Current measures of unintended pregnancy underestimate the co-occurring, complex set of social, cultural, economic and structural factors that influence how women interpret unintended pregnancy. The purpose of this study was to prospectively explore young adult US-born Latinas' thoughts, feelings and beliefs about pregnancy, specifically unintended pregnancies and the sociocultural factors identified as contributors to those beliefs. In-depth interviews ( = 20) were conducted with US-born, English-speaking Latinas aged 18-25 years in south Florida.
View Article and Find Full Text PDFObjective: Routine HPV vaccination is recommended for all men who have sex with men (MSM) in the United States until age 26. Despite this recommendation, vaccine uptake remains low. The purpose of the present study was to (1) describe salient beliefs related to HPV vaccination among young men who have sex with men; (2) determine factors that underlie these beliefs; (3) describe a model for HPV vaccine decision-making.
View Article and Find Full Text PDFPurpose: This study examined associations between reports of receiving education on topics commonly included in sex education (e.g., abstinence only, comprehensive) prior to age 18 years and contraceptive use at the last sex among heterosexually active, 15- to 20-year-old males in the United States.
View Article and Find Full Text PDFPurpose: Although rates of adolescent pregnancy are at an all-time low in the United States, racial/ethnic and geographic disparities persist. This research used National Longitudinal Study of Adolescent to Adult Health (Add Health) data to analyze empirical relationships between social determinants of health (SDoH) and adolescent pregnancy. Examining relationships between the SDoH and adolescent pregnancy provides support for funding priorities and interventions that expand on the current focus on individual- and interpersonal-level factors.
View Article and Find Full Text PDFObjective: Major health disparities exist in pregnancy among young people. Although social determinant of health (SDH) approaches in interventions are promoted to reduce these disparities, little research exists that synthesizes empirical links between SDHs and pregnancy among young people. This systematic literature review utilized the Healthy People 2020 SDH framework to analyze and synthesize the empirical associations between SDHs and pregnancy among young people.
View Article and Find Full Text PDFDisclosure is often a challenge for individuals living with genital herpes. This study explores determinants of genital herpes disclosure with one's most recent sexual partner using an online questionnaire (n = 93). The majority of participants reported (80.
View Article and Find Full Text PDFIntroduction: Expanded access to efficacious interventions is needed for women living with human immunodeficiency virus (WLH) in the United States. Availability of "prevention with (human immunodeficiency virus [HIV)] positives" interventions in rural/remote and low HIV prevalence areas remains limited, leaving WLH in these communities few options for receiving effective behavioral interventions such as Healthy Relationships (HR). Offering such programs via videoconferencing groups (VGs) may expand access.
View Article and Find Full Text PDFWe investigated the cognitive and emotional reactions resulting from a human papillomavirus-related illness threat (i.e. testing positive for human papillomavirus) and the potential behavioral implications resulting from these psychosocial processes among men (N = 536).
View Article and Find Full Text PDFBackground: Few studies have examined the association between sexual health risks and online sex-seeking among teenagers. The purpose of this study was to assess the associations between meeting sex partners online and a range of sexual risk behaviors and outcomes among adolescents.
Methods: Participants aged 13 to 19 years were recruited from a publicly funded teen clinic in Florida.
This study examined teens' digital device ownership, online activities, and usage/frequency of communication modalities. Teens with a current sexually transmitted disease were more likely to report willingness to use a text messaging service to have sexual health questions answered. Next-generation sexually transmitted disease prevention initiatives must use newer communication technologies to maximize effectiveness.
View Article and Find Full Text PDFIntroduction: Title X, enacted in 1970, remains the only policy devoted solely to providing voluntary and confidential family planning and related preventative services to all those in need. Despite Title X's significant public health achievements, this policy continues to receive scrutiny and faces political, financial, and social challenges. This study explores key stakeholders' perceptions regarding the political contexts that have surrounded Title X over its historical maturation.
View Article and Find Full Text PDFBackground: The prevalence of obesity among high school students has risen in recent decades. Many high school students report trying to lose weight and some engage in disordered eating to do so. The obesity proneness model suggests that parents may influence their offspring's development of disordered eating.
View Article and Find Full Text PDFIn this study, we examined the structural relationships among constructs from the Health Belief Model as they relate to human papillomavirus vaccine intentions in young gay and bisexual men in the United States (N = 183). A model was identified that fit the data well and accounted for 56% of the variance in vaccine intentions. Perceived benefits and barriers were the most proximate predictors of intentions, whereas knowledge and perceived threat exerted only indirect influence.
View Article and Find Full Text PDFObjective: To report psychosocial differences between self-reported HPV-positive and HPV-negative Florida men.
Method: Men (n=536) in an HPV natural-history study completed a cross-sectional survey (2007-2010).
Results: Most participants were white, non-Hispanic, and unmarried with some college education.
Objectives: Prevalence of human papillomavirus (HPV) is high in both men and women, yet men have seldom been involved in HPV education/prevention programmes, and their disclosure of known HPV infection has rarely been studied. This analysis sought to determine factors associated with men's HPV test result disclosure and HPV-related information sharing with partners.
Methods: From 2007 to 2010, men enrolled in a psychosocial study of responses to HP testing who reported having a female main sexual partner (N=251) completed surveys including questions about HPV test results, disclosure of HPV test results to partner(s), relationship characteristics and stigma (for those who reported HPV-positive results) approximately 3 weeks after receiving an HPV test result.
This study examined sexual risk behaviors/outcomes among college students with online partners only, offline partners only, and both online/offline partners. Students with both online/offline partners were more likely to report sexually transmitted diseases, unintended pregnancy, and more vaginal/oral sex partners. Sex with online partners was not riskier than sex with offline partners.
View Article and Find Full Text PDFFamily planning is an important public health activity. Title X (Pub L No. 91-572), enacted in 1970, remains the only national family planning program in the United States dedicated to providing voluntary and confidential services to all individuals.
View Article and Find Full Text PDFGay and bisexual men are at increased risk of anal cancer as a result of human papillomavirus (HPV) infection. Prophylactic vaccination is a potentially effective strategy for preventing anal cancer in this population. The purpose of this study was to identify factors associated with gay and bisexual men's intention to receive HPV vaccine.
View Article and Find Full Text PDFHealth Educ Behav
February 2011
The purpose of this study was to test an integrative theoretical framework in explaining adolescents' sexual abstinence and intentions to remain abstinent and refine the framework to reflect which elements contribute more powerfully to the explanation of abstinence and intentions. We administered an anonymous, theory-based questionnaire to two nonrandom samples of seventh- and eighth-graders (n = 451 and 447, respectively). Measurement modeling provided sufficient evidence for establishing construct validity.
View Article and Find Full Text PDFBackground: Although the Internet is one of the most commonly accessed resources for health information, finding information on local sexual health services, such as sexually transmitted disease (STD) testing, can be challenging. Recognizing that most quests for online health information begin with search engines, the purpose of this exploratory study was to examine the extent to which online information about local STD/HIV testing services can be found using Google.
Methods: Queries on STD and HIV testing services were executed in Google for 6 geographically unique locations across the United States.
Background: Human papillomavirus (HPV), the most common sexually transmitted virus in the United States, remains a considerable public health problem. HPV has been associated with anogenital warts and cancers in males and females, affecting the cervix, penis, anus, vulvar, and vaginal regions; and more recently, has been associated with oropharyngeal cancers. In 2006, the Food and Drug Administration (FDA) approved a prophylactic quadrivalent HPV vaccine for females (9-26 years); in 2009, this approval extended to males of this same age group.
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