Trends in Sexual Behaviors Among Youth — DeKalb County, Georgia, 2003–2009

Background

The Youth Risk Behavior Survey (YRBS), conducted nationwide during odd-numbered years, monitors health risk behaviors that contribute to morbidity and mortality among youth ages 14–18 years.

Purpose

To identify trends in sexual behaviors among youth in DeKalb County, Georgia.

Significance

YRBS data demonstrate that DeKalb County youth participate in risky sexual behaviors, and prevention efforts are needed.

Methods

Second period classes for grades 9–12 were randomly selected. Participation was anonymous, voluntary, and with parental consent. Board of Health employees administered the 99-question survey. YRBS data from 2003 (n = 2,146), 2005 (n = 2,384), and 2007 (n = 2,197) were analyzed. 2009 survey results are pending. Results were weighted to represent all students. Results within a single year or across 2 survey years were considered statistically significant if the 95% confidence intervals of the percentages being compared didn't overlap.

Results

Data for 2003–2007 indicate a statistically significant decrease in students being taught about HIV/AIDS in school (93% to 88%). Trends not statistically significant were a decrease in condom use (72% to 69%), an increase in the number having multiple sexual partners (21% to 22%), and an increase in students engaging in sexual intercourse (53% to 57%). Comparisons across race/ethnicity and with state and national data will be presented also and will include 2009 data.

Conclusion

Prevention efforts are needed among youth in DeKalb County to decrease sexual risk behaviors that can lead to sexually transmitted infections and unintended pregnancy. Data reveal the need for increased education.