Abstract
To examine relationships between disclosure of previous sexually risky behavior to current sexual partners, multiple sexual partners, condom and alcohol use, and vulnerability to Acquired Immunodeficiency Syndrome, an anonymous survey was administered to 427 unmarried undergraduates. Of the 262 sexually active students (66%), one third reported having more than one sexual partner in the prior 11 weeks and three fourths reported inconsistent or no condom use. Failure to disclose having previous sexual partners, not using condoms, and testing positive for human immunodeficiency virus (HIV) or other sexually transmitted diseases (STDs) was common among both men and women. Students with multiple sexual partners were less likely to disclose about previous partners and about failure to use condoms, and more likely to use alcohol prior to sexual activity. Although 40.8% of respondents said they did not use or were less likely to use condoms while drinking, no relationship between alcohol and condom use assessed during the last discrete incident was found. College students continue to engage in sexual activity that puts them at risk for contracting HIV and other STDs. Self-disclosure about past risky behavior, when it occurs, does not appear to lead to higher levels of condom use.
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References
Aral, S. O., and Holmes, K. K. (1991). Sexually transmitted behaviors in the AIDS era.Sci. Am. 264: 62–69.
Baldwin, J. D., and Baldwin, J. I. (1988). Factors affecting AIDS-related sexual risk-taking behavior among college students.J. Sex Res. 25: 181–196.
Centers for Disease Control. (1989).Understanding AIDS (HHS Publication No. HHS-88-8404). U.S. Government Printing Office, Rockville, MD.
Centers for Disease Control. (1990a).Division of Sexually Transmitted Diseases: Annual Report 1989. U.S. Department of Health and Human Services, Atlanta, GA.
Center for Disease Control. (1990b). Heterosexual behaviors and factors that influence condom use among patients attending a sexually transmitted disease clinic—San Francisco.Morbid. Mortal. Week. Rep. 39: 685–689.
Center for Disease Control. (1991).America Responds to AIDS: Materials Catalog. U.S. Department of Health and Human Services, Atlanta, GA.
Centers for Disease Control. (1992). The second 100,000 cases of Acquired Immunodeficiency Syndrome—United States, June 1981–December 1991.Morbid. Mortal. Week. Rep. 42.
Chambers, C. V., Shafer, M., Adger, H., Smith, M., Millstein, S. G., Irwin, C. E., Schacter, J., and Sweet, R. (1987). Microflora of the urethra in adolescent boys: Relationships to sexual activity and nongonoccocal urethritis.J. Pediatr. 79: 315–321.
Cline, R. J., Freeman, K. E., and Johnson, S. J. (1990). Talk among sexual partners about AIDS: Factors differentiating those who talk from those who do not.Commun. Res. 17: 792–808.
Cochran, S. D., and Mays, V. M. (1990). Sex, lies, and HIV.New Engl. J. Med. 322: 774–775.
Cooper, M. L., Skinner, J. B., and George, W. H. (1989). Alcohol use and sexual risk-taking among adolescents: Methodological approaches for addressing causal issues. In Seminara, D., Watson, O. R., and Pawlowski, A. (eds.),Alcohol, Immunomodulation, and AIDS. Alan R. Liss, New York.
Crawford, H, J., Desiderata, L. L., and Fuller, M. J. (1992). Alcohol use and sexually risky behavior among American university undergraduates. Unpublished manuscript.
Department of Health and Human Services. (1990).Healthy People 2000: National Health Promotion and Disease Prevention Objectives. U.S. Government Printing Office, Washington, DC.
Fisher, W. A. (1990). All together now: An integrated approach to preventing adolescent pregnancy and STD/HIV infection.SIECUS Rep. 18: 1–11.
Franzini, L. R., Sideman, L. M., Dexter, K. E., and Elder, J. P. (1990). Promoting AIDS risk reduction via behavioral training.AIDS Educat. Prevent. 2: 313–321.
Freimuth, V. S., Hammond, S. L., Edgar, T., and Monahan, J. L. (1990). Reaching those at risk: A content-analytic study of AIDS PSAs.Commun. Res. 17: 775–791.
Gerrard, M., and Reis, T. J. (1989). Retention of contraceptive and AIDS information in the classroom.J. Sex. Res. 26: 315–323.
Greenspan, A. G., and Castro, K. G. (1990). Heterosexual transmission of HIV infection.SIECUS Rep. 19: 1–9.
Hauth, A. C, Perry, M. J., Solomon, L. J., Kelly, J. A., Roffman, R. A., Winett, R. A., Sikkema, K. J., Kalichman, S. C., Desiderata, L. L., Norman, A. D., Koob, J. J., Stevenson, L. Y., Morgan, M. G., Steiner, S., Yaffe, D. M., Lombard, D. N., Flynn, B. S., and Lemkle, A. (1993, June). Heavy alcohol use is strongly associated with continued risky sex among gay men: Risk behavior patterns and alcohol-sex attributions. Paper presented at the IX International Conference on AIDS, Berlin.
Hebert, Y., Bernard, J., DeMan, A. F., and Farrar, D. (1989). Factors related to the use of condoms among French-Canadian university students.J. Social Psychol. 29: 707–709.
Leigh, B. C. (1990a). The relationship of sex-related alcohol expectancies to alcohol consumption and sexual behavior.Br. J. Addict. 85: 919–928.
Leigh, B. C. (1990b). Alcohol and unsafe sex: An overview of research and theory. In Seminara, D., Watson, D. R., and Pawlowski, A. (eds.),Alcohol, Immunomodulation, and AIDS. Alan R. Liss, New York.
McDermott, R. J., Hawkins, M. J., Moore, J. R., and Cittadino, S. K. (1987). AIDS awareness and information sources among selected university students.J. Am. College Health 35: 222–226.
McDonald, N. E., Wells, G. A., Fisher, W. A., Warren, W. K., King, M. A., Doherty, J. A., and Bowie, W. R. (1990). High-risk STD/HIV behavior among college students.JAMA 263: 3155–3159.
McKusick, L., Hoff, C. C., Stall, R., and Coates, T. J. (1991). Tailoring AIDS prevention: Differences in behavioral strategies among heterosexual and gay bar patrons in San Francisco.AIDS Educat. Prevent. 3: 1–9.
Sawyer, R. G., and Beck, K. H. (1991). Effects of videotapes on perceived susceptibility to HIV/AIDS among university freshmen.Health Values 15: 31–40.
Stall, R., McKusick, L., Wiley, J., Coates, T. J., and Ostrow, D. (1986). Alcohol and drug use during sexual activity and compliance with safe sex guidelines for AIDS: The AIDS Behavioral Research Project.Health Educat. Quart. 13: 359–371.
Temple, M. T., and Leigh, B. C. (1992). Alcohol consumption and unsafe sexual behavior in discrete events.J. Sex. Res. 29: 207–219.
Valdiserri, R. O., Lyter, D., Leviton, L. C., Callahan, C. M., Kinsley, L. A., and Rinaldo, C.R. (1988). Variables influencing condom use in a cohort of gay men.Am. J. Public Health 78: 801–805.
Webster, D. A. (1992). The women's Health Project: A community intervention for AIDS risk reduction in women. Unpublished doctoral dissertation, Virginia Polytechnic Institute and State University, Blacksburg, VA.
Winett, R. A., and Anderson, E. S. (1994). HIV prevention in youth: Framework for research and action. In Ollendick, T. H., and Prinz, R. J. (eds.),Advances in Clinical Child Psychology (Vol. 16, pp. 1–43). Plenum Press, New York.
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The authors contributed equally to this study.
Received Ph.D. from West Virginia University. Research interests: AIDS prevention, community-based behavior change, and women in higher education.
Received Ph.D. from University of California, Davis. Research interests: Cognitive neuroscience, attention, and alternate states of consciousness.
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Desiderato, L.L., Crawford, H.J. Risky sexual behavior in college students: Relationships between number of sexual partners, disclosure of previous risky behavior, and alcohol use. J Youth Adolescence 24, 55–68 (1995). https://doi.org/10.1007/BF01537560
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DOI: https://doi.org/10.1007/BF01537560