Sexual Risk Behaviors Among Adolescents in Port-au-Prince, Haiti

Overview

Journal AIDS Behav

Specialty Infectious Diseases

Date 2014 Jan 10

PMID 24402691

Citations 16

Authors

Jasmine W Carver

Jessy G Devieux

Stephanie C Gaston

Frederick L Altice

Linda M Niccolai

Affiliations

Soon will be listed here.

Abstract

Engagement in sexual activity among Haitian youth is increasing. The present cross-sectional study examined the independent correlates of sexual risk behaviors among 200 (108 male/92 female) 13-18 year-old adolescents in Port-au-Prince, Haiti using face-to-face interviews. The majority (60.0 %) had engaged in sexual intercourse. Multivariate modeling found males to be 3.52 times more likely to have had sex, 5.42 times more likely to report sexual debut before age 14, 9.75 times more likely to have >1 sexual partner, and 3.33 times more likely to not have used a condom during last sex. Adolescents living with parents, grandparents, aunts or uncles were less likely to report having unprotected sex compared with those without adult family members in the home (AOR range 0.26-0.51). The high prevalence of risky sex among males and the protective influence of stable family cohesiveness have important implications for HIV prevention efforts.

Citing Articles

Barriers to pregnancy prevention for adolescents in rural Haiti: perceptions of healthcare providers.

Wooten S, Hurley E, Schuetz N, Miller M, Rodean J, Rupe E BMC Womens Health. 2024; 24(1):305.

PMID: 38778309 PMC: 11110254. DOI: 10.1186/s12905-024-03136-6.

Associations of Parents-Adolescent Relationship with Adolescent Sexual Risk Behaviors: A Global Analysis Based on 156,649 School-Going Adolescents from 50 Countries.

Shawon M, Huda N, Raziur Rouf R, Hossain F, Kibria G Int J Sex Health. 2024; 36(1):15-31.

PMID: 38596808 PMC: 10903705. DOI: 10.1080/19317611.2023.2283440.

Sexual behaviors, contraception use and barriers among adolescents and young adults in rural Haiti.

Masonbrink A, Hurley E, Schuetz N, Rodean J, Rupe E, Lewis K BMC Womens Health. 2023; 23(1):137.

PMID: 36973773 PMC: 10045756. DOI: 10.1186/s12905-023-02268-5.

Neighborhood cohesion and violence in Port-au-Prince, Haiti, and their relationship to stress, depression, and hypertension: Findings from the Haiti cardiovascular disease cohort study.

Yan L, McNairy M, Devieux J, Pierre J, Dade E, Sufra R PLOS Glob Public Health. 2023; 2(7).

PMID: 36819610 PMC: 9937441. DOI: 10.1371/journal.pgph.0000503.

Risk and protective factors associated with health risk behaviours among school learners in Western Cape, South Africa.

Osuafor G, Okoli C, Phateng R BMC Public Health. 2023; 23(1):16.

PMID: 36597075 PMC: 9811777. DOI: 10.1186/s12889-022-14845-8.

References

Dunkle K, Jewkes R, Brown H, Yoshihama M, Gray G, McIntyre J . Prevalence and patterns of gender-based violence and revictimization among women attending antenatal clinics in Soweto, South Africa. Am J Epidemiol. 2004; 160(3):230-9. DOI: 10.1093/aje/kwh194. View

Fisher J, Fisher W, Cornman D, Amico R, Bryan A, Friedland G . Clinician-delivered intervention during routine clinical care reduces unprotected sexual behavior among HIV-infected patients. J Acquir Immune Defic Syndr. 2005; 41(1):44-52. DOI: 10.1097/01.qai.0000192000.15777.5c. View

Kurth A, Celum C, Baeten J, Vermund S, Wasserheit J . Combination HIV prevention: significance, challenges, and opportunities. Curr HIV/AIDS Rep. 2010; 8(1):62-72. PMC: 3036787. DOI: 10.1007/s11904-010-0063-3. View

Ghanem K, Hutton H, Zenilman J, Zimba R, Erbelding E . Audio computer assisted self interview and face to face interview modes in assessing response bias among STD clinic patients. Sex Transm Infect. 2005; 81(5):421-5. PMC: 1745029. DOI: 10.1136/sti.2004.013193. View

Ballard R . Short forms of the Marlowe-Crowne Social Desirability Scale. Psychol Rep. 1992; 71(3 Pt 2):1155-60. DOI: 10.2466/pr0.1992.71.3f.1155. View

CROWNE D, Marlowe D . A new scale of social desirability independent of psychopathology. J Consult Psychol. 1960; 24:349-54. DOI: 10.1037/h0047358. View

Sherbourne C, Stewart A . The MOS social support survey. Soc Sci Med. 1991; 32(6):705-14. DOI: 10.1016/0277-9536(91)90150-b. View

Zhao G, Li X, Fang X, Zhao J, Hong Y, Lin X . Functions and sources of perceived social support among children affected by HIV/AIDS in China. AIDS Care. 2011; 23(6):671-9. PMC: 3095731. DOI: 10.1080/09540121.2010.525619. View

Kurtz S, Douglas K, Lugo Y . Sexual risks and concerns about AIDS among adolescents in Anguilla. AIDS Care. 2005; 17 Suppl 1:S36-44. DOI: 10.1080/09540120500121250. View

10.

Vermund S, Hayes R . Combination prevention: new hope for stopping the epidemic. Curr HIV/AIDS Rep. 2013; 10(2):169-86. PMC: 3642362. DOI: 10.1007/s11904-013-0155-y. View

11.

Maharaj R, Nunes P, Renwick S . Health risk behaviours among adolescents in the English-speaking Caribbean: a review. Child Adolesc Psychiatry Ment Health. 2009; 3(1):10. PMC: 2667478. DOI: 10.1186/1753-2000-3-10. View

12.

Zimet G, Powell S, Farley G, WERKMAN S, Berkoff K . Psychometric characteristics of the Multidimensional Scale of Perceived Social Support. J Pers Assess. 1990; 55(3-4):610-7. DOI: 10.1080/00223891.1990.9674095. View

13.

Malow R, Devieux J, Jennings T, Lucenko B, Kalichman S . Substance-abusing adolescents at varying levels of HIV risk: psychosocial characteristics, drug use, and sexual behavior. J Subst Abuse. 2001; 13(1-2):103-17. DOI: 10.1016/s0899-3289(01)00069-4. View

14.

Devieux J, Rosenberg R, Saint-Jean G, Bryant V, Malow R . The Continuing Challenge of Reducing HIV Risk among Haitian Youth: The Need for Intervention. J Int Assoc Provid AIDS Care. 2013; 14(3):217-23. DOI: 10.1177/2325957411418119. View

15.

Fitzgerald D, Behets F, Caliendo A, Roberfroid D, Lucet C, Fitzgerald J . Economic hardship and sexually transmitted diseases in Haiti's rural Artibonite Valley. Am J Trop Med Hyg. 2001; 62(4):496-501. DOI: 10.4269/ajtmh.2000.62.496. View

16.

Gaillard E, Boulos L, Andre Cayemittes M, Eustache L, Van Onacker J, Duval N . Understanding the reasons for decline of HIV prevalence in Haiti. Sex Transm Infect. 2006; 82 Suppl 1:i14-20. PMC: 2593070. DOI: 10.1136/sti.2005.018051. View

17.

McFarlane A . Family functioning and overprotection following a natural disaster: the longitudinal effects of post-traumatic morbidity. Aust N Z J Psychiatry. 1987; 21(2):210-8. DOI: 10.3109/00048678709160914. View

18.

Eaton D, Kann L, Kinchen S, Shanklin S, Flint K, Hawkins J . Youth risk behavior surveillance - United States, 2011. MMWR Surveill Summ. 2012; 61(4):1-162. View

19.

Holschneider S, Alexander C . Social and psychological influences on HIV preventive behaviors of youth in Haiti. J Adolesc Health. 2003; 33(1):31-40. DOI: 10.1016/s1054-139x(02)00418-4. View

20.

Hallett T, Aberle-Grasse J, Bello G, Boulos L, Cayemittes M, Cheluget B . Declines in HIV prevalence can be associated with changing sexual behaviour in Uganda, urban Kenya, Zimbabwe, and urban Haiti. Sex Transm Infect. 2006; 82 Suppl 1:i1-8. PMC: 1693572. DOI: 10.1136/sti.2005.016014. View