Sexual concurrency may increase risk for HIV/STIs
among youth. Attitudes about gender roles, including power balances within
sexual partnerships, could be a driver.
We examined this association among
Baltimore youth (N = 352), aged 15-24. Data were collected from
February, 2011 to May, 2013. We examined whether index concurrency in
male-reported partnerships (N = 221) and sex partner's concurrency in
female-reported partnerships (N = 241) were associated with youth's
attitudes towards relationship power.
Males with more equitable beliefs about
power were less likely to report index concurrency. Females with more equitable
beliefs were more likely to report sex partner's concurrency. The
relationship was significant in main and casual partnerships among females and
main partnerships among males.
The strongest associations were detected among
middle-socioeconomic status (SES) males and low-SES and African American
females. Implementing interventions that recognize the complex relationship
between socioeconomic context, partner dynamics, gender, and sexual behavior is
an important step towards reducing HIV/STI risk among youth.
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By:
- 1Department of Health, Behavior, and Society, Johns Hopkins Bloomberg School of Public Health, 624 N. Broadway, Baltimore, MD, 21205, USA. plillest@jhsph.edu.
- 2Department of Population, Family, and Reproductive Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
- 3Department of Pediatrics, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
- 4Department of Health, Behavior, and Society, Johns Hopkins Bloomberg School of Public Health, 624 N. Broadway, Baltimore, MD, 21205, USA.
- 5Department of Pediatrics, All Children's Hospital, Johns Hopkins University School of Medicine, St. Petersburg, FL, USA.
- 6Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
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