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.     

HIV risk perceptions and first sexual intercourse among youth in Cape Town South Africa

CONTEXT: HIV prevalence is high among South African youth. Health behavior models posit that the perceived level of risk of HIV infection is associated with the level of HIV risk behavior; however, there has been limited research in Sub-Saharan Africa on factors associated with perceived risk or on the relationship between perceived risk and risk behaviors. METHODS: Longitudinal data collected in 2002 and 2005 from 3,017 black, colored and white youth in Cape Town, South Africa, were analyzed using multivariate regression to examine whether a reciprocal relationship exists between sexual experience and perceived HIV risk. Independent variables taken from the 2002 survey were used to predict dependent variables taken from the 2005 survey. RESULTS: In 2005, most youth (82% of males and 83% of females) viewed themselves as being at no or small risk of HIV infection. A reciprocal relationship in which higher perceived HIV risk was associated with a delay in sexual debut (odds ratio, 0.8) and sexual experience was associated with higher perceived risk (1.4) was found for females, but not for males. Knowing someone who had died of AIDS was associated with sexual debut and with an elevated perceived HIV risk among females (1.7 and 1.3, respectively). The associations between race and perceived risk of HIV infection varied by gender. CONCLUSIONS: HIV/AIDS education and prevention programs should consider more carefully how gender and race may intersect to influence risk perceptions and risk behaviors. In addition, possible reciprocal relationships between risk behaviors and risk perceptions should be considered in education and intervention programs.     

Factors Associated with Peer Sexual Harassment Victimization Among Taiwanese Adolescents

This study examined the individual and interpersonal factors of peer sexual harassment victimization among Taiwanese adolescents. A random sample of 1,376 7th to 9th grade middle school students in Taichung City, Taiwan, completed questionnaires about their demographics, delinquency, peer/teacher interaction, and experience of being sexually harassed by peers. Approximately 25.4% of the respondents had suffered peer sexual harassment during the previous semester. Boys reported more exposure to sexual harassment than did girls. Multivariate logistic regression analyses were performed separately for boys and girls. Significant risk factors of peer sexual harassment victimization for both genders included being bullied by peers and teacher maltreatment. Boys’ sexual harassment victimization was also associated with their involvement in fights. Peer relationship problems contributed to girls’ sexual harassment victimization. These findings suggested the relevance of a hostile school climate to peer sexual harassment and the gender differences in risk factors.     

Increasing the Salience of Risky Sexual Behavior: Promoting Interest in HIV-Antibody Testing Among Heterosexually Active Young Adults1

The present study examines whether making the risk associated with unsafe sexual behavior more salient would increase interest in HIV testing. The HIV-related beliefs and behaviors reported by a sample of college students were assessed both before and after they had viewed a vulnerability-oriented film about HIV/AIDS. Viewing the film heightened sexually active participants' belief that they might currently be HIV seropositive. Among participants who were currently sexually active, heightened perceptions of risk and concern about sexual behavior predicted intentions to utilize HIV testing services (controlling for initial risk perceptions and behavior). Those who engaged in behaviors related to HIV testing during the 4-week period after the film had expressed stronger HIV intentions and more pronounced feelings of anxiety and concern about prior sexual behavior. These results suggest that risk-enhancing interventions can stimulate interest in HIV testing.     

Factors Influencing Condom Use Among African American Women: Implications for Risk Reduction Interventions

Examined factors associated with condom use in a community-based sample of 423 sexually active African American women. Measures were selected to reflect the components in prevailing models of health behavior. Condom users were higher on AIDS health priority, prevention attitudes, stage of change, behavioral intentions, reported more frequent and comfortable sexual communication with partners, perceived greater partner and peer approval for condom use, and reported that peers also used condoms. Women in exclusive relationships evidenced earlier stage of change, lower intentions to use condoms, fewer peers who engaged in preventive behaviors, perceived themselves to have lower risk, and had lower rates of condom use, higher education, and family income. Women in fluid relationships were at particularly high risk, with lower rates of condom use relative to women not in a relationship and greater sexual risk for HIV. Implications for HIV-risk reduction interventions with African American women are discussed.     

Inferring sexual interest from behavioral cues: Effects of gender and sexually relevant attitudes

Research has found that men impute more sexual meaning to others' behavior than do women. However, little research has examined the possibility that men and women share perceptions of the sexual connotativeness of certain behaviors but diverge in their perceptions of other behaviors. In Study 1, 162 male and 186 female undergraduates, predominantly Caucasian, rated the degree to which each of 27 behaviors of male and female targets connoted a desire for sexual intercourse. Multivariate analyses of variance revealed that, whereas men perceived all but two of the female target behaviors more sexually than women, men and women differed in their perceptions of the sexual connotativeness of only about half of the male target behaviors. A factor analysis revealed three factors for both male and female target behaviors, reflecting mundane dating behaviors, romantic behaviors, and sexual behaviors. Relative to women, men perceived only the mundane dating behaviors more sexually, although regression analyses showed these effects to be moderated by subjects' attitudes toward women. Study 2 examined the extent to which sexually relevant attitudes (e.g., sex role stereotyping, adversarial sexual beliefs, and rape myth acceptance) moderate subjects' perceptions of the sexual connotativeness of the behaviors. Men, particularly those who endorsed traditional, sexually relevant attitudes, were more likely than women to impute sexual meaning to the behaviors. The implications of this for dating situations are discussed.The author wishes to thank Mark Leary and two anonymous reviewers for their comments and suggestions on earlier versions of this article.     

Links between sex-related expectations about alcohol, heavy episodic drinking and sexual risk among young men in a shantytown in Lima, Peru

CONTEXT: Alcohol use is frequently identified as a contributor to risky sexual behaviors; however, research results are mixed. Given the conflicting evidence, researchers have focused on other factors, such as expectations about alcohol's effects that might help explain the relationship of alcohol use and risky sexual behaviors. METHODS: Cross-sectional data from 312 sexually experienced males aged 18-30 in a shantytown in Lima, Peru, were used in logistic regression models to identify associations of heavy episodic drinking and sex-related expectations about alcohol with sexual risk behaviors. RESULTS: Heavy episodic drinking was associated with having had two or more sexual partners and having had sex with a casual partner in the past year (odds ratios, 2.8 and 2.5, respectively). After controlling for alcohol consumption, sex-related expectations about alcohol were associated with these high-risk sexual behaviors, as well as with not using a condom at last sex (1.2) and not using a condom at last sex with a casual partner (1.3). CONCLUSION: Beliefs about the effect of alcohol on sexual performance could help explain links between alcohol consumption and risky sexual behavior not completely accounted for by the pharmacological effects of alcohol.     

Sexual risk taking in adolescence: the role of self-regulation and attraction to risk

Precursors of adolescent sexual risk taking were examined in a multiethnic sample consisting of 443 children (51% girls) of National Longitudinal Survey of Youth participants. Respondents were 12-13 years old in 1994 and 16-17 in 1998. Controlling for demographic and contextual factors, self-regulation--but not risk proneness--was significantly (modestly) associated with overall sexual risk taking 4 years later. Analyses of individual sexual behaviors indicated that self-regulation may affect choices made after becoming sexually active (e.g., number of partners) rather than the initiation of sexual activity. Measures of parent and peer influence had independent effects on sexual risk taking but did not moderate the effects of self-regulation and risk proneness. Findings add to the growing literature on implications of self-regulation for individual development.     

Health-protective effects of attachment among African American girls in psychiatric care

African American girls in psychiatric care are at increased risk for HIV and sexually transmitted infection (STI) through sexual risk taking. Adolescent sexual behavior often reflects peer norms and behavior. Secure attachment patterns with mothers and peers might lessen the effects of negative peer influences and reduce sexual risk taking among African American girls. This study examined the relationships among mother-daughter and peer attachment, peer norms, and sexual-risk behaviors in African American girls seeking outpatient psychiatric care. A group of 12-16-year-old African American girls (N = 262; M age = 14.45 years) reported on their attachment to their mothers and peers, peer risk-taking and dating behaviors, peer pressure, and sexual-risk behaviors (e.g., number of partners, high-risk partners, and condom use). Structural equation modeling examined whether peer attachment and peer norms mediated the relationship between mother attachment and sexual risk. Findings supported peer norms, but not peer attachment, as a mediator of mother attachment and girls' sexual-risk behaviors. Findings revealed important family and peer factors for African American girls in psychiatric care. HIV prevention programs may be strengthened by improving mother-daughter relationships, addressing the importance of peer relationships, and emphasizing how secure mother-daughter relationships can temper the impact of peer norms.     

Magnitude and determinants of behavioral risk reduction: Longitudinal analysis of a cohort at risk for AIDS

The magnitude and predictors of longitudinal behavioral change are reported in a cohort of homosexual men at risk for AIDS. Self-reports of sexual behavior were obtained at two points in time separated by an interval of approximately six months. These self-reports were used to construct both dichotomous and continuous measures of changes in behavior consistent with reduction in the transmission of the AIDS virus (HIV). Although there was considerable variability in behavior. mean changes were consistently in the desired direction. Avoidance of anonymous sexual partners, monogamy, and modification of receptive anal sex to reduce exposure to semen by condom use or withdrawal prior to ejaculation appeared to be especially important in this cohort. Both multiple linear regression and multiple logistic regression were used to examine the relationship between a model of health behavior and these outcomes. Variables examined included knowledge of AIDS. perceived risk of AIDS. the perceived efficacy of behavior in reducing AIDS risk, difficulties with sexual impulse control, belief in biomedical technology to provide a prevention or cure, social norms supportive of behavioral change, and gay network affiliation. Of all these factors, only the availability of supportive peer norms was consistently, significantly and positively related to multiple measures of outcome. Differences between these analyses and longitudinal analyses reported elsewhere are discussed. These results suggest the policies regarding HIV antibody testing should be developed cautiously. taking account of the failure of a sense of risk to predict subsequent behavioral change. They also emphasize the important role of gay organizations in developing social norms supportive of behavioral risk reduction.     

SEXUAL AGGRESSION AMONG ADOLESCENTS

This study examines the prevalence of sexual aggression among adolescents from both former East and West Germany. Koss and Oros'(1982) Sexual Experiences Survey (SES) was employed to measure sexual aggression (male version) and sexual victimization (female version). Almost 17% of female respondents reported forced sexual experiences that qualify as criminal offenses under German law. The total percentage including all forms of unwanted sexual contacts amounted to over 50%. Among male respondents, almost 15% admitted sexual behaviors that qualify as criminal offenses, with an overall rate of coercive sexual behaviors of over 44%. Token resistance and number of sexual partners were associated with a higher risk of sexual victimization in the female sample. Among male respondents, peer pressure, self-reported rape proclivity, anger, and disinhibition predicted sexually aggressive behaviors.     

Adolescents' perceptions of friends' and parents' attitudes to sex and sexual risk-taking

This study investigated the association between adolescents' perceptions of parental and peer attitudes towards sexuality and AIDS precautions, and the risky sexual behaviours of 1008 sexually active, heterosexual undergraduate students aged 17-20 years. Students were asked to rate the extent to which their mothers, fathers and friends would agree or disagree with 16 statements reflecting support of the adolescent engaging in sexual behaviour and using sexual precautions, including precautions against AIDS. The adolescents also indicated whether they were sexually active and their level of condom use in both ‘regular’ (or steady) and ‘casual’ relationships. Results indicated that adolescents perceived their parents as non-liberal in their sexual attitudes and relatively unlikely to discuss sex or precautions with them. Parents were viewed as more accepting of their sons' sexual behaviours than of their daughters'. Adolescents believed that peers were more likely to discuss sexuality and precautions than parents, and were more liberal in their sexual attitudes. Adolescent sexual risk-taking was related to the perceived attitudes of significant others in ways which varied across gender and type of relationship. Implications for interventions are discussed.     

Internet use among Chinese college students: implications for sex education and HIV prevention.

The Internet has gained great popularity among Chinese college students, but studies on Internet use behaviors and their relationship with sexual risk perception and behaviors have been limited. A survey was conducted among 1,845 college students in an eastern province of China, in order to assess the pattern of Internet use among Chinese college students, to examine the relationship of Internet use and HIV knowledge and susceptibility, and to explore the relationship of online risk behaviors with sexual status, sexual intention, and sexual perceptions. Data suggest that many students used the Internet frequently and often spent long hours online. Differences between genders and across grades were observed in the patterns of students' Internet use. Male students reported much higher rates of visiting pornographic websites or engaging in other online risk behaviors. Students' HIV knowledge or susceptibility did not differ by the extent of Internet use, but online risks were positively associated with their sexual status, sexual intention, and sexual perceptions. Students who were sexually active, planned to have sex, or possessed permissive attitudes toward pre-marital sex were more likely to report online risk behaviors such as visiting pornographic sites, cyberbullying, or distributing erotic materials via the Internet. The data underscore the importance to provide students with appropriate guidance on their Internet use, especially for reducing online risks and utilizing Internet as a source for sex education and HIV prevention.     

A LABORATORY ANALOGUE FOR THE STUDY OF PEER SEXUAL HARASSMENT

The purpose of this study was to develop a laboratory analogue for the study of peer sexual harassment, and to examine person and situational factors associated with male on female peer sexual harassment. One hundred twenty-two male participants were given the opportunity to tell jokes to a female confederate from a joke list that included sexually offensive jokes, as well as other types of jokes. Participants were exposed to either a sexist laboratory environment or a neutral laboratory environment during the study. Eighty percent of participants told at least one sexually offensive joke to a female confederate. Higher scores on a measure of adversarial sexual beliefs were associated with telling a greater number of sexually offensive jokes. The results suggest that the joke-telling analogue may be a useful means for laboratory explorations of person and situational factors associated with peer sexual harassment.     

Exploitative male mating strategies: Personality, mating orientation, and relationship status

Previous research suggests men are sexually attracted to women displaying cues to sexual exploitability. During human evolutionary history, men’s agreeableness, orientation towards casual sex, and relationship status may have been recurrently associated with greater net benefits of pursuing a sexually exploitative strategy. We hypothesized these three individual differences would predict men’s perceptions of women’s sexual exploitability. Seventy-two men viewed photographs of women and rated their sexual exploitability. Men’s agreeableness, sociosexual orientation, and current relationship status interacted to predict their perceptions of women’s sexual exploitability; among unmated men, the combination of low agreeableness and an orientation toward uncommitted sex was associated with higher perceptions of women’s sexual exploitability. This suggests mechanisms motivating sexually exploitative strategies may depend on an interaction between personality characteristics and situational variables.     

The Role of Parental Mediation and Peer Norms on the Likelihood of Cyberbullying

ABSTRACT

Cyberbullying is a disturbing behavior associated with the use of communication technologies among adolescents. Many studies have been devoted to the activities of cyber victims as risk factors, while others have considered parental mediation a protective factor. However, there is a paucity of studies investigating the joint contribution of parental mediation, peer norms and risky online activities to the likelihood of being bullied on the Internet. To fill this gap, we conducted a study among a representative sample of 495 sixth to eleventh grade adolescents. We measured risky behavior online with items indicating the frequency of posting personal details, sending an insulting message and meeting face-to-face with a stranger met online. Respondents reported their perceptions about their peers. attitudes toward these risky online behaviors. We also measured three types of parental mediation: active guidance, restrictive supervision and non-intervention. Binary logistic regression findings show that risky online behaviors and peer norms regarding these behaviors had a significant effect, suggesting that the likelihood of being bullied on the Internet is associated with both risky behavior online and the norms prevalent within the adolescents. peer group. Restrictive supervision had a significant effect, implying that parents who feel their children are being bullied online may increase their oversight. The results emphasize the critical role of peers and the declining influence of parents in adolescence.     

Feelings Matter: Depression Severity and Emotion Regulation in HIV/STI Risk-Related Sexual Behaviors

Human immunodeficiency virus (HIV)/sexually transmitted infection (STI) prevention models may not address psychological complexities among adolescents with mental illnesses. This study examined contextual factors related to HIV/STI risk among heterosexually active Black adolescents with mental illnesses to inform the development of targeted HIV/STI prevention strategies. Black adolescent males and females (aged 14–17) were recruited from outpatient mental health programs in Philadelphia, PA to complete a computer-assisted personalized interview on sociodemographics, sexual behaviors, and emotion regulation (N?=?53). Two sample t-tests, Wilcoxon Rank Sum tests and regression modeling were used to examine differences in the study measures by gender and relationship status. Reports of sexual partner concurrency were high—both while already in a sexual relationship (67.3%) and multiple sexual partners in the same day (42.3%). Boys reported significantly more risk behaviors than girls. Sadness dysregulation predicted currently being in a relationship, older age at first oral sex, fewer vaginal sexual partners and fewer unprotected oral sexual encounters. Coping difficulties predicted a greater number of vaginal and oral sexual partners, and a lower age at first vaginal sex. Increasing depression severity was related to older age at first vaginal sex, fewer vaginal sexual partners and fewer unprotected oral sexual encounters in the past 3 months. This formative work suggests that coping mechanisms should be addressed in HIV/STI prevention research through the inclusion of activities targeted toward emotion regulation and decreasing sexual risk behaviors. Psycho-education and skills building may mitigate the psychopathology that contributes to HIV/STI risk in the target demographic.     

The Influence of Peer Interactions on Sexually Oriented Joke Telling

Although the negative consequences and prevalence rates of sexual imposition are widely known through self-report surveys, currently there are few laboratory paradigms to examine the determinants of this type of behavior, especially peer sexual harassment. The purpose of the present study was to examine the effects of two types of peer interactions on peer sexual harassment among college students using a laboratory paradigm of sexually oriented joke telling as an analogue of sexual harassment. Results from two different experiments revealed an effect of type of peer interaction on sexually oriented joke telling. In Experiment 1, male college students, who were exposed to a male peer who modeled sexually harassing behavior, subsequently told significantly more sexually oriented jokes to an unknown female peer than did male students exposed to a male peer who modeled nonsexually harassing behavior. In Experiment 2, male college students, who were exposed to a male peer who was seemingly sexist in his interaction with them, subsequently told significantly more sexually oriented jokes to an unknown female peer than did male students exposed to a male peer who was seemingly nonsexist in his interactions with them. These results suggest that peer interactions may serve as a disinhibiting situational factor of sexually harassing behaviors perpetrated by male college students on female peers. The results also provide further validity for the use of a laboratory paradigm for the study of peer sexual harassment.     

Mental health correlates of HIV risk behaviour and STIs/HIV infection among university students from 22 low,middle and high income countries

The aim of this study was to determine mental health correlates of HIV risk behaviour and self-reported STIs/HIV infection among university students in 22 low, middle and high income countries. Data on mental health and HIV risk were collected from 16 567 undergraduate university students (mean age 20.9, SD = 2.9) from 23 universities in 22 countries across Asia, Africa and the Americas. Results indicate that overall 16.8% of the students had two or more sexual partners in the past 12 months, and among the sexually active, 73.7% had inconsistently used a condom in the past three months with their primary sexual partner, 3.2% had ever been diagnosed with a sexually transmitted infection (STI) and 0.6% had been diagnosed with HIV. In multivariate logistic regression poorer mental health and child abuse (physical and sexual) were associated with HIV risk behaviour, and child abuse (physical and sexual) was associated with STI and HIV positive diagnoses.