In the heart or in the head: relationship and cognitive influences on sexual risk among young couples.

TitleIn the heart or in the head: relationship and cognitive influences on sexual risk among young couples.
Publication TypeJournal Article
Year of Publication2012
AuthorsKershaw, T., Arnold A., Gordon D., Magriples U., & Niccolai L.
JournalAIDS Behav
Volume16
Issue6
Pagination1522-31
Date Published2012 Aug
ISSN1573-3254
KeywordsAdolescent, Cognition, Condoms, Connecticut, Family Characteristics, Female, Health Knowledge, Attitudes, Practice, HIV Infections, Humans, Interpersonal Relations, Interviews as Topic, Longitudinal Studies, Male, Pregnancy, Risk Factors, Risk-Taking, Sexual Partners, Sexually Transmitted Diseases, Young Adult
Abstract

<p>Few studies examine how relationship factors influence sexual risk. We investigated gender differences of the influence of relationship functioning on sexual risk behavior and sexually transmitted infections (STIs) among 296 young pregnant couples. Compared to women, men were twice as likely to have a concurrent partner, were less likely to intend to be monogamous in the future, had less HIV/STI knowledge and more perceived risk for HIV/STI, negative attitudes and efficacy toward condom use (all P < 0.05). For men, poor relationship functioning related to less intentions to be monogamous, more partner concurrency, worse sexual communication, and more condom use. For women, poor relationship functioning related to worse sexual communication and less condom use. In addition, women who had good relationship functioning and women who had partners with poor relationship functioning were more likely to have an STI. These results demonstrate the need to include heterosexual men and relationship factors in HIV prevention.</p>

DOI10.1007/s10461-011-0049-1
Alternate JournalAIDS Behav
PubMed ID21983692
PubMed Central IDPMC3584702
Grant List1R01MH75685 / MH / NIMH NIH HHS / United States
R01 MH075685 / MH / NIMH NIH HHS / United States