4314.0: Tuesday, November 14, 2000 - 9:10 PM

Abstract #8843

Family support and STD/HIV-risk behaviors among African American adolescent females

Brenda K. Cobb, PhD, RN1, Ralph DiClemente, PhD2, Gina M. Wingood, ScD, MPH2, Richard Crosby, PhD2, Catlainn Sionéan, PhD2, Kathy Harrington, MAEd, MPH3, and Susan Davies, PhD, MPH3. (1) Nell Hodgson Woodruff School of Nursing, Emory University, 531 Asbury Circle, Atlanta, GA 30322, 404-727-2964, bcobb@nurse.emory.edu, (2) Rollins School of Public Health, Emory University, 1518 Clifton Road, NE, Room 520, Atlanta, GA 30322, (3) School of Public Health, University of Alabama, Birmingham, 1666 University Blvd., Ste 237, Birmingham, AL 35244

Introduction: Adolescents continue to be at risk for pregnancy and STD/HIV. This study examines the relationship of family social support to behaviors that place them at risk for these negative consequences. Methods: Sexually active African-American females (N=522) completed a questionnaire and structured interview containing items addressing adolescents'perceived family support. Adolescents responded to four items that assessed perceived help, emotional support, openness and decision-making support that families provided (alpha=.86). Scores from this subscale were dichotomized using a median split. Scales were also used to assess several psychosocial antecedents of STD-risk behavior and recent condom use. Multivariate logistic regression calculated adjusted odds ratios and 95% confidence intervals, controlling for two covariates: self-esteem and age. Results: Adolescents who perceived low family support were more likely to perceive general condom use barriers (OR=1.6; p=.02), partner-specific barriers (OR=1.5; p=.03), low perceived ability to negotiate condom use (OR=1.5; p=.03) and less frequent STD/HIV and prevention communication with sex partners (OR=2.1; p=.0001). Adolescents who perceived low family support were more likely to report unprotected vaginal sex with a steady partner (OR=1.8;p=.01) and with steady and casual partners combined (OR=1.7; p=.02), over the past 30 days. Conclusions: Study findings suggest that adolescents who perceived their families are less supportive were at greatest risk for negative outcomes of sexual intercourse, e.g., pregnancy and disease. This information can be used when designing interventions targeted toward specific health risk issues regarding unprotected sexual intercourse for adolescent females.

Learning Objectives: At the conclusion of the session, audience members will be able to identify two sexual risk behaviors and four related psychosocial risk factors associated with low family support. At the conclusion of the session, audience members will be able to discuss the relevance of family support for HIV-prevention programs designed for adolescent females

Keywords: Sexual Risk Behavior, Family Involvement

Presenting author's disclosure statement:
Organization/institution whose products or services will be discussed: None
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.

The 128th Annual Meeting of APHA