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Correlates of heterosexual anal intercourse among at-risk adolescents and young adults

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  • Lescano, C.M.
  • Houck, C.D.
  • Brown, L.K.
  • Doherty, G.
  • DiClemente, R.J.
  • Fernandez, M.I.
  • Pugatch, D.
  • Schlenger, W.E.
  • Silver, B.J.

Abstract

Objectives. We sought to learn what factors are associated with anal intercourse among adolescents and young adults. We examined demographic, behavioral, relationship context, attitudinal, substance use, and mental health correlates of recent heterosexual anal intercourse among adolescents and young adults who reported engaging in recent unprotected sex. Methods. Among 1348 at-risk adolescents and young adults aged 15 to 21 years in 3 US cities, we assessed sexual risk behavior with each sexual partner in the past 90 days. Data were collected from 2000 to 2001. Results. Recent heterosexual anal intercourse was reported by 16% of respondents. Females who engaged in anal intercourse were more likely to be living with a sexual partner, to have had 2 or more partners, and to have experienced coerced intercourse. For males, only a sexual orientation other than heterosexual was a significant predictor of engaging in heterosexual anal intercourse. Conclusions. Our findings document the prevalence of heterosexual anal intercourse among adolescents and young adults who had recent unprotected sex. Among females, the variables associated with anal intercourse relate to the context and power balance of sexual relationships. Different influences for males and females suggest different foci for interventions.

Suggested Citation

  • Lescano, C.M. & Houck, C.D. & Brown, L.K. & Doherty, G. & DiClemente, R.J. & Fernandez, M.I. & Pugatch, D. & Schlenger, W.E. & Silver, B.J., 2009. "Correlates of heterosexual anal intercourse among at-risk adolescents and young adults," American Journal of Public Health, American Public Health Association, vol. 99(6), pages 1131-1136.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2007.123752_4
    DOI: 10.2105/AJPH.2007.123752
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    Cited by:

    1. Susan Averett & Hope Corman & Nancy E. Reichman, 2013. "Effects Of Overweight On Risky Sexual Behavior Of Adolescent Girls," Economic Inquiry, Western Economic Association International, vol. 51(1), pages 605-619, January.
    2. Hamida Mubasshera, 2024. "Pornography usage during adolescence: Does it lead to risky sexual behavior?," Health Economics, John Wiley & Sons, Ltd., vol. 33(8), pages 1682-1704, August.
    3. Susan L. Averett & Yang Wang, 2012. "Identification of the Effect of Depression on Risky Sexual Behavior: Exploiting a Natural Experiment," American Economic Review, American Economic Association, vol. 102(3), pages 570-574, May.
    4. Hannah Han & Fan Yang & Sarah Murray & Gaspar Mbita & Maggie Bangser & Katherine Rucinski & Albert Komba & Caterina Casalini & Mary Drake & Esther Majani & Kelly Curran & Yeronimo Mlawa & Agnes Junga , 2021. "Characterizing a sexual health and HIV risk stratification scale for sexually active adolescent girls and young women (AGYW) in Tanzania," PLOS ONE, Public Library of Science, vol. 16(3), pages 1-15, March.

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