Correlates of having unprotected vaginal sex among detained adolescent females: an exploratory study of sexual factors
Richard Crosby A B I , Laura F. Salazar A , Ralph J. DiClemente C D E and William L. Yarber F G HA College of Public Health, University of Kentucky, Lexington, Kentucky, USA.
B Rural Center for AIDS/STD Prevention, Indiana University, Bloomington, Indiana, USA.
C Rollins School of Public Health, Department of Behavioral Sciences and Health Education, Atlanta, Georgia, USA.
D Emory University School of Medicine, Department of Pathology and Laboratory Medicine, Atlanta, Georgia, USA.
E Emory University School of Medicine, Department of Pediatrics, Atlanta, Georgia, USA.
F Rural Center for AIDS/STD Prevention at Indiana University, Bloomington, Indiana, USA.
G Kinsey Institute for Research in Sex, Gender, and Reproduction, Bloomington, Indiana, USA.
H Department of Applied Health Science, Indiana University, Bloomington, Indiana, USA.
I Author for correspondence; e-mail: crosby@uky.edu
Sexual Health 1(3) 151-155 https://doi.org/10.1071/SH04005
Submitted: 20 February 2004 Accepted: 21 June 2004 Published: 23 September 2004
Abstract
Background: Erotophilia, motivations for engaging in sex, and pleasure-related barriers to using condoms may all be important determinants of whether high-risk adolescent females have sex unprotected by a condom. This exploratory study identified associations between these factors and engaging in unprotected vaginal sex (UVS) among a sample of adolescent females recruited from short-term detention facilities in the USA. Methods: A cross-sectional survey of 211 adolescent females (14–18 years of age) was conducted. Only those indicating they had sex within the past 2 months were included in the analysis. Adolescents were recruited within eight detention facilities. Measures were assessed using audio-computer assisted self-interviewing (A-CASI). Results: In race-adjusted analyses, adolescents indicating greater pleasure-associated barriers to using condoms were more than 4.3 times more likely than those indicating fewer barriers to report having UVS in the past 2 months (AOR = 4.36; 95% CI = 2.15–8.86). Similarly, those scoring higher in erotophilia (compared with those scoring lower) were more than twice as likely to report UVS (AOR = 2.08; 95% CI = 1.02–4.24). Finally, adolescents who had ever been pregnant were ∼2.5 times more likely to report having recent UVS (AOR = 2.48; 95% CI = 1.1–5.34). With the exception of having five or more sex partners in the past 2 months (P = 0.08), none of the remaining correlates approached multivariate significance. Conclusions: Constructs such as erotophilia and pleasure-related barriers to condom use may be important correlates of UVS among this population of high-risk adolescents.
Acknowledgement
This research was supported, in part, by the Emory Center for AIDS Research (NIH/NIAID 2 P30 AI50409–04A1), the Rural Center for AIDS/STD Prevention at Indiana University, and a grant from the University Research Council at Emory University.
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