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Patterns of Risk Behavior Change from Adolescence to Emerging Adulthood: Implications for HIV/STD Racial Disparities

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Drug Use Trajectories Among Minority Youth

Abstract

Our previous studies documented large racial disparities in sexually transmitted infections (STI) between Black and White young adults. In this chapter, we apply a longitudinal person-centered analysis of sex and drug use behavior to examine whether infection among young adults varies by the trajectory of such behaviors over time. Findings suggest Whites were more likely to increase their risk behavior or persist in high risk behavior over time while Blacks (and especially Black women) were more likely to continue in stable low risk patterns or decrease their risk behavior over time. Nevertheless, Black men and women were much more likely than White men and women to have a positive STI/HIV test in young adulthood across all trajectories. These findings confirm conclusions that the current prevention paradigm, to reduce personal risk behavior and increase personal protective behavior (condom use), does not seem adequate for racial STD/HIV disparities. Structural and contextual factors may provide better clues to address the problem.

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References

  • Adimora, A. A., & Schoenbach, V. J. (2005). Social context, sexual networks, and racial disparities in rates of sexually transmitted infections. The Journal of Infectious Diseases, 191, S115–S122.

    Article  Google Scholar 

  • Adimora, A. A., Schoenbach, V. J., Martinson, F. E., Donaldson, K. H., Fullilove, R. E., & Aral, S. O. (2001). Social context of sexual relationships among rural African Americans. Sexually Transmitted Diseases, 28, 69–76.

    Article  Google Scholar 

  • Adimora, A. A., Shoenbach, V. J., Bonas, D. M., et al. (2002). Concurrent partnerships among women in the US. Epidemiology, 13, 320–327.

    Article  Google Scholar 

  • Adimora, A. A., Schoenbach, V. J., & Doherty, I. A. (2006). HIV and African Americans in the Southern United States: Sexual networks and social context. Sexually Transmitted Diseases, 33(7), S39–S45.

    Article  Google Scholar 

  • Adimora, A. A., Schoenbach, V. J., & Doherty, I. A. (2007). Concurrent sexual partnerships among men in the United States. American Journal of Public Health, 97, 2230–2237.

    Article  Google Scholar 

  • Blackwell, D. L., & Lichter, D. T. (2000). Mate selection among married and cohabiting couples. Journal of Family Issues, 21(3), 275–302.

    Google Scholar 

  • Bachman, J. G., Wallace, J. M., O’Malley, P. M., Johnston, L. D., Kurth, C. L., & Neighbors, H. W. (1991). Racial ethnic differences in smoking, drinking, and illicit drug use among American high school seniors, 1976–89. American Journal of Public Health, 81(3), 372–377.

    Article  Google Scholar 

  • Bakken, R. J., & Winter, M. (2002). Family characteristics and sexual risk behaviors among African American men in the United States. Perspectives on Sexual and Reproductive Health, 34, 252–258.

    Article  Google Scholar 

  • Bonczar, T. P. (2003). Prevalence of imprisonment in the U.S. population, 1974–2001. Bureau of Justice Statistics Special Report. Available at http://www.ojp.usdoj.gov/bjs/abstract/piusp01.htm. Accessed 23 Sept 2009.

  • Centers for Disease Control and Prevention. (2002). Drug-associated HIV transmission continues in the United States. Available at http://www.cdc.gov/hiv/resources/factsheets/idu.htm. Accessed 23 Sept 2009.

  • Centers for Disease Control and Prevention. (2008). Sexually transmitted disease surveillance, 2007. Atlanta: U.S. Department of Health and Human Services.

    Google Scholar 

  • Centers for Disease Control and Prevention. (2009). HIV/AIDS surveillance report, 2007 (Vol. 19, pp. 1–63). Atlanta: US Department of Health and Human Services. Also available at: http://www.cdc.gov/hiv/topics/surveillance/resources/reports/

  • Chen, K., & Kandel, D. B. (1995). The natural history of drug use from adolescence to the mid-thirties in a general population sample. American Journal of Public Health, 85(1), 41–47.

    Article  Google Scholar 

  • Cherpes, T. L., Hillier, S. L., Meyn, L. A., Busch, J. L., & Krohn, M. A. (2008). A delicate balance: Risk factors for acquisition of bacterial vaginosis include sexual activity, absence of hydrogen peroxide-producing lactobacilli, African American race, and positive herpes simplex virus type 2 serology. Sexually Transmitted Diseases, 35, 78–83.

    Article  Google Scholar 

  • Coker, A. L., Richter, D. L., Valois, R. F., McKeown, R. E., Garrison, C. Z., & Vincent, M. L. (1994). Correlates and consequences of early initiation of sexual intercourse. Journal of School Health, 64(9), 372–377.

    Article  Google Scholar 

  • Cooper, M. L., Krull, J. L., Agocha, V. B., Flanagan, M. E., Orcutt, H. K., Grabe, S., Dermen, K. H., & Jackson, M. (2008). Motivational pathways to alcohol use and abuse among African American and White adolescents. Journal of Abnormal Psychology, 117(3), 485–501.

    Article  Google Scholar 

  • Crosby, R., Salazar, L. F., DiClemente, R. J., Yarber, W. L., Caliendo, A. M., & Staples-Horne, M. (2005). Accounting for failures may improve precision: Evidence supporting improved validity of self-reported condom use. Sexually Transmitted Diseases, 32, 513–515.

    Article  Google Scholar 

  • Cuffee, J. J., Hallfors, D. D., & Waller, M. W. (2007). Racial and gender differences in adolescent sexual attitudes and longitudinal associations with coital debut. Journal of Adolescent Health, 41, 19–26.

    Article  Google Scholar 

  • Dariotis, J. K., Sonenstein, F. L., Gates, G. J., Capps, R., Astone, N. M., Pleck, J. H., et al. (2008). Changes in sexual risk behavior as young men transition to adulthood. Perspectives on Sexual and Reproductive Health, 40(4), 218–225.

    Article  Google Scholar 

  • de Visser, R. O., & Smith, A. M. A. (2000). When always isn’t enough: Implications of the late application of condoms for the validity and reliability of self-reported condom use. AIDS Care, 12(2), 221–224.

    Article  Google Scholar 

  • Donfack, J., Buchinsky, F. J., Post, J. C., & Ehrlick, G. D. (2006). Human susceptibility to viral infection: The search for HIV-protective alleles among Africans by means of genome-wide studies. AIDS Research and Human Retroviruses, 22(10), 925–930.

    Article  Google Scholar 

  • Duncan, S. C., Strycker, L. A., & Duncan, T. E. (1999). Exploring associations in developmental trends of adolescent substance use and risky sexual behavior in a high-risk population. Journal of Behavioral Medicine, 22(1), 21–34.

    Article  Google Scholar 

  • Elder, G. H. (1998). The life course as developmental theory. Child Development, 69(1), 1–12.

    Article  Google Scholar 

  • Ellen, J. M., Kohn, R. P., Bolan, G. A., Shiboski, S., & Krieger, N. (1995). Socioeconomic differences in sexually-transmitted disease rates among African American-and-white adolescents, San-Francisco, 1990 to 1992. American Journal of Public Health, 85(11), 1546–1548.

    Article  Google Scholar 

  • Ellen, J. M., Aral, S. O., & Madger, L. S. (1998). Do differences in sexual behaviors account for the racial/ethnic differences in adolescents’ self-reported history of a sexually transmitted disease? Sexually Transmitted Diseases, 25(3), 125–129.

    Article  Google Scholar 

  • Fergus, S., Zimmerman, M. A., & Caldwell, C. H. (2007). Growth trajectories of sexual risk behavior in adolescence and young adulthood. American Journal of Public Health, 97(6), 1096–1101.

    Article  Google Scholar 

  • Festinger, L., Schachter, S., & Back, K. (1950). The spatial ecology of group formation. In L. Festinger, S. Schachter, & K. Back (Eds.), Social pressures in informal groups (pp. 33–69). Palo Alto: Stanford University Press.

    Google Scholar 

  • Ford, K., & Norris, A. (1997). Sexual networks of African American and Hispanic youth. Sexually Transmitted Diseases, 24(6), 327–333.

    Article  Google Scholar 

  • Fortenberry, J. D. (1995). Adolescent substance use and sexually transmitted diseases risk: A review. Journal of Adolescent Health, 16(4), 304–308.

    Article  Google Scholar 

  • Galvani, A. P., & Novembre, J. P. (2005). The evolutionary history of the CCR5-Δ32 HIV-resistance mutation. Microbes and Infection, 7, 301–308.

    Article  Google Scholar 

  • Graves, K. L., & Leigh, B. C. (1995). The relationship of substance use to sexual activity among young adults in the United States. Family Planning Perspectives, 27(1), 18–22, 33.

    Article  Google Scholar 

  • Guttentag, M., & Secord, P. (1983). Too many women: The sex ratio question. Beverly Hills: Sage.

    Google Scholar 

  • Hallfors, D. D., Iritani, B. J., Miller, W. C., & Bauer, D. J. (2007). Sexual and drug behavior patterns and HIV and STD racial disparities: The need for new directions. American Journal of Public Health, 97(1), 125–132.

    Article  Google Scholar 

  • Hallinan, M., & Williams, R. A. (1989). Interracial friendship choices in secondary school. American Sociological Review, 54, 67–78.

    Article  Google Scholar 

  • Halpern, C. T., Hallfors, D., Bauer, D. J., Iritani, B., Waller, M. W., & Cho, H. (2004). Implications of racial and sex differences in patterns of adolescent risk behavior for HIV and other sexually transmitted diseases. Perspectives on Sexual and Reproductive Health, 36(6), 239–247.

    Article  Google Scholar 

  • Halpern, C. T., Waller, M. W., Spriggs, A., & Hallfors, D. D. (2006). Adolescent predictors of emerging adult sexual patterns. Journal of Adolescent Health, 39(6), 926.e1–926.e10.

    Article  Google Scholar 

  • Harawa, N. T., Greenland, S., Cochran, S. D., Cunningham, W. E., & Visscher, B. (2003). Do differences in relationship and partner attributes explain disparities in sexually transmitted disease among young white and African American women? Journal of Adolescent Health, 32(3), 187–191.

    Article  Google Scholar 

  • Harris, K. M., Halpern, C. T., Entzel, P., Tabor, J., Bearman, P. S., & Udry, J. R. (2008). The national longitudinal study of adolescent health: Research design [WWW document]. Retrieved July 27, 2009, from: http://www.cpc.unc.edu/projects/addhealth/design

  • Hill, K. G., White, H. R., Chung, I. J., Hawkins, J. D., & Catalano, R. F. (2000). Early adult outcomes of adolescent binge drinking: Person- and variable-centered analyses of binge drinking trajectories. Alcoholism, 24(6), 892–901.

    Article  Google Scholar 

  • Kaestle, C. E., Halpern, C. T., Miller, W. C., & Ford, C. A. (2005). Young age at first sexual intercourse and sexually transmitted infections in adolescents and young adults. American Journal of Epidemiology, 161(8), 774–780.

    Article  Google Scholar 

  • Kotchick, B. A., Shaffer, A., Forehand, R., & Miller, K. S. (2001). Adolescent sexual risk behavior: A multi-system perspective. Clinical Psychology Review, 21(4), 493–519.

    Article  Google Scholar 

  • Laumann, E. O., & Youm, Y. (1999). Racial/ethnic group differences in the prevalence of sexually transmitted diseases in the United States: A network explanation. Sexually Transmitted Diseases, 26(5), 250–261.

    Article  Google Scholar 

  • Lochner, L. (2004). Education, work, and crime: A human capital approach. International Economic Review, 45(3), 811–843.

    Article  Google Scholar 

  • Lopoo, L. M., & Western, B. (2005). Incarceration and the formation and stability of marital unions. Journal of Marriage and the Family, 67, 721–734.

    Article  Google Scholar 

  • Magnusson, D., & Cairns, R. B. (1996). Developmental science: Toward a unified framework. In R. B. Cairns, G. H. Elder Jr., & E. J. Costello (Eds.), Developmental science (pp. 7–30). Cambridge: Cambridge University Press.

    Chapter  Google Scholar 

  • Manhart, L. E., Aral, S., Holmes, K. K., & Foxman, B. (2002). Sex partner concurrency: Measurement, prevalence, and correlates among urban 18-39-year-olds. Sexually Transmitted Diseases, 29(3), 133–143.

    Article  Google Scholar 

  • Miller, H. G., Cain, V. S., Rogers, S. M., Gribble, J. N., & Turner, C. F. (1999). Correlates of sexually transmitted bacterial infections among US women in 1995. Family Planning Perspectives, 31(1), 4–9, 23.

    Article  Google Scholar 

  • Miller, W. C., Ford, C. A., Morris, M., Handcock, M. S., Schmitz, J. L., Hobbs, M. M., Cohen, M. S., Harris, K. M., & Udry, J. R. (2004). Prevalence of chlamydial and gonococcal infections among young adults in the United States. JAMA, 291, 2229–2236.

    Article  Google Scholar 

  • Miller, W. C., Swygard, H., Hobbs, M. M., Ford, C. A., Handcock, M. S., Morris, M., Schmitz, J. L., Cohen, M. S., Harris, K. M., & Udry, J. R. (2005). The prevalence of trichomoniasis in young adults in the United States. Sexually Transmitted Diseases, 32, 593–598.

    Article  Google Scholar 

  • Morris, M., Handcock, M. S., Miller, W. C., Ford, C. A., Schmitz, J. L., Hobbs, M. M., et al. (2006). Prevalence of HIV infection among young adults in the United States: Results from the Add Health study. American Journal of Public Health, 96, 1091–1097.

    Article  Google Scholar 

  • Murphy, D. A., Brecht, M., Herbeck, D. M., & Huang, D. (2009). Trajectories of HIV risk behavior from age 15 to 25 in the national longitudinal survey of youth sample. Journal of Youth and Adolescence, 38, 1226–1239.

    Article  Google Scholar 

  • O’Brien, S., & Nelson, G. (2004). Human genes that limited AIDS. Nature Genetics, 36(6), 565–574.

    Article  Google Scholar 

  • Peipert, J., Lapane, K., Allwsorth, J., Redding, C., Blume, J., & Stein, M. (2008). Bacterial vaginosis, race, and sexually transmitted infections: Does race modify the association? Sexually Transmitted Diseases, 35(4), 363–367.

    Article  Google Scholar 

  • Rashad, I., & Kaestner, R. (2004). Teenage sex, drugs, and alcohol use: Problems identifying the cause of risky behavior. Journal of Health Economics, 23, 493–503.

    Article  Google Scholar 

  • Rose, E., DiClemente, R. J., Wingood, G. M., Sales, J. M., Latham, T. P., Crosby, R. A., Zenilman, J., Melendez, J., & Hardin, J. (2009). The validity of teens’ and young adults’ self-reported condom use. Archives of Pediatric and Adolescent Medicine, 163(1), 61–64.

    Article  Google Scholar 

  • Rosenberg, M. D., Gurvey, J. E., Adler, N., Dunlop, M. B., & Jonathan, E. (1999). Concurrent sex partners and risk for sexually transmitted diseases among adolescents. Sexually Transmitted Diseases, 26(4), 208–212.

    Article  Google Scholar 

  • Santelli, J. S., Lowry, R., Brener, N. D., & Robin, L. (2000). The association of sexual behaviors with socioeconomic status, family structure, and race/ethnicity among US adolescents. American Journal of Public Health, 90(10), 1582–1588.

    Article  Google Scholar 

  • Stanton, B., Romer, D., Ricardo, I., African American, M., Feigelman, S., & Galbraith, J. (1993). Early initiation of sex and its lack of association with risk behaviors among adolescent African Americans. Pediatrics, 92(1), 13–19.

    Google Scholar 

  • Thomas, J., & Torrone, E. (2006). Incarceration as forced migration: Effects on selected community health outcomes. American Journal of Public Health, 96(10), 1762–1765.

    Article  Google Scholar 

  • Upchurch, D. M., Mason, W. M., Kusunoki, Y., Johnson, M., & Kriechbaum, J. (2004). Social and behavioral determinants of self-reported STD among adolescents. Perspectives on Sexual and Reproductive Health, 36(6), 276–287.

    Article  Google Scholar 

  • U.S. Census Bureau, Population Division. (2008). U.S. Census Bureau National Population Estimates. Table 4: Annual estimates of the African American or African American alone population by sex and age for the United States: April 1, 2000 to July 1, 2007 and Table 4: Annual estimates of the White alone population by sex and age for the United States: April 1, 2000 to July 1, 2007. Available at: http://www.census.gov/popest/national/asrh/NC-EST2007-asrh.html. Accessed 2/12/09.

  • Wallace, J. M., Bachman, J. G., O’Malley, P. M., Schulenberg, J. E., Cooper, S. M., & Johnston, L. D. (2003). Gender and ethnic differences in smoking, drinking and illicit drug use among American 8th, 10th and 12th grade students, 1976–2000. Addiction, 98(2), 225–234.

    Article  Google Scholar 

  • Weinstock, H., Berman, S., & Cates, W., Jr. (2004). Sexually transmitted diseases among American youth: Incidence and prevalence estimates, 2000. Perspectives on Sexual and Reproductive Health, 36(1), 6–10.

    Article  Google Scholar 

  • Windle, M., & Wiesner, M. (2004). Trajectories of marijuana use from adolescence to young adulthood: Predictors and outcomes. Development and Psychopathology, 16(4), 1007–1027.

    Article  Google Scholar 

  • Winkler, C., An, P., & O’Brien, S. (2004). Patterns of ethnic diversity among the genes that influence AIDS. Human Molecular Genetics, 13, R9–R19.

    Article  Google Scholar 

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Authors and Affiliations

  1. University of North Carolina at Chapel Hill (UNC-CH), Chapel Hill, NC, USA

    Denise D. Hallfors & Carolyn Tucker Halpern

  2. PIRE, Chapel Hill, NC, USA

    Denise D. Hallfors & Bonita J. Iritani

  3. FrameWorks Institute, Washington, DC, USA

    Abigail A. Haydon

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  1. Denise D. Hallfors
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  2. Abigail A. Haydon
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  3. Carolyn Tucker Halpern
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  4. Bonita J. Iritani
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Correspondence to Denise D. Hallfors .

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Editors and Affiliations

  1. The New York Academy of Medicine and the American Association of Geographers, Glenn Dale, Maryland, USA

    Yonette F. Thomas

  2. Health Inequities and Global Health Branch, National Heart Lung and Blood Institute, National Institutes of Health, Bethesda, Maryland, USA

    LeShawndra N. Price

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Hallfors, D.D., Haydon, A.A., Halpern, C.T., Iritani, B.J. (2016). Patterns of Risk Behavior Change from Adolescence to Emerging Adulthood: Implications for HIV/STD Racial Disparities. In: Thomas, Y., Price, L. (eds) Drug Use Trajectories Among Minority Youth. Springer, Dordrecht. https://doi.org/10.1007/978-94-017-7491-8_18

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  • DOI: https://doi.org/10.1007/978-94-017-7491-8_18

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