Do family factors protect against sexual risk behaviour and teenage pregnancy among multiply disadvantaged young people? Findings from an English longitudinal study

Sexual Health ◽  
2014 ◽  
Vol 11 (3) ◽  
pp. 265 ◽  
Author(s):  
Chris Bonell ◽  
Meg Wiggins ◽  
Adam Fletcher ◽  
Elizabeth Allen
Keyword(s):  
Young People ◽  
Sexual Health ◽  
Sexual Risk ◽  
Young Women ◽  
Teenage Pregnancy ◽  
Risk Behaviour ◽  
Family Factors ◽  
Sexual Risk Behaviour ◽  
Deprived Neighbourhoods ◽  
Contraception Use

Background Structure and parenting within family of origin have been found to be determinants of sexual risk and teenage pregnancy in the general youth population. Few studies have examined determinants of sexual risk among disadvantaged young people; those that do have not examined teenage pregnancy outcomes. Methods: Longitudinal data from a cohort of multiply disadvantaged at-risk young people aged 13–15 years living in deprived neighbourhoods in England (n = 1285) were analysed to examine how family structure, communication with parents and parental interest in education were associated with heterosexual debut, contraception use, expectation of teenage pregnancy and teenage pregnancy. Results: At follow-up, young women living with both biological parents were less likely than other young women to become pregnant (odds ratio (OR) = 0.21, 95% confidence interval (CI): 0.04–0.97). Young women who could talk to their mothers about private things were less likely to expect to become a teenage parent (OR = 0.61, 95% CI: 0.37–0.99). Those whose parents cared very much how they did at school were less likely to report contraception nonuse (OR = 0.44, 95% CI: 0.21–0.93). After adjustment, no associations between any family factors and sexual health outcomes were found for young men. Conclusions: We found limited evidence for family-related effects on sexual health risk or teenage pregnancy among disadvantaged young women in England and no evidence of risk factors within the home environment for young men’s outcomes. This suggests that targeted family-based interventions may not be appropriate for addressing these outcomes.

scholarly journals Sexual risk behaviour amongst young people in the Vhembe district of the Limpopo province, South Africa

2010 ◽  
Vol 15 (1) ◽  
Author(s):  
Thelmah X. Maluleke
Keyword(s):  
Young People ◽  
Sexual Risk ◽  
Sexual Intercourse ◽  
Risk Behaviour ◽  
Hiv And Aids ◽  
Limpopo Province ◽  
Early Marriage ◽  
Sexual Risk Behaviour ◽  
Famous Person ◽  
Vhembe District

This study entailed a quantitative, cross-sectional survey amongst young people in four villages of the Vhembe district of the Limpopo province. The purpose of the research was to determine the sexual health risk behaviour indicators prevalent amongst young people that could contribute to the spread of HIV and AIDS in this district. The objectives of this study were (1) to identify sexual risk behaviour, (2) to establish the prevalence of substance use before sexual intercourse, (3) to determine the prevalence of coerced sexual intercourse and (4) to determine the prevalence of forced sexual intercourse amongst young people in the Vhembe district.Purposive sampling was used to select the four villages that participated in the study and simple,random sampling was used to select the respondents. A total of 400 respondents participated in the study, 227 of which were female and 173 were male. The following sexual risk behaviour indicators were identified (1) early sexual debut, (2) teenage pregnancy and (3) early marriage. It was found that young people expose themselves to sexual intercourse without condoms, and that they are likely to have sexual intercourse without a condom in return for reward, and to have sexual intercourse with a famous person. Approximately 20% of the sexually active respondents had used substances before sexual intercourse. Alcohol and marijuana (‘dagga’) were most commonly used amongst those respondents taking substances before sexual intercourse, and these were used predominantly in coerced and forced sexual intercourse.OpsommingDie studie was ’n kwantitatiewe, deursnee-opname wat onder jongmense in vier dorpies in die Vhembe-distrik van die Limpopo-provinsie uitgevoer is. Die doel van die navorsing was om vas te stel watter aanwysers van risikogedrag ten opsigte van seksuele gesondheid onder die jongmense voorkom wat moontlik tot die verspreiding van MIV en vigs in hierdie distrik bydra. Die doelstellings van hierdie studie was om (1) seksuele risikogedrag te identifiseer, (2) die voorkoms van middelgebruik voor seksuele omgang te bepaal, (3) die voorkoms van gedwonge seksuele omgang en (4) die voorkoms van geforseerde seksuele omgang onder jongmense in die Vhembedistrik te bepaal.Doelgerigte steekproefneming is gebruik om die vier dorpies wat aan die studie deelgeneem het, te selekteer en eenvoudige ewekansige steekproefneming is gebruik om die respondente te selekteer.’n Totaal van 400 respondente het aan die studie deelgeneem, waarvan 227 vroulik en 173 manlik was. Die volgende aanwysers van seksuele risikogedrag is geïdentifiseer (1) vroeë seksuele debuut,(2) tienerswangerskap en (3) vroeë huwelik. Daar is gevind dat jongmense hulself aan seksuele omgang sonder kondome blootstel, en dat hulle waarskynlik seksuele omgang sonder ’n kondoom sal hê in ruil vir vergoeding en seksuele omgang met ’n bekende persoon sal hê. Ongeveer 20% van die seksueel aktiewe respondente het middels voor seksuele omgang gebruik. Alkohol en marijuana(‘dagga’) was die algemeenste middels onder diegene wat middels voor seksuele omgang gebruikhet, en dit is meestal in gedwonge en geforseerde seksuele omgang gebruik.

scholarly journals Post-test comparison of HIV test knowledge and changes in sexual risk behaviour between clients accessing HIV testing online versus in-clinic

2019 ◽  
Vol 95 (2) ◽  
pp. 102-107 ◽  
Author(s):  
Travis Salway ◽  
Kimberly Thomson ◽  
Darlene Taylor ◽  
Devon Haag ◽  
Elizabeth Elliot ◽  
...  
Keyword(s):  
Sexual Health ◽  
Condom Use ◽  
Hiv Testing ◽  
Sexual Risk ◽  
Risk Behaviour ◽  
Health Clinic ◽  
Sexual Risk Behaviour ◽  
Missed Opportunities ◽  
Hiv Test ◽  
Post Test

ObjectiveInternet-based HIV testing offers the potential to address privacy-related barriers to testing and increase frequency of testing but may result in missed opportunities related to sexual health education and prevention that typically occur in face-to-face encounters. In this study, we assessed the HIV test knowledge and sexual risk behaviour of clients testing for HIV through GetCheckedOnline, an internet-based sexually transmitted and bloodborne infection testing platform inclusive of HIV testing, in comparison to clients testing through a large sexual health clinic.MethodsWe concurrently recruited GetCheckedOnline clients and clinic clients from Vancouver, Canada, over the course of a 10-month period during 2015–2016. Participants completed baseline and 3-month questionnaires, anonymous and online. A six-item score was used to estimate knowledge of HIV test concepts typically conveyed during an HIV pretest encounter in a clinic. We used multiple regression to estimate associations between testing modality (online vs clinic based) and two outcomes—HIV test knowledge and change in condom use pre/post-test—with adjustment for relevant background factors.ResultsAmong 352 participants, online testers demonstrated higher HIV post-test knowledge than clinic-based testers (mean score 4.65/6 vs 4.09/6; p<0.05); this difference was reduced in adjusted analysis (p>0.05). Men who have sex with men, clients with a university degree, those who have lived in Canada >10 years and English speakers had higher HIV post-test knowledge (p<0.05). Eighteen per cent of online testers and 10% of clinic-based testers increased condom use during the 3 months post-test (p>0.05).ConclusionsIn this comparative study between online and clinic-based testers, we found no evidence of decreased HIV test knowledge or decreased condom use following HIV testing through GetCheckedOnline. Our findings suggest that with careful design and attention to educational content, online testing services may not lead to missed opportunities for HIV education and counselling.

scholarly journals Latent classes of sexual risk and corresponding STI and HIV positivity among MSM attending centres for sexual health in the Netherlands

2019 ◽  
Vol 96 (1) ◽  
pp. 33-39 ◽  
Author(s):  
Isabel A L Slurink ◽  
Birgit H B van Benthem ◽  
Martijn S van Rooijen ◽  
Roel C A Achterbergh ◽  
Fleur van Aar
Keyword(s):  
Sexual Health ◽  
Sexual Risk ◽  
Risk Behaviour ◽  
Low Risk ◽  
Hiv Positive ◽  
Sexual Risk Behaviour ◽  
Latent Classes ◽  
Related Factors ◽  
Risky Behaviours ◽  
Group Sex

ObjectivesContinuing high STI positivity among men who have sex with men (MSM) attending centres for sexual health (CSH) indicates that high-risk behaviour is ongoing. The objective of this study was to gain a better insight into risk behaviours among MSM attending CSH and to explore STI and HIV positivity by subgroups.MethodsWe used national data routinely collected during CSH consultations for this study. From September to December 2017, questions on group sex, substance use and sex with HIV-positive partners were asked at each CSH consultation. We analysed latent classes of client-related factors and sexual risk behaviour among MSM attending CSH in this period. We examined STI positivity and prevalence ratios by latent classes.ResultsA total of six classes were identified in order of increasing risk: ‘overall low-risk behaviour’ (n=2974; 22.0%), ‘Western origin and multiple sex partners’ (MSP) (n=4182; 30.9%), ‘Non-Western origin and MSP’ (n=2496; 18.5%), ‘living with HIV’ (n=827; 6.1%), ‘group sex and HIV-positive partners’ (n=1798; 13.3%) and ‘group sex and chemsex’ (n=1239; 9.2%). The any STI positivity ranged from 14.0% in the overall low-risk behaviour class to 35.5% in the group sex and chemsex class. HIV positivity did not differ significantly between classes. The Western origin and MSP class was largest and accounted for the majority of STI and HIV infections.ConclusionsAlthough STI positivity increased with increased risky behaviours, considerable STI positivity was found in all six latent classes. Comparable HIV positivity between classes indicates risk reduction strategies among subgroups engaged in risky behaviours. The differences in risk behaviour and STI positivity require preventive strategies tailored to each subgroup.

OP35 Sexual Risk Behaviour Among Young People in Rural Tanzania: Do those in Full-Time Education Practise Safer Sex?

2013 ◽  
Vol 67 (Suppl 1) ◽  
pp. A18.2-A19 ◽  
Author(s):  
A M Doyle ◽  
J Changalucha ◽  
H A Weiss ◽  
D Watson-Jones ◽  
R J Hayes ◽  
...  
Keyword(s):  
Young People ◽  
Sexual Risk ◽  
Safer Sex ◽  
Risk Behaviour ◽  
Sexual Risk Behaviour ◽  
Full Time ◽  
Rural Tanzania
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