RESUMEN
BACKGROUND AND OBJECTIVES: Binge drinking disparities between sexual and gender minority (SGM) students and their heterosexual, cisgender peers are well-established. Data limitations have precluded understandings of whether the onset and progression of these disparities differ by grade. Additionally, little is known about whether and how SGM-related binge drinking varies across groups of students coincidingly defined by sexual orientation or gender identity (SOGI), race, and ethnicity. In the current study, we used a large, statewide sample of secondary school students in California to describe the prevalence of binge drinking among subgroups of adolescents at the intersections of grade, race and ethnicity, and SOGI. METHODS: Data were from the 2017-2019 cycle of the California Healthy Kids Survey, one of the largest statewide cross-sectional surveys of secondary school students in the United States (n = 925 744). We described the grade-specific prevalence rates of past 30-day binge drinking by (1) grade level, (2) race and ethnicity, and (3) SOGI. Predicted probabilities estimated adjusted percentages of students' binge drinking by subgroups. RESULTS: SGM-related binge drinking differences were present early in secondary school. Several subgroups of SGM adolescents with minoritized racial and ethnic identities reported higher binge drinking rates relative to their same-grade, white, non-SGM peers. CONCLUSIONS: Prevention and intervention programs must consider developmentally- and culturally-informed strategies to most effectively promote health among minoritized students.
Asunto(s)
Consumo Excesivo de Bebidas Alcohólicas , Identidad de Género , Conducta Sexual , Adolescente , Femenino , Humanos , Masculino , Consumo Excesivo de Bebidas Alcohólicas/epidemiología , Consumo Excesivo de Bebidas Alcohólicas/etnología , California/epidemiología , Estudios Transversales , Etnicidad , Disparidades en el Estado de Salud , Prevalencia , Minorías Sexuales y de Género/estadística & datos numéricos , Conducta Sexual/etnología , Grupos RacialesRESUMEN
Intuitive eating is defined as being connected to internal hunger, satiety, and appetitive cues and flexibly using these cues to determine when, what, and how much to eat. The Intuitive Eating Scale-2 (IES-2) is a widely used measure of facets of intuitive eating. However, the scale has shown unstable factor structure in several validation studies and there is a lack of studies investigating the measurement invariance of the IES-2 beyond sex. We aimed to evaluate the psychometric properties of the IES-2, testing several factor structures among Brazilian and U.S. samples of men and women; to test measurement invariance across country of origin, ethnicity, sex, and sexual orientation; and to evaluate its internal consistency. Three models of the latent structure of the IES-2 were tested using confirmatory factor analyses (CFA) in a total of 1072 young adults (452 Brazilians and 620 Americans), aged 18-35 years. Results demonstrated that only a 3-factor solution with 11 items of the IES-2 showed adequate fit to the data for both countries. This model demonstrated scalar invariance across sex and sexual orientation, but only configural invariance was found across country of origin and ethnicity. Good internal consistencies were found for both the Brazilian and American samples. The present study provides support for a 3-factor solution with 11 items of the IES-2, to Brazilian and American samples. The study also offers evidence of internal consistency, and invariance between sex (i.e., male and female) and sexual orientation (i.e., heterosexual participants and sexual minority participants).
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Comparación Transcultural , Psicometría , Conducta Sexual , Humanos , Masculino , Brasil/etnología , Femenino , Adulto , Estados Unidos/etnología , Adulto Joven , Psicometría/instrumentación , Adolescente , Conducta Sexual/psicología , Conducta Sexual/etnología , Análisis Factorial , Conducta Alimentaria/psicología , Conducta Alimentaria/etnología , Intuición , Encuestas y Cuestionarios/normas , Reproducibilidad de los Resultados , Factores SexualesRESUMEN
Background Disproportionate rates of sexually transmissible infections (STIs) among Aboriginal and Torres Strait Islander young people are often attributed to risk-taking behaviours, but research rarely conducts direct comparison with their non-Indigenous peers to address this negative discourse. Methods 'Let's Talk About It 2019' was a cross-sectional online survey of South Australians (16-29 years). It prioritised recruitment of Aboriginal and Torres Strait Islander respondents to compare behaviours with non-Indigenous peers using multivariable Poisson regression models. Results Aboriginal and Torres Strait Islander (n =231) and non-Indigenous (n =2062) respondents reported similar condom use (40% vs 43%, P =0.477) and sexual debut median ages (16 years vs 17 years). Higher proportions of Aboriginal and/or Torres Strait Islander respondents reported a recent health check (48% vs 38%, P =0.002), STIs (60% vs 49%, P P =0.006) testing, STI diagnosis (29% vs 21%, P =0.042), and intoxication during last sex (30% vs 18%, P Conclusions Behaviours associated with STI transmission were mostly similar among Aboriginal and Torres Strait Islander and non-Indigenous respondents. Higher STI/HIV testing among Aboriginal and Torres Strait Islander respondents suggests effectiveness of targeted programs. Interventions targeting substance use and condom use among all young people are needed. Future interventions need to focus beyond behaviours and explore social determinants of health and sexual networks as contributors to disproportionate STI rates.
Asunto(s)
Conducta Sexual , Enfermedades de Transmisión Sexual , Adolescente , Adulto , Femenino , Humanos , Masculino , Adulto Joven , Pueblos de Australasia , Aborigenas Australianos e Isleños del Estrecho de Torres , Estudios Transversales , Asunción de Riesgos , Conducta Sexual/estadística & datos numéricos , Conducta Sexual/etnología , Enfermedades de Transmisión Sexual/etnología , Enfermedades de Transmisión Sexual/diagnóstico , Australia del Sur , Encuestas y CuestionariosRESUMEN
ABSTRACT: The emergence of widely accessible artificial intelligence (AI) chatbots such as ChatGPT presents unique opportunities and challenges in public health self-education. This study examined simulations with ChatGPT for its use in public education of sexual health of Black women, specifically in HIV prevention and/or HIV PrEP use. The research questions guiding the study are as follows: (a) does the information ChatGPT offers about HIV prevention and HIV PrEP differ based on stated race? and (b) how could this relatively new platform inform public health education of Black women educating themselves about sexual health behaviors, diagnoses, and treatments? In addressing these questions, this study also uncovered notable differences in ChatGPT's tone when responding to users based on race. This study described valuable insights that can inform health care professionals, educators, and policymakers, ultimately advancing the cause of sexual health equity for Black women and underscoring the paradigm-shifting potential of AI in the field of public health education.
Asunto(s)
Inteligencia Artificial , Negro o Afroamericano , Infecciones por VIH , Investigación Cualitativa , Humanos , Femenino , Infecciones por VIH/prevención & control , Infecciones por VIH/etnología , Infecciones por VIH/psicología , Negro o Afroamericano/psicología , Negro o Afroamericano/estadística & datos numéricos , Adulto , Conducta Sexual/etnología , Conocimientos, Actitudes y Práctica en Salud , Salud Sexual , Educación en Salud/métodos , Profilaxis Pre-Exposición , Persona de Mediana EdadRESUMEN
Background: Behavioral differences exist between countries, regions, and religions. With rapid development in recent decades, an increasing number of international immigrants from different regions with different religions have settled in China. The degrees to which sexual behaviors-particularly risky sexual behaviors-differ by religion and geographical areas are not known. Objective: We aim to estimate the associations of religion and geographical areas with sexual behaviors of international immigrants and provide evidence for promoting the sexual health of international immigrants. Methods: A cross-sectional study was conducted via the internet with a snowball sampling method among international immigrants in China. In our study, risky sexual behaviors included having multiple sexual partners and engaging in unprotected sex. Descriptive analysis was used to analyze the basic characteristics of international immigrants as well as their sexual behaviors, religious affiliations, and geographical regions of origin. Multivariate binary logistic regression analyses with multiplicative and additive interactions were used to identify aspects of religion and geography that were associated with risky sexual behaviors among international immigrants. Results: A total of 1433 international immigrants were included in the study. South Americans and nonreligious immigrants were more likely to engage in risky sexual behaviors, and Asian and Buddhist immigrants were less likely to engage in risky sexual behaviors. The majority of the Muslims had sexually transmitted infection and HIV testing experiences; however, Muslims had a low willingness to do these tests in the future. The multivariate analysis showed that Muslim (adjusted odds ratio [AOR] 0.453, 95% CI 0.228-0.897), Hindu (AOR 0.280, 95% CI 0.082-0.961), and Buddhist (AOR 0.097, 95% CI 0.012-0.811) immigrants were less likely to report engaging in unprotected sexual behaviors. Buddhist immigrants (AOR 0.292, 95% CI 0.086-0.990) were also less likely to have multiple sexual partners. With regard to geography, compared to Asians, South Americans (AOR 2.642, 95% CI 1.034-6.755), Europeans (AOR 2.310, 95% CI 1.022-5.221), and North Africans (AOR 3.524, 95% CI 1.104-11.248) had a higher probability of having multiple sexual partners. Conclusions: The rates of risky sexual behaviors among international immigrants living in China differed depending on their religions and geographical areas of origin. South Americans and nonreligious immigrants were more likely to engage in risky sexual behaviors. It is necessary to promote measures, including HIV self-testing, pre-exposure prophylaxis implementation, and targeted sexual health education, among international immigrants in China.
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Emigrantes e Inmigrantes , Asunción de Riesgos , Conducta Sexual , Humanos , Estudios Transversales , China/etnología , China/epidemiología , Masculino , Femenino , Adulto , Emigrantes e Inmigrantes/estadística & datos numéricos , Emigrantes e Inmigrantes/psicología , Conducta Sexual/estadística & datos numéricos , Conducta Sexual/etnología , Conducta Sexual/psicología , Religión , Geografía , Persona de Mediana Edad , Adolescente , Adulto JovenRESUMEN
Latinx young adults in the U.S. experience significant disparities related to body image and sexual health. These challenges partly stem from the intersections of racism, ethnocentrism, and colorism perpetuated through Eurocentric beauty standards and norms surrounding sexuality. Despite the salience of skin tone within the Latinx community, the impact of skin tone ideologies on body shame and sexual risk remains unexplored. Addressing this gap, the present study examined the influence of skin tone ideologies (i.e., colorist attraction and skin tone self-concept) on sexual risk and body shame among a sample of 539 Latinx young adults. The study also explored the potential moderating effect of self-esteem on colorist attraction and skin tone self-concept on body shame and sexual risk. Results revealed that both colorist attraction and skin-tone self-concept were positively associated with body shame. Colorist attraction was positively associated with sexual risk, whereas skin tone self-concept was not associated. Furthermore, self-esteem moderated the positive significant association between skin tone self-concept and body shame, such that the association was only significant among Latinx young adults who reported mean and high levels of self-esteem; self-esteem did not moderate any of the other study's associations. These findings inform the development of tailored mental and sexual health interventions to reduce health disparities among Latinx young adults, considering the influence of skin tone socialization.
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Imagen Corporal , Hispánicos o Latinos , Autoimagen , Conducta Sexual , Vergüenza , Pigmentación de la Piel , Humanos , Femenino , Adulto Joven , Imagen Corporal/psicología , Hispánicos o Latinos/psicología , Hispánicos o Latinos/estadística & datos numéricos , Masculino , Adulto , Conducta Sexual/etnología , Conducta Sexual/psicología , Adolescente , Racismo/psicología , Racismo/etnología , Estados Unidos/etnologíaRESUMEN
Background: Syndemic models have been used in previous studies exploring HIV-related outcomes; however, these models do not fully consider intersecting psychosocial (e.g., substance use, depressive symptoms) and structural factors (unstable housing, concentrated housing vacancy) that influence the lived experiences of women. Therefore, there is a need to explore the syndemic effects of psychosocial and structural factors on HIV risk behaviors to better explain the multilevel factors shaping HIV disparities among black women. Methods: This analysis uses baseline data (May 2009-August 2010) from non-Hispanic black women enrolled in the HIV Prevention Trials Network 064 Women's Seroincidence Study (HPTN 064) and the American Community Survey 5-year estimates from 2007 to 2011. Three parameterizations of syndemic factors were applied in this analysis a cumulative syndemic index, three syndemic groups reflecting the level of influence (psychosocial syndemic group, participant-level structural syndemic group, and a neighborhood-level structural syndemic group), and syndemic factor groups. Clustered mixed effects log-binomial analyses measured the relationship of each syndemic parameterization on HIV risk behaviors in 1,347 black women enrolled in HPTN 064. Results: A higher syndemic score was significantly associated with increased prevalence of unknown HIV status of the last male sex partner (adjusted prevalence ratio (aPR) = 1.07, 95% confidence interval or CI 1.04-1.10), involvement in exchange sex (aPR = 1.17, 95% CI: 1.14-1.20), and multiple sex partners (aPR = 1.07, 95% CI: 1.06-1.09) in the last 6 months. A dose-response relationship was observed between the number of syndemic groups and HIV risk behaviors, therefore, being in multiple syndemic groups was significantly associated with increased prevalence of reporting HIV risk behaviors compared with being in one syndemic group. In addition, being in all three syndemic groups was associated with increased prevalence of unknown HIV status of the last male sex partner (aPR = 1.67, 95% CI: 1.43-1.95) and multiple sex partners (aPR = 1.53, 95% CI: 1.36-1.72). Conclusions: Findings highlight syndemic factors influence the lived experiences of black women.
Asunto(s)
Negro o Afroamericano , Infecciones por VIH , Asunción de Riesgos , Conducta Sexual , Trastornos Relacionados con Sustancias , Sindémico , Humanos , Femenino , Infecciones por VIH/etnología , Infecciones por VIH/epidemiología , Infecciones por VIH/psicología , Negro o Afroamericano/estadística & datos numéricos , Negro o Afroamericano/psicología , Adulto , Trastornos Relacionados con Sustancias/epidemiología , Trastornos Relacionados con Sustancias/etnología , Conducta Sexual/etnología , Conducta Sexual/psicología , Depresión/epidemiología , Depresión/etnología , Persona de Mediana Edad , Factores Socioeconómicos , Factores de Riesgo , Estados Unidos/epidemiología , Vivienda , Características de la Residencia , Adulto JovenRESUMEN
ABSTRACT: Couple-based HIV interventions that increase uptake of two or more effective biomedical HIV prevention methods may be a promising HIV prevention strategy for young Black and Latino heterosexual couples. We conducted in-depth, semi-structured individual interviews with 23 Black and Latino adolescent and young adult heterosexual couples that explored their attitudes toward using combination HIV prevention methods (CHPMs). A qualitative hybrid thematic analysis approach was used to identify key themes. Themes included: (a) attitudes that encouraged uptake-CHPMs increased assurance of safety against HIV/sexually transmitted infections and (b) attitudes that impeded uptake-CHPMs are too much to do and are not appropriate for serious relationships. Although Black and Latino adolescents and young adults may recognize the combined protective benefits of using multiple HIV prevention methods, personal and relational considerations play an instrumental role in uptake of CHPMs.
Asunto(s)
Negro o Afroamericano , Infecciones por VIH , Conocimientos, Actitudes y Práctica en Salud , Heterosexualidad , Hispánicos o Latinos , Entrevistas como Asunto , Investigación Cualitativa , Humanos , Hispánicos o Latinos/psicología , Hispánicos o Latinos/estadística & datos numéricos , Masculino , Infecciones por VIH/prevención & control , Infecciones por VIH/etnología , Heterosexualidad/psicología , Femenino , Adolescente , Adulto Joven , Ciudad de Nueva York , Negro o Afroamericano/psicología , Adulto , Parejas Sexuales/psicología , Condones/estadística & datos numéricos , Composición Familiar/etnología , Conducta Sexual/etnologíaRESUMEN
While modern family-related ideas and behaviors have become more widely accepted in contemporary China, Chinese Muslim minorities continue to hold on to traditional religious practices. Surprisingly, data from our survey conducted in Gansu province in China's northwestern borderlands reveal that Muslims of the Hui and Dongxiang ethnicities reported much higher rates of cohabitation experience than the secular majority Han. Based on follow-up qualitative interviews, we found the answer to lie in the interplay between the highly interventionist Chinese state and the robust cultural resilience of local Islamic communities. While the state maintains a high minimum legal age of marriage, the early marriage norm remains strong in Chinese Muslim communities, where religion constitutes an alternative and often more powerful source of legitimacy-at least in the private sphere of life. Using the 2000 census data, we further show that women in almost all 10 Muslim ethnic groups have higher percentages of underage births and premarital births than Han women, both nationally and in the northwest where most Chinese Muslims live. As the once-outlawed behavior of cohabitation became more socially acceptable during the reform and opening-up era, young Muslim Chinese often found themselves in "arranged cohabitations" as de facto marriages formed at younger-than-legal ages. In doing so, Chinese Muslim communities have reinvented the meaning of cohabitation. Rather than liberal intimate relationship based on individual autonomy, cohabitation has served as a coping strategy by which Islamic patriarchs circumvent the Chinese state's aggressive regulations aimed at "modernizing" the Muslim family.
Asunto(s)
Pueblo Asiatico , Cultura , Islamismo , Matrimonio , Femenino , Humanos , Pueblo Asiatico/estadística & datos numéricos , China/epidemiología , Etnicidad , Conducta Sexual/etnología , Conducta Sexual/estadística & datos numéricos , Matrimonio/etnología , Matrimonio/legislación & jurisprudencia , Matrimonio/estadística & datos numéricosRESUMEN
BACKGROUND: Despite advances in biomedical HIV prevention modalities such as pre-exposure prophylaxis to prevent the transmission of HIV, racial/ethnic and sexual/gender minority populations are disproportionately impacted by HIV epidemic. Alarming rates of HIV have persisted among Black gay and bisexual men, particularly in Southern states. METHODS: Utilizing data from the ViiV ACCELERATE! initiative, we explored the impact of As Much As I Can, an immersive theatre production, on HIV-related stigma behaviors. A self-administered post-performance survey was conducted with a cohort (n = 322) of randomly selected audience members. RESULTS: Overall, the results showed participants had a highly favorable experience, rating the performance with a mean score of 9.77/10. Respondents indicated they intended to change behaviors to promote HIV prevention education and to reduce stigma and discrimination including: (1) Say something if I hear stigmatizing language against people living with HIV (75.4%), (2) Say something if I hear anti-gay language (69.7%) and (3) Tell others about HIV prevention options (e.g., PrEP, PEP, condoms (64.1%). The findings show there is an association between HIV-related behavior intention and linkage to HIV care. Respondents who reported they were more likely to say something about HIV stigma were almost three times (O.R. 2.77; 95% C.I. 0.98-7.8) more likely to indicate they would follow up with a healthcare professional. CONCLUSIONS: This study suggests that immersive theatre is an effective method for communicating HIV prevention education and reducing HIV-related structural stigma and discrimination that increases HIV vulnerability for Black sexual minority men.
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Arteterapia , Negro o Afroamericano , Infecciones por VIH , Conductas Relacionadas con la Salud , Promoción de la Salud , Minorías Sexuales y de Género , Humanos , Masculino , Negro o Afroamericano/educación , Negro o Afroamericano/psicología , Población Negra , Promoción de la Salud/métodos , Infecciones por VIH/etnología , Infecciones por VIH/prevención & control , Infecciones por VIH/psicología , Infecciones por VIH/terapia , Homosexualidad Masculina/etnología , Homosexualidad Masculina/psicología , Medicina en las Artes , Minorías Sexuales y de Género/educación , Minorías Sexuales y de Género/psicología , Conducta Sexual/etnología , Conducta Sexual/psicología , Discriminación Social/etnología , Discriminación Social/prevención & control , Discriminación Social/psicología , Estigma Social , Arteterapia/métodos , Conductas Relacionadas con la Salud/etnologíaRESUMEN
Limited research has examined how multiple forms of oppression (e.g., racism, heterosexism, transphobia)-manifesting across multiple levels (e.g., interpersonal, structural)-can place Black and Latinx lesbian, gay, bisexual, transgender, queer, and other sexual/gender minority (LGBTQ+) adolescents at increased risk for internalizing psychopathology, including depression. Utilizing a national sample of 2,561 Black and Latinx LGBTQ+ adolescents (aged 13-17), we examined associations among depressive symptoms and several adolescent-focused manifestations of stigma, including: (a) interpersonal racial/ethnic bullying, (b) interpersonal sexual orientation bullying, (c) nine state-level forms of structural stigma or protection for LGBTQ+ adolescents, and (d) a new adolescent-focused composite index of state-level anti-LGBTQ+ structural stigma. Racial/ethnic bullying and sexual orientation bullying were found to be prevalent among the sample and were associated-both independently and jointly-with increased depressive symptoms. One harmful state-level anti-LGBTQ+ structural stigma indicator (i.e., anti-LGBTQ+ community attitudes) and seven protective state-level anti-LGBTQ+ structural stigma indicators (e.g., conversion therapy bans) were associated with odds of depressive symptoms, in the expected directions. Black and Latinx LGBTQ+ adolescents residing in states with greater overall anti-LGBTQ+ structural stigma reported increased depressive symptoms, even when adjusting for racial/ethnic and sexual orientation bullying. Additionally, Black and Latinx LGBTQ+ adolescents living in the most stigmatizing states demonstrated 32% increased odds of depressive symptoms, as compared to those living in the most LGBTQ+ affirming states. Multilevel, intersectional interventions could have optimal effects on the mental health and resilience of Black and Latinx LGBTQ+ adolescents. (PsycInfo Database Record (c) 2023 APA, all rights reserved).
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Negro o Afroamericano , Depresión , Hispánicos o Latinos , Minorías Sexuales y de Género , Estigma Social , Adolescente , Femenino , Humanos , Masculino , Depresión/epidemiología , Depresión/etnología , Depresión/etiología , Depresión/psicología , Hispánicos o Latinos/psicología , Hispánicos o Latinos/estadística & datos numéricos , Minorías Sexuales y de Género/psicología , Minorías Sexuales y de Género/estadística & datos numéricos , Conducta Sexual/etnología , Conducta Sexual/psicología , Conducta Sexual/estadística & datos numéricos , Estados Unidos/epidemiología , Negro o Afroamericano/psicología , Negro o Afroamericano/estadística & datos numéricos , Acoso Escolar/psicología , Acoso Escolar/estadística & datos numéricosRESUMEN
High risk substance misuse, trauma and gang involvement are prevalent in adolescents and often occur with youth involved with the youth punishment system. Evidence suggests that system involvement is related to trauma histories, substance misuse, as well as gang involvement. This study investigated the associations between individual and peer factors and their relationship to problem drug and alcohol use among Black girls involved with the youth punishment system. Data were collected from 188 Black girls in detention at baseline, as well as 3 and 6 month follow up periods. Measures assessed were abuse history, trauma history, sex while using drugs and alcohol, age, government assistance, and drug use. Significant findings from the multiple regression analyses indicated that younger girls were more likely to have a higher prevalence of having a drug problem than older girls at baseline. Having sex while on drugs and alcohol at the 3 month follow up period was correlated with drug use. These findings highlight how individual and peer factors can influence problem substance misuse, their behavior and peer relationships among Black girls in detention.
Asunto(s)
Experiencias Adversas de la Infancia , Negro o Afroamericano , Grupo Paritario , Prisioneros , Conducta Sexual , Trastornos Relacionados con Sustancias , Adolescente , Femenino , Humanos , Experiencias Adversas de la Infancia/etnología , Experiencias Adversas de la Infancia/psicología , Consumo de Bebidas Alcohólicas/etnología , Consumo de Bebidas Alcohólicas/psicología , Negro o Afroamericano/psicología , Prisioneros/psicología , Conducta Sexual/etnología , Conducta Sexual/psicología , Trastornos Relacionados con Sustancias/etnología , Trastornos Relacionados con Sustancias/psicología , Factores de Edad , Grupo Social , Problemas Sociales/etnología , Problemas Sociales/psicología , Procesos de GrupoRESUMEN
PURPOSE: The configuration of one's sexual network has been shown to influence sexually transmitted infection (STI) acquisition in some populations. Young Black men who have sex with women (MSW) have high rates of STIs, yet little is known about their sexual networks. The purpose of this study is to describe the characteristics of sexual networks and their association with selected STI infections among young Black MSW. METHODS: Black MSW aged 15-26 years who were enrolled in the New Orleans community-based screening program named Check It from March 2018 to March 2020 were tested for C. trachomatis and N. gonorrhoeae infection and asked about the nature of their sexual partnerships. Sexual partnerships with women were defined as dyadic, somewhat dense (either themselves or their partner had multiple partners), and dense (both they and their partner(s) had multiple partners). RESULTS: Men (n = 1,350) reported 2,291 sex partners. The percentage of men who reported their networks were dyadic, somewhat dense, and dense was 48.7%, 27.7%, and 23.3%, respectively; 11.2% were STI-positive and 39.2% thought their partner(s) had other partners. Compared to men in dyadic relationships, those in somewhat dense network did not have increased risk of STI infection, but those in dense networks were more likely to have an STI (adjusted odds ratio = 2.06, 95% confidence interval [1.35-3.13]). DISCUSSION: Young Black MSW, who had multiple partners and who thought their partner(s) had other sex partners were at highest risk for STIs. Providers should probe not only about the youth's personal risk but should probe about perceived sexual partners' risk for more targeted counseling/STI testing.
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Negro o Afroamericano , Conducta Sexual , Enfermedades de Transmisión Sexual , Adolescente , Femenino , Humanos , Masculino , Conducta Sexual/etnología , Conducta Sexual/estadística & datos numéricos , Parejas Sexuales , Enfermedades de Transmisión Sexual/epidemiología , Enfermedades de Transmisión Sexual/etnología , Nueva Orleans/epidemiología , Negro o Afroamericano/estadística & datos numéricos , Adulto Joven , Adulto , Conductas de Riesgo para la Salud , Heterosexualidad/estadística & datos numéricos , Gonorrea/epidemiología , Gonorrea/etnología , Infecciones por Chlamydia/epidemiología , Infecciones por Chlamydia/etnologíaRESUMEN
Kinship has been the primary concern among young queer people in today's China and other parts of Asia under the strong and ongoing familism, who often find it challenging to come out and negotiate their sexuality with their parental family. This paper adopts the concept of stretched kinship to critically analyze the digital videos released by PFLAG China (Parents and Friends of Lesbians and Gays in China) from 2015 to 2020, focusing on the experiences of the parents in their responses to young people's coming out. It both extends and challenges the concept of stretched kinship by turning the spotlight from queer youth to their parents-a topic often overlooked in queer Asian and Chinese studies-to examine how Chinese parents reject and accept their queer child contextualized in the rapid and ongoing social change in twenty-first-century China and Asia.
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Pueblos del Este de Asia , Apoyo Familiar , Relaciones Padres-Hijo , Padres , Rechazo en Psicología , Minorías Sexuales y de Género , Adolescente , Niño , Femenino , Humanos , Masculino , China , Pueblos del Este de Asia/psicología , Padres/psicología , Minorías Sexuales y de Género/psicología , Conducta Sexual/etnología , Conducta Sexual/psicología , Asia , Relaciones Padres-Hijo/etnología , Apoyo Familiar/psicología , Estatus SocialRESUMEN
Many Ghanaians identify their country's most enduring female initiation rite as a risk factor for early sexual debut, claiming that initiates interpret the rite as a normative starting point for sexual activity as was standard in the past. However, the assumption that African initiation rites may hasten sexual debut has not been statistically substantiated. This study explores this association using three waves of longitudinal data collected between 2010 to 2013 from 690 girls and young women aged 12-19, about half of whom had participated in the rite. The results suggest that initiates typically participate in the rite at age 11 and begin having sex around age 16, about six months earlier than non-initiates. Results from survival analyses correspondingly indicate that initiates are 50% more likely to report sexual debut than their non-initiated counterparts. This relationship remains robust when accounting for confounding variables and reverse causality and is not moderated by socioeconomic status. Findings suggest that initiation rites should be understood as having potentially meaningful implications for adolescent sexual debut and sexual and reproductive health outcomes in sub-Saharan Africa. Capitalising on initiation rites for their role in sexual socialisation may be a valuable opportunity to promote sexual and reproductive health among youth.
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Conducta Ceremonial , Conducta Sexual , Salud Sexual , Adolescente , Niño , Femenino , Humanos , Ghana , Factores de Riesgo , Conducta Sexual/etnología , Salud Sexual/etnología , Factores de EdadRESUMEN
OBJECTIVES: Existing scholarship has consistently demonstrated disparities in healthcare experience based on sexual identity. However, relatively little research has considered intersections with race/ethnicity, despite that intersection with other characteristics may complicate healthcare experiences and satisfaction among sexual minorities. This study aims to address such a gap by examining healthcare satisfaction across the intersections of sexual and racial/ethnic identity. DESIGN: Utilizing data on U.S. adults included in the 2013-2018 Behavioral Risk Factor Surveillance System (BRFSS) (n = 372,766), we investigate levels of satisfaction with care among a range of groups simultaneously embodying two identities. RESULTS: Findings from ordered logistic regression models show that among adults who identify as heterosexual, the odds of reporting high satisfaction with care are lower among Blacks, Asians, and Native Americans. Among sexual minority adults, the likelihood of reporting high satisfaction with care is consistently lower among Native American gay and lesbian adults compared to gays and lesbians of other race/ethnicity or Native American and White heterosexuals, indicating heightened vulnerability to poorer healthcare experience among this multiple minority group. CONCLUSION: While levels of satisfaction with care tend to be generally high across groups, future research should endeavor to investigate the driving factors that lower the odds of high healthcare satisfaction among those with intersecting minority identities.
Asunto(s)
Etnicidad , Satisfacción del Paciente , Grupos Raciales , Minorías Sexuales y de Género , Adulto , Femenino , Humanos , Masculino , Etnicidad/psicología , Etnicidad/estadística & datos numéricos , Heterosexualidad/etnología , Minorías Sexuales y de Género/psicología , Minorías Sexuales y de Género/estadística & datos numéricos , Conducta Sexual/etnología , Grupos Raciales/psicología , Grupos Raciales/estadística & datos numéricos , Estados Unidos , Satisfacción del Paciente/etnología , Satisfacción del Paciente/estadística & datos numéricos , Sistema de Vigilancia de Factor de Riesgo Conductual , Modelos Logísticos , Persona de Mediana Edad , AncianoRESUMEN
Introduction: High incidence and prevalence of HIV persist in Puerto Rico. To inform HIV prevention efforts, this study examines factors linked to HIV-associated behaviors in the territory. Methods: Using data from the 2019 Behavioral Risk Factor Surveillance System, multivariable logistic regression models were constructed to explore factors related to HIV-associated behaviors. Results: Among Puerto Rican residents (n=4446), 5.6% reported engaging in ≥1 HIV-associated behavior (past 12 months), and 39.2% had never been tested for HIV. Reporting HIV-associated behaviors was associated with male sex (adjusted odds ratio [aOR], 1.74; 95% confidence interval [CI], 1.30-2.33), higher household income (aOR, 1.71; 95% CI, 1.14-2.58), heavy alcohol use (aOR, 2.67; 95% CI, 1.68-4.25), and ever receiving an HIV test (aOR, 2.00; 95% CI, 1.40-2.86) in a multivariable model. Conversely, being married (aOR, 0.51; 95% CI, 0.35-0.72), having a recent routine checkup (aOR, 0.48; 95% CI, 0.32-0.72), and reporting 0 days of poor mental health (aOR, 0.61; 95% CI, 0.45-0.81) were associated with decreased odds of engaging in HIV-associated behaviors. Conclusions: Future surveys should incorporate measures of social and structural determinants that would provide greater context for understanding behavioral factors associated with HIV vulnerability as well as for developing appropriate HIV interventions in Puerto Rico.
Asunto(s)
Sistema de Vigilancia de Factor de Riesgo Conductual , Infecciones por VIH , Humanos , Puerto Rico/epidemiología , Puerto Rico/etnología , Masculino , Infecciones por VIH/epidemiología , Infecciones por VIH/etnología , Femenino , Adulto , Prevalencia , Persona de Mediana Edad , Adulto Joven , Adolescente , Conductas Relacionadas con la Salud/etnología , Conducta Sexual/etnología , Factores de RiesgoRESUMEN
Hispanic men who have sex with men (HMSM) experience HIV risk-related and mental health disparities. The relationship of mental health (i.e., depressive symptoms and anxiety) on sexual risk behaviors of HMSM has been reported. However, little is known about the influence of impulsivity and compulsivity on sexual risk behaviors. A cross-sectional study explored these factors among 150 HMSM in the El Paso, Texas area utilizing standardized measures, in a cross-sectional study. Regression analysis determined the influence of sexual impulsivity and compulsivity, and demographic variables on sexual risk behaviors, indicating interventions should target these behaviors to mitigate sexual risk among HMSM.