58, 95% CI = 0.37–0.91). In conclusion, Korean SMW with only female sexual partners had lower cervical cancer screening and HPV vaccination completion rates than SMW who had male sexual partners. More extensive efforts are needed to improve cervical cancer-preventive behaviors among Korean SMW.
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Clatts, Michael C., Lloyd A. Goldsamt, Le Minh Giang, and Gary Yu. "Sexual practices, partner concurrency and high rates of sexually transmissible infections among male sex workers in three cities in Vietnam." Sexual Health 12, no. 1 (2015): 39. http://dx.doi.org/10.1071/sh14101.
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Background This paper examines sexual practices, partner concurrency and sexually transmissible infections (STI)/HIV infection among male sex workers (MSWs) in Vietnam. Methods: Six hundred and fifty-four MSWs, aged 16–35 years, were recruited in Hanoi, Nha Trang and Ho Chi Minh City between 2009 and 2011. Survey measures included demographic characteristics, drug use, types of sexual partners and sexual practices. Subjects were screened for STIs, including HIV. Results: MSWs in Ho Chi Minh City (33%) were more likely than those from the other two sites to be current users of one or more types of illegal drugs (P < 0.001). MSWs with both male and female elective partners (compared with other partnership types) were more likely to have anal sex with male client partners (P < 0.001), elective male partners (P = 0.045) and elective female partners (P = 0.025). At last sex with a male client partner, only 30% used a condom during anal intercourse. At last sex with an elective female partner, only 31% used a condom during vaginal sex and only 3% during anal sex. Although rates of HIV are low (4%), other STIs are high, including chlamydia (17%), gonorrhoea (29%) and human papillomavirus (33%). Most (57.3%) have never been tested for HIV and only 17% have ever disclosed to a healthcare provider that they have sex with men. Conclusions: Complex patterns of sexual concurrency, coupled with high rates of STIs, signal the urgent need for health services interventions among MSWs, both to improve individual health outcomes and to reduce secondary STI/HIV transmission among sexual partner networks.
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Clark, Rebecca A., Patricia Kissinger, Ariane L. Bedimo, Patrice Dunn, and Helena Albertin. "Determination of factors associated with condom use among women infected with human immunodeficiency virus." International Journal of STD & AIDS 8, no. 4 (April 1, 1997): 229–33. http://dx.doi.org/10.1258/0956462971919976.
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Summary: To better understand potential barriers to condom use and the sexual behaviour of women infected with human immunodeficiency virus (HIV), an anonymous self-administered survey was performed on a convenience sample of 83 predominantly single HIV+ women. Most women had only one sexual partner who usually knew of the subject's serostatus. Only a minority of partners (26%) were known to also be HIV infected. Subjects were surprisingly more likely to use condoms with their main partner as opposed to other partners. Factors found to be associated with condom non-use included younger age, low education level, partner HIV+, history of a sexually transmitted disease (STD), and use of drugs or alcohol during sex. Although most subjects indicated the decision was mutual when deciding not to use a condom, 20% stated it a was a partner decision. Future intervention efforts should target these identified high-risk individuals and optimally involve the partners of HIV-infected women.
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Bowelo, Motsholathebe, Serai Daniel Rakgoasi, and Mpho Keetile. "Partner faithfulness and sexual reproductive health practices in Botswana: does perception of partner infidelity influence sexual risk behaviours of people aged 10–34 years?" Journal of Biosocial Science 52, no. 4 (October 15, 2019): 547–59. http://dx.doi.org/10.1017/s0021932019000622.
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AbstractThe main aim of this study was to test whether perception of partner infidelity prompts people to adopt behaviour that is meant to compensate for the increased risk of infection posed by their partner’s infidelity; or whether it prompts people to engage in behaviour that magnifies the risk associated with partner infidelity. Data used were derived from the fourth and latest Botswana AIDS Impact Survey (BAIS IV) conducted in 2013. The sample consisted of 6985 people aged 10–34 years. Logistic regression analysis was used to identify factors associated with perception of partner infidelity and sexual risk behaviours. Perception of partner infidelity with the current and most recent partner was 39.6% while perception of partner infidelity with other previous sexual partners was 79.9%. The main socio-demographic factors associated with perception of partner infidelity were being a man, being single and having secondary education, while sexual risk behaviours associated with perception of partner infidelity were having multiple sexual partners and being involved in multiple concurrent sexual partnerships. These relationships were statistically significant at the 5% level. Botswana’s HIV prevention strategies should seek to improve partner communication within relationships in order to enhance people’s confidence and skills so as to minimize perceptions of infidelity.
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Mostafa, S. R., and O. H. Roshdy. "Risk profiles for sexually transmitted diseases among patients attending the venereal disease clinic at Alexandria Main University Hospital." Eastern Mediterranean Health Journal 5, no. 4 (August 15, 1999): 740–54. http://dx.doi.org/10.26719/1999.5.4.740.
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Risk factors for sexually transmitted diseases [STDs] were assessed among 54 male and 36 female patients attending a venereal disease clinic. Sociodemographic data and information on sexual behaviour/STD history were collected. Patients were examined and specimens taken for laboratory diagnosis. Multivariate logistic regression analysis revealed that the significant predictors of genital infections among the male patients were: being unmarried, having multiple sexual partners, exposure to a symptomatic sexual partner, high frequency of intercourse per week, having repeated episode[s]of STDs and practising coitus interfemoris. In the female patients, exposure to a symptomatic sexual partner and high frequency of intercourse per week were the only significant predictors
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Cole, Jennifer, TK Logan, and Lisa Shannon. "Intimate Sexual Victimization Among Women With Protective Orders: Types and Associations of Physical and Mental Health Problems." Violence and Victims 20, no. 6 (December 2005): 695–715. http://dx.doi.org/10.1891/0886-6708.20.6.695.
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Intimate sexual violence was examined among a sample of women who had recently obtained protective orders against male partners using three groups: no sexual victimization (n = 368), sexual insistence (n = 114), and threatened and/or forced sex (n = 117). Differences in childhood sexual abuse as well as types of partner psychological abuse, stalking, and severe physical violence experiences were found across the groups. Multivariate analysis showed that women with no sexual victimization had significantly fewer mental health problems than women who had experienced sexual insistence and women who had been threatened or forced to have sex. Findings from this study underscore the importance of health, mental health, and criminal justice professionals assessing for a range of sexually abusive acts when working with victims of partner violence.
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Ndayala, Phoebe D., Lucy W. Ngige, Alice Ondigi, and Humphries Evelia. "Sexual Practices and HIV Seropositivity Disclosure among Adults in Nairobi, Kenya." East African Journal of Health and Science 3, no. 1 (January 7, 2021): 1–11. http://dx.doi.org/10.37284/eajhs.3.1.265.
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The purpose of the study was to assess the relationship between sexual practices and HIV seropositive status disclosure to sexual partners by People Living with Human Immune-Deficiency Virus (PLWHIV) in Nairobi, Kenya. A survey was conducted among 232 PLWHIV who were registered members of HIV support groups in an informal settlement. Results showed that half (50.5%) of the respondents had disclosed their HIV seropositive status to their sexual partners. Chi-square results revealed statistically significant relationships between HIV seropositive disclosure and the following sexual behaviours: condom use in the last sexual encounter (χ2 = 12.144; df = 1; p = 0.001); regular sexual partner (χ2 = 5.124; df = 1; p = 0.024); agreement on HIV testing with sexual partner (χ2 = 3.873; df = 1; p = 0.039) and knowledge of sexual partners’ HIV serostatus (χ2 = 6.536; df = 1; p = 0.011). The binary logistic regression results established four positive predictors of self-disclosure to sexual partners as regular sexual partner (AOR = 2.506; p = 0.012), knowledge of sexual partners’ HIV serostatus (AOR = 3.949; p = 0.015), condom use during the last sexual encounter (AOR = 3.507; p = 0.035) and agreement on HIV testing with sexual partner (AOR = 2.560; p = 0.020). However, the desire to conceive (AOR = 3.050; p = 0.094) and the method of testing HIV serostatus (AOR = 0.853; p = 0.530) were not significant predictors of HIV seropositivity disclosure. It was concluded that respondents who knew their partners HIV serostatus and also used a condom during their last sexual encounter were four times more likely to disclose than those who were not aware of partners’ serostatus or those who did not use a condom in their last sexual encounter. Furthermore, those who were in regular sexual relationships and also agreed on HIV testing with sexual partners were twice more likely to disclose than those in casual sexual relationships. An analysis of sexual practices of PLWHIV can therefore enhance the formulation of targeted strategies aimed at enhancing HIV prevention and reduction of risky sexual behaviour among PLWHIV.
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Kagan, Sarah, Julianna Deardorff, Jacqueline McCright, Marguerita Lightfoot, Maureen Lahiff, and Sheri A. Lippman. "Hopelessness and Sexual Risk Behavior Among Adolescent African American Males in a Low-Income Urban Community." American Journal of Men's Health 6, no. 5 (March 8, 2012): 395–99. http://dx.doi.org/10.1177/1557988312439407.
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African American youth bear a disproportionate burden of sexually transmitted infections. Environmental stressors may lead to increased hopelessness, which in turn can lead to increases in risk-taking behavior. This study explored the hypothesis that as hopelessness increases, sexual risk behavior will increase—specifically, inconsistent condom use and increased number of sex partners. In 2010, 108 African American men 15 to 24 years old responded to sexual behavior questions and Beck’s Hopelessness Scale. The associations between hopelessness and sexual risk behaviors were evaluated with multivariate logistic regression. Increased hopelessness was associated with increased inconsistent condom use with non-main sexual partners (adjusted odds ratio = 2.3, 95% confidence interval = 1.3-4.0). There was no association between hopelessness and condom use with a main partner or sex with more than one partner in the past 3 months. These findings imply that hopelessness may encourage sexual risk-taking behavior in young males.
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Mokgatle, Mathildah Mpata, Sphiwe Madiba, and Lindiwe Cele. "A Comparative Analysis of Risky Sexual Behaviors, Self-Reported Sexually Transmitted Infections, Knowledge of Symptoms and Partner Notification Practices among Male and Female University Students in Pretoria, South Africa." International Journal of Environmental Research and Public Health 18, no. 11 (May 25, 2021): 5660. http://dx.doi.org/10.3390/ijerph18115660.
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The surge of sexually transmitted infections (STIs) among young people is of public health importance, and the notification and treatment of sex partners after the diagnosis of an STI is a public health approach to prevent and reduce further transmissions. There are limited studies that investigate partner notification among young people in general, and university students in South Africa in particular. We investigated self-reported STIs and partner notification practice, intentions, and preferences among university students. We also assessed their STI knowledge and risky sexual behaviour in relation to STIs. The study was a descriptive cross-sectional survey that used multistage sampling to select 918 students across the five schools of a health sciences university in South Africa. Descriptive statistics and bivariate logistic analysis were performed using Stata IC version 16. More males (54.1%) than females were currently in a sexual relationship (47.3%), more males reported multiple sexual partners (n = 114, 46%), engaged in transactional sex (n = 13, 5.3%), and had one-night stands (n = 68, 28.1%) in the past 12 months (p = 0.001). Moreover, half (55.9%) had poor knowledge of STIs with an overall mean knowledge score of 2.9 ± 2.0, and the majority (85.8%) perceived themselves to be at low risk of acquiring STIs. The odds of intentions to disclose an STI infection to a sexual partner and delivering a partner notification slip to ex-sexual partners were not statistically significant (p = 0.95; p = 0.10), with the likelihood of disclosure being 1.3 times for female students compared to males. Female students were 1.5 times as likely to prefer a doctor to send an SMS notification to their sexual partners (p = 0.02) compared to their male counterparts, while the preference of an SMS notification was 41% (p = 0.03) among female students. Students engaged in risky behaviours but had a low perception of the risks of acquiring STIs. Although they had preferences of different methods of partner notification, both male and female students preferred SMS partner notifications from a doctor, even though women were in the majority. Health care providers should put in place interventions so that young people can safely inform their partners about STIs.
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Carcedo, Rodrigo J., Daniel Perlman, Noelia Fernández-Rouco, Fernando Pérez, and Diego Hervalejo. "Sexual Satisfaction and Mental Health in Prison Inmates." Journal of Clinical Medicine 8, no. 5 (May 17, 2019): 705. http://dx.doi.org/10.3390/jcm8050705.
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The main goal of this study was to investigate the association between sexual satisfaction and mental health, and the combined effect of two previously found, statistically significant moderators: partner status and sexual abstinence. In-person interviews were conducted with 223 participants (49.327% males and 50.673% females). The effect of sexual satisfaction on mental health and the interactions of sexual satisfaction × partner status, sexual satisfaction × sexual abstinence, and sexual satisfaction × partner status × sexual abstinence were examined using simple moderation and moderated moderation tests after controlling for a set of sociodemographic, penitentiary, and interpersonal variables. Results revealed a direct relationship between sexual satisfaction and mental health only for the sexually abstinent group. Partner status was not significant as a moderator. It seems that the lack of sexual relationships is more powerful as a moderator than the lack of a romantic relationship. Additionally, the sexually abstinent group showed lower levels of sexual satisfaction in those with a partner outside or inside prison, and lower mental health independently of the current romantic status, than sexually active inmates. These findings point to the importance of sexual satisfaction to mental health in sexual situations of extreme disadvantage.
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Gilbert, Lisa, and Linda Alexander. "A Profile of Sexual Health Behaviors among College Women." Psychological Reports 82, no. 1 (February 1998): 107–16. http://dx.doi.org/10.2466/pr0.1998.82.1.107.
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This study examined the risk taking and preventive behaviors related to sexually transmitted diseases among sexually active college women. Self-report questionnaires were distributed at two mid-Atlantic universities yielding a final sample of 556 students. Data were collected regarding frequencies of pelvic examinations, numbers of vaginal, oral, and anal sex partners, and number of partners who had forced sex against their will. Also, frequencies of tests for sexually transmitted disease and HIV before having sex with new partners, methods of protection and birth control, and types of relationships were assessed. Finally, subjects reported the types of questions asked before having sex with a new partner and diagnoses of sexually transmitted diseases. Because most college-aged women are sexually active and vulnerable to a host of short- and long-term complications from sexually transmitted infections, educational interventions, in addition to promoting condom use, must focus on the need for regular pelvic examinations, screenings for sexually transmitted disease/HIV (self and partner), and lower risk sexual activity.
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Bachmann, L. H., D. M. Grimley, H. Chen, I. Aban, J. Hu, S. Zhang, Y. W. Waithaka, and E. W. Hook. "Risk behaviours in HIV-positive men who have sex with men participating in an intervention in a primary care setting." International Journal of STD & AIDS 20, no. 9 (September 2009): 607–12. http://dx.doi.org/10.1258/ijsa.2009.009030.
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Men who have sex with men receiving HIV care reported their sexual behaviours and their intentions, classified according to the Transtheoretical Model of Change, to modify the following behaviours: (1) condom use by partner type and activity type; (2) reduction of partner number; and (3) disclosure of HIV serostatus to partners. Most participants were white (68.8%) or black (29.5%) and were more likely to report unprotected sex with HIV-positive than with serodiscordant partners for most activities. Whites reported more partners than black patients (mean 4.1 versus 2; P < 0.0001) and black participants reported fewer HIV-negative ( P = 0.0084) and -unknown status partners ( P = 0.00095) than whites. Cocaine/crack use was associated with more sexual partners ( P = 0.001) and more frequent unprotected sex with HIV-negative or -unknown status partners ( P = 0.036). Readiness to change risk behaviour varied by partner status and type of sexual activity. Understanding patients' risks and their readiness to change behaviours may help providers to promote sexual health.
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Hendry, Natalie A., Graham Brown, Gary W. Dowsett, and Marina Carman. "Association between sexually transmissible infection testing, numbers of partners and talking to partners and friends about sexual health: survey of young adults." Sexual Health 14, no. 4 (2017): 378. http://dx.doi.org/10.1071/sh16076.
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Background Young adults, aged 18–30 years, comprise the largest proportion of sexually transmissible infection (STI) notifications in Australia compared with other age groups. Understanding the influence of partner and friendship networks on their STI testing practices may enhance health promotion efforts to increase testing for this group. Method: Participants aged 21–30 years, living in Australia for ≥3 years, were recruited within nightlife precincts in Melbourne, Australia. They completed a survey on demographic items, sexual health attitudes, sexual health knowledge and STI testing experiences and perceptions. Responses to items related to talking to partners and friends about STI testing were allocated partner and friend communication scores. Analyses included χ2 tests of independence and independent sample t-tests. Results: Overall, 36.5% (61/167) of participants had tested for STIs in the previous 12 months. Of those who had tested for STIs, most had significantly higher numbers of sexual partners in the same period (P < 0.05), and were significantly more likely to have felt at risk of STI acquisition (P < 0.05). Significantly greater mean partner and friend communication scores were associated with higher numbers of sexual partners, feeling at risk of STIs, and testing for STIs in the previous 12 months (all P < 0.05). There were no significant differences when participants were stratified by gender or age. Conclusion: Talking to partners and friends about STI testing is associated with testing rates for young adults. Feeling at risk and increased numbers of sexual partners may be associated with the promotion of STI testing among friends and partners.
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BOSTOCK, D. "INTIMATE PARTNER SEXUAL VIOLENCE." Clinics in Family Practice 5, no. 1 (March 2003): 145–57. http://dx.doi.org/10.1016/s1522-5720(03)00006-0.
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Barter, C. "Intimate Partner Sexual Violence." British Journal of Social Work 44, no. 4 (June 1, 2014): 1082–83. http://dx.doi.org/10.1093/bjsw/bcu063.
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Bagwell-Gray, Meredith E., Jill Theresa Messing, and Adrienne Baldwin-White. "Intimate Partner Sexual Violence." Trauma, Violence, & Abuse 16, no. 3 (January 4, 2015): 316–35. http://dx.doi.org/10.1177/1524838014557290.
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Seyller, Marie, Céline Denis, Catherine Dang, Cyril Boraud, Aude Lepresle, Thomas Lefèvre, and Patrick Chariot. "Intimate Partner Sexual Assault." Obstetrics & Gynecology 127, no. 3 (March 2016): 516–26. http://dx.doi.org/10.1097/aog.0000000000001288.
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Hallam-Jones, Ruth. "Sexual surrogate partner therapy." Sexual and Relationship Therapy 23, no. 3 (August 2008): 280–81. http://dx.doi.org/10.1080/14681990801910885.
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Giesecke, Johan, Gianpaolo Scalia-Tomba, Mari Göthberg, and Peet Tüll. "Sexual Behaviour Related to the Spread of Sexually Transmitted Diseases—A Population-Based Survey." International Journal of STD & AIDS 3, no. 4 (July 1992): 255–60. http://dx.doi.org/10.1177/095646249200300405.
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Behavioural patterns pertinent to the spread of sexually transmitted diseases (STD) were assessed in a random sample population study in Sweden. From a sample of 1150 individuals aged 16–31 years, 768 (68%) completed a questionnaire on past and present sexual contacts. Response rate was highest in youngest and oldest age groups. Median age at first intercourse was 16.4 years for women and 17.1 years for men; the woman's partner at first intercourse was a median of 2 years older; men chose partners of the same age for first intercourse. The time to second partner was a median of 2 years; number of lifetime partners increased with one new partner for 2.5 years. Condoms were more frequently used in younger age groups. In all age groups, 5–10% of individuals reported a high-risk behaviour for the spread of STDs.
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Shakya, Dhanendra Veer. "Trends in Sexual Practices of Nepalese Youth over Time 2006-2016." Tribhuvan University Journal 32, no. 1 (July 1, 2018): 185–96. http://dx.doi.org/10.3126/tuj.v32i1.24785.
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This study attempts to examine trends in incidence of sexual experience, age at first sex, number of life-time sex partners, multiple sex partners in last 12 months, relationship with last sex partner, and use of condom at last sex if last sex partner was other than spouse or non-live-in-partner among Nepalese youth over time 2006-2016. This study has used 2006, 2011 and 2016 Nepal Demographic and Health Survey data files with weighted cases. Data are analyzed using percentage and frequency tables and statistical tests are carried out using binomial logistic and least square regression models not controlling for variables other than survey years. The findings show that incidences of pre-marital sex, multiple sex partners in last 12 months and other than spouse or non-live-in-partner as last (most recent) sex partner are increasing over time.
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Swartzendurber, Andrea, Sarah H. Murray, Jessica M. Sales, Robin R. Milhausen, Stephanie A. Sanders, Cynthia A. Graham, Ralph J. DiClemente, and Gina M. Wingood. "Influence of sexual arousability on partner communication mediators of condom use among African American female adolescents." Sexual Health 12, no. 4 (2015): 322. http://dx.doi.org/10.1071/sh15019.
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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.
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Robinson, Camille A., Maria Trent, Jonathan M. Ellen, and Pamela A. Matson. "Rethinking Urban Female Adolescents’ Safety Net: The Role of Family, Peers, and Sexual Partners in Social Support." American Journal of Health Promotion 34, no. 4 (December 23, 2019): 431–35. http://dx.doi.org/10.1177/0890117119896194.
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Purpose: To examine how interpersonal factors are associated with family, peer, and partner social support among urban female adolescents in sexual relationships. Design: Secondary data analysis of cross-sectional data. Setting: Two urban health clinics and community sites in Baltimore, Maryland. Participants: One hundred sixteen female adolescents (ages 16-19) with 131 heterosexual relationships from the Perceived Risk of Sexually Transmitted Diseases cohort. Measures: Interpersonal factors included parental monitoring, friend–partner connectedness, and feelings of intimacy for partner. Social support was measured using the Multidimensional Scale of Perceived Social Support with family, peer, and partner subdomains. Analysis: Multivariable linear regression models using baseline data and accounting for clustering of partners. Results: Adolescents perceived high levels of family, peer, and partner support, with the greatest coming from partners (range: 1-5; family mean: 4.0 [95% confidence interval, CI: 3.83-4.18]; peer mean: 4.2 [95% CI: 4.05-4.33]; partner mean: 4.5 [95% CI: 4.36-4.60]). Parental monitoring and friend–partner connectedness were significantly associated with greater family ( b = 0.11, standard error [SE] = 0.03, P = 0.001; b = 0.15, SE = 0.06, P = .02) and peer support ( b = 0.06, SE = 0.02, P = .01; b = 0.29, SE = 0.07, P < .001). Feelings of intimacy for partner was significantly associated with greater partner support ( b = 0.08, SE = 0.03, P = .02). Conclusion: Feeling connected to one’s social network and having a connected network is an important contribution to social support for urban female adolescents in sexual relationships. Future research targeting interpersonal factors is warranted, as it may result in increased social support and promote positive sexual health behaviors in an urban female adolescent population.
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Busby, Dean M., Veronica Hanna-Walker, and Jeremy B. Yorgason. "A closer look at attachment, sexuality, and couple relationships." Journal of Social and Personal Relationships 37, no. 4 (January 8, 2020): 1362–85. http://dx.doi.org/10.1177/0265407519896022.
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In this study, the relationships between attachment patterns and relationship outcomes were explored through the mechanism of sexuality with two large samples from the U.S. In the first sample ( N = 4,834), the associations between insecure attachment patterns, the number of committed and casual sexual partners, timing of sexual debut, and relationship status were explored. In the second sample, a nationally representative sample of recently married couples ( N = 4212), an actor–partner model was used to explore the associations with attachment on the number of sexual partners and sexual timing and their subsequent influence on relationship and sexual satisfaction over two time points. The results indicated that, for Sample 1, insecure attachment was associated with both the number of casual and committed sexual partners and an increased likelihood of being single for men and women. For Sample 2, the actor–partner measures of attachment were associated with relationship and sexual satisfaction over two time points but had weak associations with the number of sexual partners and sexual timing.
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Heylen, Elsa, Emily Shamban, Wayne T. Steward, Gopal Krishnan, Raja Solomon, A. K. Srikrishnan, and Maria L. Ekstrand. "Alcohol Use and Experiences of Partner Violence Among Female Sex Workers in Coastal Andhra Pradesh, India." Violence Against Women 25, no. 3 (June 28, 2018): 251–73. http://dx.doi.org/10.1177/1077801218778384.
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This cross-sectional study describes the prevalence and context of violence by sexual partners against female sex workers (FSWs, N = 589) in Andhra Pradesh and its association with alcohol use by FSWs and abusive partners. In all, 84% of FSWs reported alcohol use; 65% reported lifetime physical abuse by a sexual partner. Most abused women suffered abuse from multiple partners, often triggered by inebriation or FSW’s defiance. In multivariate logistic regressions, frequency of FSW’s alcohol use was associated with abuse by clients and primary partner, whereas partner’s alcohol use was only significant for abuse by primary partner, not clients.
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Reisner, Sari L., Amaya Perez-Brumer, Catherine E. Oldenburg, Kristi E. Gamarel, Jowanna Malone, Kingsley Leung, Matthew J. Mimiaga, Joshua G. Rosenberger, and Katie B. Biello. "Characterizing HIV risk among cisgender men in Latin America who report transgender women as sexual partners." International Journal of STD & AIDS 30, no. 4 (December 11, 2018): 378–85. http://dx.doi.org/10.1177/0956462418802687.
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Cisgender men (CM) who report transgender women (TW) as sexual partners are an understudied population in the HIV epidemic in Latin America. The current study sought to characterize this group in a 2012 cross-sectional online survey of Latin American CM who were members of a sexual networking website for men who have sex with men (N = 11,847). Multivariable logistic regression models were fit to estimate demographic, behavioral, and psychosocial correlates of having a TW sexual partner and engaging in condomless sex. Overall, 0.9% (n = 106) reported a TW sexual partner in the last 12 months; of these, 76.4% (n = 81) reported condomless sex in the last three months. Identifying as bisexual or heterosexual compared to gay, and specifying a versatile sexual role preference compared to insertive were associated with reporting a recent TW sex partner (all p < 0.05). HIV-negative serostatus, lifetime STI history, and alcohol dependence were associated with recent condomless sex (all p < 0.05). CM with TW sexual partners have distinct HIV-related vulnerabilities. Future research is needed to understand CM who report TW sexual partners, including their sexual preferences and practices, sexual networks, exposure to stigma, biomedical prevention interest and uptake, and acceptability of integrating alcohol abuse screening into sexual health services.
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Kim, James J., Amy Muise, John K. Sakaluk, Natalie O. Rosen, and Emily A. Impett. "When Tonight Is Not the Night: Sexual Rejection Behaviors and Satisfaction in Romantic Relationships." Personality and Social Psychology Bulletin 46, no. 10 (March 11, 2020): 1476–90. http://dx.doi.org/10.1177/0146167220907469.
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In most long-term romantic relationships, partners experience sexual conflicts of interest in which one partner declines the other partner’s sexual advances. We investigated the distinct ways people reject a partner’s advances (i.e., with reassuring, hostile, assertive, and deflecting behaviors) in Studies 1 and 2. Using cross-sectional (Study 3) and daily experience methods (Study 4), we investigated how perceptions of a partner’s rejection behaviors are linked with the rejected partner’s relationship and sexual satisfaction. We found robust evidence that perceived partner reassuring behaviors were associated with greater satisfaction, whereas perceived partner hostile behaviors were associated with lower levels of satisfaction. Perceived partner responsiveness was a key mechanism underlying the effects. Findings for assertive and deflecting behaviors were limited, but the effect of deflecting behaviors was qualified by levels of hostile behaviors for sexual satisfaction. Findings provide the first empirical investigation of the specific ways partners can decline one another’s advances to preserve satisfaction.
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Birnbaum, Gurit E., Mor Iluz, Einat Plotkin, Lihi Tibi, Ronit Hematian, Moran Mizrahi, and Harry T. Reis. "Seeing what you want to see: Sexual activation makes potential partners seem more appealing and romantically interested." Journal of Social and Personal Relationships 37, no. 12 (August 26, 2020): 3051–69. http://dx.doi.org/10.1177/0265407520952162.
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Recent studies have indicated that activation of the sexual system fosters relationship initiation. In three studies, we expand on this work to investigate whether sexual activation encourages initiating relationship with prospective partners by biasing the way they are perceived. In all studies, participants encountered a potential partner and rated this partner’s attractiveness and romantic interest following sexual activation. Participants’ interest in the partner was self-reported or evaluated by raters. Study 1 revealed that sexual activation led participants to perceive potential partners as more attractive and interested in oneself. Study 2 added to these findings, providing a test of sexual priming rather than more general closeness priming. Mediational analyses in Study 3 indicated that heightened romantic interest mediated the link between sexual activation and perceiving potential partners as more interested in oneself. These findings suggest that sexual activation facilitates relationship initiation by motivating projection of one’s desires onto prospective partners.
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Soudeyns, Camille, Niko Speybroeck, Marc Brisson, Joël Mossong, and Ardashel Latsuzbaia. "HPV vaccination and sexual behaviour in healthcare seeking young women in Luxembourg." PeerJ 8 (February 10, 2020): e8516. http://dx.doi.org/10.7717/peerj.8516.
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Introduction Human papillomavirus (HPV) is the most common sexually transmitted infection (STI) worldwide. Despite recommendations for HPV vaccination of young women from health authorities, parental concerns were raised whether vaccination could induce unsafe sexual behaviour in young women. Therefore, the primary aim of this study was to investigate if HPV vaccination in healthcare seeking adult women in Luxembourg was associated with unsafe sexual behaviour. Methods Seven hundred twenty-nine women (mean age = 22.5; range 18–43 years) were recruited either at Luxembourg family planning centres or at private gynaecology practices. All participants completed a questionnaire on vaccination status and sexual behaviour. Poisson and logistic regressions were used to study the association between sexual behaviour and vaccination status (N = 538). Both models were restricted to women younger than 26 years, since the first cohort being vaccinated would be 25 years old at the time of sampling. Assortativity of sexual mixing by age was also assessed for further transmission modelling for women <30 years reporting age of last/current sexual partner (N = 649). Women older than 29 years were excluded from the assortativity analysis due to restricted sample size. Results In total, 386/538 (71.8%) of participants reported receiving HPV vaccine. Vaccination uptake significantly varied by nationality and was higher in Portuguese 112/142 (78.9%) and in Luxembourgish 224/313(71.6%) residents, and lower in residents of other nationalities 50/83 (60.2%) (p = 0.011). HPV vaccination was not associated with unsafe sexual behaviour such as shorter relationship duration with current or last sexual partner (odds ratio (OR) = 1.05, 95% CI [0.94–1.16]), younger age of sexual debut (OR = 1.00, 95% CI [0.88–1.14]), increased number of lifetime sexual partners (OR = 0.95, 95% CI [0.87–1.03), higher age difference with sexual partner (OR = 1.01, 95% CI [0.95–1.08]), condom use (OR = 0.97, 95% CI [0.60–1.56]), nor with other factors like smoking (OR = 0.73, 95% CI [0.47–1.15]) and nationality. HPV vaccination was only associated with younger age (OR = 0.84, 95% CI [0.75–0.94]). Relationship duration, age of sexual debut, age difference with sexual partner, smoking, age and non-Portuguese foreign nationality were predictors of number of lifetime sexual partners. Assortativity analysis revealed that young women chose sexual partners who were 2.3 years older on average. Conclusions Our study found no association between unsafe sexual behaviour and HPV vaccination.
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G. Rintaugu, Elijah, Edna K. Thangu, Adewale Oyeyemi, and Makama A. Monyeki. "Sexual Behavioral Patterns of Kenyan University Student-Athletes: Implications for Sports Managers." Baltic Journal of Sport and Health Sciences 3, no. 118 (November 27, 2020): 33–42. http://dx.doi.org/10.33607/bjshs.v3i118.962.
Full textAbstract:
Background. The debate on whether participation in sports enhances or curtails risky sexual behavior among athletes continues. The purpose of the study was to establish the sexual behavior patterns and associated high risks among University student-athletes.
Methods. A cross-sectional survey research design was used to collect self-report data on sexual behaviors from university student-athletes (n = 151) who participated in a University sports tournament. Descriptive statistics of frequencies and proportions and inferential statistics of chi-square test of independent measures were used to analyze the data. Majority (65%) of the student-athletes were taking part in Ball games and Racket games (13.9%).
Results. About a third (33%) of the student-athletes had their first sexual debut while aged between 18 and 20 years, 60% had regular sexual partners, over 30% had more than one sexual partner and 67% would have sexual intercourse with strangers; only 58% of these would seek the sexual history of the strangers. More than half (55%) of the student-athletes frequently used condoms to prevent pregnancies and sexually transmitted diseases, but only 39% of them always used condoms with their sexual partners in the last six months. The participants’ sexual behaviors differed significantly (p < .05) by their gender. Males tended to start having sexual intercourse earlier (p < .002), had more than one sexual partner (p < 0.001) and would always use condoms (p < .001) than females, but more females than males would have sexual intercourse with a stranger (p < .001).
Conclusions. Kenyan University student-athletes are sexually active and are faced with high risk sexual behaviors like multiple sexual partners and sexual intercourse with strangers. The difference in patterns of sexual behavior between male and female student-athletes calls for gender specific interventions by programmers, policy makers and health workers.
Keywords: sexual behaviors, student-athletes, sexually transmitted diseases (STD’s).
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Katz, Jennifer, and Melissa A. Sutherland. "College Women’s Experiences of Male Partner Contraceptive Interference: Associations With Intimate Partner Violence and Contraceptive Outcomes." Journal of Interpersonal Violence 35, no. 21-22 (June 19, 2017): 4350–74. http://dx.doi.org/10.1177/0886260517715600.
Full textAbstract:
Many young adult women experience interpersonal barriers to protecting their sexual health. The focus of the current study was on contraceptive interference (CI), defined as partner behaviors that prevent effective contraception use before or during sex. We investigated whether CI tends to co-occur with intimate partner violence (IPV) and whether past CI is negatively associated with women’s contraceptive outcomes. We also investigated perceived reasons for partner CI. Data were collected from sexually active female undergraduates ( N = 146) who had ended a (hetero)sexual relationship lasting at least 1 month. Participants provided self-report data on past relationships with male “target” partners who either did or did not enact CI, IPV within the same relationship, contraceptive use at last sex (with most recent partner), and condom negotiation efficacy (on day of study). About 25% of the sample reported past CI. Results revealed positive associations between target partner CI and psychological abuse, severe physical assault, and attempted or completed sexual assault by that same partner. Past CI was negatively associated with condom negotiation self-efficacy but not contraceptive use at last sex. All women perceived that CI was motivated by an intent to promote his pleasure, and only a few women perceived that CI was motivated by an intent to promote pregnancy. These results suggest that women’s experiences of CI reflect broader disempowerment within the dyadic context. Furthermore, these results suggest that research on CI behaviors as well as intentions underlying these behaviors will improve our understanding of how and why IPV affects women’s reproductive and sexual health.
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Zimmer-Gembeck, Melanie J. "Young females’ sexual self-efficacy: associations with personal autonomy and the couple relationship." Sexual Health 10, no. 3 (2013): 204. http://dx.doi.org/10.1071/sh12139.
Full textAbstract:
Background Theory suggests that young women’s own efficacy for sexual self-protective behaviour is greater when they are more advanced in their cognitive autonomy, and when they have romantic partners who support autonomy rather than engage in coercive behaviours and are warm and accepting rather than rejecting. Methods: A total of 199 women (aged 16 to 25 years) completed questionnaires measuring sexual self-efficacy, autonomy, partner communication and their partners’ behaviours. Hypotheses were tested with structural equation modelling. Results: Correlations showed that young women reported more self-efficacy when they had greater autonomy and reported partners to be more supportive and warmer, and less coercive and rejecting. In structural equation modelling, the association of women’s autonomy with sexual self-efficacy was indirect via their perceived capacity to communicate with their partners. Associations of partner behaviours with sexual self-efficacy were both direct and indirect via the capacity to communicate. Conclusions: Sexual efficacy is enhanced among young women who report a greater general capacity to communicate openly with their partners and have partners who display more warmth and less rejecting behaviours. Young women are also higher in sexual self-efficacy when they report more cognitive autonomy and lower partner coercion, but these associations are completely indirect via females’ greater capacity to communicate openly. The findings provide support for sexual health programs focussing on decision-making skills, personal competence, partners’ behaviours and dyadic communication strategies.