Influence of sexual sensation-seeking on factors associated with risky sexual behaviour among African-American female adolescents
Tiarney D. Ritchwood A D , Dolly C. Penn B , Ralph J. DiClemente C , Eve S. Rose C and Jessica M. Sales C
+ Author Affiliations
- Author Affiliations
A Center for Health Equity Research, University of North Carolina at Chapel Hill, 333 South Columbia Street, Chapel Hill, NC 27599, USA.
B Preventive Medicine, University of North Carolina at Chapel Hill, 333 South Columbia Street, Chapel Hill, NC 27599, USA.
C Rollins School of Public Health, Emory University, Atlanta, GA 30322, USA.
D Corresponding author. Email: tdritchwood@unc.edu
Sexual Health 11(6) 540-546 https://doi.org/10.1071/SH14075
Submitted: 22 April 2014 Accepted: 4 September 2014 Published: 30 October 2014
Abstract
Background: The identification of antecedents to sexual risk among youth is critical to the development and dissemination of multilevel interventions. Therefore, the aim of the present study was to examine the effect of sexual sensation-seeking on partner age, partner communication, and the sexual attitudes and behaviours of African-American female youth. Methods: This study examined survey data collected by audio computer-assisted self-interviews from 701 young African-American females between 14 and 20 years of age. The survey consisted of items designed to measure adolescents’ sexual risk and preventive behaviours. Results: The results of this study suggest that sexual sensation-seeking is associated with condom use among adolescent African-American females. For adolescents who reported greater sexual sensation-seeking, lower levels of sexual happiness were associated with a decreased likelihood of condom use at last intercourse (β = 1.01, P ≤ 0.05). For those reporting lower levels of sexual sensation-seeking, greater sexual enjoyment was associated with a greater likelihood of condom use at last intercourse (β = 0.93, P ≤ 0.01). Adolescents with younger sexual partners and lower levels of sexual sensation-seeking reported a higher proportion of condom use in the past 6 months (β = 0.70, P = 0.01). Higher partner communication self-efficacy and decreasing levels of sexual sensation-seeking were associated with fewer lifetime sexual partners (β = –0.54, P ≤ 0.05). Conclusions: Future research should address the impact of these variables on adolescent relationship dynamics and sexual decision-making.
Additional keywords: communication, condom use, partner age, satisfaction, women, youth.
References
[1] Centers for Disease Control and Prevention. Sexually transmitted disease Surveillance 2011. Atlanta: U.S. Department of Health and Human Services; 2012.[2] Reif S, Geonnotti KL, Whetten K. HIV infection and AIDS in the Deep South. Am J Public Health 2006; 96 970–3.
| HIV infection and AIDS in the Deep South.Crossref | GoogleScholarGoogle Scholar | 16670228PubMed |
[3] Williams PB, Ekundayo O, Udezulu IE, Omishakin AM. An ethnically sensitive and gender-specific HIV/AIDS assessment of African American women: a comparative study of urban and rural American communities. Fam Community Health 2003; 26 108–23.
| An ethnically sensitive and gender-specific HIV/AIDS assessment of African American women: a comparative study of urban and rural American communities.Crossref | GoogleScholarGoogle Scholar | 12802116PubMed |
[4] Centers for Disease Control and Prevention. A heightened national response to the HIV/AIDS crisis among African Americans. Atlanta: Department of Health and Human Services; 2007.
[5] DiClemente RJ, Salazar LF, Crosby RA, Rosenthal SL. Prevention and control of sexually transmitted infections among adolescents: the importance of a socio-ecological perspective: a commentary. Public Health 2005; 119 825–36.
| Prevention and control of sexually transmitted infections among adolescents: the importance of a socio-ecological perspective: a commentary.Crossref | GoogleScholarGoogle Scholar | 1:STN:280:DC%2BD2MvktlKisQ%3D%3D&md5=85ccada3df88886b58dcae4d24935357CAS | 15913678PubMed |
[6] Crosby RA, DiClemente RJ, Wingood GM, Salazar LF, Head S, Rose E, et al Sexual agency versus relational factors: a study of condom use antecedents among high-risk young African American women. Sex Health 2008; 5 41–7.
| Sexual agency versus relational factors: a study of condom use antecedents among high-risk young African American women.Crossref | GoogleScholarGoogle Scholar | 18361853PubMed |
[7] Wingood GM, DiClemente RJ. The theory of gender and power: a social structural theory for guiding public health interventions. In DiClemente RJ, Kegler MC, editors. Emerging theories in health promotion practice and research: strategies for improving public health. San Francisco: Jossey-Bass; 2002. pp. 313–46.
[8] Senn TE, Carey MP. Age of partner at first adolescent intercourse and adult sexual risk behavior among women. J Womens Health (Larchmt) 2011; 20 61–6.
| Age of partner at first adolescent intercourse and adult sexual risk behavior among women.Crossref | GoogleScholarGoogle Scholar |
[9] Sales JM, Lang DL, DiClemente RJ, Latham TP, Wingood GM, Hardin JW. The mediating role of partner communication frequency on condom use among African American adolescent females participating in an HIV prevention intervention. Health Psychol 2012; 31 63–9.
| The mediating role of partner communication frequency on condom use among African American adolescent females participating in an HIV prevention intervention.Crossref | GoogleScholarGoogle Scholar | 21843001PubMed |
[10] Rostosky SS, Dekhtyar O, Cupp PK, Anderman EM. Sexual self-concept and sexual self-efficacy in adolescents: a possible clue to promoting sexual health? J Sex Res 2008; 45 277–86.
| Sexual self-concept and sexual self-efficacy in adolescents: a possible clue to promoting sexual health?Crossref | GoogleScholarGoogle Scholar | 18686156PubMed |
[11] Higgins JA, Hirsch JS. The pleasure deficit: revisiting the “sexuality connection” in reproductive health. Perspect Sex Reprod Health 2007; 39 240–7.
| The pleasure deficit: revisiting the “sexuality connection” in reproductive health.Crossref | GoogleScholarGoogle Scholar | 18093041PubMed |
[12] Sales JM, Smearman EL, Brody GH, Milhausen R, Philibert RA, DiClemente RJ. Factors associated with sexual arousal, sexual sensation seeking and sexual satisfaction among female African American adolescents. Sex Health 2013; 10 512–21.
| Factors associated with sexual arousal, sexual sensation seeking and sexual satisfaction among female African American adolescents.Crossref | GoogleScholarGoogle Scholar | 24262218PubMed |
[13] Kalichman SC, Johnson JR, Adair V, Rompa D, Multhauf K, Kelly JA. Sexual sensation seeking: scale development and predicting AIDS-risk behavior among homosexually active men. J Pers Assess 1994; 62 385–97.
| Sexual sensation seeking: scale development and predicting AIDS-risk behavior among homosexually active men.Crossref | GoogleScholarGoogle Scholar | 1:STN:280:DyaK2czgtVCqsQ%3D%3D&md5=947555ce7e1ceb6a8ddecefec00f814dCAS | 8027907PubMed |
[14] Spitalnick JS, DiClemente RJ, Wingood GM, Crosby RA, Milhausen RR, Sales JM, et al Brief report: sexual sensation seeking and its relationship to risky sexual behaviour among African American adolescent females. J Adolesc 2007; 30 165–73.
| Brief report: sexual sensation seeking and its relationship to risky sexual behaviour among African American adolescent females.Crossref | GoogleScholarGoogle Scholar | 17140653PubMed |
[15] Charnigo R, Noar SM, Garnett C, Crosby R, Palmgreen P, Zimmerman RS. Sensation seeking and impulsivity: combined associations with risky sexual behavior in a large sample of young adults. J Sex Res 2013; 50 480–8.
| Sensation seeking and impulsivity: combined associations with risky sexual behavior in a large sample of young adults.Crossref | GoogleScholarGoogle Scholar | 22456443PubMed |
[16] Zuckerman M. Behavioral expressions and biosocial bases of sensation seeking. Cambridge, NY: Cambridge University Press; 1994.
[17] Crawford AM, Pentz MA, Chou CP, Li C, Dwyer JH. Parallel developmental trajectories of sensation seeking and regular substance use in adolescents. Psychol Addict Behav 2003; 17 179–92.
| Parallel developmental trajectories of sensation seeking and regular substance use in adolescents.Crossref | GoogleScholarGoogle Scholar | 14498812PubMed |
[18] Ford K, Sohn W, Lepkowski J. Characteristics of adolescents’ sexual partners and their association with use of condoms and other contraceptive methods. Fam Plann Perspect 2001; 33 100–5, 132.
| Characteristics of adolescents’ sexual partners and their association with use of condoms and other contraceptive methods.Crossref | GoogleScholarGoogle Scholar | 1:STN:280:DC%2BD3MzksVyisA%3D%3D&md5=7ef41cb1dee83b22e8d7d6b48bdfd9ebCAS | 11407432PubMed |
[19] Darroch JE, Landry DJ, Oslak S. Age differences between sexual partners in the United States. Fam Plann Perspect 1999; 31 160–7.
| Age differences between sexual partners in the United States.Crossref | GoogleScholarGoogle Scholar | 1:STN:280:DyaK1MzmsVSksA%3D%3D&md5=816222a04311c9ad536874c1b525fa50CAS | 10435214PubMed |
[20] Ompad DC, Strathdee SA, Celentano DD, Latkin C, Poduska JM, Kellam MD, et al Predictors of early initiation of vaginal and oral sex among urban young adults in Baltmore, Maryland. Arch Sex Behav 2006; 35 53–65.
| Predictors of early initiation of vaginal and oral sex among urban young adults in Baltmore, Maryland.Crossref | GoogleScholarGoogle Scholar | 16502153PubMed |
[21] Begley E, Crosby RA, DiClemente RJ, Wingood GM, Rose E. Older partners and STD prevalence among pregnant African American teens. Sex Transm Dis 2003; 30 211–3.
| Older partners and STD prevalence among pregnant African American teens.Crossref | GoogleScholarGoogle Scholar | 12616137PubMed |
[22] Manlove J, Terry‐Humen E, Ikramullah E. Young teenagers and older sexual partners: correlates and consequences for males and females. Perspect Sex Reprod Health 2006; 38 197–207.
| Young teenagers and older sexual partners: correlates and consequences for males and females.Crossref | GoogleScholarGoogle Scholar | 17162312PubMed |
[23] Bouchey HA. Perceived romantic competence, importance of romantic domains, and psychosocial adjustment. J Clin Child Adolesc Psychol 2007; 36 503–14.
| Perceived romantic competence, importance of romantic domains, and psychosocial adjustment.Crossref | GoogleScholarGoogle Scholar | 18088209PubMed |
[24] Ryan S, Franzetta K, Manlove J, Holcombe E. Adolescents’ discussions about contraception or STDs with partners before first sex. Perspect Sex Reprod Health 2007; 39 149–57.
| Adolescents’ discussions about contraception or STDs with partners before first sex.Crossref | GoogleScholarGoogle Scholar | 17845526PubMed |
[25] Widman L, Welsh D, McNulty JK, Little KC. Sexual communication and contraceptive use in adolescent dating couples. J Adolesc Health 2006; 39 893–9.
| Sexual communication and contraceptive use in adolescent dating couples.Crossref | GoogleScholarGoogle Scholar | 17116521PubMed |
[26] Davies SL, DiClemente RJ, Wingood GM, Person SD, Dix ES, Harrington K, et al Predictors of inconsistent contraceptive use among adolescent girls: findings from a prospective study. J Adolesc Health 2006; 39 43–9.
| Predictors of inconsistent contraceptive use among adolescent girls: findings from a prospective study.Crossref | GoogleScholarGoogle Scholar | 16781960PubMed |
[27] Bowleg L, Lucas KJ, Tschann JM. “The ball was always in his court”: an exploratory analysis of relationship scripts, sexual scripts, and condom use among African American women. Psychol Women Q 2004; 28 70–82.
| “The ball was always in his court”: an exploratory analysis of relationship scripts, sexual scripts, and condom use among African American women.Crossref | GoogleScholarGoogle Scholar |
[28] Centers for Disease Control and Prevention (CDC) Trends in HIV-related risk behaviors among high school students: United States, 1991–2011. MMWR Morb Mortal Wkly Rep 2012; 61 556–60.
| 22832937PubMed |
[29] Impett EA, Tolman DL. Late adolescent girls’ sexual experiences and sexual satisfaction. J Adolesc Res 2006; 21 628–46.
| Late adolescent girls’ sexual experiences and sexual satisfaction.Crossref | GoogleScholarGoogle Scholar |
[30] Higgins JA, Hoffman S, Graham CA, Sanders SA. Relationships between condoms, hormonal methods, and sexual pleasure and satisfaction: an exploratory analysis from the Women’s Well-Being and Sexuality Study. Sex Health 2008; 5 321–30.
| Relationships between condoms, hormonal methods, and sexual pleasure and satisfaction: an exploratory analysis from the Women’s Well-Being and Sexuality Study.Crossref | GoogleScholarGoogle Scholar | 19061551PubMed |
[31] Wingood GM, DiClemente RJ. Partner influences and gender-related factors associated with non-condom use among young adult African American women. Am J Community Psychol 1998; 26 29–51.
| Partner influences and gender-related factors associated with non-condom use among young adult African American women.Crossref | GoogleScholarGoogle Scholar | 1:STN:280:DyaK1c3jsFGrtA%3D%3D&md5=1dfae27f72fe24bdc1fe9cc969704ed2CAS | 9574497PubMed |
[32] Bauermeister JA, Zimmerman MA, Caldwell CH, Xue Y, Gee GC. What predicts sex partners’ age differences among African American youth? A longitudinal study from adolescence to young adulthood. J Sex Res 2010; 47 330–44.
| What predicts sex partners’ age differences among African American youth? A longitudinal study from adolescence to young adulthood.Crossref | GoogleScholarGoogle Scholar | 19517294PubMed |
[33] Staras SA, Livingston MD, Maldonado-Molina MM, Komro KA. The influence of sexual partner on condom use among urban adolescents. J Adolesc Health 2013; 53 742–8.
| The influence of sexual partner on condom use among urban adolescents.Crossref | GoogleScholarGoogle Scholar | 23932008PubMed |
[34] Volpe EM, Hardie TL, Cerulli C, Sommers MS, Morrison-Beedy D. What’s age got to do with it? Partner age difference, power, intimate partner violence, and sexual risk in urban adolescents. J Interpers Violence 2013; 28 2068–87.
| What’s age got to do with it? Partner age difference, power, intimate partner violence, and sexual risk in urban adolescents.Crossref | GoogleScholarGoogle Scholar | 23345572PubMed |
[35] Kissinger P, Clayton JL, O’Brien ME, Kent C, Whittington WL, Oh MK, et al Older partners not associated with recurrence among female teenagers infected with Chlamydia trachomatis. Sex Transm Dis 2002; 29 144–9.
| Older partners not associated with recurrence among female teenagers infected with Chlamydia trachomatis.Crossref | GoogleScholarGoogle Scholar | 11875375PubMed |
[36] Voisin DR, Tan K, DiClemente RJ. A longitudinal examination of the relationship between sexual sensation seeking and STI-related risk factors among African American females. AIDS Educ Prev 2013; 25 124–34.
| A longitudinal examination of the relationship between sexual sensation seeking and STI-related risk factors among African American females.Crossref | GoogleScholarGoogle Scholar | 23514080PubMed |
[37] O’Sullivan LF, Meyer-Bahlburg HFL, McKeague IW. The development of the sexual self-concept inventory for early adolescent girls. Psychol Women Q 2006; 30 139–49.
| The development of the sexual self-concept inventory for early adolescent girls.Crossref | GoogleScholarGoogle Scholar |
