AIDS-Related Risk Among Adolescent Males Who Have Sex With Males, Females, or Both: Evidence From a Statewide Survey
Carol Goodenow, PhD,
Julie Netherland, MSW and
Laura Szalacha, EdD
Carol Goodenow is with the Massachusetts Department of Education, Malden. Julie Netherland is with the Boston Medical Center, Boston, Mass. Laura Szalacha is with the Center for Research on Women, Wellesley College, Wellesley, Mass. This paper represents the work of the individual authors; institutional affiliations are listed for informational purposes only.
Correspondence: Requests fr reprints should be sent to Carol Goodenow, PhD, Massachusetts Department of Education, 350 Main St, Malden, MA 02148 (e-mail: cgoodenow{at}doe.mass.edu).
Objectives. This study examined the prevalence of AIDS-relatedrisk behaviors among adolescent males with female, male, andboth-sex sexual partners and explored factors related to thesebehaviors.
Methods. Three waves of a population-based survey provided dataon male high school students: 3065 with only female sexual partners,94 with only male partners, and 108 with both. Logistic regressionanalyses were used to examine AIDS-related outcomes.
Results. Youths with any same-sex experience reported less schoolAIDS education. Bisexual experience predicted multiple sexualpartners, unprotected intercourse, sexually transmitted disease,and injection drug use. School AIDS education and condom instructionpredicted less AIDS-related risk.
Conclusions. Bisexually active adolescent males report especiallyhigh levels of AIDS risk behavior. School-based AIDS preventionshould address the needs of all sexually active youths.
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