Abstract
Anal sex is an efficient mode of STI transmission and studies indicate that anal sex is common among heterosexuals, including adolescents. We examined the association between individual, partner, and sexual partnership-level characteristics with anal sex among a household survey of 263 individuals aged 15–24 years in Baltimore City, Maryland. We used weighted multiple logistic regression to examine correlates of anal sex in a heterosexual partnership by gender. Twenty-nine percent of males and 15 % of females reported anal sex in a partnership in the past 6 months. For males, anal sex was associated with having two or more partners in the past 3 months (AOR = 13.93, 95 % CI 3.87–50.12), having been tested for HIV (AOR = 0.30, 95 % CI 0.12–0.72), and oral sex with a partner (AOR = 8.79, 95 % CI 1.94–39.78). For females, anal sex was associated with reporting having a main partner (AOR = 6.74, 95 % CI 1.74–23.65), partner meeting place (AOR = 3.03, 95 % CI 1.04–8.82), partner history of STI (AOR = 0.20, 95 % CI 0.05–0.85), and oral sex with a partner (AOR = 8.47, 95 % CI 1.08–66.25). Anal sex was associated with inconsistent condom use for both males (OR = 5.77, 95 % CI 1.68–19.79) and females (OR = 5.16, 95 % CI 1.46–18.30). We conclude that anal sex is a prevalent risk behavior among heterosexual youth and is associated with a range of factors at the individual and partnership levels. These findings provide support for comprehensive sex education that includes information about anal sex; findings from this study can inform public health campaigns targeting youth at risk for STIs.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 619-629 |
| Number of pages | 11 |
| Journal | Archives of Sexual Behavior |
| Volume | 44 |
| Issue number | 3 |
| DOIs | |
| State | Published - 2015 |
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Keywords
- Adolescent
- Anal sex
- Heterosexual
- HIV/STI risk
- Sexual partners
ASJC Scopus subject areas
- Psychology(all)
- Arts and Humanities (miscellaneous)
Cite this
Individual, Partner, and Partnership Level Correlates of Anal Sex Among Youth in Baltimore City. / Hebert, Luciana E.; Lilleston, Pamela S.; Jennings, Jacky; Sherman, Susan.
In: Archives of Sexual Behavior, Vol. 44, No. 3, 2015, p. 619-629.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Individual, Partner, and Partnership Level Correlates of Anal Sex Among Youth in Baltimore City
AU - Hebert, Luciana E.
AU - Lilleston, Pamela S.
AU - Jennings, Jacky
AU - Sherman, Susan
PY - 2015
Y1 - 2015
N2 - Anal sex is an efficient mode of STI transmission and studies indicate that anal sex is common among heterosexuals, including adolescents. We examined the association between individual, partner, and sexual partnership-level characteristics with anal sex among a household survey of 263 individuals aged 15–24 years in Baltimore City, Maryland. We used weighted multiple logistic regression to examine correlates of anal sex in a heterosexual partnership by gender. Twenty-nine percent of males and 15 % of females reported anal sex in a partnership in the past 6 months. For males, anal sex was associated with having two or more partners in the past 3 months (AOR = 13.93, 95 % CI 3.87–50.12), having been tested for HIV (AOR = 0.30, 95 % CI 0.12–0.72), and oral sex with a partner (AOR = 8.79, 95 % CI 1.94–39.78). For females, anal sex was associated with reporting having a main partner (AOR = 6.74, 95 % CI 1.74–23.65), partner meeting place (AOR = 3.03, 95 % CI 1.04–8.82), partner history of STI (AOR = 0.20, 95 % CI 0.05–0.85), and oral sex with a partner (AOR = 8.47, 95 % CI 1.08–66.25). Anal sex was associated with inconsistent condom use for both males (OR = 5.77, 95 % CI 1.68–19.79) and females (OR = 5.16, 95 % CI 1.46–18.30). We conclude that anal sex is a prevalent risk behavior among heterosexual youth and is associated with a range of factors at the individual and partnership levels. These findings provide support for comprehensive sex education that includes information about anal sex; findings from this study can inform public health campaigns targeting youth at risk for STIs.
AB - Anal sex is an efficient mode of STI transmission and studies indicate that anal sex is common among heterosexuals, including adolescents. We examined the association between individual, partner, and sexual partnership-level characteristics with anal sex among a household survey of 263 individuals aged 15–24 years in Baltimore City, Maryland. We used weighted multiple logistic regression to examine correlates of anal sex in a heterosexual partnership by gender. Twenty-nine percent of males and 15 % of females reported anal sex in a partnership in the past 6 months. For males, anal sex was associated with having two or more partners in the past 3 months (AOR = 13.93, 95 % CI 3.87–50.12), having been tested for HIV (AOR = 0.30, 95 % CI 0.12–0.72), and oral sex with a partner (AOR = 8.79, 95 % CI 1.94–39.78). For females, anal sex was associated with reporting having a main partner (AOR = 6.74, 95 % CI 1.74–23.65), partner meeting place (AOR = 3.03, 95 % CI 1.04–8.82), partner history of STI (AOR = 0.20, 95 % CI 0.05–0.85), and oral sex with a partner (AOR = 8.47, 95 % CI 1.08–66.25). Anal sex was associated with inconsistent condom use for both males (OR = 5.77, 95 % CI 1.68–19.79) and females (OR = 5.16, 95 % CI 1.46–18.30). We conclude that anal sex is a prevalent risk behavior among heterosexual youth and is associated with a range of factors at the individual and partnership levels. These findings provide support for comprehensive sex education that includes information about anal sex; findings from this study can inform public health campaigns targeting youth at risk for STIs.
KW - Adolescent
KW - Anal sex
KW - Heterosexual
KW - HIV/STI risk
KW - Sexual partners
UR - http://www.scopus.com/inward/record.url?scp=84925536086&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84925536086&partnerID=8YFLogxK
U2 - 10.1007/s10508-014-0431-y
DO - 10.1007/s10508-014-0431-y
M3 - Article
C2 - 25583375
AN - SCOPUS:84925536086
VL - 44
SP - 619
EP - 629
JO - Archives of Sexual Behavior
JF - Archives of Sexual Behavior
SN - 0004-0002
IS - 3
ER -