Details:

Alternative Title:
Sex Transm Dis
Personal Author:
Michele Green, Kerry ; Matson, Pamela A. ; Reboussin, Beth A. ; Milam, Adam J. ; Furr-Holden, Debra ; ... More +
Michele Green, Kerry ; Matson, Pamela A. ; Reboussin, Beth A. ; Milam, Adam J. ; Furr-Holden, Debra ; Rabinowitz, Jill A. ; Powell, Terrinieka W. ; Ialongo, Nicholas S. Less -
Description:
Background:

This study aimed to increase understanding of the clustering of sexual behaviors in an urban sample of emerging adults, and the individual and neighborhood factors associated with sexual behavior patterns in order to provide insight into reducing the disproportionate burden of poor sexual outcomes among urban African Americans.

Methods:

We draw on two cohorts of urban, predominantly African American youth first assessed at age 6 and follow-up to emerging adulthood (mean age 20, n=1,618). Latent class analyses by gender identified co-occurrence of sexual behavior.

Results:

We found three classes for both males and females: high-risk (13% of males, 15% of females), low-risk (54% of males, 56% of females) and no-risk (33% of males, 29% of females). Membership in the high-risk class was associated with school dropout, a substance use disorder diagnosis, having a criminal arrest, pregnancy, and STDs for both males and females. High-risk females also had higher rates of depression. Low-risk males and females also had elevated risk of pregnancy and parenthood. Neighborhood factors distinguished the high- and no-risk classes for males and females, including the neighborhood environment scale, which assessed poverty, safety, drug activity, and crime/violence in the neighborhood. Neighborhood religiosity was inversely associated with membership in the high-risk class compared to the no-risk class for females only. Neighborhood racism distinguished those in the high-risk class compared to the no-risk class for males.

Conclusion:

Future work should take into account the clustering of sexual risk behaviors. Specific neighborhood factors could be addressed to reduce sexual health disparities.


Subject:
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Article
Contextual Factors
Gender Differences
Individual And Neighborhood Factors Associated With Sexual Behavior Classes In An Urban Longitudinal Sample
Latent Class Analysis
Longitudinal Cohort Studies
Sexual Behavior Patterns

Source:
Sex Transm Dis. 46(2):98-104
Pubmed ID:
30278028
Pubmed Central ID:
PMC6521964
Document Type:
Journal Article
Funding:
U48 DP000040/DP/NCCDPHP CDC HHS/United States ; K01 DA035387/DA/NIDA NIH HHS/United States ; K01 DA042134/DA/NIDA NIH HHS/United States ; R01 DA032550/DA/NIDA NIH HHS/United States ; P2C HD041041/HD/NICHD NIH HHS/United States
U48 DP000040/DP/NCCDPHP CDC HHS/United States ; K01 DA035387/DA/NIDA NIH HHS/United States ; K01 DA042134/DA/NIDA NIH HHS/United States ; R01 DA032550/DA/NIDA NIH HHS/United States ; P2C HD041041/HD/NICHD NIH HHS/United States Less -
Collection(s):
CDC Public Access
Main Document Checksum:
[+]
urn:sha256:c74af979fdffc51ae1a75014b3e202e93441777365ab5a1fb6f38ffe59459bf8
File Type:

Supporting Files

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  	NIHMS1508037-supplement-Table.docx	docx

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