Article Text

PDF

P4.080 Understanding the Influence of Individual and Partner-Specific Sexual Sealth on Sexual Risk Behaviour Among Adolescent Women
  1. D J Hensel,
  2. J Fortenberry
  1. Indiana University School of Medicine, Indianapolis, IN, United States

Abstract

Background Sexual health identifies both individual and partner-specific factors as important elements in public health approaches to STI prevention among adolescents, yet little empirical evidence links them to specific STI-related health outcomes.

Method Data were individual and partner-specific quarterly interviews from a cohort of young women in Indianapolis (N = 387, 14–17 yrs.). Using an existing sexual health definition (WHO, 2002) we created two standardised, multi-item sexual health scales: individual sexual health (sexual positivity, absence of genital pain, family communication, family connexion) and partner-specific sexual health (relationship satisfaction, sexual satisfaction, condom use self-efficacy, pregnancy prevention attitudes, sexual communication, partner’s connexion to family) (both α ≥ 0.85). Outcomes were: used a condom at last sex (no/yes), ratio of condom-protected coital events, any sexual coercion (no/yes), current number sex partners (2+/1), future number of sex partners (next 90-days: 2+/1). Analyses were multi-level logistic and linear regression (HLM, 7.0; all p < 0.05), overall and by current number of sexual partners.

Results Individual (OR = 1.22) and partner-specific (OR = 1.87) sexual health predicted condom use at last sex; partner-specific sexual health predicted no sexual coercion (OR = 0.69), a higher ratio of condom-protected coital events (b = 0.12), as well as having one sexual partner currently and for the anticipated future. Higher partner-specific sexual health predicted condom use at last sex in currently single (OR = 1.70) and in currently multiple partner relationships (OR = 2.22), a higher ratio of condom protected coital events in currently single (b = 0.15) and in currently multiple partner relationships (b = 3.66), and absence of sexual coercion (OR = 0.19) in currently multiple-partner relationships.

Conclusion Individual and partner-specific sexual health are separately linked to key STI-related public health indicators. These data suggest that different elements may require emphasis to more fully support effective sexual health approaches to reducing STI in adolescents.

  • adolescent women
  • sexual health
  • sexual risk behavior

Statistics from Altmetric.com

Request permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.