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Relationship contexts and condom use...

Yamazaki, Michiyo.

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Relationship contexts and condom use among adolescents and young adults.

Record Type:	Language materials, printed : Monograph/item
Title/Author:	Relationship contexts and condom use among adolescents and young adults./
Author:	Yamazaki, Michiyo.
Description:	195 p.
Notes:	Adviser: Donna Strobino.
Contained By:	Dissertation Abstracts International68-11B.
Subject:	Health Sciences, Epidemiology. -
Online resource:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3288560
ISBN:	9780549314073

Relationship contexts and condom use among adolescents and young adults.
Yamazaki, Michiyo.

Relationship contexts and condom use among adolescents and young adults. - 195 p.

Adviser: Donna Strobino.

Thesis (Ph.D.)--The Johns Hopkins University, 2008.

Research on sexual activity and contraceptive use in the context of adolescents' sexual relationships has a fairly short history. A discrepancy appears to exist, however, between youth self-reports and results of studies based on researchers' a priori theories on sexual relationships and risk behaviors associated with sexually transmitted infections (STIs) among American adolescents and young adults. The discrepancy could be due to the potential information bias inherent in traditional survey methods collecting egocentric data. Information beyond egocentric data can help to fill the gaps in research about the sexual relationship context among adolescents and young adults and its role in the negotiation and decision making process about condom use. This information may assist in developing more effective prevention measures against STIs and unintended pregnancy.

ISBN: 9780549314073Subjects--Topical Terms:

1019544
Health Sciences, Epidemiology.

Relationship contexts and condom use among adolescents and young adults.
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020 $a 9780549314073
035 $a (UMI)AAI3288560
035 $a AAI3288560
040 $a UMI $c UMI
100 1 $a Yamazaki, Michiyo. $3 1270499
245 1 0 $a Relationship contexts and condom use among adolescents and young adults.
300 $a 195 p.
500 $a Adviser: Donna Strobino.
500 $a Source: Dissertation Abstracts International, Volume: 68-11, Section: B, page: 7291.
502 $a Thesis (Ph.D.)--The Johns Hopkins University, 2008.
520 $a Research on sexual activity and contraceptive use in the context of adolescents' sexual relationships has a fairly short history. A discrepancy appears to exist, however, between youth self-reports and results of studies based on researchers' a priori theories on sexual relationships and risk behaviors associated with sexually transmitted infections (STIs) among American adolescents and young adults. The discrepancy could be due to the potential information bias inherent in traditional survey methods collecting egocentric data. Information beyond egocentric data can help to fill the gaps in research about the sexual relationship context among adolescents and young adults and its role in the negotiation and decision making process about condom use. This information may assist in developing more effective prevention measures against STIs and unintended pregnancy.
520 $a This research used data from a longitudinal social network study, the Bayview Network Study (CA), designed to examine the prevalence of STI risk behaviors and transmission patterns among adolescents between July 2000 and October 2001. The Bayview Network Study employed population-based random sampling and snowball sampling methods to construct a population-based sample of adolescent social and sexual networks. The majority of the study sample included African American youth. The objectives of this research were to describe adolescent heterosexual relationships and their sustainability over time, to examine the contribution of heterosexual relationship factors to adolescent couples' condom use, and to examine the contribution of social roles to adolescent condom use. Relationship-level factors, specifically, reciprocity in partner nominations (reciprocal, and non-reciprocal), concordance in perceived partner types (main, and casual), and roles in social networks (same-gender social friend, and same-gender individuals who were heterosexually involved with the same opposite-sex partner) were the focus of this research.
520 $a Multivariate logistic regression was used to estimate associations between the outcomes (intact relationship status, couple's condom use, adolescent condom use) and relationship factors. Hierarchical modeling was used to account for the correlated data structures with heterosexual relationships nested in adolescents, who are members of personal local networks, in opposite-sex partners, or in social friend clusters. Generalized estimating equations or cluster-based robust standard errors were used to account for the lack of independence of the data.
520 $a Adolescent heterosexual relationships were rarely sustained over 6 months. Length of the relationship at the time of surveys, and reciprocity in partner nominations were found to be significant predictors of the intact status of relationships over 6 months. Reciprocal relationships were only 1/3 of self-claimed relationships. The majority of reciprocally nominated relationships were discordant in partner type reported by two partners, and main-concordant relationships were very rare. Couples tended not to use condom as their commitment level increased, and they were more likely to engage unprotected sex only when both partners labeled the other as main partners. Female adolescents were more likely to report using condoms when their same-gender social friends used condoms. Two same-gender individuals reported significantly different experiences of condom use with their same opposite-sex partner, as determined by reciprocity in partner nominations. Gender differences were not suggested except in same-gender social friends' effect on adolescents' condom use.
520 $a This research confirmed the important roles of social and heterosexual relationships (i.e. same-gender non-sexual, and heterosexual relationship) with respect to STI risk behaviors among adolescents and young adults. It challenges fundamental assumptions of heterosexual experiences and couple interventions for STI treatment among adolescents and young adults.
590 $a School code: 0098.
650 4 $a Health Sciences, Epidemiology. $3 1019544
650 4 $a Health Sciences, Public Health. $3 1017659
650 4 $a Women's Studies. $3 1017481
690 $a 0453
690 $a 0573
690 $a 0766
710 2 $a The Johns Hopkins University. $3 1017431
773 0 $t Dissertation Abstracts International $g 68-11B.
790 $a 0098
790 1 0 $a Strobino, Donna, $e advisor
791 $a Ph.D.
792 $a 2008
856 4 0 $u http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3288560