Abstract
Analyses of the 1988 National Survey of Adolescent Males indicate the prevalence of risk behaviors related to acquired immunodeficiency syndrome, including sexual, contraceptive, and drug use behaviors, among 15- to 19-year-old men. About three-fifths had sexual intercourse, indicating that a majority of teenage men have at least some potential exposure to the human immunodeficiency virus (HIV) or sexually transmitted disease. From a behavioral perspective, the average sexually active teenage man used a condom more than half the time in the 12 months before the interview. Those with most experience with sexual intercourse, however, used condoms least frequently. More important from an epidemiologic perspective, a third of all acts of intercourse in the prior year were protected using condoms. Further, behaviors with the greatest direct risks for HIV infection, such as homosexual intercourse, use of intravenous drugs, and sex with intravenous drug users or prostitutes, appear to be relatively uncommon. Teenage men who demonstrate high-risk behavior, including both sexual and substance abuse, compound their risks, because risks generally are correlated. Condom use is a preventive behavior that is negatively correlated with most risk behaviors; those who have multiple partners, or who are substance abusers, tend to use condoms least. The convergence of risks for multi-problem teenage men indicates the relevance of interventions directed to high-risk youths.
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- Anderson J. E., Kann L., Holtzman D., Arday S., Truman B., Kolbe L. HIV/AIDS knowledge and sexual behavior among high school students. Fam Plann Perspect. 1990 Nov-Dec;22(6):252–255. [PubMed] [Google Scholar]
- Cates W., Jr Gallagher lecture. Teenagers and sexual risk taking: the best of times and the worst of times. J Adolesc Health. 1991 Mar;12(2):84–94. doi: 10.1016/0197-0070(91)90449-v. [DOI] [PubMed] [Google Scholar]
- Forrest J. D., Singh S. The sexual and reproductive behavior of American women, 1982-1988. Fam Plann Perspect. 1990 Sep-Oct;22(5):206–214. [PubMed] [Google Scholar]
- Fullilove R. E., Fullilove M. T., Bowser B. P., Gross S. A. Risk of sexually transmitted disease among black adolescent crack users in Oakland and San Francisco, Calif. JAMA. 1990 Feb 9;263(6):851–855. [PubMed] [Google Scholar]
- Hingson R. W., Strunin L., Berlin B. M., Heeren T. Beliefs about AIDS, use of alcohol and drugs, and unprotected sex among Massachusetts adolescents. Am J Public Health. 1990 Mar;80(3):295–299. doi: 10.2105/ajph.80.3.295. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Kilbourne B. W., Buehler J. W., Rogers M. F. AIDS as a cause of death in children, adolescents, and young adults. Am J Public Health. 1990 Apr;80(4):499–500. doi: 10.2105/ajph.80.4.499-a. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Moran J. S., Janes H. R., Peterman T. A., Stone K. M. Increase in condom sales following AIDS education and publicity, United States. Am J Public Health. 1990 May;80(5):607–608. doi: 10.2105/ajph.80.5.607. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Sonenstein F. L., Pleck J. H., Ku L. C. Levels of sexual activity among adolescent males in the United States. Fam Plann Perspect. 1991 Jul-Aug;23(4):162–167. [PubMed] [Google Scholar]
- Sonenstein F. L., Pleck J. H., Ku L. C. Sexual activity, condom use and AIDS awareness among adolescent males. Fam Plann Perspect. 1989 Jul-Aug;21(4):152–158. [PubMed] [Google Scholar]