Number of Sexual Partners and Relationship Status Are Associated With Unprotected Sex Across Emerging Adulthood.

Sex with multiple partners, consecutively or concurrently, is a risk factor for contracting sexually transmitted infections (STIs) as multiple partner-partner contacts present increased opportunity for transmission. It is unclear, however, if individuals who tend to have more partners also use prote...

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Published in:Archives of Sexual Behavior Vol. 46; no. 2; pp. 419 - 433
Main Authors: Ashenhurst, James, Wilhite, Emily, Harden, K., Fromme, Kim, Ashenhurst, James R, Wilhite, Emily R, Harden, K Paige
Format: journal article
Published: Springer Nature Feb2017
Subjects:
Online Access:View this record in EBSCOhost
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      dt: Feb2017
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      pub: Springer Nature
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        10.1007/s10508-016-0692-8
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          Ashenhurst, James
          Wilhite, Emily
          Harden, K.
          Fromme, Kim
          Ashenhurst, James R
          Wilhite, Emily R
          Harden, K Paige
        affil:
          Department of Psychology , The University of Texas at Austin , 1 University Station, A8000 Austin 78712 USA
          Department of Psychology, The University of Texas at Austin, 1 University Station, A8000, Austin, TX, 78712, USA
      su:
        Sexual partners
        Sexual intercourse
        Young adults' sexual behavior
        Unsafe sex
        Sexually transmitted diseases -- Social aspects
      sug:
        subj:
          Sexual partners
          Sexual intercourse
          Young adults' sexual behavior
          Unsafe sex
          Sexually transmitted diseases -- Social aspects
      keyword:
        Emerging adults
        Multiple sex partners
        Sexual risk behavior
        Trajectory analysis
        Unprotected sex
        Emerging adults
        Multiple sex partners
        Sexual risk behavior
        Trajectory analysis
        Unprotected sex
      ab: Sex with multiple partners, consecutively or concurrently, is a risk factor for contracting sexually transmitted infections (STIs) as multiple partner-partner contacts present increased opportunity for transmission. It is unclear, however, if individuals who tend to have more partners also use protection less reliably than those with sexual histories of fewer partners. Longitudinal data can elucidate whether an individual shows a consistent pattern of sex with multiple partners. We used latent class growth analyses to examine emerging adult survey data (N = 2244) spanning 10 waves of assessment across 6 years. We identified three trajectory classes described with respect to number of partners as (a) Multiple, (b) Single, and (c) Rare. Trajectory group, relationship status, and their interactions were tested as predictors of using protection against STIs and pregnancy at each wave. The Multiple Partners class had the greatest odds ratio of reporting sex without protection against STIs and pregnancy, followed by the Single and Rare classes. Exclusive relationship status was a risk factor for unprotected sex at earlier waves, but a protective factor at most later waves. There was no significant interaction between relationship status and trajectory class in predicting use of protection. The Multiple Partners class reported more permissive values on sex and an elevated proportion of homosexual behavior. This group overlaps with an already identified at-risk population, men who have sex with men. Potential mechanisms explaining the increased risk for sex without protection, including communication, risk assessment, and co-occurring risk behaviors are discussed as targets for intervention.
      pubtype: Academic Journal
      doctype: journal article
      src: R
    language: English
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