Abstract
Objective: To investigate multiple levels of influence with respect to the lack of recent condom use among a high risk sample of adolescent males recruited from short term detention facilities.
Methods: A cross sectional survey of 231 adolescent males serving, predominantly, short term detention sentences. Assessments were conducted using audiocomputer assisted self interviewing. Condom use during the most recent sexual event was assessed as well as 20 potential correlates of not using condoms. Correlates were assessed within five levels of causation: personal, relational, peer affiliation, family, and societal.
Results: Nine correlates achieved bivariate significance (p<0.05). Of these, the personal level correlates were particularly important in a multivariate model. The motivation subscale from the Condom Barriers Scale was the strongest multivariate correlate of recent condom use. Adolescents scoring below the median were about 3.4 times more likely to report lack of recent condom use (p = 0.0006). Adolescents indicating they had ever caused a pregnancy were about 2.5 times more likely to report lack of condom use (p = 0.02). Finally, those reporting their peers did not use condoms were about twice as likely to report lack of use (p = 0.048).
Conclusion: Upon investigating multiple levels of potential influence on condom use, the multivariate findings suggest that personal level factors may be the most important determinant of non-use among adolescent males in short term detention facilities. Although structural changes may be needed to influence some forms of safer sex behaviour, direct intervention with adolescent males may be justified to favourably alter determinants of condom use.
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Selected References
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- Anderson B., Farrow J. A. Incarcerated adolescents in Washington state. Health services and utilization. J Adolesc Health. 1998 May;22(5):363–367. doi: 10.1016/s1054-139x(97)00269-3. [DOI] [PubMed] [Google Scholar]
- Canterbury R. J., McGarvey E. L., Sheldon-Keller A. E., Waite D., Reams P., Koopman C. Prevalence of HIV-related risk behaviors and STDs among incarcerated adolescents. J Adolesc Health. 1995 Sep;17(3):173–177. doi: 10.1016/1054-139X(95)00043-R. [DOI] [PubMed] [Google Scholar]
- Cooper M. L., Agocha V. B., Powers A. M. Motivations for condom use: do pregnancy prevention goals undermine disease prevention among heterosexual young adults? Health Psychol. 1999 Sep;18(5):464–474. doi: 10.1037//0278-6133.18.5.464. [DOI] [PubMed] [Google Scholar]
- Crosby R., DiClemente R. J., Holtgrave D. R., Wingood G. M. Design, measurement, and analytical considerations for testing hypotheses relative to condom effectiveness against non-viral STIs. Sex Transm Infect. 2002 Aug;78(4):228–231. doi: 10.1136/sti.78.4.228. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Crosby Richard A., DiClemente Ralph J., Wingood Gina M., Cobb Brenda K., Harrington Kathy, Davies Susan L., Hook Edward W., 3rd, Oh M. Kim. Condom use and correlates of African American adolescent females' infrequent communication with sex partners about preventing sexually transmitted diseases and pregnancy. Health Educ Behav. 2002 Apr;29(2):219–231. doi: 10.1177/109019810202900207. [DOI] [PubMed] [Google Scholar]
- Crosby Richard A., DiClemente Ralph J., Wingood Gina M., Salazar Laura F., Harrington Kathy, Davies Susan L., Oh M. Kim. Identification of strategies for promoting condom use: a prospective analysis of high-risk African American female teens. Prev Sci. 2003 Dec;4(4):263–270. doi: 10.1023/a:1026020332309. [DOI] [PubMed] [Google Scholar]
- Feinstein R. A., Lampkin A., Lorish C. D., Klerman L. V., Maisiak R., Oh M. K. Medical status of adolescents at time of admission to a juvenile detention center. J Adolesc Health. 1998 Mar;22(3):190–196. doi: 10.1016/S1054-139X(97)00169-9. [DOI] [PubMed] [Google Scholar]
- Hein K., Cohen M. I., Litt I. F., Schonberg S. K., Meyer M. R., Marks A., Sheehy A. J. Juvenile detention: another boundary issue for physicians. Pediatrics. 1980 Aug;66(2):239–245. [PubMed] [Google Scholar]
- Kissinger P., Rice J., Farley T., Trim S., Jewitt K., Margavio V., Martin D. H. Application of computer-assisted interviews to sexual behavior research. Am J Epidemiol. 1999 May 15;149(10):950–954. doi: 10.1093/oxfordjournals.aje.a009739. [DOI] [PubMed] [Google Scholar]
- Michaud P. A., Narring F., Ferron C. Alternative methods in the investigation of adolescents' sexual life. J Adolesc Health. 1999 Jul;25(1):84–90. doi: 10.1016/s1054-139x(98)00158-x. [DOI] [PubMed] [Google Scholar]
- St Lawrence J. S., Chapdelaine A. P., Devieux J. G., O'Bannon R. E., 3rd, Brasfield T. L., Eldridge G. D. Measuring perceived barriers to condom use: psychometric evaluation of the Condom Barriers Scale. Assessment. 1999 Dec;6(4):391–404. doi: 10.1177/107319119900600409. [DOI] [PubMed] [Google Scholar]
- Turner C. F., Ku L., Rogers S. M., Lindberg L. D., Pleck J. H., Sonenstein F. L. Adolescent sexual behavior, drug use, and violence: increased reporting with computer survey technology. Science. 1998 May 8;280(5365):867–873. doi: 10.1126/science.280.5365.867. [DOI] [PubMed] [Google Scholar]