Two-Year Follow-Up of a Sexual Health Promotion Program for Spanish Adolescents

Espada, José P.; Escribano, Silvia; Morales, Alexandra; Orgilés, Mireia

doi:10.1177/0163278716652217

Cited by 23 publications

(48 citation statements)

References 27 publications

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“…In our study, consistent use of condoms (22%) was less frequent than in other studies conducted in Colombia (30%) [16] and internationally (40–54%) [27, 28]. Navarro and Vargas [29] found that 82.1% of a sample of adolescents from Barranquilla, Colombia, used condoms occasionally.…”

Section: Discussioncontrasting

confidence: 68%

Sexual risk among Colombian adolescents: knowledge, attitudes, normative beliefs, perceived control, intention, and sexual behavior

et al. 2018

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BackgroundColombia has one of the highest rates of the human immunodeficiency virus (HIV) and pregnancies - both of which are influenced by lack of condom use -, among adolescent population in Latin America; however, the mechanisms underlying the inconsistent use of condoms in this population are poorly understood. This descriptive and cross-sectional study’s purpose was to examine sexual behavior and its precursors using the theory of planned behavior (TPB) and considering gender-based differences. Another objective was to study the mediating effect of intention in the relationship between behavior precursors and condom use based on the TPB.MethodsWe recruited 1100 adolescents aged between 14 and 19 years old (M = 15.94, SD = 1.30, 54.4% female) from Bogotá and Barranquilla, two of the cities with highest adolescent birth rates among adolescents in Colombia. Sociodemographic variables, knowledge on HIV and other sexually transmitted infections (STIs), HIV/AIDS-related attitudes, including attitudes toward the use of condoms, normative beliefs, perceived behavioral control, behavioral intention, and sexual behavior were assessed using self-reports. All analyses were run using SPSS v25. The indirect effect of intention to explain the relationship between precursors and the use of condoms during sexual intercourse was estimated using the PROCESS v3 macro.ResultsDescriptive analyses suggest a high risk of contracting sexually transmitted infections and unplanned pregnancies associated to inconsistent condom use, medium-low level of knowledge about sexual health, low normative beliefs regarding peers’ condom use, and a certain perceived difficulty for using condoms. Condoms are used 71% of the times they have sex, but only 22% of the participants use them consistently; girls use condoms more consistently than boys. Sexual risk characteristics differed significantly by gender. Mediation analyses indicated that condom use intention mediates the relationship between behavioral precursors and frequency of condom use, according to the TPB.ConclusionsFindings provide a better understanding of sexual risk and highlight important implications for the sexual and reproductive health of adolescents. There is a need of designing and implementing protocolized sexual health promotion programs in schools with the aim of reducing sexual risk behaviors in Colombian adolescents.

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Section: Discussioncontrasting

confidence: 68%

Sexual risk among Colombian adolescents: knowledge, attitudes, normative beliefs, perceived control, intention, and sexual behavior

et al. 2018

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“…Therefore, the use of condoms must be promoted in order to prevent STIs and unplanned pregnancies [1, 2, 4, 7]. A recent study in Colombia showed that only 22% of adolescents (14–19 years old) were using condoms consistently [8]; this percentage differs from Colombian data for previous years (30 to 42%) [9, 10] and from data obtained in other countries (40 to 54%) [11, 12]. These figures highlight the need to look for alternatives to the male condom in order to counteract its decreasing use.…”

Section: Introductionmentioning

confidence: 99%

Spanish validation of female condom attitude scale and female condom use in Colombian young women

et al. 2019

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BackgroundInfection by HIV and other STIs and unplanned pregnancies are among the most serious problems associated with sexuality. Male and female condoms are the only dual-purpose devices to control both unplanned pregnancies and STIs, and studying people’s attitudes toward the use of these devices are excellent ways to predict their use. Therefore, the purpose of the present study was to adapt and validate the Female Condom Attitude Scale for Spanish language and to evaluate the use of female condoms in Colombian population.MethodsFor that purpose, a total of 387 Colombian women aged 23.68 years in average were asked to respond to the Female Condom Attitude Scale, the Sexual Opinion Survey, and the UCLA Multidimensional Condom Attitudes Scale.ResultsThe use of female condom in Colombia is very low; only 5.10% of the surveyed women had used it at least once. On the other hand, results revealed a five-factor dimensionality (Sexual pleasure enhancement, Inconvenience, Improved prophylaxis, Sexual pleasure inhibition, and Insertion reluctance) with alphas between .81 and .96. The scale also showed adequate psychometric properties and criterion validity. No relationship was found between attitudes toward female condom and attitudes toward male condom.ConclusionsThe Spanish adaptation of the Female Condom Attitude Scale was found to be reliable and valid in a sample of young women.

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“…Young people have to learn about sexuality, STI and contraception [ 3 , 14 ]. However, studies show that receiving the information is not always related to adequate sexual and contraceptive attitude and more effective strategies of behavioral change in individuals who engage in sexual activity are needed [ 15 , 16 ]. On the other hand, information is not synonymous of a healthy lifestyle.…”

Section: Introductionmentioning

confidence: 99%

Factors related to healthy sexual and contraceptive behaviors in undergraduate students at university of Seville: a cross- sectional study

León-Larios

Macías‐Seda

2017

Reprod Health

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BackgroundYoung people are a group of population with sexual risk-taking behaviors. Despite efforts to inform them it is common for them to adopt risk conducts during their stay at University. The aim of this research was to assess knowledge, attitudes and experiences on sexual health and contraceptives and factors related to risk behaviors in university students.MethodsA cross- sectional analytical study was carried out from February to April 2014 among undergraduate students at University of Seville. A self-administered questionnaire was filled in by participants. Data analysis was performed using SPSS V22. Descriptive statistics were used to show data. A P-value of 5% (two-tailed) was considered statistically significant.ResultsA total of 566 students responded to the questionnaire. 47.3% (267) were male and 52.6% (297) female. About sexual behavior: 93.3% of participants were sexually active last year. 58.3% had had sex under alcohol effect and 18% under drugs effect. About contraceptive behavior: 86.9% used a contraceptive method during their first sexual relation, the male condom being the most used (90.6%). Currently, the most used contraceptives are the male condom, and hormonal pills. The participants’ answers about their knowledge on contraceptives and STIs (sexual transmission infections) showed weaknesses. Participants who had received sexual and contraceptive education showed more knowledge (p < 0.001). We did not find differences about knowledge on contraceptives and STIs by age (p = 0.056). Level of knowledge is less in young people who use coitus interruptus or none as a contraceptive method (p < 0.001). We observed differences by frequency of sex since young people who had sex more frequently showed more knowledge about contraceptives and STI (p < 0.001). There are more women that had a partner than men (p = 0.003) and their attitudes and experiences on sex are healthier. Females showed more knowledge about management of hormonal contraceptives and medical controls (p < 0.001).ConclusionFactors that contribute to having a healthier behavior on sexuality and contraception are age, gender and background in health issues, showing greater knowledge and less risky behavior. Programing reproductive health programs at university should be continued.

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Two-Year Follow-Up of a Sexual Health Promotion Program for Spanish Adolescents

Cited by 23 publications

References 27 publications

Sexual risk among Colombian adolescents: knowledge, attitudes, normative beliefs, perceived control, intention, and sexual behavior

Sexual risk among Colombian adolescents: knowledge, attitudes, normative beliefs, perceived control, intention, and sexual behavior

Spanish validation of female condom attitude scale and female condom use in Colombian young women

Factors related to healthy sexual and contraceptive behaviors in undergraduate students at university of Seville: a cross- sectional study

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