Young Black men (YBM), aged
13 to 24 years, face a disproportionate burden of sexually transmitted
infections (STIs). STI acquisition among YBM is due to incorrect and
inconsistent condom use and is exacerbated by multiple sexual partners. Sexual
and reproductive health is influenced by a complex interaction of biological,
psychological, and social determinants that contribute to increased risk for
STI acquisition. However, there are key social determinants of sexual health
that play a major role in adolescent sexual risk-taking behaviors: gender
norms, environment, peers, and families as well as a desire to impregnate a
woman.
Associations between contextual factors (risky environmental context,
desire to impregnate a woman, and peer norms supportive of unsafe sex) and
sexual risk behaviors were examined among a sample of YBM attending adolescent
health clinics.
This study used baseline data from a randomized controlled
trial (N = 702). Parental monitoring was also examined as an effect modifier of
those associations. Sexual risk behaviors were the frequency of condomless
vaginal sex, number of sexual partners within the previous 2 months, and
lifetime number of sexual partners. Mean age was 19.7. In the adjusted model,
peer norms was the only significant predictor for all sexual risk outcomes (p
< .05). Parental monitoring was an effect modifier for the perceived peer
norms and lifetime sexual partners association (p = .053) where the effect of
peer norms on lifetime sexual partners was lower for participants with higher
levels of perceived parental monitoring.
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By:
- 1Georgia State University, Atlanta, GA, USA jjones158@student.gsu.edu.
- 2Georgia State University, Atlanta, GA, USA.
- 3University of Kentucky, Lexington, KY, USA.
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