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School-Level Poverty and Rurality Associated With Differences in Sexual Risk Behaviors Among U.S. Public High School Students.
Underwood, J Michael; Pampati, Sanjana; Everett Jones, Sherry; Bryan, Leah N; Demissie, Zewditu; Cavalier, Yolanda; Rasberry, Catherine N.
Afiliación
  • Underwood JM; Division of Adolescent and School Health, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention, Atlanta, Georgia. Electronic address: jmunderwood@cdc.gov.
  • Pampati S; Oak Ridge Institute for Science and Education, Oak Ridge, Tennessee.
  • Everett Jones S; Division of Adolescent and School Health, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention, Atlanta, Georgia.
  • Bryan LN; Division of Adolescent and School Health, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention, Atlanta, Georgia.
  • Demissie Z; Division of Adolescent and School Health, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention, Atlanta, Georgia; U.S. Public Health Service Commissioned Corps, Washington, D.C.
  • Cavalier Y; Division of Adolescent and School Health, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention, Atlanta, Georgia.
  • Rasberry CN; Division of Adolescent and School Health, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention, Atlanta, Georgia.
J Adolesc Health ; 69(6): 964-969, 2021 12.
Article en En | MEDLINE | ID: mdl-34304989
ABSTRACT

PURPOSE:

This study examined associations between student sexual behaviors and both school-level socioeconomic status and metropolitan status.

METHODS:

National Youth Risk Behavior Survey data from 2017 (N = 14,765, response rate = 60%) and 2019 (N = 13,677, 60%) were combined. School-level socioeconomic status (low-, mid-, and high-poverty based on the percentage of students eligible for free or reduced-price meals) and metropolitan status (urban, suburban/town, or rural) were identified for students attending public high schools. Sexual behaviors included currently sexually active, four or more lifetime sexual partners, condom use during the last sexual intercourse, hormonal birth control use during the last sexual intercourse, condom and hormonal birth control use during the last sexual intercourse, and drank alcohol or used drugs before the last sexual intercourse. Adjusted prevalence ratios were calculated using logistic regression models, controlling for sex, race/ethnicity, and grade.

RESULTS:

Compared to students attending low-poverty schools, high-poverty school students were significantly more likely to be currently sexually active (adjusted prevalence ratio = 1.4 [95% confidence interval = 1.1-1.8]) and have four or more lifetime sexual partners (1.6 [1.0-2.5]), but were significantly less likely to have drank alcohol or used drugs before the last sexual intercourse (.7 [.5-.9]) and have used hormonal birth control during the last sexual intercourse (.7 [.6-1.0]). Compared to students attending rural schools, urban school students were significantly less likely to be currently sexually active (.8 [.7-.9]) and have four or more lifetime sexual partners (.7 [.5-.9]).

CONCLUSIONS:

School-level socioeconomic status and metropolitan status were associated with differential risk in sexual behaviors.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Contexto en salud: 2_ODS3 Problema de salud: 2_cobertura_universal Asunto principal: Conducta del Adolescente Tipo de estudio: Etiology_studies / Risk_factors_studies Aspecto: Determinantes_sociais_saude Límite: Adolescent / Humans Idioma: En Revista: J Adolesc Health Asunto de la revista: PEDIATRIA Año: 2021 Tipo del documento: Article

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Contexto en salud: 2_ODS3 Problema de salud: 2_cobertura_universal Asunto principal: Conducta del Adolescente Tipo de estudio: Etiology_studies / Risk_factors_studies Aspecto: Determinantes_sociais_saude Límite: Adolescent / Humans Idioma: En Revista: J Adolesc Health Asunto de la revista: PEDIATRIA Año: 2021 Tipo del documento: Article
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