Sexually Transmitted Infections, Sexual Risk Behavior, and Intimate Partner Violence among African American Adolescent Females with a Male Sex Partner Recently Released from Incarceration

Andrea Swartzendruber, Jennifer L. Brown, Jessica M. Sales, Colleen C. Murray, Ralph DiClemente

Research output: Contribution to journalArticle

Abstract

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.

Original languageEnglish (US)
Pages (from-to)156-163
Number of pages8
JournalJournal of Adolescent Health
Volume51
Issue number2
DOIs
StatePublished - Aug 1 2012

Fingerprint

Sexually Transmitted Diseases
Risk-Taking
Sexual Behavior
African Americans
Odds Ratio
Condoms
Intimate Partner Violence
Chlamydia
Sex Offenses
Self Efficacy
Interpersonal Relations
Social Support
HIV

Keywords

  • Adolescent
  • African American
  • Incarcerated partner
  • Intimate partner violence
  • Sexual risk
  • Sexually transmitted infections

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Public Health, Environmental and Occupational Health
  • Psychiatry and Mental health

Cite this

Sexually Transmitted Infections, Sexual Risk Behavior, and Intimate Partner Violence among African American Adolescent Females with a Male Sex Partner Recently Released from Incarceration. / Swartzendruber, Andrea; Brown, Jennifer L.; Sales, Jessica M.; Murray, Colleen C.; DiClemente, Ralph.

In: Journal of Adolescent Health, Vol. 51, No. 2, 01.08.2012, p. 156-163.

Research output: Contribution to journalArticle

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abstract = "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.",
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