TY - JOUR
T1 - Sexually Transmitted Infections, Sexual Risk Behavior, and Intimate Partner Violence among African American Adolescent Females with a Male Sex Partner Recently Released from Incarceration
AU - Swartzendruber, Andrea
AU - Brown, Jennifer L.
AU - Sales, Jessica M.
AU - Murray, Colleen C.
AU - Diclemente, Ralph J.
N1 - Funding Information:
This study was supported by grants from the National Institutes of Mental Health ( 5R01MH070537 ) and Emory Center for AIDS Research ( P30A1050409 ). Jennifer L. Brown was supported by K12GM000680 from the National Institute of General Medical Sciences . Jessica M. Sales was supported by K01MH085506 from the National Institute of Mental Health .
PY - 2012/8
Y1 - 2012/8
N2 - Purpose: Social networks directly and indirectly influence sexually transmitted infections (STIs) risk. The objective was to explore associations between sex with a male recently released from incarceration and sexual risk and intimate partner violence (IPV) among African American adolescent females. Methods: Sociodemographic, psychosocial, and sexual behavior data were collected at baseline, 6, and 12 months from African American females, aged 15-21 years, participating in an HIV/STI prevention trial. Among 653 participants with <1 follow-up assessments, generalized estimating equations tested associations during follow-up between having a recently released partner and STI acquisition, sexual risk behaviors, and IPV, adjusting for age, treatment assignment, and corresponding baseline measure. Results: Eighty-three (13.6%) participants had a recently released partner at 6 months and 56 (9.3%) at 12 months. Participants with a recently released partner were more likely to have the following: vaginal (adjusted odds ratio [AOR]: 5.48), anal (AOR: 2.43), and oral (AOR: 1.51) sex, a casual partner (AOR: 1.66), sex while high/drunk (AOR: 1.57) or with a high/drunk partner (AOR: 2.27); use condoms inconsistently (AOR:.58); acquire Chlamydia (AOR: 1.80), and experience emotional (AOR: 4.09), physical (AOR: 2.59), or sexual abuse (AOR: 4.10) by a boyfriend. They had a greater number of sex partners, lower partner communication and refusal self-efficacy, were high/drunk during sex more frequently, and used condoms during oral sex less frequently. Conclusions: A recently released sex partner is associated with sexual risk and IPV among African American adolescent females. Prevention programs should inform adolescents about potential risks associated with recently released partners as well as provide adolescents with skills to establish and maintain healthy sexual relationships.
AB - Purpose: Social networks directly and indirectly influence sexually transmitted infections (STIs) risk. The objective was to explore associations between sex with a male recently released from incarceration and sexual risk and intimate partner violence (IPV) among African American adolescent females. Methods: Sociodemographic, psychosocial, and sexual behavior data were collected at baseline, 6, and 12 months from African American females, aged 15-21 years, participating in an HIV/STI prevention trial. Among 653 participants with <1 follow-up assessments, generalized estimating equations tested associations during follow-up between having a recently released partner and STI acquisition, sexual risk behaviors, and IPV, adjusting for age, treatment assignment, and corresponding baseline measure. Results: Eighty-three (13.6%) participants had a recently released partner at 6 months and 56 (9.3%) at 12 months. Participants with a recently released partner were more likely to have the following: vaginal (adjusted odds ratio [AOR]: 5.48), anal (AOR: 2.43), and oral (AOR: 1.51) sex, a casual partner (AOR: 1.66), sex while high/drunk (AOR: 1.57) or with a high/drunk partner (AOR: 2.27); use condoms inconsistently (AOR:.58); acquire Chlamydia (AOR: 1.80), and experience emotional (AOR: 4.09), physical (AOR: 2.59), or sexual abuse (AOR: 4.10) by a boyfriend. They had a greater number of sex partners, lower partner communication and refusal self-efficacy, were high/drunk during sex more frequently, and used condoms during oral sex less frequently. Conclusions: A recently released sex partner is associated with sexual risk and IPV among African American adolescent females. Prevention programs should inform adolescents about potential risks associated with recently released partners as well as provide adolescents with skills to establish and maintain healthy sexual relationships.
KW - Adolescent
KW - African American
KW - Incarcerated partner
KW - Intimate partner violence
KW - Sexual risk
KW - Sexually transmitted infections
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UR - http://www.scopus.com/inward/citedby.url?scp=84864290732&partnerID=8YFLogxK
U2 - 10.1016/j.jadohealth.2011.11.014
DO - 10.1016/j.jadohealth.2011.11.014
M3 - Article
C2 - 22824446
AN - SCOPUS:84864290732
SN - 1054-139X
VL - 51
SP - 156
EP - 163
JO - Journal of Adolescent Health
JF - Journal of Adolescent Health
IS - 2
ER -