Prevalence of high-risk sexual behaviour in Jamaican adults and its relationship to sociodemographic and religious factors: Findings from the Jamaica health and lifestyle survey 2007-2008

N. D. Morgan, T. S. Ferguson, N. O.M. Younger, M. K. Tulloch-Reid, D. K. Francis, S. R. McFarlane, A. Grant, E. Lewis-Fuller, R. J. Wilks

Research output: Contribution to journalArticle

Abstract

Objective: To estimate the prevalence of high-risk sexual behaviours among Jamaican adults and evaluate associations with sociodemographic and religious factors. Methods: We performed a cross-sectional study, using a nationally representative sample of Jamaicans, 15-74 years old. Participants completed an interviewer-administered questionnaire including questions on sexual activity, sociodemographic factors and religious practice. Having two or more sexual partners in the past year, non-use of condoms among persons with multiple partners and a history of previous sexually transmitted infection (STI) were the high-risk characteristics considered in the analysis. We obtained crude and category specific prevalence estimates for high-risk behaviour and estimated odds ratios for association with sociodemographic and religious factors. Results: Data from 2833 participants who reported on sexually activity were analysed. Approximately 25% (95% CI 22, 27) of Jamaican adults had two or more sexual partners in the past year, while 15% (95% CI 13, 17) had a past history of an STI. Approximately 6% (95% CI 5, 7) of persons with multiple partners did not use condoms during sexual intercourse. Overall, 32% (95% CI 30, 35) had any one of the three high-risk characteristics (male, 48%; female, 17%, p < 0.001). Being married, active religious practice and weekly attendance at religious meetings were associated with lower odds of high-risk sexual behaviour, while being in a visiting relationship was associated with higher odds of high-risk behaviour. Conclusion: A third of Jamaicans reported sexual practices that increase their risk of HIV infection. High-risk sexual behaviour was more common among men. Being married and weekly attendance at religious services were associated with lower odds of high-risk behaviour.

Original languageEnglish (US)
Pages (from-to)873-880
Number of pages8
JournalWest Indian Medical Journal
Volume61
Issue number9
DOIs
StatePublished - Jan 1 2012

Keywords

  • Caribbean
  • HIV
  • High-risk behaviour/characteristics
  • Jamaica
  • Religious practice
  • Sexual practices
  • Social factors

ASJC Scopus subject areas

  • Medicine(all)

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    Morgan, N. D., Ferguson, T. S., Younger, N. O. M., Tulloch-Reid, M. K., Francis, D. K., McFarlane, S. R., Grant, A., Lewis-Fuller, E., & Wilks, R. J. (2012). Prevalence of high-risk sexual behaviour in Jamaican adults and its relationship to sociodemographic and religious factors: Findings from the Jamaica health and lifestyle survey 2007-2008. West Indian Medical Journal, 61(9), 873-880. https://doi.org/10.7727/wimj.2012.026