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Abstract

Adolescents’ attitudes predict sexual behavior; therefore, attitudes are targeted in sexually transmitted infection (STI) and pregnancy prevention programs. However, attitudes and behaviors do not always align. Young adolescents who have had penile vaginal intercourse (PVI) and have attitudes supportive of PVI have two risk factors for future health risks while those with attitudes in conflict with PVI experience (i.e., attitudes not supportive of PVI) only have one risk factor, that is, early sexual debut. Rural sixth- to eighth-grade students in southern, central Florida who had PVI experience (N = 162) completed surveys about their sexual history, substance use, PVI refusal skills, and PVI attitudes. Logistic regressions found that longer time since PVI, never trying other drugs, and better PVI refusal skills predicted higher odds of attitude-behavior conflict; thus, youth with attitude-behavior conflicts have fewer predictors of sexual health risk than those without attitude-behaviors conflicts. Those without attitude-behaviors conflicts likely need more focused and intensive interventions.

Keywords

sexual behavior pregnancy at risk/high risk populations middle school rural/urban sexual development substance use/alcohol and drug use

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References

Administration for Children and Families. (2009). Program-specific performance measure (OMB No.: 0970-0272). Washington, DC: Author.

Bem

D. J.

(1972). Self-perception theory. In Berkowitz

(Ed.), Advances in experimental social psychology (Vol. 6, pp. 1-62). San Diego, CA: Academic Press.

Centers for Disease Control and Prevention. (2009). 2009 middle school youth risk behavior survey. Retrieved from www.cdc.gov/yrbss

Epstein

Bailey

J. A.

Manhart

L. E.

Hill

K. G.

Hawkins

J. D.

Haggerty

K. P.

. . . Catalano

R. F.

(2014). Understanding the link between early sexual initiation and later sexually transmitted infection: Test and replication in two longitudinal studies. Journal of Adolescent Health, 54, 435-441.e2. doi:10.1016/j.jadohealth.2013.09.016

Festinger

L. A.

(1957). A theory of cognitive dissonance. Evanston, IL: Row, Peterson.

Finer

L. B.

Philbin

J. M.

(2013). Sexual initiation, contraceptive use, and pregnancy among young adolescents. Pediatrics, 131, 886-891. doi:10.1542/peds.2012-3495

Fishbein

(2000). The role of theory in HIV prevention. AIDS Care, 12, 273-278. doi:10.1080/09540120050042918

Florida Department of Health. (2011). Florida CHARTS: Community health assessment resource tool set. Retrieved from http://www.floridacharts.com/charts/default.aspx

Goesling

Colman

Trenholm

Terzian

Moore

(2014). Programs to reduce teen pregnancy, sexually transmitted infections, and associated sexual risk behaviors: A systematic review. Journal of Adolescent Health, 54, 499-507.

10.

Hendrick

C. E.

Cance

J. D.

Maslowsky

(2016). Peer and individual risk factors in adolescence explaining the relationship between girls’ pubertal timing and teenage childbearing. Journal of Youth and Adolescence, 45, 916-927. doi:10.1007/s10964-016-0413-6

11.

Hill

J. C.

Lynne-Landsman

S. D.

Graber

J. A.

Johnson

K. J.

(2016). Evaluating a pregnancy and STI prevention programme in rural, at-risk, middle school girls in the USA. Health Education Journal. doi:10.1177/0017896916644845

12.

Houts

(2005). But was it wanted? Young women’s first voluntary sexual intercourse. Journal of Family Issues, 26, 1082-1102. doi:10.1177/0192513X04273582

13.

Jessor

(1992). Risk behavior in adolescence: A psychosocial framework for understanding and action. Developmental Review, 12, 374-390. doi:10.1016/0273-2297(92)90014-S

14.

Kirby

(2007). Emerging answers 2007: Research findings on programs to reduce teen pregnancy and sexually transmitted diseases. Washington, DC: National Campaign to Prevent Teen and Unplanned Pregnancy.

15.

Kozhimannil

K. B.

Enns

Blauer-Peterson

Farris

Kahn

Kulasingam

(2015). Behavioral and community correlates of adolescent pregnancy and chlamydia rates in rural counties in Minnesota. Journal of Community Health, 40, 493-500. doi:10.1007/s10900-014-9962-3

16.

Lansford

Dodge

Fontaine

Bates

Pettit

(2014). Peer rejection, affiliation with deviant peers, delinquency, and risky sexual behavior. Journal of Youth and Adolescence, 43, 1742-1751. doi:10.1007/s10964-014-0175-y

17.

Mathematica Policy Research. (2007). Survey of teen activities and attitudes: Used for the final impact analysis. Princeton, NJ: Author.

18.

Shneyderman

Schwartz

S. J.

(2013). Contextual and intrapersonal predictors of adolescent risky sexual behavior and outcomes. Health Education & Behavior, 40, 400-414. doi:10.1177/1090198112447800

19.

Steinberg

Cauffman

(1996). Maturity of judgment in adolescence: Psychosocial factors in adolescent decision making. Law and Human Behavior, 20, 249-272.

20.

Stewart Ng

Kaye

, & National Campaign to Prevent Teen and Unplanned Pregnancy. (2013, January). Teen childbearing in rural America. Science Says, 47, 1-6.

21.

van de Bongardt

Reitz

Sandfort

Deković

(2015). A meta-analysis of the relations between three types of peer norms and adolescent sexual behavior. Personality and Social Psychology Review, 19, 203-234. doi:10.1177/1088868314544223

Factors Associated With Attitude-Behavior Conflicts Among Sexually Experienced,Rural,Early Adolescents

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