224048 Factors Associated with Sexual Concurrency among At-Risk African American Teen Women

Tuesday, November 9, 2010 : 1:15 PM - 1:30 PM

Drenna Waldrop-Valverde, PhD , Psychiatry & Behavioral Sciences, University of Miami, Miller School of Medicine, Miami, FL
Jessica Sales, PhD , Rollins School of Public Health Department of Behavioral Sciences and Health Education, Emory University, Atlanta, GA
Eve Rose, MSPH , Rollins School of Public Health Department of Behavioral Sciences and Health Education, Emory University, Atlanta, GA
Gina M. Wingood, MPH ScD , Rollins School of Public Health Department of Health Sciences and Behavioral Education, Emory University, Atlanta, GA
Ralph J. DiClemente, PhD , Rollins School of Public Health and Center for AIDS Research, Emory Univeristy, Atlanta, GA
Background: African-American (AA) teens report feeling pressure to have multiple sexual partners, thereby increasing STI/HIV risk for both themselves and their male partners. Understanding risks for sexual concurrency within AA teen women can aid efforts to identify and intervene with AA teen women at greatest risk. Methods: A cross-sectional study with 715 AA female teens ages 15-21 seeking services at reproductive health clinics in the Atlanta area gathered baseline data on sexual history, emotional, physical and sexual abuse, drug use, mental health, sexual communication, and relationship characteristics. Sexual concurrency was operationalized as having a main sexual partner (boyfriend) and a current casual sex partner simultaneously. Variables identified as significant at the bivariate level were included in a logistic regression with current sexual concurrency as the outcome variable. Results: Twenty-one percent of teens in the sample reported a concurrent sexual relationship. Adjusted analyses showed with each one point increase in positive beliefs about the future of the relationship, the odds of concurrency were reduced by about 0.10 [ExpB = .898; CI = .820-.985]. A greater number of lifetime sexual partners and the boyfriend having sex with another girl during the relationship were borderline significant. Conclusions: These findings show that when expectations for the future of the current relationship are poor, AA female teens in this study were more likely to engage in concurrent sexual relationships. Potential points to target in sexual risk reduction interventions among this group could focus on strengthening relationship skills and empowering female teens with healthy coping skills.

Learning Areas:
Planning of health education strategies, interventions, and programs
Public health or related research
Social and behavioral sciences

Learning Objectives:
1. Identify individual and relationship characteristics associated with greater sexual concurrency among teen African American women

Keywords: Adolescents, Sexual Risk Behavior

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I'm Research Assistant Professor in the Rollins School of Public Health and am a co-investigator on this project
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.