Experience of sexual intercourse and reported risk behaviour among an ethnically diverse sample of young people

Sexual Health ◽  
2006 ◽  
Vol 3 (3) ◽  
pp. 169 ◽  
Author(s):  
Lester Coleman ◽  
Adrienne Testa
Keyword(s):  
Sexual Health ◽  
Sexual Intercourse ◽  
Black Males ◽  
Health Knowledge ◽  
Contraceptive Use ◽  
Risk Behaviour ◽  
Evidence Base ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Sexual Health Knowledge

Background: Certain Black and Minority Ethnic (BME) groups have been identified as bearing a disproportionate burden of sexual ill health in the UK. There still exists a significant gap in the evidence-base concerning the sexual behaviours of BME youth. Methods: We conducted a cross-sectional survey of 16 secondary schools in London, where the proportion of BME students exceeded two-thirds of the intake. The aim was to identify the factors associated with sexual intercourse and sexual risk behaviours. Results: 2801 students aged 15 to 18 completed questionnaires. Compared with White British males, Black males were significantly more likely to report sexual intercourse (OR 3.04, 95% CI 1.92–4.81). Compared with White British females, Asian females were significantly less likely to report sexual intercourse (OR 0.43, 95% CI 0.27–0.69). Both sexes reporting school as their main source of information, as opposed to their family, had a lower likelihood of intercourse (males OR 0.33, 95% CI 0.21–0.53, females OR 0.39, 95% CI 0.25–0.62). Compared with White British males, contraceptive use at first ever intercourse was significantly less likely among Black males (OR 0.35, 95% CI 0.16–0.98) and males of Mixed ethnicity (OR 0.24, 95% CI 0.06–0.92). Among females, higher sexual health knowledge was associated with contraceptive use (OR 4.69, 95% CI 1.76–12.49). Males reporting higher sexual health knowledge were more likely to be ‘sexually competent’ at first ever intercourse (OR 2.28, 95% CI 1.10–4.69). Conclusions: Given the importance of sexual health knowledge, ensuring this is improved among all ethnic groups, especially the Black and Mixed male groups, is a key message to arise from this study. Delivering this information in a ‘culturally competent’ manner is an important goal.

Sexual health knowledge and behaviour of young Sudanese Queenslanders: a cross-sectional study

Sexual Health ◽  
2017 ◽  
Vol 14 (3) ◽  
pp. 254 ◽  
Author(s):  
Judith Dean ◽  
Marion Mitchell ◽  
Donald Stewart ◽  
Joseph Debattista
Keyword(s):  
Sexual Health ◽  
Health Knowledge ◽  
Forced Migration ◽  
Risk Behaviour ◽  
Sexual Risk Behaviour ◽  
Hiv Knowledge ◽  
Cross Sectional ◽  
Convenience Sample ◽  
Behaviour Score ◽  
Sexual Health Knowledge

Background Forced migration is associated with sexual vulnerability. However, little is known about the sexual health literacy and needs of refugee-background youth post resettlement. Methods: Conducted in partnership with the Queensland Sudanese community, this study used a cross-sectional survey to explore the sexual health knowledge, attitudes and behaviours of a convenience sample of 16- to 24-year-old Sudanese-background youth in Australia (n = 229). Results: Sexually transmissible infection (STI) and HIV knowledge scores were generally low, although they were found to significantly improve the longer participants had lived in Australia (P < 0.001). Female participants reported significantly higher levels of both STI and HIV knowledge compared with the male cohort (P < 0.001). The aggregated sexual risk behaviour score suggests generally low levels of risk-taking behaviour. However, of the 140 sexually active participants, 3.1% reported a STI diagnosis, 9.0% reported sex leading to a pregnancy and 33.1% reported they had experienced unwanted sex. Participants also reported engaging in behaviours such as anal sex (33%) and sharing injecting drug equipment. Conclusions: Patterns of sexual behaviour among this predominately refugee-background group are not dissimilar to those of other young Australians. Nonetheless, the self-reported patterns of risk behaviour combined with the low and inaccurate levels of sexual health knowledge suggest this group of young people remain sexually vulnerable, particularly early within their resettlement experience. Culturally and contextually informed sexual health interventions are needed early within the resettlement experience.

scholarly journals Changes in sexual behavior among high-school students over a 40-year period

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Catrin Borneskog ◽  
Elisabet Häggström-Nordin ◽  
Christina Stenhammar ◽  
Tanja Tydén ◽  
Stavros I. Iliadis
Keyword(s):  
High School ◽  
Sexual Behavior ◽  
High School Students ◽  
Sexual Intercourse ◽  
Contraceptive Use ◽  
Relationship Education ◽  
Cross Sectional Survey ◽  
School Students ◽  
Cross Sectional ◽  
Contraception Use

AbstractThe aim of this study was to investigate sexual behavior, contraceptive use, risk factors as well as sources of sex information among first-year high-school students in Sweden. Secondly, to assess differences between genders and study programs as well as changes over a 40-year period. A repeated cross-sectional survey was conducted in two cities. A questionnaire comprising 77 items was used. The study population consisted of 415 students (63.4% females). The median age of sexual intercourse was 15 years. In total, 37% had had sexual intercourse, compared to 56.3% in 2009 and 45% in 1999 (p < 0.001), and the proportion of students who had their first sexual intercourse was not influenced by gender. More students in vocational programs (46.3%), compared to theoretical (33.3%), had experience of at least one sexual intercourse (p = 0.019). The same extend of contraception use at first and latest intercourse was reported, compared to previous studies. Forty-nine percent were mostly informed about sex from the internet, while in previous years, magazines, family and youth clinics were the main information sources. Comparing over time, students were in general less sexually experienced and less engaged in non-penetrative sex and physical intimacy. These findings call for a new approach, when designing sex and relationship education and health-care counseling in adolescents.

scholarly journals 268An online survey of sexual health, knowledge and behaviour of young South Australians

2021 ◽  
Vol 50 (Supplement_1) ◽  
Author(s):  
Stephen Harfield ◽  
Salenna Elliott ◽  
Tambri Housen ◽  
James Ward
Keyword(s):  
Public Health ◽  
Young People ◽  
Sexual Health ◽  
Online Survey ◽  
Health Knowledge ◽  
Aboriginal People ◽  
Aboriginal Peoples ◽  
Cross Sectional Survey ◽  
Public Health Action ◽  
Sexual Health Knowledge

Abstract Background Since 2010 rates of sexually transmitted infections (STIs-chlamydia, gonorrhoea and syphilis) have been increasing among young Australians. Most STIs are diagnosed in young people aged 16-29 and rates of diagnosis are higher among Aboriginal people than non-Aboriginal people. Little information exists to understand social and behavioural issues associated with increasing rate of STIs, especially in South Australia and among Aboriginal peoples. Methods We undertook an online cross-sectional survey of sexual health, knowledge and behaviour of young South Australians aged 16-29 years during a six-week period in 2019. Descriptive analysis, univariate and adjusted logistic regression models were used to compare Aboriginal and non-Aboriginal participants. Results In total 2,380 South Australians participated in the “Let’s Talk About It” (LTAI-2019); 52% were female, the median age was 20 years (IQR:17-24) and 10% of participants identified as Aboriginal. Regression analysis suggested among both Aboriginal and non-Aboriginal participants being female (aOR 2.41, CI:1.07-3.51, & 3.03, 2.17-4.23 respectively) and not using a condom during last sexual encounter (2.33, 1.03-5.29 & 1.62, 1.15-2.27) were associated with ever being tested for an STI and having two or more sexual partners in the past 12 months (1.37, 0.67-7.45 & 3.13, 1.31-7.45) was associated with testing positive for an STI. Conclusions LTAI-2019 is the first study to describe factors associated with STIs among young South Australians. It is evident that young people are engaged in behaviours which increase their risk of acquiring STIs. Public health action which considers these behaviours particularly those that target young Aboriginal people is required. Key messages LTAI 2019 is the first study to describe current sexual health, knowledge, behaviours and access to health services for STIs and related issues amongst young South Australians. It provides evidence that is useful for informing both public health practice and policy, and the development of STIs preventative health programs.

scholarly journals HIV risk behaviour among public primary healthcare patients with tuberculosis in South Africa

2013 ◽  
Vol 14 (3) ◽  
pp. 125-130 ◽  
Author(s):  
Karl Peltzer
Keyword(s):  
South Africa ◽  
Condom Use ◽  
Sexual Intercourse ◽  
Hiv Risk ◽  
Primary Healthcare ◽  
Informal Settlement ◽  
Risk Behaviour ◽  
Hiv Positive ◽  
Cross Sectional Survey ◽  
Cross Sectional

Objective. To identify factors associated with HIV in tuberculosis (TB) patients in a public primary healthcare (PHC) setting in South Africa (SA).Method. Among 4 900 consecutively selected TB patients (54.5% men; women 45.5%) from 42 public PHC clinics in 3 districts in SA, a cross-sectional survey was performed to assess new TB and new TB retreatment patients within one month of anti-TB treatment.Results. The sample comprised 76.6% new TB patients and 23.4% TB retreatment patients. Of those who had tested for HIV, 59.9% were HIV-positive; 9.6% had never tested for HIV. In multivariate analysis, older age (odds ratio (OR) 5.86; confidence interval (CI) 4.07 - 8.44), female gender (OR 0.47; CI 0.37 - 0.59), residing in an informal settlement (OR 1.55; CI 1.13 - 2.12), being a TB retreatment patient (OR 0.55; CI 0.42 - 0.72), occasions of sexual intercourse with condom use (OR 1.07; CI 1.02 - 1.13) and having a sexual partner receiving antiretroviral treatment (ART) (OR 7.09, CI 4.35 - 11.57) were associated with an HIV-positive status in TB patients.Conclusion. This study revealed high HIV risk behaviour (e.g. unprotected last sexual intercourse and alcohol and drug use in the context of sexual intercourse) among TB patients in SA. Various factors were associated with HIV risk behaviour. Condom use and substance use risk reduction need to be considered as HIV-prevention measures when planning such strategies for TB patients.

15. RISKS, CHOICES AND CONSEQUENCES: INTERNATIONAL STUDENTS AND SEXUAL HEALTH PROMOTION

Sexual Health ◽  
2007 ◽  
Vol 4 (4) ◽  
pp. 290 ◽  
Author(s):  
H. Kalsi ◽  
H. Do ◽  
Z. Gu
Keyword(s):  
International Students ◽  
High Risk ◽  
Sexual Health ◽  
International Student ◽  
Health Knowledge ◽  
Risk Behaviour ◽  
High Risk Group ◽  
Health Issues ◽  
Adequate Knowledge ◽  
Sexual Health Knowledge

International students are the 4th most revenue raising industry in Australia brining in $6 billion in 2006. December 2006 reports show 383 818 international students were enrolled across Australia with 61�019 in Queensland. The vast majority of students come from Asian countries with a high prevalence of HIV/AIDS and STIs combined with minimal sexual health knowledge. Through workshops and discussion groups with international students they have been identified as a high risk in relation to sexual health problems due to their lack of sexual health knowledge, their tendency to engage in risk behaviour without adequate knowledge of risks, consequences and protection mechanisms. As a result, sexual health issues are increasingly presenting to professionals working directly with international students and health services in claims related to pregnancy, abortion rates, sexual assault, rape and reports of international students from high risk countries found to be HIV+. Further, international students reported receiving no information prior to arrival and on arrival of risk behaviour, safety issues, health or laws in Australia. In order to promote safe sex behaviour among international students we have formulated various strategies to raise awareness of international students, from print material on arrival, to information stalls at O-week, intermittent workshops for international students, student leaders and professionals working directly with international students. The feedback from the students is very positive and new strategies are being developed to target students facing language barriers. Our program findings demonstrate that the international student population is a high risk group facing sexual health issues where increased education and support must occur to prevent and reduce sexual health related problems.

scholarly journals Child marriage among Somali refugees in Ethiopia: a cross sectional survey of adolescent girls and adult women

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Shatha Elnakib ◽  
Kara Hunersen ◽  
Janna Metzler ◽  
Hailu Bekele ◽  
W. Courtland Robinson
Keyword(s):  
Adolescent Girls ◽  
Contraceptive Use ◽  
Health Indicators ◽  
Evidence Base ◽  
Child Marriage ◽  
Adult Women ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Humanitarian Settings ◽  
Multi Stage

Abstract Background Despite child marriage receiving increased attention over the past two decades, research on child marriage in humanitarian settings remains scarce. This study sought to quantify child marriage among Somali adolescent girls residing in Kobe refugee camp in Ethiopia and to identify its correlates and consequences. Methods A cross-sectional survey was conducted using multi-stage cluster-based sampling with probability proportional to size. We randomly sampled households that have at least one female aged 15–49 and at least one adolescent female aged 10–19. In addition to calculating the proportion of girls married under age 18, we used survival methods – namely Kaplan Meier graphs and Cox proportional hazard models – to identify risk factors associated with child marriage in this context. We also used descriptive statistics to describe marital age preferences among female adults and presented measures of important sexual and reproductive health indicators among married adolescent girls. Results A total of 603 adult women were surveyed and a household roster was created with information on 3319 household members, of whom 522 were adolescent girls aged 15–19. Of those, 14% were currently married (95% Confidence Interval [CI] 0.11–0.18), and 11% were ever married under age 18 (95% CI 8–15%). Several variables were found to be significantly associated with hazard of child marriage including schooling, sex and employment status of head of household, as well as number of girls under age 18 in the childhood home.. Adult women tended to incorrectly identify minimum legal age at marriage and preferred low marital age for boys and girls – particularly in households of child brides. Among married adolescent girls, contraceptive use was very low (11%; 95% CI 4.94–22.40), and early childbearing was common (60%; 95% CI 45.56–72.89). Conclusions This research contributes to the evidence base on child marriage in humanitarian settings. Insights generated from this study have the potential to inform programs and interventions aiming to prevent and mitigate the impacts of this harmful practice.

scholarly journals Prevalence and associated factors of sexually transmitted infections among methamphetamine users in Eastern China: a cross-sectional study

2022 ◽  
Vol 22 (1) ◽  
Author(s):  
Xing Ye ◽  
Fu-Rong Li ◽  
Qing Pan ◽  
Zhen Li ◽  
Gong-Qi Yu ◽  
...  
Keyword(s):  
Sexual Health ◽  
Sexually Transmitted Infections ◽  
Associated Factors ◽  
Health Knowledge ◽  
Eastern China ◽  
Multiple Logistic Regression Analysis ◽  
Cross Sectional ◽  
Sexually Transmitted ◽  
Nucleic Acid Amplification Technology ◽  
Sexual Health Knowledge

Abstract Background The reported incidence of sexually transmitted infections (STIs) in China has been increasing over the last decades, especially among drug users, which has become one of the main burdens of public health in China. This study was conducted to estimate the prevalence and associated factors of STIs among non-injecting methamphetamine (MA) users in Eastern China. Methods A cross-sectional survey was conducted among 632 MA users in Eastern China in 2017. Demographic characteristics, sexual behaviors, behaviors of MA use and sexual health knowledge were collected through questionnaire. First pass urine specimens were collected and detected for deoxyribonucleic acid (DNA) of Neisseria gonorrhoeae (NG) and Chlamydia trachomatis (CT) with Nucleic Acid Amplification Technology (NAAT), while blood specimens were collected and detected for antibodies of Human immunodeficiency virus (HIV), Herpes simplex virus type-2 (HSV-2), and syphilis with enzyme-linked immune sorbent assay (ELISA). Results Among the 632 MA users, 464 (73.42%) were males, 60.92% were < 35 years of age, 546 (86.39%) were Shandong residents. 317 (50.16%, 95% CI 46.26–54.06%) participants were tested positive for at least one kind of STIs, including 242 (38.29%, 95% CI 34.50–42.08%) for HSV-2, 107 (16.93%, 95% CI 14.01–19.85%) for active syphilis, 46 (7.28%, 95% CI 5.25–9.31%) for treated syphilis, 40 (6.33%, 95% CI 4.43–8.23%) for CT, 6 (0.95%, 95% CI 0.19–1.71%) for HIV, and 3 (0.47%, 95% CI 0.06–1.00%) for NG infection. 99 (15.66%, 95% CI 12.83–18.49%) participants were co-infected with two kinds of STIs, including 91 (14.40%, 95% CI 11.66–17.14%) participants were co-infected with HSV-2 and syphilis. 14 (2.22%, 95% CI 1.07–3.37%) participants were co-infected with three kinds of STIs, and 4 HIV positive participants were co-infected with both syphilis and HSV-2. In the multiple logistic regression analysis, the results showed that females (adjusted OR [AOR] = 7.30, 95% CI 4.34–12.30) and individuals ≥ 35 years of age (AOR = 2.97, 95% CI 2.04–4.32) were more likely to test positive for STIs among MA users, whereas participants who acquired sexual health knowledge primarily from the Internet (AOR = 0.57, 95% CI 0.40–0.82) and those whose regular partners did not use drugs (AOR = 0.59, 95% CI 0.37–0.94) were less likely. Conclusions This study found that the prevalence of HSV-2 and syphilis are alarming high among non-injecting MA users in Shandong Province in Eastern China. The prevention and control intervention of STIs among MA users in Shandong were needed, especially on females and MA users ≥ 35 years of age.

scholarly journals Nepalese Trekking Guides: A Quantitative Study of Sexual Health Knowledge & Sexual Behaviour

2016 ◽  
Vol 12 (3) ◽  
pp. 180-189
Author(s):  
Padam Simkhada ◽  
E Van Teijlingen ◽  
P Regmi ◽  
P Bhatta ◽  
R Ingham ◽  
...  
Keyword(s):  
Sexual Health ◽  
Condom Use ◽  
Sexual Intercourse ◽  
Sexual Behaviour ◽  
Health Knowledge ◽  
Similar Proportion ◽  
Sexual Relations ◽  
First Sex ◽  
Sexual Health Knowledge ◽  
Foreign Woman

Background: Tourism, a global industry, brings with it a number of public health problems, one of which is the spread of sexually transmitted infections transmitted between travellers and hosts. Previous studies have largely focused on sex workers and sex tourists.Objective: To assesses sexual behaviour, knowledge and condom use among male trekking guides in Nepal.Methods: A self-administered questionnaire survey (n=324) was conducted using snowball sampling amongst men working as mountain trekking guides in Nepal. Results: Most respondents (59%) had initiated sex before the age of 18. Most (84 %) reported sexual relations with a woman other than their partner, 46% reported foreign partners, 43% had Nepalese partners, and 28% had concurrent foreign and Nepalese partners. Most (70 %) reported ever having sex with a foreign woman and two-thirds had had sexual intercourse with foreign women in the previous 12 months. Participants’ age, education status, age of first sex, smoking and drinking habits and English proficiency were significant predictors of having sex with foreign women. About 60% reported condom use during their most recent occasion of extra-martial sex. A similar proportion had used a condom during last sexual intercourse with a foreign woman. The likelihood of condom use was associated with a guide’s age, educational level, ethnicity, age of first sex and work experience.Conclusions: Most trekking guides reported sexual relations with foreign women as well as irregular use of condoms. Although sexual health knowledge about among trekking guides is high, some misconceptions still result in unsafe sex. Hence there is an urgent need to revise the existing training for trekking guides and implement appropriate health promotion programmes.Health Renaissance 2014;12(3): 180-189

Sign in / Sign up

Export Citation Format

Share Document