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AIDS and Behavior
Published in: AIDS and Behavior 6/2012

01-08-2012 | Original Paper

Predicting Discordance Between Self-reports of Sexual Behavior and Incident Sexually Transmitted Infections with African American Female Adolescents: Results from a 4-city Study

Authors: Jennifer L. Brown, Jessica M. Sales, Ralph J. DiClemente, Laura F. Salazar, Peter A. Vanable, Michael P. Carey, Larry K. Brown, Daniel Romer, Robert F. Valois, Bonita Stanton

Published in: AIDS and Behavior | Issue 6/2012

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Abstract

This study examined correlates of the discordance between sexual behavior self-reports and Incident Sexually Transmitted Infections. African American adolescent females (N = 964) from four U.S. cities were recruited for an HIV/STI prevention trial. Self-reported sexual behaviors, demographics, and hypothesized psychosocial antecedents of sexual risk behavior were collected at baseline, 6-, 12-, and 18-month follow-up assessments. Urine specimens were collected and tested for three prevalent STIs (chlamydia, gonorrhea, trichomonas) at each assessment. Seventeen percent of participants with a laboratory-confirmed STI reported either lifetime abstinence or recent abstinence from vaginal sex (discordant self-report). Lower STI knowledge, belief that fewer peers were engaging in sex, and belief that more peers will wait until marriage to have sex were associated with discordant reports. Discordance between self-reported abstinence and incident STIs was marked among African American female adolescents. Lack of STI knowledge and sexual behavior peer norms may result in underreporting of sexual behaviors.
Footnotes
1
The measure of discordant self-report focused upon abstinence from vaginal sex, rather than abstinence from all sexual behaviors. Thus, it is possible that participants acquired an STI via either oral or anal sex. To rule out this hypothesis, additional analyses (not presented in the text) examined correlates of discordant reports that incorporated abstinence from all sexual behaviors and the same pattern of results emerged.
 
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Metadata
Title
Predicting Discordance Between Self-reports of Sexual Behavior and Incident Sexually Transmitted Infections with African American Female Adolescents: Results from a 4-city Study
Authors
Jennifer L. Brown
Jessica M. Sales
Ralph J. DiClemente
Laura F. Salazar
Peter A. Vanable
Michael P. Carey
Larry K. Brown
Daniel Romer
Robert F. Valois
Bonita Stanton
Publication date
01-08-2012
Publisher
Springer US
Published in
AIDS and Behavior / Issue 6/2012
Print ISSN: 1090-7165
Electronic ISSN: 1573-3254
DOI
https://doi.org/10.1007/s10461-012-0163-8

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