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AJPH First Look, published online ahead of print Nov 13, 2008
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©
American Journal of Public Health, 10.2105/AJPH.2007.123752

Research and Practice

Correlates of Heterosexual Anal Intercourse Among At-Risk Adolescents and Young Adults

Celia M. Lescano 1*, Christopher D. Houck 1, Larry K. Brown 1, Glenn Doherty 1, Ralph J. DiClemente 2, M. Isabel Fernandez 3, David Pugatch 4, William E. Schlenger 5, Barbara J. Silver 6, the Project SHIELD Study Group 7

1 Bradley Hasbro Children's Research Center
2 Emory University
3 Nova Southeastern University
4 Miriam Hospital
5 Abt Associates, Inc.
6 SAMHSA
7 Various

* To whom correspondence should be addressed. E-mail: clescano{at}lifespan.org.


  Abstract

Objectives. We sought to learn what factors are associated with anal intercourse among adolescents and young adults. We examined demographic, behavioral, relationship context, attitudinal, substance use, and mental health correlates of recent heterosexual anal intercourse among adolescents and young adults who reported engaging in recent unprotected sex.

Methods. Among 1348 at-risk adolescents and young adults aged 15 to 21 years in 3 US cities, we assessed sexual risk behavior with each sexual partner in the past 90 days. Data were collected from 2000 to 2001.

Results. Recent heterosexual anal intercourse was reported by 16% of respondents. Females who engaged in anal intercourse were more likely to be living with a sexual partner, to have had 2 or more partners, and to have experienced coerced intercourse. For males, only a sexual orientation other than heterosexual was a significant predictor of engaging in heterosexual anal intercourse.

Conclusions. Our findings document the prevalence of heterosexual anal intercourse among adolescents and young adults who had recent unprotected sex. Among females, the variables associated with anal intercourse relate to the context and power balance of sexual relationships. Different influences for males and females suggest different foci for interventions.

Key Words: Adolescent Health, HIV/AIDS, Prevention, Sexual Health




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[Abstract] [Full Text] [PDF]


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