Does Context and Adversity Shape Sexual Behavior in Youth? Findings from Two Representative Samples of Puerto Rican Youth.

Sexual risk behaviors often co-occur. Understanding the heterogeneity in patterns of sexual behavior among youth and how context of majority and minoritized status may be related to these behaviors can inform targeted STIs/HIV interventions. Data are from the Boricua Youth Study, a longitudinal stud...

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Published in:Archives of Sexual Behavior Vol. 52; no. 1; pp. 217 - 232
Main Authors: Ramos-Olazagasti, Maria A., Elkington, Katherine S., Wainberg, Milton L., Feng, Tianshu, Corbeil, Thomas, Canino, Glorisa J., Bird, Hector R., Scorza, Pamela, Wildsmith, Elizabeth, Alegria, Margarita, Duarte, Cristiane S.
Format: Article
Published: Springer Nature Jan2023
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Online Access:View this record in EBSCOhost
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      dt: Jan2023
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        atl: Does Context and Adversity Shape Sexual Behavior in Youth? Findings from Two Representative Samples of Puerto Rican Youth.
      aug:
        au:
          Ramos-Olazagasti, Maria A.
          Elkington, Katherine S.
          Wainberg, Milton L.
          Feng, Tianshu
          Corbeil, Thomas
          Canino, Glorisa J.
          Bird, Hector R.
          Scorza, Pamela
          Wildsmith, Elizabeth
          Alegria, Margarita
          Duarte, Cristiane S.
        affil:
          Reproductive Health and Family Formation, Child Trends, 7315 Wisconsin Ave, Ste 1200W, 20814, Bethesda, MD, USA
          Child and Adolescent Psychiatry, Columbia University, New York, NY, USA
          New York State Psychiatric Institute, New York, NY, USA
          Medical Sciences Campus, University of Puerto Rico, Rio Piedras, Puerto Rico, USA
          Disparities Research Unit, Massachusetts General Hospital, Boston, MA, USA
      su:
        Puerto Rico
        Youths' sexual behavior
        Hispanic American youth
        Social context
        Young adults
      sug:
        subj:
          Youths' sexual behavior
          Hispanic American youth
          Social context
          Young adults
          Puerto Rico
      keyword:
        Adverse childhood experiences
        Latino youth
        Maltreatment
        Sexual risk behaviors
        Adverse childhood experiences
        Latino youth
        Maltreatment
        Sexual risk behaviors
      ab: Sexual risk behaviors often co-occur. Understanding the heterogeneity in patterns of sexual behavior among youth and how context of majority and minoritized status may be related to these behaviors can inform targeted STIs/HIV interventions. Data are from the Boricua Youth Study, a longitudinal study of two probability samples of Puerto Rican youth recruited in the South Bronx (SBx) and the metropolitan area in Puerto Rico (PR). We identified patterns of sexual behaviors among young adults (ages 15–24) with sexual experience (N = 1,203) using latent class analysis. Analyses examined context differences and the prospective relationship between adverse childhood experiences (ACEs) (childhood maltreatment/violence, family/parental dysfunction) and patterns of sexual behaviors (age at first sex, number of sex partners, sex with a high-risk partner, condom use, sex while intoxicated, oral sex, anal sex). We identified five classes of sexual behaviors: (1) currently inactive (16.51%); (2) single partner, low activity (13.49%); (3) single partner, inconsistent condom use (32.19%); (4) single partner, sex without a condom (27.65%); and (5) multirisk (10.16%). Young adults from the SBx (minoritized context), those who identified as male, and those with higher child maltreatment/violence ACEs were more likely to be in the multi-risk class relative to the single partner, inconsistent condom use class. Those from the SBx were also more likely to be in the single partner, sex without condom class, relative to the single partner, inconsistent condom use class. Differences in young adults' patterns of sexual behaviors between the two contexts, one representing the minoritized context (SBx) contrasted to the majority context (PR), were not explained by ACEs. Findings highlight the heterogeneity in the patterns of sexual behaviors among Puerto Rican young adults as well as how such patterns vary based on sociocultural contexts. Exposure to child maltreatment/violence ACEs was related to the riskier patterns; however, they did not explain why riskier patterns of sexual behaviors were found in the SBx compared to PR. Results underscore the need for tailored interventions and more in-depth examination of differences across contexts.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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