Longitudinal Trends in Sexual Behaviors Without a Condom Among Sexual Minority Youth: The P18 Cohort Study

Farzana Kapadia, Kristen Bub, Staci Barton, Christopher B. Stults, Perry N. Halkitis

Research output: Contribution to journalArticle

Abstract

Given the heightened risk for HIV and other STIs among young men who have sex with men (YMSM) as well as the racial/ethnic disparities in HIV/STI risk, an understanding of longitudinal trends in sexual behaviors is warranted as YMSM emerge into adulthood. Drawing from an ongoing prospective cohort study, the present analysis employed latent growth curve modeling to examine trends in distinct types of sexual activity without condoms over time in sample of YMSM and examine differences by race/ethnicity and perceived familial socioeconomic status (SES). Overall, White and Mixed race YMSM reported more instances of oral sex without condoms as compared to other racial/ethnic groups with rates of decline over time noted in Black YMSM. White YMSM also reported more receptive and insertive anal sex acts without a condom than Black YMSM. Declines over time in both types of anal sex acts without condoms among Black men were noted when compared to White men, while increases over time were noted for mixed race YMSM for condomless insertive anal sex. The effects for race/ethnicity were attenuated with the inclusion of perceived familial SES in these models. These findings build on previous cross sectional studies showing less frequent sex without condoms among Black YMSM despite higher rates of HIV incidence in emerging adulthood, as well as the importance of considering economic conditions in such models. Efforts to understand racial/ethnic disparities in HIV/STIs among YMSM must move beyond examination of individual-level sexual behaviors and consider both race/ethnicity and socioeconomic conditions in order to evaluate how these factors shape the sexual behaviors of YMSM.

Original languageEnglish (US)
Pages (from-to)2152-2161
Number of pages10
JournalAIDS and Behavior
Volume19
Issue number12
DOIs
StatePublished - Aug 30 2015

Fingerprint

Condoms
Sexual Behavior
Cohort Studies
Sexually Transmitted Diseases
HIV
Social Class
Sexual Minorities
Ethnic Groups
Cross-Sectional Studies
Economics
Prospective Studies
Incidence
Growth

Keywords

  • Racial/ethnic disparities
  • Sexual activity
  • Young men who have sex with men

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Infectious Diseases
  • Social Psychology

Cite this

Longitudinal Trends in Sexual Behaviors Without a Condom Among Sexual Minority Youth : The P18 Cohort Study. / Kapadia, Farzana; Bub, Kristen; Barton, Staci; Stults, Christopher B.; Halkitis, Perry N.

In: AIDS and Behavior, Vol. 19, No. 12, 30.08.2015, p. 2152-2161.

Research output: Contribution to journalArticle

Kapadia, Farzana ; Bub, Kristen ; Barton, Staci ; Stults, Christopher B. ; Halkitis, Perry N. / Longitudinal Trends in Sexual Behaviors Without a Condom Among Sexual Minority Youth : The P18 Cohort Study. In: AIDS and Behavior. 2015 ; Vol. 19, No. 12. pp. 2152-2161.
@article{ddec41ae49f2489e801996fef0fe8c99,
title = "Longitudinal Trends in Sexual Behaviors Without a Condom Among Sexual Minority Youth: The P18 Cohort Study",
abstract = "Given the heightened risk for HIV and other STIs among young men who have sex with men (YMSM) as well as the racial/ethnic disparities in HIV/STI risk, an understanding of longitudinal trends in sexual behaviors is warranted as YMSM emerge into adulthood. Drawing from an ongoing prospective cohort study, the present analysis employed latent growth curve modeling to examine trends in distinct types of sexual activity without condoms over time in sample of YMSM and examine differences by race/ethnicity and perceived familial socioeconomic status (SES). Overall, White and Mixed race YMSM reported more instances of oral sex without condoms as compared to other racial/ethnic groups with rates of decline over time noted in Black YMSM. White YMSM also reported more receptive and insertive anal sex acts without a condom than Black YMSM. Declines over time in both types of anal sex acts without condoms among Black men were noted when compared to White men, while increases over time were noted for mixed race YMSM for condomless insertive anal sex. The effects for race/ethnicity were attenuated with the inclusion of perceived familial SES in these models. These findings build on previous cross sectional studies showing less frequent sex without condoms among Black YMSM despite higher rates of HIV incidence in emerging adulthood, as well as the importance of considering economic conditions in such models. Efforts to understand racial/ethnic disparities in HIV/STIs among YMSM must move beyond examination of individual-level sexual behaviors and consider both race/ethnicity and socioeconomic conditions in order to evaluate how these factors shape the sexual behaviors of YMSM.",
keywords = "Racial/ethnic disparities, Sexual activity, Young men who have sex with men",
author = "Farzana Kapadia and Kristen Bub and Staci Barton and Stults, {Christopher B.} and Halkitis, {Perry N.}",
year = "2015",
month = "8",
day = "30",
doi = "10.1007/s10461-015-1175-y",
language = "English (US)",
volume = "19",
pages = "2152--2161",
journal = "AIDS and Behavior",
issn = "1090-7165",
publisher = "Springer New York",
number = "12",

}

TY - JOUR

T1 - Longitudinal Trends in Sexual Behaviors Without a Condom Among Sexual Minority Youth

T2 - The P18 Cohort Study

AU - Kapadia, Farzana

AU - Bub, Kristen

AU - Barton, Staci

AU - Stults, Christopher B.

AU - Halkitis, Perry N.

PY - 2015/8/30

Y1 - 2015/8/30

N2 - Given the heightened risk for HIV and other STIs among young men who have sex with men (YMSM) as well as the racial/ethnic disparities in HIV/STI risk, an understanding of longitudinal trends in sexual behaviors is warranted as YMSM emerge into adulthood. Drawing from an ongoing prospective cohort study, the present analysis employed latent growth curve modeling to examine trends in distinct types of sexual activity without condoms over time in sample of YMSM and examine differences by race/ethnicity and perceived familial socioeconomic status (SES). Overall, White and Mixed race YMSM reported more instances of oral sex without condoms as compared to other racial/ethnic groups with rates of decline over time noted in Black YMSM. White YMSM also reported more receptive and insertive anal sex acts without a condom than Black YMSM. Declines over time in both types of anal sex acts without condoms among Black men were noted when compared to White men, while increases over time were noted for mixed race YMSM for condomless insertive anal sex. The effects for race/ethnicity were attenuated with the inclusion of perceived familial SES in these models. These findings build on previous cross sectional studies showing less frequent sex without condoms among Black YMSM despite higher rates of HIV incidence in emerging adulthood, as well as the importance of considering economic conditions in such models. Efforts to understand racial/ethnic disparities in HIV/STIs among YMSM must move beyond examination of individual-level sexual behaviors and consider both race/ethnicity and socioeconomic conditions in order to evaluate how these factors shape the sexual behaviors of YMSM.

AB - Given the heightened risk for HIV and other STIs among young men who have sex with men (YMSM) as well as the racial/ethnic disparities in HIV/STI risk, an understanding of longitudinal trends in sexual behaviors is warranted as YMSM emerge into adulthood. Drawing from an ongoing prospective cohort study, the present analysis employed latent growth curve modeling to examine trends in distinct types of sexual activity without condoms over time in sample of YMSM and examine differences by race/ethnicity and perceived familial socioeconomic status (SES). Overall, White and Mixed race YMSM reported more instances of oral sex without condoms as compared to other racial/ethnic groups with rates of decline over time noted in Black YMSM. White YMSM also reported more receptive and insertive anal sex acts without a condom than Black YMSM. Declines over time in both types of anal sex acts without condoms among Black men were noted when compared to White men, while increases over time were noted for mixed race YMSM for condomless insertive anal sex. The effects for race/ethnicity were attenuated with the inclusion of perceived familial SES in these models. These findings build on previous cross sectional studies showing less frequent sex without condoms among Black YMSM despite higher rates of HIV incidence in emerging adulthood, as well as the importance of considering economic conditions in such models. Efforts to understand racial/ethnic disparities in HIV/STIs among YMSM must move beyond examination of individual-level sexual behaviors and consider both race/ethnicity and socioeconomic conditions in order to evaluate how these factors shape the sexual behaviors of YMSM.

KW - Racial/ethnic disparities

KW - Sexual activity

KW - Young men who have sex with men

UR - http://www.scopus.com/inward/record.url?scp=84944516764&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84944516764&partnerID=8YFLogxK

U2 - 10.1007/s10461-015-1175-y

DO - 10.1007/s10461-015-1175-y

M3 - Article

C2 - 26319222

AN - SCOPUS:84944516764

VL - 19

SP - 2152

EP - 2161

JO - AIDS and Behavior

JF - AIDS and Behavior

SN - 1090-7165

IS - 12

ER -