Infidelity, Trust, and Condom Use Among Latino Youth in Dating Relationships

Division of Epidemiology and Community Health, University of Minnesota School of Public Health, Minneapolis, Minnesota 55454, USA.
Sexually transmitted diseases (Impact Factor: 2.84). 05/2009; 36(4):227-31. DOI: 10.1097/OLQ.0b013e3181901cba
Source: PubMed


Latino youth in the United States are at greater risk for contracting sexually transmitted infections (STIs) in comparison with non-Hispanic white youth.
Sexually active heterosexual Latino youth aged 16 to 22 years (N = 647) were recruited for interviews through a large health maintenance organization or community clinics.
Adjusting for gender, age, ethnic heritage, and recruitment method, woman's consistent use of hormonal contraceptives, ambivalence about avoiding pregnancy, longer length of sexual relationship, and greater overall trust in main partner were independently associated with inconsistent condom use and engagement in a greater number of sexual intercourse acts that were unprotected by condom use. Perception that one's main partner had potentially been unfaithful, but not one's own sexual concurrency, was associated with consistent condom use and fewer acts of unprotected sexual intercourse. Sexually concurrent youth who engaged in inconsistent condom use with other partners were more likely to engage in inconsistent condom use and a greater number of unprotected sexual intercourse acts with main partners.
Increasing attachment between youth may be a risk factor for the transmission of STIs via normative declines in condom use. Perception that one's partner has potentially been unfaithful may result in greater condom use. However, many Latino adolescents and young adults who engage in sexual concurrency may not take adequate steps to protect their partners from contracting STIs. Some youth may be more focused on the emotional and social repercussions of potentially revealing infidelity by advocating condom use than the physical repercussions of unsafe sex.

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    • "Third, research has not examined how beliefs about a sexual partner might influence whether an STD diagnosis is associated with more protective behaviors. Suspecting that a partner has had other sexual partners during the relationship is associated with increased condom use (Brady et al. 2009). Coupled with an STD diagnosis, suspecting partner concurrency may strengthen convictions to take protective precautions. "
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    ABSTRACT: Few studies have examined whether and how receiving an sexually transmitted disease (STD) diagnosis while in a romantic relationship relates to condom use and psychosocial sexual outcomes. Using dyadic data, we examined associations of a personal or a partner's STD diagnosis during a relationship with condom use, monogamy intentions, condom intentions and attitudes, and STD susceptibility and communication. Because beliefs about how the STD was acquired may shape associations with behavior and cognitions, gender and suspecting that one's partner had other sexual partners (i.e., partner concurrency) were examined as moderators. Participants were 592 individuals in 296 couples expecting a baby; 108 individuals had been diagnosed with an STD during the relationship. Personal STD diagnosis was unrelated to outcomes or was associated with increased risk. A partner's diagnosis related to more positive condom intentions and attitudes. Among men who suspected concurrency, both a personal and a partner's STD diagnosis were associated with less condom use. Receiving the STD diagnosis during pregnancy was associated with greater susceptibility and marginally greater condom use. Results suggest potential benefits of enhancing communication and encouraging joint risk reduction counseling among couples, engaging men more fully in preventive efforts, and capitalizing on the short window during which risk reduction occurs.
    American Journal of Community Psychology 01/2013; 51(3-4). DOI:10.1007/s10464-012-9567-x · 1.74 Impact Factor
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    • "Duration of the initial partnership to date was coded in months. Several studies report an association between partner infidelity and an individual's likelihood of engaging in concurrency (Adimora et al. 2004; Brady et al. 2009; Senn et al. 2009). For each relationship recorded on the RHC, respondents were asked the number of spouses their partner had during each month (excluding the respondent if he or she was married to the partner). "
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    ABSTRACT: Research on concurrent sexual partnerships is hindered by lack of accurate partnership data. Using unique life-history calendar data from a population-based sample of youths aged 18-24 in urban Kenya, we estimated the prevalence and correlates of concurrency. In the sixth month before the survey, 3.5 per cent of females and 4.0 per cent of males were engaged in concurrent sexual partnerships. In the previous 9.5 years, males experienced more concurrent partnerships than females and they were of shorter duration. Using survival analysis, we find that the characteristics of initial partnerships affect entry into a second (concurrent) relationship. For females, geographic separation from a partner increases the risk of concurrency, while concurrency is positively associated with the duration of the initial relationship for males. For both sexes, the perception of partner infidelity increases the risk, suggesting that concurrency expands individuals' sexual networks and bridges additional networks involving partners' other sexual partners.
    Population Studies 11/2010; 64(3):247-61. DOI:10.1080/00324728.2010.507872 · 1.08 Impact Factor
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    • "The level of commitment within a relationship has also been measured in terms of exclusivity and if either partner is involved in other, concurrent partnerships. A partner's concurrency may increase an individual's perception of elevated risk of STI infection (Norris and Ford 1999) and change his or her attachment to the relationship and thus postpone the progression to sexual intercourse (Brady et al. 2009). A young person's own involvement in a concurrent relationship may signal his or her own decreased commitment and thus delay increased intimacy, including the progression to sexual intercourse. "
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