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Social and behavioral factors associated with high-risk sexual behavior among adolescents

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Abstract

Relationships among risky sexual behaviors, other problem behaviors, and the family and peer context were examined for two samples of adolescents. Many adolescents reported behaviors (e.g., promiscuity or nonuse of condoms) which risked HIV or other sexually transmitted disease infection. Such risky behaviors were significantly intercorrelated. Consistent condom use was rare among those whose behavior otherwise entailed the greatest risk of infection. In both samples, an index of high-risk sexual behavior was significantly related to antisocial behavior, cigarette smoking, and illicit drug or alcohol use. Social context variables, including family structure, parenting practices, and friends' engagement in problem behaviors, were associated with high-risk sexual behavior. Finally, for sexually active adolescents, problem behaviors and social context variables were predictive of nonuse of condoms. Results were consistent across the two studies and regression weights held up well under cross-validation.

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References

  • Ary, D. V., and Biglan, A. (1988). Longitudinal changes in adolescent cigarette smoking behavior: Onset and cessation.J. Behav. Med. 11: 361–382.

    Google Scholar 

  • Bank, L., Patterson, G. R., and Reid, J. B. (1987). Delinquency prevention through training parents in family management.Behav. Anal. 10: 75–82.

    Google Scholar 

  • Biglan, A. (1987). A behavior-analytic critique of Bandura's self-efficacy theory.Behav. Anal. 10(1): 1–15.

    Google Scholar 

  • Biglan, A. (1990). Implications of behavioral assessment research for research on high risk sexual behavior. In Krasnegor, N., and Amsel, Z. (eds.),Proceedings of the Conference on Issues of Reliability and Validity of Measurements of Risk Behaviors Associated with HIV Infection Among Adolescents, Bethesda, MD (in press).

  • Biglan, A., Severson, H. H., Ary, D. V., Faller, C., Gallison, C., Thompson, R., Glasgow, R. E., and Lichtenstein, E. (1987a). Do smoking prevention programs really work? Attrition and the internal and external validity of an evaluation of refusal skills programs.J. Behav. Med. 10(2): 159–171.

    Google Scholar 

  • Biglan, A., Glasgow, R. E., Ary, D. V., Thompson, R., Severson, H. H., Lichtenstein, E., Weissman, W., Faller, C., and Gallison, C. (1987b). How generalizable are the effects of smoking prevention programs? Refusal skills training and parent messages in a teacher-administered program.J. Behav. Med. 10: 613–628.

    Google Scholar 

  • Billy, O. G., and Udry, J. R. (1985a). The influence of male and female best friends on adolescent sexual behavior.Adolescence 20: 21–32.

    Google Scholar 

  • Billy, O. G., and Udry, J. R. (1985b). Patterns of adolescent friendship and effects on sexual behavior.Soc. Psychol. Q. 48: 27–41.

    Google Scholar 

  • Brown, B. B., Clasen, D. R., and Eicher, S. A. (1986). Perceptions of peer pressure, peer conformity dispositions, and self-reported behavior among adolescents.Dev. Psychol. 22: 521–530.

    Google Scholar 

  • Centers for Disease Control (1988).AIDS Weekly Surveillance Report. United States AIDS Program, Center for Infectious Diseases, Sept. 19.

  • Chambers, C. V., Shafer, M., Adger, H., Smith, M., Millstein, S. G., Irwin, C. E., Schacter, J., and Sweet, R. (1987). Microflora of the urethra in adolescent boys: Relationships to sexual activity and nongonoccocal urethritis.J. Pediat. Feb.: 315–321.

    Google Scholar 

  • Cronbach, L. J. (1951). Coefficient alpha and the internal structure of tests.Psychometrika 16: 297–334.

    Google Scholar 

  • Curran, J. W., Morgan, W. M., Hardy, A. M., Jaffe, H. W., Darrow, W. W., and Dowdle, W. R. (1985). The epidemiology of AIDS: Current status and future prospects.Science 229: 1352–1357.

    Google Scholar 

  • Donovan, I. E., and Jessor, R. (1985). Structure of problem behavior in adolescence and young adulthood.J. Consult. Clin. Psychol. 53: 890–904.

    Google Scholar 

  • Elliott, D. S., Ageton, S. S., Huizinga, D., Knowles, B. A., and Canter, R. J. (1983).The Prevalence and Incidence of Delinquent Behavior: 1976–1980. National Estimates of Delinquent Behavior by Sex, Race, Social Class and Other Selected Variables, Behavioral Research Institute, Boulder, CO.

    Google Scholar 

  • Goedert, J. J. (1987). What is safe sex? Suggested standards linked to testing for human immunodeficiency virus.N. Engl. J. Med. 316: 1339–1342.

    Google Scholar 

  • Haffner, D. W. (1987).AIDS and Adolescents: The Time for Prevention Is Now, Center for Population Options, Washington, D.C.

    Google Scholar 

  • Hayes, S. C., and Brownstein, A. J. (1986). Mentalism, behavior-behavior relations, and a behavior-analytic view of the purposes of science.Behav. Anal. 9: 175–190.

    Google Scholar 

  • Hofferth, S. L. (1987). Factors affecting initiation of sexual intercourse. In Hofferth, S. L., and Hayes, C. D. (eds.),Risking the Future: Adolescent Sexuality, Pregnancy, and Childbearing, National Academy Press, Washington, D.C., pp. 7–35.

    Google Scholar 

  • Jessor, R., and Jessor, S. L. (1977).Problem Behavior and Psychosocial Development: A Longitudinal Study of Youth, Academic Press, New York.

    Google Scholar 

  • Kahn, J. R., Smith, K. W., and Roberts, E. J. (1984).Familial Communication and Adolescent Sexual Behavior. Final Report Grant No. APR000904-01, American Institutes for Research, Cambridge, Mass.

    Google Scholar 

  • Kandel, D. B. (1985). On processes of peer influences in adolescent drug use: A developmental perspective.Adv. Alcohol Substance Abuse 4: 139–163.

    Google Scholar 

  • Miller, B. C., Olson, T. D., and Wallace, C. M. (1986). Parental discipline and control attempts in relation to adolescent sexual attitudes and behavior.J. Marriage Family 48: 503–512.

    Google Scholar 

  • Miller, B. C., Higginson, R., McCoy, J. D., and Olson, T. D. (1987). Family configuration and adolescent sexual attitudes and behavior.Popul. Environ. 9: 111–123.

    Google Scholar 

  • Moos, R. (1974).Family Environment Scale and Preliminary Manual, Consulting Psychologists Press, Palo Alto, CA.

    Google Scholar 

  • Mott, F. L. and Haurin, R. J. (1988). Linkages between sexual activity and alcohol and drug use among American adolescents.Family Plan. Perspect. 20: 128–136.

    Google Scholar 

  • Nathanson, C. A., and Becker, M. H. (1986). Family and peer influence on obtaining a method of contraception.J. Marriage Family 48: 513–525.

    Google Scholar 

  • National Academy of Sciences (1986).Confronting AIDS: Directions for Public Health, Health Care and Research, National Academy Press, Washington, D.C.

    Google Scholar 

  • Newcomer, S. F., and Udry, J. R. (1985). Parent-child communication and adolescent sexual behavior.Family Plan. Perspect. 17: 169–174.

    Google Scholar 

  • Osgood, D. W., Johnston, L. D., O'Malley, P. M., and Bachman, J. G. (1988). The generality of deviance in late adolescence and early adulthood.Am. Sociol. Rev. 53: 81–93.

    Google Scholar 

  • Patterson, G. R. (1983).A Social Learning Approach to Family Intervention, Vol. 3. Coercive Family Processes, Castillia, Eugene, Ore.

    Google Scholar 

  • Patterson, G. R. (1986). Performance models for antisocial boys.Am. Psychol. 41: 1–13.

    Google Scholar 

  • Patterson, G. R., Reid, J. B., and Dishion, T. J. (1990).A Social Learning Approach: 4. Anti-Social Boys, Castilla, Eugene, Ore. (in press).

    Google Scholar 

  • Ramsey, E., and Walker, H. M. (1988). Family management correlates of antisocial behavior among middle school boys.Behav. Disord. 13: 187–201.

    Google Scholar 

  • Wellings, K. (1986). AIDS and the condom.Br. Med. J. 293: 199–200.

    Google Scholar 

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This research was supported in part by National Cancer Institute Grants CA44648 and CA38273. The authors would like to thank John Reid for his consultation and advice on the development of this study.

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Biglan, A., Metzler, C.W., Wirt, R. et al. Social and behavioral factors associated with high-risk sexual behavior among adolescents. J Behav Med 13, 245–261 (1990). https://doi.org/10.1007/BF00846833

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