Factors Associated with Event Level Anal Sex and Condom Use During Anal Sex Among Adolescent Women

Research output: Contribution to journalArticle

30 Citations (Scopus)

Abstract

Purpose: To examine the distribution of and factors associated with event-level heterosexual anal sex and of event-level condom use during anal sex among adolescent women. Methods: Adolescent women (N = 387; age 14-17 years at enrollment) were recruited from primary care clinics for a longitudinal cohort study of sexually transmitted infections and sexual behavior. Data were taken from daily sexual diaries; generalized estimating equation logistic regression assessed the likelihood of anal sex or condom use during anal sex on a given day. Results: Heterosexual anal intercourse is a small but nonrandom event-level component in adolescent women's sexual behavior. About 30% of anal sex events were condom protected. Mood, partner, and situational factors predicted anal sex, but not condom use during anal sex; within-day and recent behavior factors were the strongest influences on both outcomes. Conclusions: Our findings suggest the importance of providers' screening adolescent women patients during office visits about anal sex and about condom use during anal sex, as well as asking questions about the context of these behaviors to appropriately tailor risk reduction counseling.

Original languageEnglish
Pages (from-to)232-237
Number of pages6
JournalJournal of Adolescent Health
Volume46
Issue number3
DOIs
StatePublished - Mar 2010

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Condoms
Sexual Behavior
Heterosexuality
Office Visits
Risk Reduction Behavior
Sexually Transmitted Diseases
Longitudinal Studies
Counseling
Primary Health Care
Cohort Studies
Logistic Models

Keywords

  • Adolescent women
  • Anal sex
  • Condoms
  • Diary data

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Psychiatry and Mental health
  • Public Health, Environmental and Occupational Health

Cite this

Factors Associated with Event Level Anal Sex and Condom Use During Anal Sex Among Adolescent Women. / Hensel, Devon; Fortenberry, J.; Orr, Donald P.

In: Journal of Adolescent Health, Vol. 46, No. 3, 03.2010, p. 232-237.

Research output: Contribution to journalArticle

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