Evaluating the effectiveness of workshop interventions on contraceptive use among first-year college students

This study tested the effectiveness of 4 interventions designed to affect contraceptive knowledge, attitudes, and use among first-year Syracuse University students in New York State in the US. Pre- and post-tests obtained data on demographic characteristics, sexual behavior, contraceptive knowledge, sexual opinions, contraceptive attitudes, and contraceptive progress on a 5-step scale. Group 1 (79 students) received contraceptive information (CI) only. Group 2 (76) received CI and a cognitively oriented intervention. Group 3 (73) received CI and an experience-oriented intervention. Group 4 (77) received a combined cognitively and experience-oriented intervention with CI. The control group included 57 people. 78% on the pretest, and 84% on the post-test, had engaged in sexual intercourse for the first time in high school. 200 indicated previous intercourse in the past 3 months. Groups varied significantly in their knowledge, beliefs, and practices. All groups had greater contraceptive knowledge than control groups. Greater behavior beliefs about contraceptive use occurred in Groups 1 and 2. Groups 3 and 4 showed greater increases in positive attitudes toward use. All intervention students showed greater increases in positive attitudes toward a contraceptive process. Greater increases in the intention to use birth control occurred in Groups 3 and 4. Groups 2, 3, and 4 showed greater increases in reported use of birth control. Group 4 intervention was the most effective for males. Females were influenced by all interventions. Findings affirm the importance of including attitudinal components in sexuality and contraception workshops.     

The relationship between barriers to birth control use and actual birth control use among Mexican-American adolescents

This study examined the relationship between barriers to using birth control and actual use of birth control among a national sample of Mexican-American adolescents. Participants were either over age 15 or sexually active (regardless of age). They responded to survey items on birth control use. Chi-square analysis and t tests were used to investigate whether barriers to using birth control were related to actual use during first intercourse and most recent sexual intercourse. It was found that nonusers had significantly higher barrier scores compared with users of birth control. The results indicate that attitudes toward birth control are associated with actual birth control use among Mexican-American adolescents. Additionally, males and females may have distinct barriers to using birth control. It was concluded that a better understanding of the sexual attitudes and beliefs associated with birth control is needed in order to improve programs seeking to increase the use of birth control among this rapidly expanding, high-risk population.     

Mexican-American adolescent sexuality and sexual knowledge: an exploratory study

This article reports the findings of a study designed to examine the sexual knowledge, attitudes, and practices of low-income Mexican- American adolescents. The participants in the study were all about to begin a sex education program in a community health organization in East Los Angeles. The study involved 84 adolescents aged 14-19, 97% of who identified themselves as Mexican-American (the remainder identified themselves as Latino). 51 of the subjects were female and 33 male. The participants completed a 43-item questionnaire concerning demographics, sexual experience and contraceptive use, knowledge of birth control methods, and attitudes towards sexuality and birth control. Only 18 (21%) of the subjects indicated ever having sex. But among this group, 83% reported not using contraception during their last intercourse, and 61% reported never using contraception. Only 22% reported using contraception regularly. Concerning the knowledge of different birth control methods,many of the participants were able to list several methods, but their responses indicated a lack of accurate and specific knowledge about contraceptive methods. In addition to the 43-item questionnaire, 27 of the subjects also completed a sexual and contraceptive knowledge questionnaire. The topics included contraceptive effectiveness, the menstrual cycle, and fertilization. The scores on the questionnaire were low, with an average score of 33% of correct answers. Finally, all 84 participants responded to a sexual attitude questionnaire, which revealed a generally traditional attitude toward the importance of have children, virginity, and the relationship between sex and love.     

Predicting Contraceptive Efficacy: A Discriminant Analysis of Three Groups of Adolescent Women1

The relationship of knowledge and attitudes to adolescent contraceptive efficacy was investigated in a multivariate study, with demographic and sexual history variables covaried. Subjects were unmarried, sexually active 15- to 19-year-old women. Two studies were conducted: one using a large and representative sample and the second using a smaller, high socioeconomic status sample that is more typical of samples generally used in earlier research. Subjects were classified as effective, ineffective, or nonusers of contraception, based on both frequency of use and effectiveness of the method(s) they used. Two discriminant function analyses were performed to determine (a) whether knowledge and attitudes contributed to discrimination among the groups over and above discrimination attributable to demographic and sexual history variables, and (b) which variables distinguished ineffective users from both other groups. The results of both studies indicate that attitudes, particularly attitudes toward contraception, are strong predictors of patterns of contraceptive use. Ineffective users were distinguished from nonusers by their greater knowledge of contraception, and from both other groups by their greater sexual activity and more positive attitudes toward intercourse. The discussion focuses on the theoretical implications of the results, the usefulness of the effective/ineffective/nonuser categorization, and applications of these findings to design of interventions.     

Sex role development and teenage fertility-related behavior

Data from a 1975 survey of 369 females and 325 males aged 16-17 were analyzed to shed light on the relationship between the maturity of adolescent women and their sexual behavior and contraceptive practice. A straightforward decision-making process was found among males, but more complicated influences exist for females. When the data were submitted to regression and chi-squared analyses, it was found that whereas sexually active adolescents had more liberal sexual attitudes than virgins, their sex role attitudes were more stereotypical than virgins. Then the 2 groups were subdivided into virgins who did not intend to have premarital intercourse (20%); virgins who planned or considered premarital intercourse (40%); adolescents who experienced intercourse prior to age 16 (20%); and those who experienced intercourse after age 16 (20%). It was found that the virgins who did not intend to have premarital intercourse held the most stereotypical sex role attitudes, followed by sexually active women, and that virgins planning or considering intercourse held the least stereotypical views of all. It is suggested that this occurred because these adolescents were more mature and had resolved sexual identity problems earlier without resorting to intercourse. Birth control use was found to be more effective among the adolescents who experienced intercourse after age 16. Further studies are underway to test the hypotheses that the more mature a woman is when she experiences intercourse, the more likely it is that her development will be enhanced and that her contraceptive behavior will be effective.     

Individual Differences in Males' Reactions to Gay Males and Lesbians1

Males who were tolerant or intolerant of homosexuals participated in an experiment wherein they interacted with a gay male, a lesbian, or a person of unknown sexual orientation. Results showed that although both attitudes toward homosexuality and the partner's sexual orientation affected reactions to that person. there were few effects due to target sex. Although men's reported attitudes toward gay males are more negative than their attitudes toward lesbians. these attitudes d o not necessarily affect reactions to these individuals.     

Sexual Coercion Among Students at the University of Cape Coast,Ghana

Sexual coercion refers to strategies that result in an individual engaging in sexual activity against his or her will. Ecological factors influence the way sexual interactions occur; however, the relationship between these factors and sexual coercion has not been explored among university students in Ghana. The purpose of this study was to examine sexual coercion among university students in Ghana by specifically examining individual-level factors (age, gender, sexual debut, age differential with first partner, being in an intimate relationship, history of abortion, and past experiences with transactional sex) and the experience of forced and coerced sex. Residential students at the University of Cape Coast were invited to participate and completed a survey on a tablet computer. Questions included demographics; sexual and reproductive health experiences and knowledge; and attitudes and experiences with abortion. Bivariate and multivariate analyses were used to examine individual-level factors associated with experiences of sexual coercion and forced sex. There were 480 females and 556 males that completed the survey; 26.3 and 16.4% reported having had intercourse either because they were forced or coerced, or when they were “very unwilling”. These students were more likely to be female (OR 3.5), to have had an abortion (OR 2.9), and to have engaged in transactional sex (OR 1.9). Many University of Cape Coast students are experiencing forced or coerced sex. Programs targeting both female and male students as both victims and perpetrators of sexual violence in this population are sorely needed. Primary prevention of sexual violence is one promising field.     

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.     

Attitudes,Knowledge, and Sexual Behavior of High-Risk Adolescents: Implications for Counseling and Sexuality Education

A survey was conducted to examine high-risk sexual behavior in a large group of adolescents who were involved with the juvenile justice system. The findings showed that these youth are at high risk for unintended pregnancy and AIDS and other sexually transmitted diseases. Compared to national norms, the sample reported a very early mean age at first intercourse and a high rate of pregnancy. Those who had been involved in a pregnancy reported having begun sexual activity the earliest of those surveyed. Most participants reported an extremely unreliable use of birth control, with this unreliable use of birth control being strongly associated with espousal of high-risk attitudes but generally unassociated with factual knowledge regarding pregnancy and contraception. These findings support the argument for expanding the scope of traditional sex education and beginning sexuality education programs earlier than they usually are in this country.     

Birth control and low-income Mexican-American women: the impact of three values

This study examines how 3 particular sociocultural values affect Mexican-American women's attitude, knowledge, and use of birth control. Researchers interviewed 99 low-income married Mexican-American women, 48 of whom had a low level of acculturation and 51 of whom had a high level, focusing on the values of motherhood, male dominance, and sexual expression. While the low acculturation group showed a significant linear relationship between attitudes towards birth control and the 3 values, the high acculturation group failed to exhibit a similar relationship. The study also found that no significant relationship exists between knowledge of birth control and the aforementioned values. The sociocultural values, however, do explain a 30% variability in attitudes towards birth control among the women with low acculturation, as well as a 22% variability in birth control use. Although significant, the results do not fully account for the variability. The study suggests several possible explanations for the unaccounted variance: considering the complexity of the values involved, the instruments involved may have failed to fully uncover their effects; because they were normed on Anglo-Americans, the instruments may not have sensitive enough of Mexican-American attitudes; and finally, the study may have overlooked other important values. Nonetheless, the study points out definite differences in attitudes between high and low acculturation groups. Considering that Hispanic women -- particularly Mexican-American women -- experience a very high birthrate (double that of non-Hispanics), examining sociocultural values may give insights into better family planning methods for this group.     

The influence of androgynous identification on heterosexual relations

The responses of androgynous and sex-typed students to a questionnaire were compared to explore the impact of sex typing on attitudes and behavior relevant to dating, marital and parental roles, and sexual intercourse. Extent of sex typing was associated with students' attitudes toward sharing dating expenses, sexual intercourse, full-time employment for wives, and wives taking primary responsibility for childrearing. Sex typing was also associated with students' behavior regarding the number of female-initiated dates, proportion of male and female initiation of sexual intercourse, and the frequency of sexual intercourse for males. Gender was more consistently related to the variables under investigation than was sex typing, however, and results are discussed with respect to possible limitations of the influence of androgyny on heterosexual relations.This research was part of a doctoral dissertation submitted to Purdue University. The author gratefully acknowledges the assistance of Art Fogel in data analyses, and Rick Allgeier, Donn Byrne, Don Lehr, and Winnie Shepard for their helpful suggestions regarding an earlier draft of this article.     

Coitally active university students: sexual behaviors, concerns, and challenges

The past fifteen years, in particular, have seen a major increase in the extent to which both adolescents and young adults are engaging in sexual intercourse. While several studies call attention to the increasing incidence among college/university students, the concomitant shifts in the sociopsychological realms of sexuality are also important dimensions which impact upon sexual concerns of youth. Hence, the purposes of this study are to examine the behaviors, attitudes, and concerns of students who have engaged in coitus, as well as any changes they seek in their sex lives. The sample consisted of 123 never-married male and 205 never-married female undergraduate students from a state university. The data were obtained by utilizing an anonymous questionnaire administered to volunteers during regular university classes. Among the coitally active, 67.4% of males were psychologically satisfied after their first sexual experience, but only 28.3% of females. In contrast, 80.9% of males and 28.3% of females reported current psychological satisfaction with their sexual experiences. Significant differences between genders focused on male dissatisfaction with infrequent opportunities for sexual intercourse, lack of variety of sex partners, and insufficient oral-genital stimulation, whereas females expressed concerns relating to lack of stimulation to their breasts, painful sexual intercourse, lack of orgasm during sexual intercourse, and feelings of guilt and fear. An increasing awareness of current sexual behaviors, attitudes, and concerns of university students can help family life educators to meet student needs as they react to changes in interpersonal relationships, families, and society.     

Women of the fifties: Their past sexual experiences and current sexual attitudes in the context of mother/daughter relationships

As part of a study on sexual communication between mothers and daughters, 141 college-educated mothers of college-age daughters completed a questionnaire on their past sexual activities (including high school and college experiences, first love experience, first experience of intercourse, first and successive pregnancies, and birth of first child). Mothers also indicated the degree to which they had experienced 14 sex-related fears during college and at present. Several questions tapped present sexual attitudes concerning themselves and their daughters. Mothers were asked how they would feel if their daughters never married, never had children, or had a homosexual relation. The majority reported that their sexual attitudes had become more liberal since college and indicated that their daughters had influenced these attitudes. The majority also indicated they were satisfied with the current sexual communication with their daughters and with the mother/daughter relationship in general.This work was supported by a grant from the Ford Foundation. Please address correspondence to Marilyn Yalom, Center for Research on Women, Serra House, Stanford, California 94305.     

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.     

Social context,sexual practices,and risks for HIV transmission among men who have sex with men: The south beach health survey

In a population-based sample of 193 men who had sex with men in South Beach, Miami-Dade County, Florida, two indicators of social context—choice of sexual relationships and perceived HIV-infection status—were used to analyze residents who engaged in certain sexual practices with their partners. The vast majority (88.6%) of respondents reported engagement in anal sex during the previous 12 months; 20.2% reported unprotected anal intercourse (UAI) with ejaculation with any partner and 12.4% reported UAI with ejaculation with one or more casual partners. Findings supported the hypothesis that primary partner relationships and perceived HIV status are important variables for understanding engagement in UAI with ejaculation. Men who engaged in such behaviors with casual partners were more likely to have negative attitudes towards condoms, report difficulty communicating desires for safer sex, disagree with the belief that AIDS is fatal, and be intoxicated during anal intercourse. Men who reported engaging in anal intercourse, but who never shared unprotected ejaculations, were most likely to be unknowingly infected with HIV, suggesting that many men may become infected while following what they believe to be “safer sex practices.” In designing effective interventions, public health authorities need to take into account socially embedded risk-negotiating practices.     

Alcohol, sexual arousal, and intentions to use condoms in young men: applying alcohol myopia theory to risky sexual behavior.

Data from 7 studies were aggregated to examine how reported sexual arousal and alcohol intoxication interact to affect attitudes and intentions toward engaging in unprotected sexual intercourse in college-age men (N = 358). When participants were in a sober or placebo condition, their self-reports of sexual arousal had no effect on their responses. When participants were intoxicated, however, those who felt sexually aroused reported more favorable attitudes, thoughts, and intentions toward having unprotected sex than did those who did not feel aroused. These findings support alcohol myopia theory (C. M. Steele & R. A. Josephs, 1990), which states that alcohol intoxication restricts attentional capacity so that people are highly influenced by the most salient cues in their environment. It is suggested that sexual arousal is a powerful internal cue that interacts with alcohol intoxication to enhance attitudes and intentions toward risky sexual behaviors.     

Sexual attitudes and behavior of Guatemalan teenagers: considerations for prevention of adolescent pregnancy

Two studies were conducted to explore the prevalence of adolescent pregnancy in Guatemala, and to identify the level of contraception. The first study assessed sexual attitudes and behavior of 850 adolescents. In this group, 89% of the males and 38% of the females said they had experienced coitus. Youngsters of upper-middle and lower-middle socioeconomic status had higher rates of coital activity than did those of the middle class. Only 10% of the sexually active couples were using some type of contraception. Boys indicated greater inclination toward "recreational" sex, while girls tended to be more affectively involved with their lovers. Ninety-six percent of sexually active girls planned to marry their current sexual partner, while 5.5% of the boys planned to do so. The second study assessed the prevalence of pregnancy in minors (17 years or younger) attending the gynecology department at a local general hospital. Over a period of two years, 551 cases were identified. Although rates of pregnancy increased with age, the rate of annual increase was dramatically highest from ages 13 to 14, after which it decreased progressively with age. Based on these results, it is recommended that, at least in the Guatemalan population, sex education be implemented at an early age in order to prevent adolescent pregnancy.     

Fertility Related Attitudes of Minority Mothers with Large and Small Families1

The relationship between certain attitudes and levels of fertility in five cultural groups–Blacks, Cubans, American Indians, migrant Chicanos, and white Protestants–was explored. Mothers, aged 35–45, with one or two children (small family, N= 253) or five children (large family, N= 196) were compared. Subjects responded to semantic differentials measuring attitudes toward pregnancy, family, abortion, sex, birth control, and parent. Large family mothers were generally more negative toward birth control, sex, and family. Cultures differed significantly on all six attitudes, with those toward abortion and pregnancy being the best discriminators. Significant interactions between cub ture and size were found on attitudes toward birth control and pregnancy. In general, large families wanted fewer children than they had and their negative attitudes toward birth control might be associated with their ineffective experiences; however, the trend was reversed in the migrant group where small family mothers were more negative toward birth control. Since small family mothers among migrant Chicanos were difficult to find and their estimates of ideal family size was large, it is likely that their negative attitudes toward birth mntrol reflected an aversion to its use.