Abstract
Past research has shown that religiosity can impact sexual behaviors of college-aged youth in both positive and negative directions. As many world religions promote doctrines that include negative views toward sexual minorities, the current study aimed to examine the potentially differential ways religiosity is related to sexual behaviors across various sexual orientations. College/university students across Oregon (N = 1553) completed an online cross-sectional survey in which they provided information about their sexual orientation, levels of religiosity, religious affiliation, and endorsed recent sexual behavior outcomes. Using logistic models in PROCESS, sexual orientation was examined as a moderator of the relations between religiosity (assessed via the Centrality of Religiosity Scale; Huber & Huber) and religious affiliation and the occurrence (yes vs. no) of three sexual behaviors in the past 6 months: birth control use during sex, sexual activity under the influence of substances, and testing positive for an STI. Covariates were age and natal sex. Religiosity was related to reduced birth control use in heterosexual and gay/lesbian individuals. Religiosity was not associated with sexual behaviors in bi/pansexual college students. Findings show that religiosity was a salient construct for understanding sexual behaviors in heterosexual and gay/lesbian college students, but not in bi/pansexual college students. Given that religiosity has differential effects for various sexual behaviors that can heighten risk of negative sexual health outcomes, recommendations are made for increased and tailored sexual health education to religiously identified college students.
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References
Abbott, D. M., Harris, J. E., & Mollen, D. (2016). The impact of religious commitment on women’s sexual self-esteem. Sexuality & Culture, 20(4), 1063–1082. https://doi.org/10.1007/s12119-016-9374-x
Adamczyk, A. (2012). Investigating the role of religion-supported secular programs for explaining initiation into first sex. Journal for the Scientific Study of Religion, 51(2), 324–342.
Armstrong, J., Thorpe, S., & Williams, D. (2020). Sexual attitudes, religious commitment, and sexual risk behaviours among college-aged women. Journal of Gender Studies, 30(8), 875–886. https://doi.org/10.1080/09589236.2020.1838888
Blunt-Vinti, H. D., Thompson, E. L., & Griner, S. B. (2018). Contraceptive use effectiveness and pregnancy prevention information preferences among heterosexual and sexual minority college women. Women’s Health Issues, 28(4), 342–349. https://doi.org/10.1016/j.whi.2018.03.005
Brewster, K. L., Tillman, K. H., & Holway, G. V. (2021). Timing of first sexual experience with a same-sex partner: A life course approach. Archives of Sexual Behavior, 50(8), 3587–3599. https://doi.org/10.1007/s10508-021-02043-3
Brooks, V. R. (1981). Minority stress and lesbian women. Lexington Books.
Centers for Disease Control and Prevention. (2018). Substance use sexual risk behaviors among youth. Centers for Disease Control and Prevention. https://www.cdc.gov/healthyyouth/substance-use/pdf/dash-substance-use-fact-sheet.pdf.
Centers for Disease Control and Prevention. (2021a). Sexual risk behaviors can lead to HIV, STDs, and teen pregnancy. Retrieved August 30 from https://www.cdc.gov/healthyyouth/sexualbehaviors/index.htm.
Centers for Disease Control and Prevention. (2021b). Sexually transmitted infections prevalence, incidence, and cost estimates in the United States. Centers for Disease Control and Prevention. Retrieved March 7, 2023 from https://www.cdc.gov/std/statistics/prevalence-incidence-cost-2020.htm.
Charlton, B. M., Hatzenbuehler, M. L., Jun, H. J., Sarda, V., Gordon, A. R., Raifman, J. R. G., & Austin, S. B. (2019). Structural stigma and sexual orientation-related reproductive health disparities in a longitudinal cohort study of female adolescents. Journal of Adolescence, 74, 183–187. https://doi.org/10.1016/j.adolescence.2019.06.008
Charlton, B. M., Everett, B. G., Light, A., Jones, R. K., Janiak, E., Gaskins, A. J., Chavarro, J. E., Moseson, H., Sarda, V., & Austin, S. B. (2020). Sexual orientation differences in pregnancy and abortion across the lifecourse. Women’s Health Issues, 30(2), 65–72. https://doi.org/10.1016/j.whi.2019.10.007
Clark, L., & Stitzlein, S. M. (2016). Neoliberal narratives and the logic of abstinence only education: Why are we still having this conversation? Gender and Education, 30(3), 322–340. https://doi.org/10.1080/09540253.2016.1203883
Cole, E. R. (2009). Intersectionality and research in psychology. American Psychologist, 64(3), 170–180.
Conner, C. K., Lamb, K. M., & Dermody, S. S. (2022). Access and barriers to health services among sexual and gender minority college students. Psychology of Sexual Orientation and Gender Diversity. https://doi.org/10.1037/sgd0000559
Coulter, R. W. S., & Rankin, S. R. (2020). College sexual assault and campus climate for sexual- and gender-minority undergraduate students. Journal of Interpersonal Violence, 35(5–6), 1351–1366. https://doi.org/10.1177/0886260517696870
Cowden, C. R., & Bradshaw, S. D. (2007). Religiosity and sexual concerns. International Journal of Sexual Health, 19(1), 15–24. https://doi.org/10.1300/J514v19n01_03
Dolphin, L., Fitzgerald, A., & Dooley, B. (2018). Risky sex behaviours among college students: The psychosocial profile. Early Intervention in Psychiatry, 12(6), 1203–1212. https://doi.org/10.1111/eip.12526
Dvorak, R. D., Kuvaas, N. J., Kilwein, T. M., Wray, T. B., Stevenson, B. L., & Sargent, E. M. (2016). Are drinking motives associated with sexual “hook-ups” among college student drinkers? Journal of American College Health, 64(2), 133–138. https://doi.org/10.1080/07448481.2015.1081912
Edwards, K. M., Sylaska, K. M., Barry, J. E., Moynihan, M. M., Banyard, V. L., Cohn, E. S., Walsh, W. A., & Ward, S. K. (2015). Physical dating violence, sexual violence, and unwanted pursuit victimization: A comparison of incidence rates among sexual-minority and heterosexual college students. Journal of Interpersonal Violence, 30(4), 580–600. https://doi.org/10.1177/0886260514535260
Emmers-Sommer, T. M., Allen, M., Schoenbauer, K. V., & Burrell, N. (2018). Implications of sex guilt: A meta-analysis. Marriage & Family Review, 54, 417–437. https://doi.org/10.1080/01494929.2017.1359815
Farringdon, F., Holgate, C., McIntyre, F., & Bulsara, M. (2013). A level of discomfort! Exploring the relationship between maternal sexual health knowledge, religiosity and comfort discussing sexual health issues with adolescents. Sexuality Research and Social Policy, 11(2), 95–103. https://doi.org/10.1007/s13178-013-0122-9
Flanders, C. E., LeBreton, M. E., Robinson, M., Bian, J., & Caravaca-Morera, J. A. (2016). Defining bisexuality: Young bisexual and pansexual people’s voices. Journal of Bisexuality, 17(1), 39–57. https://doi.org/10.1080/15299716.2016.1227016
Garcia, J. R., Reiber, C., Massey, S. G., & Merriwether, A. M. (2012). Sexual hookup culture: A review. Review of General Psychology, 16(2), 161–176. https://doi.org/10.1037/a0027911
Goldberg, S. K., & Halpern, C. T. (2017). Sexual initiation patterns of U.S. sexual minority Youth: A latent class analysis. Perspectives on Sexual and Reproductive Health, 49(1), 55–67. https://doi.org/10.1363/psrh.12020
Goldberg, S. K., Reese, B. M., & Halpern, C. T. (2016). Teen pregnancy among sexual minority women: Results from the National Longitudinal Study of Adolescent to Adult Health. Journal of Adolescent Health, 59(4), 429–437. https://doi.org/10.1016/j.jadohealth.2016.05.009
Hatzenbuehler, M. L., Pachankis, J. E., & Wolff, J. (2012). Religious climate and health risk behaviors in sexual minority youths: A population-based study. American Journal of Public Health, 102(4), 657–663. https://doi.org/10.2105/AJPH.2011.300517
Hayes, A. F. (2018). Introduction to mediation, moderation, and conditional process analysis: A regression-based approach (2nd ed.). The Guilford Press.
Hayes, A. F., & Rockwood, N. J. (2017). Regression-based statistical mediation and moderation analysis in clinical research: Observations, recommendations, and implementation. Behaviour Research and Therapy, 98, 39–57. https://doi.org/10.1016/j.brat.2016.11.001
Hittner, J. B., Owens, E. C., & Swickert, R. J. (2016). Influence of social settings on risky sexual behavior. SAGE Open. https://doi.org/10.1177/2158244016629187
Huber, S., & Huber, O. W. (2012). The Centrality Religiosity Scale (CRS). Religions, 3, 710–724. https://doi.org/10.3390/rel3030710
Hunt, M. E., & Jung, P. B. (2009). “Good sex” and religion: A feminist overview. Journal of Sex Research, 46(2–3), 156–167. https://doi.org/10.1080/00224490902747685
IBM Corp. (2020). IBM SPSS statistics for Windows, 27.0. Armonk, NY: IBM Corp..
Johnson, A., & Jackson, J. B. (2021). Sexually transmitted infections among college students. Microbiology & Infectious Diseases, 5(1), 1–4.
Johnson, L. M., Matthews, T. L., & Napper, S. L. (2019). Sexual orientation and sexual assault victimization among US college students. The Social Science Journal, 53(2), 174–183. https://doi.org/10.1016/j.soscij.2016.02.007
Koletic, G., Landripet, I., Tafro, A., Jurkovic, L., Milas, G., & Stulhofer, A. (2021). Religious faith and sexual risk taking among adolescents and emerging adults: A meta-analytic review. Social Science & Medicine, 291, 114488. https://doi.org/10.1016/j.socscimed.2021.114488
Kuyper, L., & Vanwesenbeeck, I. (2011). Examining sexual health differences between lesbian, gay, bisexual, and heterosexual adults: The role of sociodemographics, sexual behavior characteristics, and minority stress. Journal of Sex Research, 48(2–3), 263–274. https://doi.org/10.1080/00224491003654473
Lamb, K. M., Nogg, K. A., Rooney, B. M., & Blashill, A. J. (2018). Organizational religious activity, hypertension, and sexual orientation: Results from a nationally representative sample. Annals of Behavioral Medicine, 52(11), 930–940. https://doi.org/10.1093/abm/kax066
Langlais, M. R., & Schwanz, S. J. (2017). Centrality of religiosity of relationships for affectionate and sexual behaviors among emerging adults. Sexuality & Culture, 22(2), 405–421. https://doi.org/10.1007/s12119-017-9474-2
Lefevor, G. T., Davis, E. B., Paiz, J. Y., & Smack, A. C. P. (2021). The relationship between religiousness and health among sexual minorities: A meta-analysis. Psychological Bulletin, 147(7), 647–666. https://doi.org/10.1037/bul0000321
Lefkowitz, E. S., Vasilenko, S. A., Wesche, R., & Maggs, J. L. (2019). Changes in diverse sexual and contraceptive behaviors across college. Journal of Sex Research, 56(8), 965–976. https://doi.org/10.1080/00224499.2018.1499854
Leonard, K. C., & Scott-Jones, D. (2010). A belief-behavior gap? Exploring religiosity and sexual activity among high school seniors. Journal of Adolescent Research, 25(4), 578–600. https://doi.org/10.1177/0743558409357732
Li, J. J., Hyun, S., Stevens, C., Chen, J. A., & Liu, C. H. (2022). Binge drinking and sexual risk behavior among US sexual and gender minority college students. American Journal on Addictions, 31(1), 22–30. https://doi.org/10.1111/ajad.13244
Marcantonio, T. L., & Jozkowski, K. N. (2023). Do college students feel confident to consent to sex after consuming alcohol? Journal of American College Health, 71, 1604–1611. https://doi.org/10.1080/07448481.2021.1943413
Marcinechová, D., & Záhorcová, L. (2020). Sexual satisfaction, sexual attitudes, and shame in relation to religiosity. Sexuality & Culture, 24(6), 1913–1928. https://doi.org/10.1007/s12119-020-09727-3
Martin, N., Baralt, L., & Garrido-Ortega, C. (2018). What’s religion got to do with it? Exploring college students’ sexual and reproductive health knowledge and awareness of sexual and reproductive health services in relation to their gender and religiosity. Journal of Religion and Health, 57(5), 1856–1875. https://doi.org/10.1007/s10943-017-0432-y
Martin-Storey, A., & Fromme, K. (2021). Mediating factors explaining the association between sexual minority status and dating violence. Journal of Interpersonal Violence, 36(1–2), 132–159. https://doi.org/10.1177/0886260517726971
Masci, D. (2018). 5 facts about the religious lives of African Americans. http://www.pewresearch.org/fact-tank/2018/02/07/5-facts-aboutthe-religious-lives-of-african-americans/.
McGraw, L. K., Tyler, K. A., & Simons, L. G. (2020). Risk factors for sexual assault of heterosexual and sexual minority college women. Journal of Interpersonal Violence, 37(9–10), NP8032–NP8055. https://doi.org/10.1177/0886260520976224
Meyer, I. H. (2003). Prejudice, social stress, and mental health in lesbian, gay, and bisexual populations: Conceptual issues and research evidence. Psychological Bulletin, 129, 674–697.
Newcomb, M. E., & Mustanski, B. (2011). Moderators of the relationship between internalized homophobia and risky sexual behavior in men who have sex with men: A meta-analysis. Archives of Sexual Behavior, 40(1), 189–199. https://doi.org/10.1007/s10508-009-9573-8
Oswalt, S. B., & Wyatt, T. J. (2013). Sexual health behaviors and sexual orientation in a U.S. national sample of college students. Archives of Sexual Behavior, 42(8), 1561–1572. https://doi.org/10.1007/s10508-012-0066-9
Park, C. L. (2007). Religiousness/spirituality and health: A meaning systems perspective. Journal of Behavioral Medicine, 30(4), 319–328. https://doi.org/10.1007/s10865-007-9111-x
Paul Poteat, V., Russell, S. T., & Dewaele, A. (2019). Sexual health risk behavior disparities among male and female adolescents using identity and behavior indicators of sexual orientation. Archives of Sexual Behavior, 48(4), 1087–1097. https://doi.org/10.1007/s10508-017-1082-6
Pearce, L. D., Uecker, J. E., & Denton, M. L. (2019). Religion and adolescent outcomes: How and under what conditions religion matters. Annual Review of Sociology, 45(1), 201–222. https://doi.org/10.1146/annurev-soc-073117-041317
Pew Research Center. (2022). Religious landscape study. Pew Research Center’s Religion and Public Life Project. Retrieved February 28, 2023 from https://www.pewresearch.org/religion/religious-landscape-study/state/oregon/.
Regnerus, M. D. (2016). Talking about sex: Religion and patterns of parent–child communication about sex and contraception. Sociological Quarterly, 46(1), 79–105. https://doi.org/10.1111/j.1533-8525.2005.00005.x
Rostosky, S. S., Danner, F., & Riggle, E. D. (2007). Is religiosity a protective factor against substance use in young adulthood? Only if you’re straight! Journal of Adolescent Health, 40(5), 440–447. https://doi.org/10.1016/j.jadohealth.2006.11.144
Rostosky, S. S., Dekhtyar, O., Cupp, P. K., & Anderman, E. M. (2008). Sexual self-concept and sexual self-efficacy in adolescents: A possible clue to promoting sexual health? Journal of Sex Research, 45(3), 277–286. https://doi.org/10.1080/00224490802204480
Rostosky, S. S., Danner, F., & Riggle, E. D. (2010). Religiosity as a protective factor against heavy episodic drinking (HED) in heterosexual, bisexual, gay, and lesbian young adults. Journal of Homosexuality, 57(8), 1039–1050. https://doi.org/10.1080/00918369.2010.503515
Simons, L. G., Burt, C. H., & Peterson, F. R. (2009). The effect of religion on risky sexual behavior among college students. Deviant Behavior, 30(5), 467–485. https://doi.org/10.1080/01639620802296279
Stinson, R. (2010). Hooking up in young adulthood: A review of factors influencing the sexual behavior of college students. Journal of College Student Psychotherapy, 24(2), 98–115. https://doi.org/10.1080/87568220903558596
Twenge, J. M., Sherman, R. A., & Wells, B. E. (2016). Changes in American adults’ reported same-sex sexual experiences and attitudes, 1973–2014. Archives of Sexual Behavior, 45(7), 1713–1730. https://doi.org/10.1007/s10508-016-0769-4
Wilkinson, D. J., & Johnson, A. (2020). A systematic review of qualitative studies capturing the subjective experiences of Gay and Lesbian individuals’ of faith or religious affiliation. Mental Health, Religion & Culture, 23(1), 80–95. https://doi.org/10.1080/13674676.2020.1724919
Woodford, M. R., Han, Y., Craig, S., Lim, C., & Matney, M. M. (2014). Discrimination and mental health among sexual minority college students: The type and form of discrimination does matter. Journal of Gay & Lesbian Mental Health, 18(2), 142–163. https://doi.org/10.1080/19359705.2013.833882
Woodford, M. R., Kulick, A., & Atteberry, B. (2015). Protective factors, campus climate, and health outcomes among sexual minority college students. Journal of Diversity in Higher Education, 8(2), 73–87. https://doi.org/10.1037/a0038552
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Fahey, K.M.L., Holm, A.K. & Dermody, S.S. The Moderating Role of Sexual Orientation in the Association Between Religiosity and Sexual Behaviors Among College Students. Arch Sex Behav 53, 307–320 (2024). https://doi.org/10.1007/s10508-023-02678-4
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DOI: https://doi.org/10.1007/s10508-023-02678-4