African-American sexual minority adolescents and sexual health disparities

An exploratory cross-sectional study

Alyssa L. Norris, Larry K. Brown, Ralph J. DiClemente, Robert F. Valois, Daniel Romer, Peter A Vanable, Michael P. Carey

Research output: Contribution to journalArticle

Abstract

Purpose: To better understand sexual health disparities among African-American sexual minority adolescents. Methods: African-American adolescents (N = 1120; mean age = 15.24 years) were recruited from 4 cities (Columbia, SC; Macon, GA; Providence, RI; Syracuse, NY) to a larger trial. The current analyses used data from the 18-month follow-up when adolescents reported on their sexual partnerships, condom use knowledge, self-efficacy and outcome expectancies for condom use, sexual risk behavior, and STI testing history. Results: Compared with heterosexual adolescents, sexual minority adolescents reported more concerns about potential relationship harms resulting from safer sex negotiation. Sexual minority adolescents were also more likely to engage in riskier sexual behaviors, with females reporting more sexual partners and drug use prior to sex, and males reporting inconsistent condom use and higher rates of HIV. Conclusions: African-American sexual minority adolescents evidence disparities in sexual risk behavior and STI history that appear to result from interpersonal and relationship concerns. These concerns need to be targeted in sexual health interventions for sexual minority adolescents.

Original languageEnglish (US)
JournalJournal of the National Medical Association
DOIs
StateAccepted/In press - Jan 1 2018

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Minority Health
Reproductive Health
African Americans
Cross-Sectional Studies
Condoms
Sexual Behavior
Sexually Transmitted Diseases
Risk-Taking
Lepidium
Safe Sex
Sexual Minorities
Adolescent Health
Sexual Partners
Heterosexuality
Negotiating
Self Efficacy
History
HIV

ASJC Scopus subject areas

  • Medicine(all)

Cite this

African-American sexual minority adolescents and sexual health disparities : An exploratory cross-sectional study. / Norris, Alyssa L.; Brown, Larry K.; DiClemente, Ralph J.; Valois, Robert F.; Romer, Daniel; Vanable, Peter A; Carey, Michael P.

In: Journal of the National Medical Association, 01.01.2018.

Research output: Contribution to journalArticle

Norris, Alyssa L. ; Brown, Larry K. ; DiClemente, Ralph J. ; Valois, Robert F. ; Romer, Daniel ; Vanable, Peter A ; Carey, Michael P. / African-American sexual minority adolescents and sexual health disparities : An exploratory cross-sectional study. In: Journal of the National Medical Association. 2018.
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