Is anal sex a marker for sexual risk-taking? Results from a population-based study of young Croatian adults

Sexual Health ◽  
2011 ◽  
Vol 8 (3) ◽  
pp. 384 ◽  
Author(s):  
Aleksandar Štulhofer ◽  
Valerio Baćak
Keyword(s):  
Condom Use ◽  
Sexual Risk ◽  
Low Income ◽  
Risk Taking ◽  
Sensation Seeking ◽  
Anal Intercourse ◽  
Sexual Risk Taking ◽  
Anal Sex ◽  
The Past ◽  
Sexually Transmissible Infections

Background There is evidence that anal sex is becoming increasingly popular among heterosexual women and men. Several studies carried out in especially vulnerable populations (e.g. sex workers and low-income youth) suggested that anal sex may indicate a more general propensity to sexual risk-taking. Methods: To assess whether this epidemiologically important finding holds in the case of young adults from the general population, we analysed data from a cross-sectional probability survey carried out in 2010 on 1005 Croatian women and men aged 18–25. Results: Anal intercourse was reported by 36.5% of 861 sexually experienced participants (42.7% of men and 29.8% of women). About one-third of them (34%) used a condom at most recent anal intercourse. The experience of anal sex was significantly associated (P < 0.001) with all four indicators of sexual risk-taking (condom use at most recent vaginal intercourse, number of sexual partners in the past year, concurrent sexual relationships and anonymous sex in the past year), as well as with negative attitudes and beliefs about condom use (P < 0.01). Sexual sensation-seeking mediated the relationship between anal sex and some of the sexual risk-taking behaviours. Conclusion: According to the findings, heterosexual anal sex is directly and indirectly associated with increased behavioural risks of acquiring HIV and other sexually transmissible infections (STI). Sex education and STI prevention programs should focus on the importance of using protection when practicing anal sex.

scholarly journals Measuring exposure to sexually explicit media among young men who have sex with men: a pilot study

Sexual Health ◽  
2016 ◽  
Vol 13 (1) ◽  
pp. 93 ◽  
Author(s):  
Kimberly M. Nelson ◽  
Matthew R. Golden ◽  
Sara Nelson Glick
Keyword(s):  
Sexual Risk ◽  
Risk Taking ◽  
Young Men ◽  
Future Research ◽  
Sexual Risk Taking ◽  
Sexually Explicit Media ◽  
The Past ◽  
Risk Characteristics ◽  
Sexually Explicit ◽  
Sex With Men

Background Sexually explicit media (SEM) consumption may contribute to sexual risk-taking among young men who have sex with men (YMSM). Methods: The prevalence and frequency of SEM consumption as well as associations with contextual and sexual risk characteristics among 61 YMSM were estimated. Results: All participants (n = 61, 100%) reported viewing SEM; 45 (74%) in the past week. There were no significant associations between viewing SEM in the past week and measured characteristics. Conclusion: SEM use among YMSM is extremely common. Future research should clarify potential relations between SEM and sexual risk-taking with larger samples of YMSM and specific measures, including SEM content and amount.

scholarly journals Sexting and high sexual risk-taking behaviours among school youth in northern Ethiopia: estimating using prevalence ratio

2019 ◽  
Vol 45 (3) ◽  
pp. 200-206 ◽  
Author(s):  
Kidan Abrha ◽  
Alemayehu Worku ◽  
Wondwossen Lerebo ◽  
Yemane Berhane
Keyword(s):  
Sexual Risk ◽  
Low Income ◽  
Risk Taking ◽  
Sexual Communication ◽  
Prevalence Ratio ◽  
Sampling Procedure ◽  
Sexual Risk Taking ◽  
Northern Ethiopia ◽  
Cross Sectional ◽  
School Youth

BackgroundIncreasing access to digital technology to young people in low-income settings has greatly influenced their porngraphy viewing and sexting, receiving and/or sending of sexual explicit materials via electronic devices. These change the sexual communication and behaviour of the young population. However, evidence to attest this change is not available in our setting. Thus, this study examined the relationship of high sexual risk-taking behaviour with sexting and pornography viewing among school youth in Ethiopia.MethodsA cross-sectional study was conducted from March to April 2015 by selecting school youth using a multistage sampling procedure. Data were collected using a pre-validated anonymous facilitator-guided self-administered questionnaire. Poisson regression was run to calculate adjusted prevalence ratio with its 95% confidence intervals. All differences were considered as significant for p values ≤0.05.ResultsIn total, 5924 questionnaires were distributed, and 5306 (89.57%) school youth responded in full to questions related to outcome variables. Of these respondents, 1220 (22.99%; 95% CI 19.45 to 26.96) were involved in high sexual risk-taking behaviour; 1769 (33.37%; 95% CI 30.52 to 36.35) had experienced sexting and 2679 (50.26%; 95% CI 46.92 to 53.61) were viewing pornography. The proportion of high sexual risk-taking behaviour was three-fold among pornography viewers (adjusted prevalence ratio (APR) 95% CI 3.02 (2.52 to 3.62)) and two-fold among sexters (APR 95% CI 2.48 (1.88 to 3.27)) as compared with their counterparts.ConclusionsExposure to sexually explicit materials via communication technology is associated with increased high sexual risk-taking behaviour among school youth in northern Ethiopia. Considering these emerged predictors of sexual behaviours in our sexual education programmes, further research in this area is essential.

scholarly journals The relationship between pornography use and sexual behaviours among at-risk HIV-negative men who have sex with men

Sexual Health ◽  
2012 ◽  
Vol 9 (2) ◽  
pp. 166 ◽  
Author(s):  
Lisa A. Eaton ◽  
Demetria N. Cain ◽  
Howard Pope ◽  
Jonathan Garcia ◽  
Chauncey Cherry
Keyword(s):  
Risk Factors ◽  
Hiv Infection ◽  
Sexual Risk ◽  
Risk Taking ◽  
Sexual Risk Taking ◽  
Intervention Trial ◽  
Anal Sex ◽  
Sex With Men ◽  
The Relationship ◽  
Hiv Negative

Objectives Although pornography is widely available and frequently used among many adults in the USA, little is known about the relationship between pornography and risk factors for HIV transmission among men who have sex with men. Methods: Baseline assessments from a behavioural intervention trial for at-risk men who have sex with men were conducted in Atlanta, GA in 2009. Univariate and multivariate generalised linear models were used to assess the relationships between known risk factors for HIV infection, time spent viewing pornography, and sex behaviours. Results: One hundred forty-nine men reporting HIV-negative status and two or more unprotected anal sex partners in the past 6 months were enrolled in an intervention trial and completed survey assessments. Time spent viewing pornography was significantly associated with having more male sexual partners (B = 0.45, SE = 0.04, P < 0.001) and unprotected insertive anal sex acts (B = 0.28, SE = 0.04, P < 0.001). Moreover, increased substance use (drug use, B = 0.61, SE = 0.14, P < 0.001; alcohol use, B = 0.03, SE = 0.01, P < 0.01) and decreased perception of risk for HIV infection (B = –0.09, SE = 0.04, P < 0.05) were found to be significantly associated with greater time spent viewing pornography. Conclusions: This exploratory study is novel in that it sheds light on the associations between viewing pornography and sexual risk taking for HIV infection. Future studies in this area should focus on understanding how the content of pornography; in particular, the viewing of unprotected and protected sex acts, may affect sexual risk taking behaviour.

scholarly journals ‘Repeat testing without having ‘the talk’ is not meaningful’—healthcare providers’ perceptions on finding a balance between Chlamydia trachomatis testing and primary prevention strategies. A qualitative study in Stockholm, Sweden

BMJ Open ◽  
2020 ◽  
Vol 10 (8) ◽  
pp. e034179
Author(s):  
Anna Nielsen ◽  
Ayesha de Costa ◽  
Kristina Gemzell-Danielsson ◽  
Jens Boman ◽  
M Salazar
Keyword(s):  
Primary Prevention ◽  
Chlamydia Trachomatis ◽  
Qualitative Study ◽  
Condom Use ◽  
Sexual Risk ◽  
Risk Taking ◽  
Healthcare Providers ◽  
Public Health Problem ◽  
Sexual Risk Taking ◽  
Prevention Strategies

ObjectivesChlamydia trachomatis is a public health problem. Widespread testing and re-testing after a sexually transmitted infection (STI) is recommended to contain the epidemic and has been adopted by many countries. A recent study in Stockholm found that serial testing was used as a substitute for condom use by youth presenting at the Youth Health Clinics (YHC). The objectives of this study are to explore frontline healthcare provider’s perception of youth testing repeatedly for C. trachomatis as a substitute for condom use and their views on how this might be addressed.DesignQualitative study, in-depth interviews and analysed using content analysis.SettingYHC in Stockholm County, Sweden.ParticipantsHealthcare providers (HCPs) working at the YHC.FindingsTesting used as a method of prevention of STIs by youth has been a well-known phenomenon observed by HCPs at the YHC. Despite frustration regarding this behaviour, attitudes towards youth visiting the clinics repeatedly were overall positive. It is seen as an opportunity to reach youth with primary prevention strategies. Time for in-depth conversations with the youth is considered essential to understand the various reasons behind sexual risk-taking and to tailor counselling accordingly. Introducing concepts of self-compassion and self-respect in relation to sex is thought of as an effective intervention to improve sexual health among youth.ConclusionHCPs’ views on testing repeatedly for C. trachomatis as means of prevention, range widely from seeing this as ‘a positive strategy for C. trachomatis prevention’ to ‘a waste of healthcare resources’. There was a more unified view on how this should be addressed. Testing without having time to problematise sexual risk-taking was seen as meaningless. In depth, one-on-one counselling was deemed important. While scaling up accessibility to testing services, primary prevention strategies must not be neglected.

Condom use, frequency of sex, and number of partners: Multidimensional characterization of adolescent sexual risk‐taking

2005 ◽  
Vol 42 (3) ◽  
pp. 192-202 ◽  
Author(s):  
Blair Beadnell ◽  
Diane M. Morrison ◽  
Anthony Wilsdon ◽  
Elizabeth A. Wells ◽  
Elise Murowchick ◽  
...  
Keyword(s):  
Condom Use ◽  
Sexual Risk ◽  
Risk Taking ◽  
Sexual Risk Taking ◽  
Adolescent Sexual Risk
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