Adolescent sexual risk behaviors and participation in structured leisure activities (SLA): Role of socio-demographic characteristics and school-related behaviors 10.55131/jphd/2023/210101

Main Article Content

Matea B elošević

Abstract

Adolescence is the transitional period between childhood and adulthood during which many physical, cognitive, social and emotional changes take place, characterized by an increasing interest in romantic and sexual relationships. During adolescence, young people enter into their first sexual partnerships. This may involve behaviors referred to as sexual risk behaviors. The aim of this study was to gain insight into the prevalence of sexual risk behaviors and to determine whether socio-demographic characteristics and school-related behaviors contribute to sexual risk behaviors among adolescents, independent of participation in SLA. The study was conducted from April to June 2021 in Croatia. The sample consisted only of students who reported having had sexual intercourse (N=702; 28.6%). Participants were between 14 and 21 years (46.3% female). Logistic analyses were conducted. The results of this study showed that socio-demographic characteristics make only a limited contribution to the sexual risk behaviors studied. However, it is evident that school-related behaviors are associated with sexual risk behaviors among adolescents, with slight differences depending on their participation in SLA. That is, better grades are a protective factor for sexual risk behavior for both those who do not participate in SLA and those who do, while intentionally skipping school is a risk factor for sexual risk behavior only for those who do participate in SLA. Even though the results show that some school-related behaviors are predictors of sexual risk behavior, it is not enough to implement preventive interventions only in school or leisure settings. It is important to intervene in all areas that influence adolescent development, because a comprehensive preventive approach that addresses all areas can have a greater impact on adolescent development. Therefore, it is necessary to plan comprehensive, evidence-based interventions targeting individuals and their environments, including SLA, to prevent sexual risk behaviors among adolescents.

Article Details

How to Cite
1.
elošević MB. Adolescent sexual risk behaviors and participation in structured leisure activities (SLA): Role of socio-demographic characteristics and school-related behaviors: 10.55131/jphd/2023/210101. J Public Hlth Dev [Internet]. 2022 Dec. 9 [cited 2024 Dec. 22];21(1):1-14. Available from: https://he01.tci-thaijo.org/index.php/AIHD-MU/article/view/260341
Section
Original Articles
Author Biography

Matea B elošević, Laboratory for Prevention Research (PrevLab), Department of Behavioural Disorders,Faculty of Education and Rehabilitation Sciences, University of Zagreb, Borongajska cesta 83f, 10 000 Zagreb, Croatia.

Laboratory for Prevention Research (PrevLab), Department of Behavioural Disorders,Faculty of Education and Rehabilitation Sciences, University of Zagreb, Borongajska cesta 83f, 10 000 Zagreb, Croatia.

References

Bašić J. Teorije prevencije: prevencija poremećaja u ponašanju i rizičnih ponašanja djece i mladih. Zagreb: Školska knjiga. 2009.

European Monitoring Centre for Drugs and Drug Addiction (EMCDDA). Europski prevencijski kurikulum: priručnik za donositelje odluka, kreatore javnog mišljenja i kreatore politika u području znanstveno utemeljene prevencije korištenja sredstava ovisnosti. Zagreb: Hrvatski zavod za javno zdravstvo; Edukacijsko-rehabilitacijski fakultet Sveučilišta u Zagrebu. 2020. Available from: https://www.emcdda.europa.eu/system/files/publications/11733/EUPC_CRO_On_Line_Final.pdf.

Belošević M, Selestrin Z, Ferić M. Doprinos individualnih čimbenika otpornosti u objašnjenju rizičnog seksualnog ponašanja adolescenata. Annu Soc Work. 2022;28(3):555–81. doi:10.3935/ljsr.v28i3.402.

Barnes GM, Hoffman JH, Welte JW, Farrell MP, Dintcheff BA. Adolescents’ time use: Effects on substance use, delinquency and sexual activity. J Youth Adolesc. 2007;36(5):697–710. doi:10.1007/s10964-006-9075-0.

Caldwell LL, Faulk M. Adolescent Leisure from a Developmental and Prevention Perspective. In: Freire T, editor. Positive leisure science. New York, London: Springer; 2013. p. 41–60. doi:10.1375/acri.39.3.398.

Caldwell LL, Smith EA. Leisure as a context for youth development and delinquency prevention. Aust N Z J Criminol. 2006;39(3):398–418. doi: 10.1037/0003-066x.55.1.170.

Larson RW. Toward a psychology of positive youth development. Am Psychol. 2000;55(1):170–83. doi: 10.1080/04419057.2008.9674523.

Caldwell LL. Adolescent development through leisure: A global perspective. World Leis J. 2008;50(1):3–17. doi: 10.1080/04419057.2008.9674523.

Mahoney JL, Stattin H, Magnusson D. Youth recreation centre participation and criminal offending: A 20-year longitudinal study of Swedish boys. Int J Behav Dev. 2001;25(6):509–20. doi: 10.1080/01650250042000456.

Milhausen RR, Crosby R, Yarber WL, DiClemente RJ, Wingood GM, Ding K. Rural and nonrural African American high school students and STD/HIV sexual-risk behaviors. Am J Health Behav. 2003;27(4):373–9. doi: 10.5993/ajhb.27.4.9.

Tolman DL, McClelland SI. Normative sexuality development in adolescence: A decade in review, 2000-2009: Adolescent sexuality. J Res Adolesc. 2011;21(1):242–55. doi: 10.1111/ j.1532-7795.2010.00726.x.

World Health Organization (WHO). Sexual health [Internet]. [Cited 2022 Mar 23]. Available from: https:// www.who.int/health-topics/sexual-health.

Ghebremichael M, Larsen U, Paintsil E. Association of age at first sex with HIV-1, HSV-2, and other sexual transmitted infections among women in northern Tanzania. Sex Transm Dis. 2009;36(9):570–6. doi:10.1097/OLQ. 0b013e3181a866b8.

Layland EK, Ram N, Caldwell LL, Smith EA, Wegner L. Leisure boredom, timing of sexual debut, and co-occurring behaviors among South African adolescents. Arch Sex Behav. 2021;50(6):2383–94. doi:10.1007/ s10508-021-02014-8.

Mavedzenge SN, Weiss HA, Montgomery ET, Blanchard K, De Bruyn G, Ramjee G, et al. Determinants of differential HIV incidence among women in three southern African locations. J Acquir Immune Defic Syndr. 2011;58(1):89–99. doi:10.1097/ QAI.0b013e318225403.

O’Donnell L, O’Donnell CR, Stueve A. Early sexual initiation and subsequent sex-related risks among urban minority youth: the reach for health study. Fam Plann Perspect. 2001;33(6):268–75. doi:10.2307/3030194.

Pettifor AE, van der Straten A, Dunbar MS, Shiboski SC, Padian NS. Early age of first sex: a risk factor for HIV infection among women in Zimbabwe. AIDS. 2004;18(10):1435–42. doi: 10.1097/01.aids.0000131338.61042.b8.

Badillo-Viloria M, Mendoza-Sánchez X, Barreto Vásquez M, Díaz-Pérez A. Comportamientos sexuales riesgosos y factores asociados entre estudiantes universitarios en Barranquilla, Colombia, 2019. Enferm glob. 2020;19(3):422–49. doi:10.6018/ eglobal.412161.

Rojas Betancur M, Villamizar M, Torres M. Salud sexual y reproductiva en adolescentes: la fragilidad de la autonomía. Hacia promoc. salud. 2016;21:2462–8425. doi: 10.17151/ hpsal.2016.21.1.6.

Miller D, Arvizu V. Ser madre y estudiante. Una exploración de las características de las universitarias con hijos y breves notas para su estudio. Rev educ super. 2016;45(177):17–42.

Smith L, Jackson SE, Jacob L, Grabovac I, Yang L, Johnstone J, et al. Leisure-Time Sedentary Behavior, Alcohol Consumption, and Sexual Intercourse Among Adolescents Aged 12-15 years in 19 Countries from Africa, the Americas, and Asia. J Sex Med. 2019;16(9):1355–63. doi: 10.1016/j.jsxm.2019.06.013.

Inchley J, Currie, D, Budisavljevic, S, Torsheim, T, Jåstad, A, Cosma, A. Spotlight on adolescent health and well-being. Findings from the 2017/2018 Health Behaviour in School-aged Children (HBSC) survey in Europe and Canada. International report. Volume 1. Key findings. Copenhagen: WHO Regional Office for Europe, 2020.

Ministarstvo znanosti i obrazovanja RH. Laboratory for Prevention Research ERF – Kako je biti adolescent u Hrvatskoj danas [Internet]. [Cited 2022 Mar 23]. Available from: https://mzo.gov.hr/vijesti/znanstveno-strucni-skup-kako-je-biti-adolescent-u-hrvatskoj-danas/3280.

United Nations Office on Drugs and Crime (UNODC); World Health Organization (WHO). International Standards on Drug Use Prevention. Second updated edition [Internet]. 2018. Available from: https://www. unodc.org/documents/prevention/standards_180412.pdf .

Belošević M, Ferić M. Contribution of frequency and structured leisure activities features to the alcohol use: perception of adolescents from the northwest county of Croatia. Int J Adolesc Youth 2022;27:249–63. doi: 10.3390/ijerph19020877.

Belošević M, Ferić M. Contribution of leisure context, motivation and experience to the frequency of participation in structured leisure activities among adolescents. Int J Environ Res Public Health. 2022;19(2). doi:10.3390/ijerph19020877.

Ajduković M, Kolesarić V. Etički Kodeks Istraživanja s Djecom. Vijeće za Djecu Vlade Republike Hrvatske, Državni Zavod za Zaštitu Obitelji, Materinstva i Mladeži. Zagreb; 2003.

Mihić J, Novak M, Bašić J. Communities that care: CTC needs assesment questionnaire for planning preventive interventions in children and young people. Annu Soc Work. 2011;17(3):391–412.

Kalichman SC, Grebler T. Reducing numbers of sex partners: do we really need special interventions for sexual concurrency? AIDS Behav. 2010;14(5):987–90. doi:10.1007/ s10461-010-9737-5.

Ramrakha S, Paul C, Bell ML, Dickson N, Moffitt TE, Caspi A. The relationship between multiple sex partners and anxiety, depression, and substance dependence disorders: a cohort study. Arch Sex Behav. 2013;42(5):863–72. doi:10.1007/ s10508-012-0053-1.

Koumans EH, Welch R, Warner DL. Differences in adolescent condom use trends by global region. J Adolesc Health. 2020;66(2):S36–7. doi:10.1016/j.jadohealth.2019.11.073.

CDC. Sexual Risk Behaviors Can Lead to HIV, STDs, & Teen Pregnancy [Internet]. [Cited 2022 Mar 24]. Available from: https://www. cdc.gov/healthyyouth/sexualbehaviors/index.htm.

World Health Organization (WHO). Sexually transmitted infections (STIs) [Internet]. [Cited 2022 Mar 24]. Available from: https://www. who.int/news-room/fact-sheets/ detail/sexually-transmitted-infections-(stis).

Doku D. Substance use and risky sexual behaviours among sexually experienced Ghanaian youth. BMC Public Health. 2012;12(1):571. doi: 10.1186/1471-2458-12-571.

Kugbey N, Ayanore MA, Amu H, Oppong Asante K, Adam A. International note: Analysis of risk and protective factors for risky sexual behaviours among school‐aged adolescents. J Adolesc. 2018;68(1):66–9. doi:10.1016/j.adolescence. 2018.06.013.

Peltzer K, Pengpid S. Risk and protective factors affecting sexual risk behavior among school-aged adolescents in Fiji, Kiribati, Samoa, and Vanuatu. Asia Pac J Public Health. 2016;28(5):404–15.

Juarez F, LeGrand T. Factors influencing boys’ age at first intercourse and condom use in the Shantytowns of Recife, Brazil. Stud Fam Plann. 2005;36(1):57–70. doi: 10.1111/j.1728-4465.2005.00041.x.

Prata N, Vahidnia F, Stehr M, Morris L, Mazive E. Relationship between HIV risk perception and condom use: Evidence from a population-based survey in Mozambique. Int Fam Plan Perspect. 2006;32(04):192–200. doi: 10.1363/3219206.

Santhya KG, Acharya R, Jejeebhoy SJ. Condom use before marriage and its correlates: evidence from India. Int Perspect Sex Reprod Health. 2011;37(4):170–80. doi:10.1363/ 3717011.

Dryfoos JG. Adolescents at risk: Prevalence and prevention. New York: Oxford University Press. 1990.

Vasilenko SA, Lanza ST. Predictors of multiple sexual partners from adolescence through young adulthood. J Adolesc Health. 2014;55(4):491–7. doi:10.1016/j.jadohealth.2013.12.025.

Biddlecom A, Awusabo-Asare K, Bankole A. Role of parents in adolescent sexual activity and contraceptive use in four African countries. Int Perspect Sex Reprod Health. 2009;35:72–81. doi:10.1363/ ipsrh.35.072.09.

Sharma SK, Vishwakarma D. Transitions in adolescent boys and young Men’s high-risk sexual behaviour in India. BMC Public Health. 2020;20(1):1089. doi:10.1186/s12889-020-09191-6.

McCarthy B, Grodsky E. Sex and school: Adolescent sexual intercourse and education. Soc Probl. 2011;58(2):213–34. doi:10.1525/ sp.2011.58.2.213.

Lanari D, Mangiavacchi L, Pasqualini M. Adolescent sexual behaviour and academic performance of Italian students. Genus. 2020;76(1). doi: 10.1186/s41118-020-00093-4.

Madise N, Zulu E, Ciera J. Is poverty a driver for risky sexual behaviour? Evidence from national surveys of adolescents in four African countries. Afr J Reprod Health. 2007;11(3):83–98.