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Number of Sexual Partners and Health Lifestyle of Adolescents: Use of the AMA Guidelines for Adolescent Preventive Services to Address a Basic Research Question

Number of Sexual Partners and Health Lifestyle of Adolescents: Use of the AMA Guidelines for... Abstract Objective: To expand understanding of the behavioral epidemiology of an important sexually transmitted disease risk factor within a clinical framework of the AMA Guidelines for Adolescent Preventive Services (GAPS): Recommendations and Rationale. Design: Cross-sectional analysis of the fourth year of a longitudinal study of adolescent health behavior. Setting: High schools in a single major urban school district. Participants: Nine hundred and forty-six white, African American, and Hispanic sexually active adolescents. Main Outcome Measures: Number of sexual partners in previous year and other health-risk and health-protective behaviors. Measures are operationalized according to guidelines for adolescent preventive services recommendations. Results: Adolescents with 3 or more sexual partners annually were more involved with potentially health-harming behaviors such as illicit substance use and less involved with potentially health-protective behaviors such as seat belt use. These relationships were independent of sex, ethnic group, or socioeconomic status. Conclusions: The number of sexual partners may be considered part of a larger pattern of adolescent health-risk and health-protective behaviors. The guidelines may provide a useful framework for clinical assessment of these patterns as part of a routine health care visit of adolescent patients.Arch Pediatr Adolesc Med. 1997;151:1139-1143 References 1. Blum R. Contemporary threats to adolescent health in the United States . JAMA . 1987;257:3390-3395.Crossref 2. Kulbok PP, Earls FJ, Montgomery AC. Lifestyle and patterns of health and social behavior in high-risk adolescents . Adv Nurs Sci . 1988;11:22-35.Crossref 3. Jessor R, Jessor SL. Problem Behavior and Psychosocial Development: A Longitudinal Study of Youth . New York, NY: Academic Press; 1977. 4. Donovan JE, Jessor R, Costa FM. Structure of health-enhancing behavior in adolescence: a latent-variable approach . J Health Soc Behav . 1993;34:346-362.Crossref 5. Fortenberry JD, Costa FM, Jessor R, Donovan JE. Contraceptive behavior and adolescent lifestyles: a structural modeling approach . J Res Adolesc . 1997;7:307-329.Crossref 6. Elster AB, Kuznets NJ. AMA Guidelines for Adolescent Preventive Services (GAPS): Recommendations and Rationale . Baltimore, Md: Williams & Wilkins; 1994. 7. Schuster MA, Bell RM, Kanouse DE. The sexual practices of adolescent virgins: genital sexual activities of high school students who have never had vaginal intercourse . Am J Public Health . 1996;86:1570-1576.Crossref 8. Catania JA, Dolcini MM, Coates TJ, et al. Predictors of condom use and multiple partnered sex among sexually active adolescent women: implications for AIDS-related health interventions . J Sex Res . 1989;26:514-524.Crossref 9. Anderson JE, Kann L, Holtzman D, Arday S, Truman B, Kolbe L. HIV/AIDS knowledge and sexual behavior among high school students . Fam Plann Perspect . 1990; 22:252-255.Crossref 10. Ku L, Sonenstein FL, Pleck JH. Patterns of HIV risk and preventive behaviors among teenage men . Public Health Rep . 1992;107:131-138. 11. Binson D, Dolcini MM, Pollack LM, Catania JA. Data from the national AIDS behavioral surveys, IV: multiple sexual partners among young adults in high-risk cities . Fam Plann Perspect . 1993;25:268-272.Crossref 12. Richter DL, Valois RF, McKeown RE, Vincent ML. Correlates of condom use and number of sexual partners among high school adolescents . J Sch Health . 1993; 63:91-99.Crossref 13. Durbin M, DiClemente RJ, Siegel D, Krasnovsky F, Lazarus N, Camacho T. Factors associated with multiple sex partners among junior high school students . J Adolesc Health . 1993;14:202-207.Crossref 14. Neumark-Sztainer D, Story M, French SA. Covariations of unhealthy weight loss behaviors and other high-risk behaviors among adolescents . Arch Pediatr Adolesc Med . 1996;150:304-308.Crossref 15. Uitenbroek DG. The relationships between sexual behavior and health lifestyle . AIDS Care . 1994;6:237-246.Crossref 16. Aral SO, Soskoline V, Joesoef RM, O'Reilly KR. Sex partner recruitment as risk factor for STD: clustering of risky modes . Sex Transm Dis . 1991;18:10-17.Crossref 17. Millstein SG, Moscicki A-B. Sexually transmitted disease in female adolescents: effects of psychosocial factors and high-risk behaviors . J Adolesc Health . 1995; 17:83-90.Crossref 18. Elster AB. Health promotion . In: McAnarney ER, Kreipe RE, Orr DP, Comerci GD, eds. Textbook of Adolescent Medicine . Philadelphia, Pa: WB Saunders Co; 1992: 250-255. 19. Joffe A. Filling in the gaps through research . Arch Pediatr Adolesc Med . 1997; 151:121-122.Crossref 20. Downs SM, Klein JD. Clinical preventive services efficacy and adolescents' risky behaviors . Arch Pediatr Adolesc Med . 1995;149:374-379.Crossref 21. Costa FM, Jessor R, Fortenberry JD, Donovan JE. Psychosocial conventionality, health orientation, and contraceptive use in adolescence . J Adolesc Health . 1996; 18:404-416.Crossref 22. Thornton A. The courtship process and adolescent sexuality . J Fam Issues . 1990; 11:239-273.Crossref 23. Joffe GP, Foxman B, Schmidt AJ, et al. Multiple partners and partner choice as risk factors for sexually transmitted disease among female college students . Sex Transm Dis . 1992;19:272-278.Crossref 24. Sabogal F, Faigeles B, Catania JA. Data from the national AIDS behavioral surveys, II: multiple sexual partners among Hispanics in high-risk cities . Fam Plann Perspect . 1993;25:257-262.Crossref 25. Peterson JL, Catania JA, Dolcini MM, Faigeles B. Data from the national AIDS behavioral surveys, III: multiple sexual partners among blacks in high-risk cities . Fam Plann Perspect . 1993;25:263-267.Crossref 26. Norusis M. SPSS for Windows Base System User's Guide: Release 6.0 . Chicago, Ill: SPSS Inc; 1993:1. 27. Huberty CJ, Morris JD. Multivariate analysis versus multiple univariate analyses . Psychol Bull . 1989;105:302-308.Crossref 28. Bray JH, Maxwell SE. Multivariate Analysis of Variance . Newbury Park, Calif. Sage Publications; 1985:1. 29. Costa FM, Jessor R, Donovan JE, Fortenberry JD. Early initiation of sexual intercourse: the influence of psychosocial unconventionality . J Res Adolesc . 1995; 5:93-121.Crossref 30. DuRant RH, Pendergrast RA, Cadenhead C. Exposure to violence and victimization and fighting behavior by urban black adolescents . J Adolesc Health . 1994; 15:311-318.Crossref 31. Donovan JE, Jessor R. Structure of problem behavior in adolescence and young adulthood . J Consult Clin Psychol . 1985;53:890-904.Crossref 32. Donovan JE, Jessor R, Costa FM. Adolescent health behavior and conventionality-unconventionality: an extension of problem-behavior theory . Health Psychol . 1991; 10:52-61.Crossref 33. Elliott DS. Health-enhancing and health-compromising lifestyles . In: Millstein SG, Petersen AC, Nightingale EO, eds. Promoting the Health of Adolescents: New Directions for the Twenty-first Century . New York, NY: Oxford University Press Inc; 1993:119-145. 34. Jessor R, Van Den Bos J, Vanderryn J, Costa FM, Turbin MS. Protective factors in adolescent problem behavior: moderator effects and developmental change . Dev Psychol . 1995;31:923-933.Crossref 35. Catania JA, Gibson DR, Chitwood DD, Coates TJ. Methodological problems in AIDS behavioral research: influences on measurement error and participation bias in studies of sexual behavior . Psychol Bull . 1990;108:339-362.Crossref 36. Sudman S, Bradburn NM. Asking Questions: A Practical Guide to Questionnaire Design . San Francisco, Calif: Jossey-Bass Publishers Inc; 1982:1. 37. Knishkowy B, Palti H. GAPS (AMA guidelines for adolescent preventive services): where are the gaps? Arch Pediatr Adolesc Med . 1997;151:123-128.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Pediatrics & Adolescent Medicine American Medical Association

Number of Sexual Partners and Health Lifestyle of Adolescents: Use of the AMA Guidelines for Adolescent Preventive Services to Address a Basic Research Question

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References (40)

Publisher
American Medical Association
Copyright
Copyright © 1997 American Medical Association. All Rights Reserved.
ISSN
1072-4710
eISSN
1538-3628
DOI
10.1001/archpedi.1997.02170480069010
Publisher site
See Article on Publisher Site

Abstract

Abstract Objective: To expand understanding of the behavioral epidemiology of an important sexually transmitted disease risk factor within a clinical framework of the AMA Guidelines for Adolescent Preventive Services (GAPS): Recommendations and Rationale. Design: Cross-sectional analysis of the fourth year of a longitudinal study of adolescent health behavior. Setting: High schools in a single major urban school district. Participants: Nine hundred and forty-six white, African American, and Hispanic sexually active adolescents. Main Outcome Measures: Number of sexual partners in previous year and other health-risk and health-protective behaviors. Measures are operationalized according to guidelines for adolescent preventive services recommendations. Results: Adolescents with 3 or more sexual partners annually were more involved with potentially health-harming behaviors such as illicit substance use and less involved with potentially health-protective behaviors such as seat belt use. These relationships were independent of sex, ethnic group, or socioeconomic status. Conclusions: The number of sexual partners may be considered part of a larger pattern of adolescent health-risk and health-protective behaviors. The guidelines may provide a useful framework for clinical assessment of these patterns as part of a routine health care visit of adolescent patients.Arch Pediatr Adolesc Med. 1997;151:1139-1143 References 1. Blum R. Contemporary threats to adolescent health in the United States . JAMA . 1987;257:3390-3395.Crossref 2. Kulbok PP, Earls FJ, Montgomery AC. Lifestyle and patterns of health and social behavior in high-risk adolescents . Adv Nurs Sci . 1988;11:22-35.Crossref 3. Jessor R, Jessor SL. Problem Behavior and Psychosocial Development: A Longitudinal Study of Youth . New York, NY: Academic Press; 1977. 4. Donovan JE, Jessor R, Costa FM. Structure of health-enhancing behavior in adolescence: a latent-variable approach . J Health Soc Behav . 1993;34:346-362.Crossref 5. Fortenberry JD, Costa FM, Jessor R, Donovan JE. Contraceptive behavior and adolescent lifestyles: a structural modeling approach . J Res Adolesc . 1997;7:307-329.Crossref 6. Elster AB, Kuznets NJ. AMA Guidelines for Adolescent Preventive Services (GAPS): Recommendations and Rationale . Baltimore, Md: Williams & Wilkins; 1994. 7. Schuster MA, Bell RM, Kanouse DE. The sexual practices of adolescent virgins: genital sexual activities of high school students who have never had vaginal intercourse . Am J Public Health . 1996;86:1570-1576.Crossref 8. Catania JA, Dolcini MM, Coates TJ, et al. Predictors of condom use and multiple partnered sex among sexually active adolescent women: implications for AIDS-related health interventions . J Sex Res . 1989;26:514-524.Crossref 9. Anderson JE, Kann L, Holtzman D, Arday S, Truman B, Kolbe L. HIV/AIDS knowledge and sexual behavior among high school students . Fam Plann Perspect . 1990; 22:252-255.Crossref 10. Ku L, Sonenstein FL, Pleck JH. Patterns of HIV risk and preventive behaviors among teenage men . Public Health Rep . 1992;107:131-138. 11. Binson D, Dolcini MM, Pollack LM, Catania JA. Data from the national AIDS behavioral surveys, IV: multiple sexual partners among young adults in high-risk cities . Fam Plann Perspect . 1993;25:268-272.Crossref 12. Richter DL, Valois RF, McKeown RE, Vincent ML. Correlates of condom use and number of sexual partners among high school adolescents . J Sch Health . 1993; 63:91-99.Crossref 13. Durbin M, DiClemente RJ, Siegel D, Krasnovsky F, Lazarus N, Camacho T. Factors associated with multiple sex partners among junior high school students . J Adolesc Health . 1993;14:202-207.Crossref 14. Neumark-Sztainer D, Story M, French SA. Covariations of unhealthy weight loss behaviors and other high-risk behaviors among adolescents . Arch Pediatr Adolesc Med . 1996;150:304-308.Crossref 15. Uitenbroek DG. The relationships between sexual behavior and health lifestyle . AIDS Care . 1994;6:237-246.Crossref 16. Aral SO, Soskoline V, Joesoef RM, O'Reilly KR. Sex partner recruitment as risk factor for STD: clustering of risky modes . Sex Transm Dis . 1991;18:10-17.Crossref 17. Millstein SG, Moscicki A-B. Sexually transmitted disease in female adolescents: effects of psychosocial factors and high-risk behaviors . J Adolesc Health . 1995; 17:83-90.Crossref 18. Elster AB. Health promotion . In: McAnarney ER, Kreipe RE, Orr DP, Comerci GD, eds. Textbook of Adolescent Medicine . Philadelphia, Pa: WB Saunders Co; 1992: 250-255. 19. Joffe A. Filling in the gaps through research . Arch Pediatr Adolesc Med . 1997; 151:121-122.Crossref 20. Downs SM, Klein JD. Clinical preventive services efficacy and adolescents' risky behaviors . Arch Pediatr Adolesc Med . 1995;149:374-379.Crossref 21. Costa FM, Jessor R, Fortenberry JD, Donovan JE. Psychosocial conventionality, health orientation, and contraceptive use in adolescence . J Adolesc Health . 1996; 18:404-416.Crossref 22. Thornton A. The courtship process and adolescent sexuality . J Fam Issues . 1990; 11:239-273.Crossref 23. Joffe GP, Foxman B, Schmidt AJ, et al. Multiple partners and partner choice as risk factors for sexually transmitted disease among female college students . Sex Transm Dis . 1992;19:272-278.Crossref 24. Sabogal F, Faigeles B, Catania JA. Data from the national AIDS behavioral surveys, II: multiple sexual partners among Hispanics in high-risk cities . Fam Plann Perspect . 1993;25:257-262.Crossref 25. Peterson JL, Catania JA, Dolcini MM, Faigeles B. Data from the national AIDS behavioral surveys, III: multiple sexual partners among blacks in high-risk cities . Fam Plann Perspect . 1993;25:263-267.Crossref 26. Norusis M. SPSS for Windows Base System User's Guide: Release 6.0 . Chicago, Ill: SPSS Inc; 1993:1. 27. Huberty CJ, Morris JD. Multivariate analysis versus multiple univariate analyses . Psychol Bull . 1989;105:302-308.Crossref 28. Bray JH, Maxwell SE. Multivariate Analysis of Variance . Newbury Park, Calif. Sage Publications; 1985:1. 29. Costa FM, Jessor R, Donovan JE, Fortenberry JD. Early initiation of sexual intercourse: the influence of psychosocial unconventionality . J Res Adolesc . 1995; 5:93-121.Crossref 30. DuRant RH, Pendergrast RA, Cadenhead C. Exposure to violence and victimization and fighting behavior by urban black adolescents . J Adolesc Health . 1994; 15:311-318.Crossref 31. Donovan JE, Jessor R. Structure of problem behavior in adolescence and young adulthood . J Consult Clin Psychol . 1985;53:890-904.Crossref 32. Donovan JE, Jessor R, Costa FM. Adolescent health behavior and conventionality-unconventionality: an extension of problem-behavior theory . Health Psychol . 1991; 10:52-61.Crossref 33. Elliott DS. Health-enhancing and health-compromising lifestyles . In: Millstein SG, Petersen AC, Nightingale EO, eds. Promoting the Health of Adolescents: New Directions for the Twenty-first Century . New York, NY: Oxford University Press Inc; 1993:119-145. 34. Jessor R, Van Den Bos J, Vanderryn J, Costa FM, Turbin MS. Protective factors in adolescent problem behavior: moderator effects and developmental change . Dev Psychol . 1995;31:923-933.Crossref 35. Catania JA, Gibson DR, Chitwood DD, Coates TJ. Methodological problems in AIDS behavioral research: influences on measurement error and participation bias in studies of sexual behavior . Psychol Bull . 1990;108:339-362.Crossref 36. Sudman S, Bradburn NM. Asking Questions: A Practical Guide to Questionnaire Design . San Francisco, Calif: Jossey-Bass Publishers Inc; 1982:1. 37. Knishkowy B, Palti H. GAPS (AMA guidelines for adolescent preventive services): where are the gaps? Arch Pediatr Adolesc Med . 1997;151:123-128.Crossref

Journal

Archives of Pediatrics & Adolescent MedicineAmerican Medical Association

Published: Nov 1, 1997

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