141st APHA Annual Meeting

In This section

291917
Conceptualization of sexual behavior within sexual partner relationships for modification of evidence-based sexual risk reduction/health promotion interventions

Wednesday, November 6, 2013 : 10:30 AM - 10:50 AM

Jane Champion, PhD, DNP, FNP, AH-PMH-CNS, FAAN , School of Nursing, The University of Texas at Austin, Austin, TX
Carol Roye, EdD, RN, CPNP, FAAN , School of Nursing, Hunter College School of Nursing, CUNY, New York, NY
Background: Understanding of the context of anal sex behavior among Black and Hispanic adolescent women with a history of sexually transmitted infection (STI/HIV) has public health implications for health promotion and risk reduction behavioral interventions. Methods: African-American (n=94, 16.8%) and Mexican-American (n=465, 83.2%) women (14-18 years) with histories of sexual risk behavior, STI or abuse, recruited from metropolitan sexual health clinics for participation in a clinical trial for behavioral interventions, completed semi-structured interviews to assess psychosocial and situational factors associated with high sexual risk behavior, substance use, STI/HIV acquisition, and abuse occurrence at study entry. Results: Anal sex varied by ethnicity (24.1% Mexican-American, 10.6% African-American, P=.004). Anal sex was associated with more (P <.05) run-away, school dropout, sexual partners, bisexuality, sex for favors, money or friends with benefits, group sex, substance and alcohol use, sex when high, history of STI, withdrawal for birth control and psychological distress. More abuse (94.3% vs. 85.1%) and higher levels of abuse (8.37 vs. 6.38) overall, and by comparisons of sexual, physical and emotional abuse was identified. Age at first anal sex (15.85 years) with partner age (18.43 years), ever condom use for anal sex (38%), anal sex past year (79.5%), past 6 months (61.2%), past 3 months (36.7%) with limited condom use (40.8%) was self-reported. Conclusions: Conceptualization of anal sexual behavior within sexual partner relationships is important for modification of evidence-based sexual risk reduction/health promotion interventions to enhance efficacy for prevention of abuse, substance use, unintended pregnancy and STI/HIV among ethnic minority adolescent women.

Learning Areas:
Assessment of individual and community needs for health education
Conduct evaluation related to programs, research, and other areas of practice
Implementation of health education strategies, interventions and programs
Planning of health education strategies, interventions, and programs
Public health or related nursing
Social and behavioral sciences

Learning Objectives:
Describe processes for conceptualization of sexual behavior within sexual partner relationships for modification of evidence-based sexual risk reduction/health promotion interventions to enhance efficacy for prevention of abuse, substance use, unintended pregnancy and STI/HIV among ethnic minority adolescent women.

Keywords: Adolescent Health, Sexual Risk Behavior

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: Through my program of interdisciplinary clinical research, I have worked with multi-disciplinary teams to develop gender and culture specific, evidence-based community interventions to address health disparities among particularly vulnerable at-risk populations. These studies include controlled-randomized trials of behavioral interventions for prevention of violence, substance use, STI/HIV and unintended pregnancy. These trials have been conducted among urban and rural populations of African-American and Mexican-American women, including adolescents who have histories of violence, substance use and STI.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.