Abstract

Background and Purpose: Youth from continuation high schools (CHS) exhibit riskier sexual behaviors than other high school youth, yet the associations between intrapersonal and interpersonal constructs and condom-using behavior are not fully understood within this population. It is unknown which of these variables may be more strongly associated with condom use. This study explored the effects of parentadolescent communication, perceived HIV susceptibility, condom use peer norms, and condom use selfefficacy on lifetime and recent condom use and the potential moderating effects by gender and Latino ethnicity. Methods: A non-experimental study was conducted with 111 CHS young adults in Southern California who previously participated in a substance abuse prevention intervention. Ordinal logistic regression models assessed the associations between each construct and condom use and included interaction terms by gender and Latino ethnicity. Results: Parent-adolescent communication during adolescence and within the past 6 months as well as peer norms that support condom use were significantly associated with lifetime and recent condom use. Perceived HIV risk and condom use selfefficacy showed no effect. Relationships were not moderated by gender or Latino ethnicity. Conclusion: Findings highlight the salutary influence of parents and peers on personal condom use. Future research should explore intrapersonal factors that may motivate consistent condom use.

Highlights

  • Sexual risk-taking behaviors have decreased over time among high school youth (CDC, 2015), but changes in sexual risk behaviors among adolescents from continuation high schools (CHS) are unknown

  • A total of 111 former CHS young adults participated in the study (Table 1)

  • Interventions aimed at youth in continuation high schools could benefit by incorporating comprehensive sexual education into curriculum

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Summary

Introduction

Sexual risk-taking behaviors have decreased over time among high school youth (CDC, 2015), but changes in sexual risk behaviors among adolescents from continuation high schools (CHS) are unknown. Over 1 in 5 new HIV diagnoses in 2014 were in adolescents and young adults, ages 13 to 24 years (Centers for Disease Control and Prevention [CDC], 2015). Youth from continuation high schools (CHS) exhibit riskier sexual behaviors than other high school youth, yet the associations between intrapersonal and interpersonal constructs and condom-using behavior are not fully understood within this population. It is unknown which of these variables may be more strongly associated with condom use. This study explored the effects of parentadolescent communication, perceived HIV susceptibility, condom use peer norms, and condom use selfefficacy on lifetime and recent condom use and the potential moderating effects by gender and Latino ethnicity. Future research should explore intrapersonal factors that may motivate consistent condom use

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