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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    • "Consistent with the findings on relationship duration, more subjective aspects of relationships are associated with consistency in contraceptive use. Studies find that emotional closeness and higher levels of relationship quality are associated with lower contraceptive use (Brady et al. 2009; Katz et al. 2000). Quantitative and qualitative research findings also provide evidence suggesting that adolescents and young adults in more serious relationships have reduced odds of consistently using contraceptive during intercourse (Manlove et al. 2007; Gutzman and Peterson 2011). "
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    ABSTRACT: Emerging adulthood is marked by significant changes in interpersonal and sexual relationships with delays in marriage meaning that young adults are facing increasingly longer periods of nonmarital sexual engagement (Arnett 2000). Understanding factors that influence contraceptive use is critical because young adults experience the highest rates of unintended pregnancy and sexually transmitted infections (STIs). Drawing on the Toledo Adolescent Relationship Study (TARS) (n = 437) we examine how variations in the qualities of dating relationship are associated with consistent condom use and consider the reasons for inconsistent condom use. We find that negative relationship dynamics, such as verbal abuse, intimate partner violence, and infidelity, are associated with inconsistent condom use net of socioeconomic factors and prior contraceptive use. Positive relationship qualities, such as love, intimate self-disclosure, and trust are not associated with condom use. Young adult daters most often report that inconsistent condom use is due to relational factors (e.g., partner and I know each other well, I trust my partner, and I am not worried partner is unfaithful) (40%). Less frequent reasons included sexual health of self or partner (30%) or use of other methods (23%). Relatively rare reasons for inconsistent use are aversion to condoms (2%) or access to condoms (5%). Thus, assessments of the relationship context will move forward our understanding of young adult condom use. The results show that those young adults in the lowest quality relationships are least often effectively protecting themselves against STIs and pregnancy. These findings have implications for programs targeted at young adults.
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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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    • "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.
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