Racial/Ethnic variations in Patterns of Sexual Behavior and STI danger Among intimately Experienced Adolescent Girls

Racial/Ethnic variations in Patterns of Sexual Behavior and STI danger Among intimately Experienced Adolescent Girls

Beth A. Auslander

1 Department of Pediatrics and Sealy Center for Vaccine developing, University of Texas healthcare Branch, Galveston, TX

Frank M. Biro

2 Department of Pediatrics, University of Cincinnati university of Medicine Cincinnati kids’ Hospital clinic, Cincinnati, OH

Paul A. Succop

3 Department of ecological Health, University of Cincinnati university of Medicine, Cincinnati, Ohio

Mary B. Brief

1 Department of Pediatrics and Sealy Center for Vaccine developing, University of Texas healthcare Branch, Galveston, TX

Susan L. Rosenthal

1 Department of Pediatrics and Sealy Center for Vaccine developing, University of Texas healthcare Branch, Galveston, TX


Research Goal

Racial/ethnic variations in prevalence and habits of dental and sex that is anal analyzed among girls taking part in a microbicide acceptability research.



Recruitment to participate in a study that is 6-month microbicide acceptability ended up being carried out at a school-based wellness hospital and neighborhood universities in Galveston, Texas and through snowball sampling.


Intimately experienced girls (n = 202) many years 14 to 21 years.

Principal Outcome Measures

Girls reported on the demographic and intimate history during the interview that is intake.

Outcomes and Conclusions

Their mean age ended up being 18.2 years; 26% had been white, 43% African-American, and 31% Hispanic. African-American girls had been considerably less likely than whites and Hispanics to have experienced dental intercourse; no distinctions had been discovered for anal intercourse. African-American girls had been dramatically avove the age of whites and Hispanics when they initiated dental intercourse. African-American girls had a better distinction between ages of genital and dental intercourse initiation than whites and Hispanics. Dental intercourse history ended up being connected with a 6-factor enhance and anal intercourse history ended up being connected with a 3-factor boost in the possibilities of a history that is sti. Future studies should explore these variations in greater level so that you can develop STI that is culturally specific prevention.


The significance of culturally specific interventions to advertise positive decision that is sexual among adolescents happens to be well-documented. 1 – 3 to be able to design the very best interventions, we must exceed taking a look at variations in genital sexual intercourse and commence investigating the range that is whole of habits. A landmark research discovered that patterns of intimate behavior vary by race/ethnicity. While white adolescents progressed through a predictable pattern of non-coital intimate behaviors of kissing, over the waistline pressing, and below the waistline pressing before participating in coitus, black colored adolescents involved with hardly any non-coital habits before advancing to coitus. 4 This initial study of the sequence of adolescent intimate habits would not examine oral and sex that is anal. Follow-up studies comparing grayscale teenagers have actually suggested that dental and anal intimate habits are less common amongst blacks than whites and that blacks have now been found to start sex that is oral a later on age than whites despite having initiated vaginal intercourse at a youthful age. 5 , 6 One adolescent-specific study that compared prevalence of dental intercourse across white versus non-white adolescent guys and girls ages 12 to 16 years discovered no differences. The non-white team had been composed of differs ethnicities, including African-American, Asian-American, Latinos, as well as other ethnicity, hence maybe masking the consequences of battle on prevalence prices for dental intercourse. 7 offered the paucity of adolescent research examining the partnership of race/ethnicity to dental and sex that is anal, the current research desired to analyze racial/ethnic variations in dental and anal intimate habits among an ethnically diverse test signed up for a microbicide acceptability research.

The goals had been to:

Identify prices of dental and anal intercourse habits and assess for variations in prices across race/ethnicity;

Determine if there have been racial/ethnic variations in the sheer number of oral and sex that is anal;

Determine the many years from which this sample first involved with oral, anal, and genital behaviors that are sexual assess whether there have been variations in ages of initiation by race/ethnicity and variations in period of time between many years of initiation for the various intimate actions by race/ethnicity;

See whether dental and anal intimate actions had been predictive of STI history and maternity history.

Materials and techniques

Sample and Procedure

2 hundred and eight sexually experienced adolescent girls between your many years of 14 and 21 from Galveston, Texas had been recruited from school-based teenager clinics and neighborhood universities, and through snowball sampling (for example., girls enrolled in the research referred other girls) to take part in a 6-month research examining the acceptability and make use of of a microbicide-like product. The outcomes for the current research had been extracted from information gathered during the intake interview including questions regarding demographics and intimate history. Individuals received $30 for doing the interview that is intake.

All study and recruitment procedures had been authorized by the Institutional Review Board during the University of Texas Medical Branch in Galveston. Parental consent and adolescent assent were obtained for women more youthful than 18 years, and self-consent was obtained for many girls 18 years or older.



Two questions had been expected to find out race/ethnicity. First, participants had been expected, “Would you describe your self as Spanish, Hispanic, or Latino?” 2nd, individuals had been asked, “How could you explain your competition?” The girls had been classified as either Hispanic (no matter competition), White (Non-Hispanic), African-American, or any other.

Intimate History

Girls had been expected to convey age in years of which they first had genital sex and the full total quantity of genital lovers they will have had within their life time. For every single intimate behavior of great interest, offering sex that is oral getting dental intercourse, and anal intercourse, girls were very very first asked when they had ever involved in the behavior. Then they were asked the total number of lifetime partners and the age at which they initiated the behavior if they answered yes. Girls additionally had been expected to convey the amount of times within the last 90 days they had intercourse that is vaginal utilized a condom, and utilized liquor or medications during sex. Finally, they reported if they had ever been expecting (yes or no) as well as the amount of times that they had an STI.

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