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RACIAL AND ETHNIC DISPARITIES IN STIS/HIV AND INTERPARTNER VIOLENCE: A CONSIDERATION OF GIRL'S OBESITY, SELF-WEIGHT PERCEPTION, PARENT-CHILD RELATIONSHIP AND PEER CLIMATE IN TRANSITION FROM ADOLESCENCE TO YOUNG ADULTHOOD

Purpose: There are significant racial/ethnic disparities in the prevalence of STI/HIV and sexual risk behaviors starting from adolescence. This study examined contributing factors to dating and sex in non-Hispanic white (NHW), NH-black (NHB), Hispanic and other race girls and how these factors affec...

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Published in:Journal of adolescent health 2020-02, Vol.66 (2S), p.S71
Main Authors: Min, Jungwon, Faerber, Jennifer, Skolnik, Ava, Akers, Aletha Y
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Faerber, Jennifer
Skolnik, Ava
Akers, Aletha Y
description Purpose: There are significant racial/ethnic disparities in the prevalence of STI/HIV and sexual risk behaviors starting from adolescence. This study examined contributing factors to dating and sex in non-Hispanic white (NHW), NH-black (NHB), Hispanic and other race girls and how these factors affect the risk of having multiple sex partners, STIs/HIV, and inter-partner violence (IPV) up to early adulthood in the US. Methods: Dating experiences and sexual health were tracked in adolescence and young adulthood along with multilevel determinants including individual, family and peer characteristics using nationally representative longitudinal data collected from 43,594 females using the ADD Health datasets (Waves I-IV, 1994-2008). Generalized linear models were used to test whether racial/ethnic disparities in sexual health from adolescence to young adulthood (between 12-32 years of age) persisted after controlling for significant adolescent characteristics in dating and sex. Results: There were significant differences across racial/ethnic groups in adolescent dating and sexual behaviors. NHW girls had the highest rate in dating (76.3%) and having self-efficacy to negotiate safe sex with partners (86.5%), while NHB girls did in sexual initiation (58.6%, all p
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fullrecord <record><control><sourceid>proquest</sourceid><recordid>TN_cdi_proquest_journals_2375484625</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2375484625</sourcerecordid><originalsourceid>FETCH-proquest_journals_23754846253</originalsourceid><addsrcrecordid>eNqNjs1OwzAQhCMEEuXnHVbiwKUR-elfuBl7E6_k2pG9LfRUcSiHClFo6NvyMDgRD8BpRzuj-eYsGeWLeZXm1bw4jzqbTtK8rF4uk6uu22dZPpvl2Sj58UKSMCCsAmRtSYKi0ApPTBiALASm8KBpPUTIMvroskUPa3IGrcRHECCdDaTQCyZnwdXQkDf3AdwTBuLNGAKaOn1GajRDi15i2yfHEMvQcio1GQUezVAQNLUDr8XIkYaWgrEfw15EzsCovVuCUHFCkP0KYAcbt7JNfK4Ma-fUTXLx9vre7W7_7nVyVyNLnX4eD1-nXfe93R9Ox49obYtyPp0sJrNiWv4v9QttGF6A</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2375484625</pqid></control><display><type>article</type><title>RACIAL AND ETHNIC DISPARITIES IN STIS/HIV AND INTERPARTNER VIOLENCE: A CONSIDERATION OF GIRL'S OBESITY, SELF-WEIGHT PERCEPTION, PARENT-CHILD RELATIONSHIP AND PEER CLIMATE IN TRANSITION FROM ADOLESCENCE TO YOUNG ADULTHOOD</title><source>Applied Social Sciences Index &amp; Abstracts (ASSIA)</source><source>Elsevier</source><source>Sociological Abstracts</source><creator>Min, Jungwon ; Faerber, Jennifer ; Skolnik, Ava ; Akers, Aletha Y</creator><creatorcontrib>Min, Jungwon ; Faerber, Jennifer ; Skolnik, Ava ; Akers, Aletha Y</creatorcontrib><description>Purpose: There are significant racial/ethnic disparities in the prevalence of STI/HIV and sexual risk behaviors starting from adolescence. This study examined contributing factors to dating and sex in non-Hispanic white (NHW), NH-black (NHB), Hispanic and other race girls and how these factors affect the risk of having multiple sex partners, STIs/HIV, and inter-partner violence (IPV) up to early adulthood in the US. Methods: Dating experiences and sexual health were tracked in adolescence and young adulthood along with multilevel determinants including individual, family and peer characteristics using nationally representative longitudinal data collected from 43,594 females using the ADD Health datasets (Waves I-IV, 1994-2008). Generalized linear models were used to test whether racial/ethnic disparities in sexual health from adolescence to young adulthood (between 12-32 years of age) persisted after controlling for significant adolescent characteristics in dating and sex. Results: There were significant differences across racial/ethnic groups in adolescent dating and sexual behaviors. NHW girls had the highest rate in dating (76.3%) and having self-efficacy to negotiate safe sex with partners (86.5%), while NHB girls did in sexual initiation (58.6%, all p&lt;0.001). NHB girls also had a higher overweight/obese rate (36.7%) than other groups but the highest rate of underperceiving their body weight (34.7%). NHB parents were less likely to disapprove sexual initiation in adolescence (84.3%, all p&lt;0.01). Adolescent school attachment and permissive sexual climate in school were not found to differ across racial/ethnic groups. Across all racial/ethnic groups, age at the first menses, weight status, depression, family structure, and parent education level had robust associations with adolescent dating experience, sexual initiation and having self-efficacy to negotiate safe sex. Although overweight/obese girls were less likely to have ever engaged in dating than normalweight girls, this relationship was not observed in NHBs. From adolescence to young adulthood, NHB females had the highest rate in experiencing multiple sexual partners, STIs/HIV, and IPV victimization (94.6, 51.0, and 37.0%, p&lt;0.001). The highest rate of multiple sexual partners and STIs/HIV in NHB females remained regardless of their weight status. After adjusting for significant contributing factors in adolescent dating and sex-related behaviors, the difference between NHW and NHB in having multiple sex partners became insignificant (Incidence rate ratio in NHB vs. NHW, IRR=0.98 [95% CI=0.86-1.11], and the higher risk of having STIs/HIV in NHB females than NHW females were not changed much (IRR= 2.43 [2.08-2.85] to 2.41 [1.91-3.05]). In contrast, the higher risk of IPV victimization in NHBs than NHWs became increased after adjusting for adolescent characteristics (IRR=1.28 [0.99-1.66] to 1.52 [1.13-2.05]). Conclusions: Although there were significant differences in individual, family, peer-level characteristics and their associations with adolescent dating and sex across racial/ethnic groups, NHB's higher risk of STIs/HIV was not reduced significantly, and their risk of IPV victimization was increased after adjusting these contributing factors. Factors other than individual, family and peer-level characteristics appear to account for the racial/ethnic disparities in STIs/HIV and IPV. Further studies on social contact and partners' characteristics among those females with STIs/HIV and IPV may address the racial/ethnic disparities in sexual health.</description><identifier>ISSN: 1054-139X</identifier><identifier>EISSN: 1879-1972</identifier><language>eng</language><publisher>New York: Elsevier BV</publisher><subject>Adolescent girls ; Adolescents ; Age groups ; Attachment ; Black white differences ; Black white relations ; Body weight ; Dating ; Ethnic differences ; Ethnicity ; Family structure ; Females ; Girls ; HIV ; Human immunodeficiency virus ; Intimate partner violence ; Life transitions ; Linear analysis ; Minority &amp; ethnic groups ; Obesity ; Parent-child relations ; Parents &amp; parenting ; Perceptions ; Race ; Racial differences ; Racial inequality ; Risk behavior ; Risk factors ; Safe sexual practices ; School environment ; Sex differences ; Sexual behavior ; Sexual health ; Sexually transmitted diseases ; Social contact ; STD ; Teenagers ; Victimization ; Young adults</subject><ispartof>Journal of adolescent health, 2020-02, Vol.66 (2S), p.S71</ispartof><rights>Copyright Elsevier BV Feb 2020</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,30999,33774</link.rule.ids></links><search><creatorcontrib>Min, Jungwon</creatorcontrib><creatorcontrib>Faerber, Jennifer</creatorcontrib><creatorcontrib>Skolnik, Ava</creatorcontrib><creatorcontrib>Akers, Aletha Y</creatorcontrib><title>RACIAL AND ETHNIC DISPARITIES IN STIS/HIV AND INTERPARTNER VIOLENCE: A CONSIDERATION OF GIRL'S OBESITY, SELF-WEIGHT PERCEPTION, PARENT-CHILD RELATIONSHIP AND PEER CLIMATE IN TRANSITION FROM ADOLESCENCE TO YOUNG ADULTHOOD</title><title>Journal of adolescent health</title><description>Purpose: There are significant racial/ethnic disparities in the prevalence of STI/HIV and sexual risk behaviors starting from adolescence. This study examined contributing factors to dating and sex in non-Hispanic white (NHW), NH-black (NHB), Hispanic and other race girls and how these factors affect the risk of having multiple sex partners, STIs/HIV, and inter-partner violence (IPV) up to early adulthood in the US. Methods: Dating experiences and sexual health were tracked in adolescence and young adulthood along with multilevel determinants including individual, family and peer characteristics using nationally representative longitudinal data collected from 43,594 females using the ADD Health datasets (Waves I-IV, 1994-2008). Generalized linear models were used to test whether racial/ethnic disparities in sexual health from adolescence to young adulthood (between 12-32 years of age) persisted after controlling for significant adolescent characteristics in dating and sex. Results: There were significant differences across racial/ethnic groups in adolescent dating and sexual behaviors. NHW girls had the highest rate in dating (76.3%) and having self-efficacy to negotiate safe sex with partners (86.5%), while NHB girls did in sexual initiation (58.6%, all p&lt;0.001). NHB girls also had a higher overweight/obese rate (36.7%) than other groups but the highest rate of underperceiving their body weight (34.7%). NHB parents were less likely to disapprove sexual initiation in adolescence (84.3%, all p&lt;0.01). Adolescent school attachment and permissive sexual climate in school were not found to differ across racial/ethnic groups. Across all racial/ethnic groups, age at the first menses, weight status, depression, family structure, and parent education level had robust associations with adolescent dating experience, sexual initiation and having self-efficacy to negotiate safe sex. Although overweight/obese girls were less likely to have ever engaged in dating than normalweight girls, this relationship was not observed in NHBs. From adolescence to young adulthood, NHB females had the highest rate in experiencing multiple sexual partners, STIs/HIV, and IPV victimization (94.6, 51.0, and 37.0%, p&lt;0.001). The highest rate of multiple sexual partners and STIs/HIV in NHB females remained regardless of their weight status. After adjusting for significant contributing factors in adolescent dating and sex-related behaviors, the difference between NHW and NHB in having multiple sex partners became insignificant (Incidence rate ratio in NHB vs. NHW, IRR=0.98 [95% CI=0.86-1.11], and the higher risk of having STIs/HIV in NHB females than NHW females were not changed much (IRR= 2.43 [2.08-2.85] to 2.41 [1.91-3.05]). In contrast, the higher risk of IPV victimization in NHBs than NHWs became increased after adjusting for adolescent characteristics (IRR=1.28 [0.99-1.66] to 1.52 [1.13-2.05]). Conclusions: Although there were significant differences in individual, family, peer-level characteristics and their associations with adolescent dating and sex across racial/ethnic groups, NHB's higher risk of STIs/HIV was not reduced significantly, and their risk of IPV victimization was increased after adjusting these contributing factors. Factors other than individual, family and peer-level characteristics appear to account for the racial/ethnic disparities in STIs/HIV and IPV. Further studies on social contact and partners' characteristics among those females with STIs/HIV and IPV may address the racial/ethnic disparities in sexual health.</description><subject>Adolescent girls</subject><subject>Adolescents</subject><subject>Age groups</subject><subject>Attachment</subject><subject>Black white differences</subject><subject>Black white relations</subject><subject>Body weight</subject><subject>Dating</subject><subject>Ethnic differences</subject><subject>Ethnicity</subject><subject>Family structure</subject><subject>Females</subject><subject>Girls</subject><subject>HIV</subject><subject>Human immunodeficiency virus</subject><subject>Intimate partner violence</subject><subject>Life transitions</subject><subject>Linear analysis</subject><subject>Minority &amp; ethnic groups</subject><subject>Obesity</subject><subject>Parent-child relations</subject><subject>Parents &amp; parenting</subject><subject>Perceptions</subject><subject>Race</subject><subject>Racial differences</subject><subject>Racial inequality</subject><subject>Risk behavior</subject><subject>Risk factors</subject><subject>Safe sexual practices</subject><subject>School environment</subject><subject>Sex differences</subject><subject>Sexual behavior</subject><subject>Sexual health</subject><subject>Sexually transmitted diseases</subject><subject>Social contact</subject><subject>STD</subject><subject>Teenagers</subject><subject>Victimization</subject><subject>Young adults</subject><issn>1054-139X</issn><issn>1879-1972</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>7QJ</sourceid><sourceid>BHHNA</sourceid><recordid>eNqNjs1OwzAQhCMEEuXnHVbiwKUR-elfuBl7E6_k2pG9LfRUcSiHClFo6NvyMDgRD8BpRzuj-eYsGeWLeZXm1bw4jzqbTtK8rF4uk6uu22dZPpvl2Sj58UKSMCCsAmRtSYKi0ApPTBiALASm8KBpPUTIMvroskUPa3IGrcRHECCdDaTQCyZnwdXQkDf3AdwTBuLNGAKaOn1GajRDi15i2yfHEMvQcio1GQUezVAQNLUDr8XIkYaWgrEfw15EzsCovVuCUHFCkP0KYAcbt7JNfK4Ma-fUTXLx9vre7W7_7nVyVyNLnX4eD1-nXfe93R9Ox49obYtyPp0sJrNiWv4v9QttGF6A</recordid><startdate>20200201</startdate><enddate>20200201</enddate><creator>Min, Jungwon</creator><creator>Faerber, Jennifer</creator><creator>Skolnik, Ava</creator><creator>Akers, Aletha Y</creator><general>Elsevier BV</general><scope>7QJ</scope><scope>7TS</scope><scope>7U3</scope><scope>BHHNA</scope></search><sort><creationdate>20200201</creationdate><title>RACIAL AND ETHNIC DISPARITIES IN STIS/HIV AND INTERPARTNER VIOLENCE: A CONSIDERATION OF GIRL'S OBESITY, SELF-WEIGHT PERCEPTION, PARENT-CHILD RELATIONSHIP AND PEER CLIMATE IN TRANSITION FROM ADOLESCENCE TO YOUNG ADULTHOOD</title><author>Min, Jungwon ; Faerber, Jennifer ; Skolnik, Ava ; Akers, Aletha Y</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-proquest_journals_23754846253</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Adolescent girls</topic><topic>Adolescents</topic><topic>Age groups</topic><topic>Attachment</topic><topic>Black white differences</topic><topic>Black white relations</topic><topic>Body weight</topic><topic>Dating</topic><topic>Ethnic differences</topic><topic>Ethnicity</topic><topic>Family structure</topic><topic>Females</topic><topic>Girls</topic><topic>HIV</topic><topic>Human immunodeficiency virus</topic><topic>Intimate partner violence</topic><topic>Life transitions</topic><topic>Linear analysis</topic><topic>Minority &amp; ethnic groups</topic><topic>Obesity</topic><topic>Parent-child relations</topic><topic>Parents &amp; parenting</topic><topic>Perceptions</topic><topic>Race</topic><topic>Racial differences</topic><topic>Racial inequality</topic><topic>Risk behavior</topic><topic>Risk factors</topic><topic>Safe sexual practices</topic><topic>School environment</topic><topic>Sex differences</topic><topic>Sexual behavior</topic><topic>Sexual health</topic><topic>Sexually transmitted diseases</topic><topic>Social contact</topic><topic>STD</topic><topic>Teenagers</topic><topic>Victimization</topic><topic>Young adults</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Min, Jungwon</creatorcontrib><creatorcontrib>Faerber, Jennifer</creatorcontrib><creatorcontrib>Skolnik, Ava</creatorcontrib><creatorcontrib>Akers, Aletha Y</creatorcontrib><collection>Applied Social Sciences Index &amp; Abstracts (ASSIA)</collection><collection>Physical Education Index</collection><collection>Social Services Abstracts</collection><collection>Sociological Abstracts</collection><jtitle>Journal of adolescent health</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Min, Jungwon</au><au>Faerber, Jennifer</au><au>Skolnik, Ava</au><au>Akers, Aletha Y</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>RACIAL AND ETHNIC DISPARITIES IN STIS/HIV AND INTERPARTNER VIOLENCE: A CONSIDERATION OF GIRL'S OBESITY, SELF-WEIGHT PERCEPTION, PARENT-CHILD RELATIONSHIP AND PEER CLIMATE IN TRANSITION FROM ADOLESCENCE TO YOUNG ADULTHOOD</atitle><jtitle>Journal of adolescent health</jtitle><date>2020-02-01</date><risdate>2020</risdate><volume>66</volume><issue>2S</issue><spage>S71</spage><pages>S71-</pages><issn>1054-139X</issn><eissn>1879-1972</eissn><abstract>Purpose: There are significant racial/ethnic disparities in the prevalence of STI/HIV and sexual risk behaviors starting from adolescence. This study examined contributing factors to dating and sex in non-Hispanic white (NHW), NH-black (NHB), Hispanic and other race girls and how these factors affect the risk of having multiple sex partners, STIs/HIV, and inter-partner violence (IPV) up to early adulthood in the US. Methods: Dating experiences and sexual health were tracked in adolescence and young adulthood along with multilevel determinants including individual, family and peer characteristics using nationally representative longitudinal data collected from 43,594 females using the ADD Health datasets (Waves I-IV, 1994-2008). Generalized linear models were used to test whether racial/ethnic disparities in sexual health from adolescence to young adulthood (between 12-32 years of age) persisted after controlling for significant adolescent characteristics in dating and sex. Results: There were significant differences across racial/ethnic groups in adolescent dating and sexual behaviors. NHW girls had the highest rate in dating (76.3%) and having self-efficacy to negotiate safe sex with partners (86.5%), while NHB girls did in sexual initiation (58.6%, all p&lt;0.001). NHB girls also had a higher overweight/obese rate (36.7%) than other groups but the highest rate of underperceiving their body weight (34.7%). NHB parents were less likely to disapprove sexual initiation in adolescence (84.3%, all p&lt;0.01). Adolescent school attachment and permissive sexual climate in school were not found to differ across racial/ethnic groups. Across all racial/ethnic groups, age at the first menses, weight status, depression, family structure, and parent education level had robust associations with adolescent dating experience, sexual initiation and having self-efficacy to negotiate safe sex. Although overweight/obese girls were less likely to have ever engaged in dating than normalweight girls, this relationship was not observed in NHBs. From adolescence to young adulthood, NHB females had the highest rate in experiencing multiple sexual partners, STIs/HIV, and IPV victimization (94.6, 51.0, and 37.0%, p&lt;0.001). The highest rate of multiple sexual partners and STIs/HIV in NHB females remained regardless of their weight status. After adjusting for significant contributing factors in adolescent dating and sex-related behaviors, the difference between NHW and NHB in having multiple sex partners became insignificant (Incidence rate ratio in NHB vs. NHW, IRR=0.98 [95% CI=0.86-1.11], and the higher risk of having STIs/HIV in NHB females than NHW females were not changed much (IRR= 2.43 [2.08-2.85] to 2.41 [1.91-3.05]). In contrast, the higher risk of IPV victimization in NHBs than NHWs became increased after adjusting for adolescent characteristics (IRR=1.28 [0.99-1.66] to 1.52 [1.13-2.05]). Conclusions: Although there were significant differences in individual, family, peer-level characteristics and their associations with adolescent dating and sex across racial/ethnic groups, NHB's higher risk of STIs/HIV was not reduced significantly, and their risk of IPV victimization was increased after adjusting these contributing factors. Factors other than individual, family and peer-level characteristics appear to account for the racial/ethnic disparities in STIs/HIV and IPV. Further studies on social contact and partners' characteristics among those females with STIs/HIV and IPV may address the racial/ethnic disparities in sexual health.</abstract><cop>New York</cop><pub>Elsevier BV</pub></addata></record>
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source Applied Social Sciences Index & Abstracts (ASSIA); Elsevier; Sociological Abstracts
subjects Adolescent girls
Adolescents
Age groups
Attachment
Black white differences
Black white relations
Body weight
Dating
Ethnic differences
Ethnicity
Family structure
Females
Girls
HIV
Human immunodeficiency virus
Intimate partner violence
Life transitions
Linear analysis
Minority & ethnic groups
Obesity
Parent-child relations
Parents & parenting
Perceptions
Race
Racial differences
Racial inequality
Risk behavior
Risk factors
Safe sexual practices
School environment
Sex differences
Sexual behavior
Sexual health
Sexually transmitted diseases
Social contact
STD
Teenagers
Victimization
Young adults
title RACIAL AND ETHNIC DISPARITIES IN STIS/HIV AND INTERPARTNER VIOLENCE: A CONSIDERATION OF GIRL'S OBESITY, SELF-WEIGHT PERCEPTION, PARENT-CHILD RELATIONSHIP AND PEER CLIMATE IN TRANSITION FROM ADOLESCENCE TO YOUNG ADULTHOOD
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