Free Standard AU & NZ Shipping For All Book Orders Over $80!
Register      Login
Sexual Health Sexual Health Society
Publishing on sexual health from the widest perspective
RESEARCH ARTICLE

Relational correlates of unprotected oral and vaginal sex and among African-American adolescent females

Richard A. Crosby A B , Dexter R. Voisin B C F , Ralph J. DiClemente B D , Gina M. Wingood D , Laura F. Salazar B E , Sara Head A , Eve Rose D and Jessica McDermott-Sales D
+ Author Affiliations
- Author Affiliations

A College of Public Health at the University of Kentucky, Lexington, KY 40536, USA.

B STI/HIV Intervention Network, Chicago, IL 60637, USA.

C University of Chicago, School of Social Service Administration, 969 East 60th Street, Chicago, IL 60637, USA.

D Rollins School of Public Health, Department of Behavioral Sciences & Health Education, Atlanta, GA 30322, USA.

E Georgia State University, Institute of Public Health, Atlanta, GA 30303, USA.

F Corresponding author. Email: d-voisin@uchicago.edu

Sexual Health 10(3) 284-286 https://doi.org/10.1071/SH12086
Submitted: 12 June 2012  Accepted: 19 November 2012   Published: 15 March 2013

Abstract

Objectives: To identify relational correlates of unprotected oral sex (UOS) and vaginal intercourse (UVI) among African-American females. Methods: Participants (n = 715) provided data on demographics, sexual communication self efficacy (SCSE), sexual communication frequency, condom self-efficacy, power in sexual relationships, fear of negotiating condom use, UOS and UVI. Results: Participants reporting low SCSE were 2.5 and 1.6 times more likely to report UOS and UVI respectively. Additionally, participants who reported fear of condom negotiation were 3.1 times more likely to report UVI. Conclusions: Interventions promoting stronger SCSE may be a protective factor against having UOS and UVI among African-American females.

Additional keywords: condom use, fear of negotiation, power, self-efficacy, sexual communication.


References

[1]  Centers for Disease Control and Prevention (CDC). Sexually transmitted diseases in the United States, 2008. Atlanta: CDC; 2009.

[2]  Center for Disease Control Guidelines for treatment of sexually transmitted diseases. MMWR Recomm Rep 1998; 47 1–118.

[3]  Edwards S, Carne C. Oral sex and transmission of non-viral STIs. Sex Transm Infect 1998; 74 95–100.
Oral sex and transmission of non-viral STIs.Crossref | GoogleScholarGoogle Scholar | 1:STN:280:DyaK1c3oslemtg%3D%3D&md5=84a548ad9ff3e8d8d91fc27b23582780CAS |

[4]  Begum S, Cao D, Gillison M, Zahurak M, Westra W. Tissue distribution of human papillomavirus 16 DNA integration in patients with tonsillar carcinoma. Clin Cancer Res 2005; 11 5694–9.
Tissue distribution of human papillomavirus 16 DNA integration in patients with tonsillar carcinoma.Crossref | GoogleScholarGoogle Scholar | 1:CAS:528:DC%2BD2MXos1CjsLw%3D&md5=59a3a8636fd62ae887b5e03ec9a52681CAS |

[5]  Chaturvedi AK, Engels EA, Pfeiffer RM, Hernandez BY, Xiao W, Kim E, et al Human papillomavirus and rising oropharyngeal cancer incidence in the United States. J Clin Oncol 2011; 29 4294–301.
Human papillomavirus and rising oropharyngeal cancer incidence in the United States.Crossref | GoogleScholarGoogle Scholar |

[6]  D’Souza G, Kreimer AR, Viscidi R, Pawlita M, Fakhry C, Koch WM, et al Case–control study of human papillomavirus and oropharyngeal cancer. N Engl J Med 2007; 356 1944–56.
Case–control study of human papillomavirus and oropharyngeal cancer.Crossref | GoogleScholarGoogle Scholar | 1:CAS:528:DC%2BD2sXltFWhuro%3D&md5=de451980fc09ad66b33a3d4c6c0c816eCAS |

[7]  Wong ML, Chan RK. A prospective study of pharyngeal gonorrhea and inconsistent condom use for oral sex among female brothel-based sex workers in Singapore. Int J STD AIDS 1999; 10 595–9.
A prospective study of pharyngeal gonorrhea and inconsistent condom use for oral sex among female brothel-based sex workers in Singapore.Crossref | GoogleScholarGoogle Scholar | 1:STN:280:DyaK1MvitVWktw%3D%3D&md5=20cc6f5dfb905a5c3d3e4d655d9ef5beCAS |

[8]  Cherpes TL, Meyn LA, Hillier SL. Cunnilingus and vaginal intercourse are risk factors for herpes simplex virus type 1 acquisition in women. Sex Transm Dis 2005; 32 84–9.
Cunnilingus and vaginal intercourse are risk factors for herpes simplex virus type 1 acquisition in women.Crossref | GoogleScholarGoogle Scholar |

[9]  Edwards S, Carne C. Oral sex and the transmission of viral STIs. Sex Transm Infect 1998; 74 6–10.
Oral sex and the transmission of viral STIs.Crossref | GoogleScholarGoogle Scholar | 1:STN:280:DyaK1c3ns1GntQ%3D%3D&md5=15f3f1907039f0509b412a1d005b40c3CAS |

[10]  Crosby RA, DiClemente RJ, Wingood GM, Sionéan C, Cobb B, Harrington K. Correlates of unprotected vaginal sex among African American female adolescents: importance of relationship dynamics. Arch Pediatr Adolesc Med 2000; 154 893–9.
| 1:STN:280:DC%2BD3cvntVSqsg%3D%3D&md5=8e6083a21557fca8545b35ac03adbd29CAS |

[11]  Salazar LF, Crosby RA, DiClemente RJ, Wingood GM, Lescano CM, Brown LK, et al Self-esteem and theoretical mediators of safer sex among African American female adolescents: implications for sexual risk reduction interventions. Health Educ Behav 2005; 32 413–27.
Self-esteem and theoretical mediators of safer sex among African American female adolescents: implications for sexual risk reduction interventions.Crossref | GoogleScholarGoogle Scholar |

[12]  Salazar LF, DiClemente RJ, Wingood GM, Crosby R, Harrington K, Davies S, et al Self-concept and adolescents’ refusal of unprotected sex: a test of mediating mechanisms among African American girls. Prev Sci 2004; 5 137–49.
Self-concept and adolescents’ refusal of unprotected sex: a test of mediating mechanisms among African American girls.Crossref | GoogleScholarGoogle Scholar |

[13]  Voisin D, Salazar L, Crosby R, DiClemente RJ, Yarber W. Ecological factors associated with STD risk behaviors among detained adolescent females. Soc Work 2006; 51 71–9.
Ecological factors associated with STD risk behaviors among detained adolescent females.Crossref | GoogleScholarGoogle Scholar |

[14]  Crosby RA, DiClemente RJ, Wingood GM, Salazar L, McDermott-Sales J, Young A, et al Predictors of consistent condom use among young African American women. AIDS Beh 2011;
Predictors of consistent condom use among young African American women.Crossref | GoogleScholarGoogle Scholar |

[15]  Turner CF, Ku L, Rogers SM, Lindberg LD, Pleck JH, Sonenstein FL. Adolescent sexual behavior, drug use, and violence: increased reporting with computer survey technology. Science 1998; 280 867–73.
Adolescent sexual behavior, drug use, and violence: increased reporting with computer survey technology.Crossref | GoogleScholarGoogle Scholar | 1:CAS:528:DyaK1cXjtFGqtbc%3D&md5=dd7972f07d86bd17caa3e43f79dccbaaCAS |

[16]  Wingood GM, DiClemente RJ. Partner influences and gender-related factors associated with non-condom use among young African American women. J Community Psychol 1998; 26 29–51.
Partner influences and gender-related factors associated with non-condom use among young African American women.Crossref | GoogleScholarGoogle Scholar | 1:STN:280:DyaK1c3jsFGrtA%3D%3D&md5=2effa28cd86d50d3fa5d3bb3855a69c8CAS |

[17]  Crosby RA, DiClemente RJ, Wingood GM, Cobb BK, Harrington K, Davies SL, et al Condom use and correlates of African American adolescent females’ infrequent communication with sex partners about preventing sexually transmitted diseases and pregnancy. Health Educ Behav 2002; 29 219–31.

[18]  DiClemente RJ, Lodico M, Grinstead OA, Harper G, Rickman R, Evans P, et al African-American adolescents residing in high-risk urban environments do use condoms: correlates and predictors of condom use among adolescents in public housing developments. Pediatrics 1996; 98 269–78.
| 1:STN:280:DyaK28zgvFOhtg%3D%3D&md5=5ad34644ee86a4e53aa5edd5562232e7CAS |

[19]  Jemmott JB, Jemmott LS, Fong GT. Abstinence and safer sex HIV risk reduction interventions for African American adolescents: a randomized controlled trial. JAMA 1998; 279 1529–36.
Abstinence and safer sex HIV risk reduction interventions for African American adolescents: a randomized controlled trial.Crossref | GoogleScholarGoogle Scholar |