The Development and Validation of a Model Explaining Sexual Behavior Among College Students Implications for AIDS Communication Campaigns

College students' risky sexual behavior places them at relatively higher than average risk for HIV infection. This study examines various explanations for college students' risky behavior, and proposes and tests a model of factors influencing college students' sexual behavior. A LISREL estimation of the model shows that the model fits the data. The results also show that (1) sensation-seeking predispositions and the sexual motive for a pleasurable relationship are indirectly or directly related to all measures of sexual behavior (i.e., number of partners, incidence of unprotected sex, and percentage of condom use); (2) sexual motives driven by concern for health have only an indirect effect on percentage of condom use; and (3) optimistic bias, personal relevance, perceptions about partners, and images of condoms are related to sensation seeking, sexual motives, and sexual behavior. In addition, interpersonal influence from sexual partners appears to both facilitate and inhibit safer sexual behavior. Suggestions are provided regarding campaigns designed for AIDS prevention among college students.     

AIDS on Campus: A Preliminary Study of College Students' Knowledge and Behaviors

This preliminary study examined the possible relationship between knowledge about AIDS, subjective perception of the risk of contracting AIDS, and sexual behavior in a sample of undergraduate college students (N = 459). The majority of the students indicated that AIDS was not an issue of personal concern. Students were generally informed about AIDS, although one-third of the students were unclear about the transmission of the disease through casual contact. Data analysis indicated that no relationship existed between accurate knowledge about AIDS and sexual behavior. The relationship between self-assessment of personal risk for AIDS and reduced sexual contacts was found to be significant at the .01 level. Recommendations are made regarding AIDS educational and counseling approaches among college students. Please note that the term AIDS is used to represent the presence of HIV antibodies, AIDS-related complex (ARC), and diagnosed AIDS.     

Comparison of Marine and College Women's HIV/AIDS-Relevant Sexual Behaviors1

This study compares the heterosexual risk behaviors, perceptions of vulnerability to HIV/AIDS, and predictors of condom use of two groups of women with very different sexual and contraceptive histories and habits–college women and women in Marine Corps recruit training. The Marines' s]exual behaviors put them at greater risk of contracting HIV than the college students; that is, Marines reported more frequent intercourse with more partners, used condoms less frequently, and had less knowledge about HIV/AIDS transmission. Consistent with these differences, college students displayed a larger illusion of unique invulnerability than did the Marines. In general, the women who had more sexual partners and more frequent sexual intercourse were less likely to report regularly using condoms. In addition, the data provide support for Weinstein and Nicholich's (1993) recent suggestion that the relation between risk perception and risk behavior is different for different groups of people.     

Relationship Factors’ Impact on Condom Use Among College Students

Research indicates that a number of college students are at risk for HIV, sexually transmitted diseases, and unplanned pregnancy as a result of their sexual behaviors. Specific behaviors placing college students at risk include having sex with multiple partners, poor communication about safer sex practices with their sexual partners and not using condoms consistently and correctly when engaging in sexual activity. The purpose of this paper is to identify potential differences in safer sex practices and factors that influence condom use among college students. A four-page, 18-item survey was developed to determine participants’ condom use and the impact of relationship status and other demographic factors on condom use. Analyses revealed that the number of lifetime vaginal sexual partners and participants’ sex influenced condom use. There were no significant differences in relationship status, duration, trust, honesty and condom use. These findings should be considered with designing interventions to increase condom use among college students.     

An examination of premarital sexual behavior among college students in hong kong

Abstract

This study examined the determinants of Hong Kong Chinese college students' intentions to engage in premarital sexual behavior. Fishbein and Ajzen's (1975) theory of reasoned action (TOFA) and Ajzen's (1985) perceived behavioral control were used as the theoretical framework for our investigation. Two hundred and thirty eight students completed a questionnaire designed to measure constructs of the two theories. Results from the regression analysis: (a) support the applicability of TORA in predicting these students' intentions to engage in premarital sex; (b) suggest that while attitudes toward engaging in premarital sex were more important in predicting male students' intentions, subjective norms were more important for female students; (c) reveal that the additional prediction contributed by the behavioral control components was relatively weak. Other findings were basically consistent with premarital sex research conducted in Western societies. Given the fact that promoting abstinence is one way to stop the transmission of the AIDS virus, both the theoretical and applied implications of our results for health intervention are discussed.     

Psychological predictors of sexual behaviors related to AIDS transmission

This study was designed to assess the differential value of several psychological variables with regard to predicting safe-sex behavior. A sample of 94 male and 179 female undergraduate students, ranging in age from 16 to 66 years, were surveyed about sexual issues related to safe-sex practices. The survey included scales measuring participants' knowledge of transmission of AIDS, self-perception of safe-sex communication, fear and concern about AIDS, attitudes toward AIDS victims, and self-report of risky behavior. Several interesting relationships among predictor variables were found. For instance, favorable attitudes toward AIDS victims were positively correlated with knowledge about AIDS transmission, perceived communication with partners about safe sex, and fear of acquiring AIDS. However, only two predictor variables were independently predictive of self-reports of risky sexual behavior; specifically, fear about AIDS transmission was positively correlated with risky behavior, while communication was negatively correlated with risky behavior. These data suggest a need for a model that allows for complex, reciprocal relationships between the cognitive, emotional, and behavioral components of safe-sex practice. Implications are applied to research with college populations.     

Blurring Emotional Safety With Physical Safety in AIDS and STD Risk Estimations: The Casual/Regular Partner Distinction1

Research on the sexual behavior of young adults has documented a casual/regular partner distinction in terms of condom use and perceived risk of contracting sexually transmitted diseases (STDs). How this population distinguishes between the 2 partner types has not been known, making it impossible to assess the rationality of this strategy. In the present study, college students' conceptions of casual vs. regular partners were explored and used to create 3 sexual partner scenarios: casual, regular with insufficient risk information (regular emotionally safe), and regular with sufficient risk information (regular objectively safe). Participants rated the target partner in terms of emotional safety, AIDS/STD risk, and likelihood of condom use. Results showed participants to be blurring emotional with physical safety; i. e., employing an emotionally based strategy in rating perceived risk.     

Knowledge,beliefs, peer norms,and past behaviors as correlates of risky sexual behaviors among college students

Abstract

HIV/AIDS knowledge, age at onset of sexual activity, perceptions of personal risk and peer norms were explored as correlates for risky sexual behaviors among college students. Ninety-nine male and 185 female college students completed a 66-item questionnaire. A majority reported being sexually active with most in mutually monogamous relationships or not currently in a sexual relationship. Multiple regression correlation analyses showed knowledge about HIV/AIDS to be very high but that this knowledge did not independently relate to the extent of risky behaviors. Perceptions of risk were positively related to number of partners and single-time partners but not condom usage. In contrast to previous studies, perceived peer norms did not independently relate to behaviors. Instead, age at first intercourse was found to have substantial overlap with current perceptions, attitudes, and likelihood for engaging in risky behaviors. The necessity for including previous behaviors in analyses of the impact of attitudes and perceived norms on behavioral intentions is discussed.     

A six-month follow-up of adolescents' sexual risk-taking,HIV/AIDS knowledge,and attitudes to condoms

A follow-up study was conducted to investigate change in sexual behaviour, knowledge about HIV/AIDS transmission, and attitudes to condoms over a 6-month period in a sample of late-adolescent students. The study also obtained subjective reports of HIV/AIDS-relevant change. Overall there was a decrease in sexual risk-taking behaviour with casual partners but no change occurred in sexual behaviour with regular partners, knowledge about HIV/AIDS, attitude towards condoms, or intention to use a condom on next sexual encounter. Examination of individual data revealed that, for some adolescents where behavioural change had occurred, this was in the direction of less safe sex. There were few self-reports of change in sexual behaviour, intention to take precautions against HIV/AIDS, or concern about HIV/AIDS over the preceding 6 months. Subjective reports of behaviour change did not correspond with reports of actual behaviour. Low rates of behaviour change are attributed to the failure of adolescents to personalize the threat of AIDS and to their trust in the safety of sex with a regular partner as well as to the lack of relevance of HIV/AIDS education campaigns to this group.     

Secondary school students' risks that may promote HIV infection and the spread of AIDS. A Namibian study

A structured questionnaire in English and Afrikaans was administered to 1471 randomly selected secondary school students from Katima Mulilo, Ondangwa, Windhoek, and Keetmanshoop educational regions of Namibia in a study to determine their cognitive, attitudinal, and behavioral risks which could promote HIV infection. The students were aged 13-28 years (mean age, 18 years). Approximately half were in grades 8, 9, and 10, while the remainder were in grades 11 and 12, and 47.8% of the students were male. 50% of the students were unaware of AIDS, 42% thought that some people were immune to AIDS, 48% reported that they would be rejected by their peers if they refused to have premarital sex, 47% indicated that mistrust was communicated when one used or suggested the use of a condom during sexual intercourse, and 50% believed that alcohol facilitates communication with peers of the opposite sex. The study found differences in the expression of AIDS-related risks due to age, sex, and region. Significantly more boys than girls and more students from Northern than from Central and Southern regions thought that mistrust was communicated by condom use and sexual intercourse made one popular, proved sexual maturity, showed commitment to and maintained love relationships. The theoretical and practical implications of these findings are discussed.     

College Students Use Implicit Personality Theory Instead of Safer Sex1

Many college students engage in high levels of unsafe sexual behavior that puts them at risk for HIV infection. To better understand the dynamics underlying college students' unsafe behavior, focus group discussions were conducted with 308 students (146 men and 162 women). The results showed that, instead of consistently using condoms, many college students use implicit personality theories to judge the riskiness of potential sexual partners. Specifically, partners whom college students know and like are not perceived to be risky, even if what students know about these individuals is irrelevant to HIV status. The students determine the riskiness of partners they do not know well based on superficial characteristics that are also generally unrelated to HIV status. Therefore, AIDS prevention interventions for college students must expose the ineffectiveness of the students' use of implicit personality theories to determine potential partners' riskiness, and the “know your partner” safer sex guideline should be abandoned.     

Dating age and stage as correlates of adolescent sexual attitudes and behavior

Dating experiences, especially the type or stage of dating, have consistently been found to be related to premarital sexual behavior. Findings regarding the age at 1st date and sexual behavior have been less consistent. This paper examined the age at which dating began and the type of dating relationship as correlates of premarital sexual attitudes and behavior among mid-teen adolescents. The analyses were based on a sample of high school students (n=836), most of whom were between the ages of 15 and 18 when the surveys were conducted. Early dating, especially early steady dating, was related to permissive attitudes and to premarital sexual experience among both males and females. The relationship between early dating and intercourse experience was particulary strong among Mormons, a religious group which has institutionalized age 16 as the legitimate age to begin dating.     

Premarital Sexual Attitudes and Behavior at a Religiously-Affiliated University: Two Decades of Change

Decades of increases in premarital sexual involvement of college students have been related to numerous variables, one of which is religiosity. This investigation sought to determine any change in the premarital sexual attitudes and behaviors of students enrolled at a private religiously-affiliated university over a two-decade period of time. Using anonymous questionnaires administered in social science classes in 1981, 1991, and 2000, a total sample of 1,545 never-married undergraduates, 791 women and 754 men, was obtained. Significant behavioral differences were found between time intervals for women and men in age at first intercourse, number of sex partners, and demographic and personal characteristics. Among women, significant attitude changes concerned acceptance of sexual intercourse with casual and serious dating partners. Religiosity and participation in sexual intercourse were inversely related for women and men.     

The effects of two AIDS risk-reduction interventions on heterosexual college women's AIDS-related knowledge,attitudes and condom use

An intervention combining AIDS information with condom eroticization, condom normalization, and communication skills training was found to increase both AIDS-related knowledge and condom use among Canadian college students. 112 unmarried female undergraduates (mean age, 18 years) were randomly assigned to this combination intervention (n = 49), an information-only intervention (n = 44), or a pre-test/post-test control group (n = 19). 80% of students had engaged in vaginal intercourse and 14% in anal intercourse. 84% of coitally active women had engaged in unprotected intercourse in the past year and 48% had not used condoms consistently with any sexual partner. Condom use in the pre-intervention period was associated with positive attitudes toward the method and the perception that condom use was normative among peers. One month after the interventions, both the combination and information groups, but not controls, showed an increase over baseline in AIDS-related knowledge. However, among the 36 students who were coitally active in the 1-month periods before and after the intervention, only the combination intervention was associated with increased condom use. In the combination group, the percentage of episodes of intercourse protected by condoms increased from an average of 21.8% in the month preceding the study to 50% during the 4-week follow-up period. Due to the small sample size and design of the study, it was not possible to determine which component of the multifaceted educational intervention was most responsible for this change.     

The 90's: gender differences in AIDS-related sexual concerns and behaviors,condom use and subjective condom experiences

To evaluate gender differences in the subjective experience and use of condoms, 193 heterosexual patrons at 13 bars in New York City were interviewed on site in 1991. Most respondents were single, middle class, and White; their ages ranged from 18 to 51 years. The data analysis was restricted to the 155 men and women who had at least 1 new partner in the 3 years preceding the survey. Respondents worried most about acquired immunodeficiency syndrome (AIDS) when engaging in sex with a new partner. 86% indicated concern about AIDS had affected their sexual behavior, most often by increasing their condom use and decreasing casual sex. 91% of women and 79% of men said that condoms give them greater peace of mind. Women worried more than men about AIDS when they had a new sexual partner and were more likely to limit their number of partners, work harder on an existing sexual relationship, give up casual sex, or give up sex with new partners. Men's subjective condom experiences were related to their penile functioning (erection and ejaculation) and the threat of loss of sexual pleasure. Multiple regression equations revealed that, among men, condom use with new partners was associated with worrying about AIDS and younger age; among women, peace of mind was a positive predictor. With casual partners, more partners led to increased condom use among women and worrying about AIDS was a predictor for men; peace of mind was predictive for both genders. 53% of men compared to 21% of women expected to meet a new sexual partner at the bar where they were interviewed, and 36% of men and 19% of women were carrying condoms with them.     

Condoms,Sex, and Sexually Transmitted Diseases: Exploring Sexual Health Issues Among Asian-Indian College Students

Sexually transmitted infections (STIs) continue to pose a serious risk to college students in the US. According to the Centers for Disease Control, the highest rates of STIs are among college students and adolescents. Specifically regarding Asian-Indian students, more research is needed to thoroughly understand the knowledge, attitudes and sexual behaviors of this population. A comprehensive review of the literature found a paucity of studies involving Asian-Indian involvement in sexual activity. Therefore, the present study was undertaken to fill gaps in the research. The present study examined Asian-Indian college students’ involvement in sexual behaviors, overall STI knowledge, condom use rate, perceived benefits and barriers to condom use, and history of STIs and STI testing. A five page survey was completed by 122 Asian-Indian college students. Results indicated that overall STI knowledge was low. Females, students who perceived fewer barriers to condom use and students who had lived in the US for at least 3 years held significantly higher STI knowledge levels than their counterparts. Such findings could be used by community and university-based health educators to more effectively serve the needs of Asian-Indian students.     

AIDS and condom-related knowledge,beliefs, and behaviors in Mexican migrant laborers

A survey of 87 Mexican migrants (55 males and 32 females) who have lived and worked in the US since 1982 assessed AIDS and condom-related knowledge, beliefs, and sexual practices. Although respondents were highly knowledgeable about major modes of HIV transmission, one-third to one-half believed that HIV could be contracted from mosquito bites, public bathrooms, kissing, and the HIV test. Only 15% knew someone with AIDS. Ever-use of condoms was reported by 70.9% of men and 41.9% of women. Of the 68 subjects who had been sexually active in the year preceding the survey, 20 reported two or more partners. Among sexually active respondents, 16.2% always used condoms with their primary partner, while 43.0% used condoms consistently with occasional partners. 48.9% of men and 57.1% of women never used condoms with their primary partner; with casual partners, these rates were 30.8% and 44.4%, respectively. Worry about contracting AIDS, self-rated on a scale from 1 (very often) to 4 (never), averaged 2.84, with higher worry scores among those 18-31 years of age and with multiple partners. Respondents did not anticipate negative consequences of condom use (e.g., reduced sexual pleasure), but females expressed concern that carrying condoms would cause them to be viewed as promiscuous.     

Sexual aggression: perceptions of its likelihood of occurring and some correlates of self-admitted perpetration.

175 college undergraduate students completed a questionnaire which contained dating scenarios and questions designed to assess the participants' perceptions about the likelihood that sexual aggression would occur in the described dating situations and how justified sexual aggression would be in those situations. Also included were items to assess self-admitted sexual aggression, self-reported sexual victimization, attitudes toward certain affectionate behaviors, and enjoyment of several magazines including the "soft-core" sexually oriented publication Playboy. Analysis indicated that women made significantly higher estimates of the chances of sexual aggression occurring in the described dating situations. Relative to nonvictimized women, victimized women gave significantly higher estimates of the likelihood of sexual aggression and believed that sexual aggression was significantly more justified. Men rated sexual aggression as significantly more justified in a relationship in which the male had been paying all dating expenses relative to one in which dating expenses were shared. Women's ratings were not significantly different. Also, correlates of self-admitted male sexual aggression included greater rated enjoyment of Playboy magazine and less agreement with an item designed to measure attitudes toward physical affection.     

Sexual Prejudice Among Heterosexual College Men as a Predictor of Condom Attitudes

Heterosexual male college students (N?=?100) (average age?=?19.7; 43% European American; 39% Christian) from the southwestern U.S. completed surveys in order to test a model predicting condom attitudes from religiosity, gender role attitudes, sexual prejudice, and the belief that “AIDS is a gay disease.” In the final model, those who reported more religiosity, more traditional gender role attitudes, and greater anxiety about interacting with gay men also reported feeling their core values and beliefs were threatened by gay men. In turn, men who felt strongly threatened in this way more strongly endorsed the belief that “AIDS is a gay disease,” and stronger endorsement of this belief was associated with more negative attitudes about condoms and condom use.     

Premarital Sexual Debut in Emerging Adults of South Asian Descent: The Role of Parental Sexual Socialization and Sexual Attitudes

Ethnicity is an important factor in premarital sexual debut as norms regarding appropriate sexual conduct outside of marriage vary considerably across cultures. Emerging adults of South Asian descent living in Western societies are an important demographic group, yet little is known about the factors that contribute to variations in their premarital sexual debut. The goal of this study was to investigate the contributions of parental sexual socialization and attitudes toward premarital sexual behaviors to premarital sexual debut in emerging adults of South Asian descent. University students of South Asian descent (N = 87) aged 18–24 completed a questionnaire containing measures of parental attitudes toward premarital sexual behaviors, their own attitudes toward premarital sexual behaviors, and experience with oral sex and intercourse. Mediation analyses showed that perceptions of mothers’ as more permissive toward premarital sexual behaviors was associated with respondents reporting more permissive attitudes toward premarital sexual behaviors, which in turn was associated with a greater likelihood of having engaged in oral sex and intercourse. No significant effect was found for fathers. These findings suggest that parental sexual socialization may influence emerging adults of South Asian descent’s decision to engage in premarital sexual behaviors through the process of sexual attitudes formation.