Predicting Discordance Between Self-reports of Sexual Behavior and Incident Sexually Transmitted Infections with African American Female Adolescents: Results from a 4-city Study

This study examined correlates of the discordance between sexual behavior self-reports and Incident Sexually Transmitted Infections. African American adolescent females ( N  = 964) from four U.S. cities were recruited for an HIV/STI prevention trial. Self-reported sexual behaviors, demographics, and...

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Bibliographic Details
Published in:AIDS and behavior 2012-08, Vol.16 (6), p.1491-1500
Main Authors: Brown, Jennifer L., Sales, Jessica M., DiClemente, Ralph J., Salazar, Laura F., Vanable, Peter A., Carey, Michael P., Brown, Larry K., Romer, Daniel, Valois, Robert F., Stanton, Bonita
Format: Article
Language:English
Subjects:
Abstinence
Adolescent
Adolescents
African Americans
African Americans - psychology
African Americans - statistics & numerical data
Chlamydia
Female
Females
Forecasting
Gonorrhea
Health Knowledge, Attitudes, Practice
Health Psychology
HIV Infections - prevention & control
Humans
Incidence
Infectious Diseases
Knowledge
Male
Medicine
Medicine & Public Health
Original Paper
Peers
Prevalence
Public Health
Risk taking
Self Report
Sexual Behavior
Sexual Behavior - ethnology
Sexual Behavior - psychology
Sexual Behavior - statistics & numerical data
Sexually transmitted diseases
Sexually Transmitted Diseases - epidemiology
Sexually Transmitted Diseases - prevention & control
STD
Teenagers
Trials
Trichomonas
Urban Population
Venereal Diseases
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Summary:This study examined correlates of the discordance between sexual behavior self-reports and Incident Sexually Transmitted Infections. African American adolescent females ( N  = 964) from four U.S. cities were recruited for an HIV/STI prevention trial. Self-reported sexual behaviors, demographics, and hypothesized psychosocial antecedents of sexual risk behavior were collected at baseline, 6-, 12-, and 18-month follow-up assessments. Urine specimens were collected and tested for three prevalent STIs (chlamydia, gonorrhea, trichomonas) at each assessment. Seventeen percent of participants with a laboratory-confirmed STI reported either lifetime abstinence or recent abstinence from vaginal sex (discordant self-report). Lower STI knowledge, belief that fewer peers were engaging in sex, and belief that more peers will wait until marriage to have sex were associated with discordant reports. Discordance between self-reported abstinence and incident STIs was marked among African American female adolescents. Lack of STI knowledge and sexual behavior peer norms may result in underreporting of sexual behaviors.
ISSN:1090-7165
1573-3254
DOI:10.1007/s10461-012-0163-8