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Rural and Nonrural African American High School Students and STD/HIV Sexual-Risk Behaviors

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Objective: To determine differences between African American adolescents on STD/HIV sexual-risk behaviors and precursors to these risk behaviors. Methods: Six hundred sixty-three rural and 3313 nonrural adolescents who completed the 1999 YRBS Survey were selected. Results: Rural females and males were more likely to report ever having coitus and not using a condom during last coitus. Rural females were also more likely to report early coistus, having 3 or more lifetime coital partners, and having more than 1 coital partner in the last 3 months. Conclusions: African American rural adolescents, particularly females, may have greater risk for STD/HIV infection than do their nonrural counterparts.

Keywords: African American; adolescent; prevention; rural; sexually transmitted disease

Document Type: Research Article


Affiliations: 1: Rural Center for AIDS/STD Prevention 2: Department of Behavioral Sciences and Health Education, Rollins School of Public Health, Emory University, Atlanta, GA. 3: Applied Health Science, Indiana University, Bloomington IN. 4: Department of Health and Nutrition Sciences, Idaho State University, Pocatello, ID.

Publication date: July 1, 2003

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  • The American Journal of Health Behavior seeks to improve the quality of life through multidisciplinary health efforts in fostering a better understanding of the multidimensional nature of both individuals and social systems as they relate to health behaviors.

    The Journal aims to provide a comprehensive understanding of the impact of personal attributes, personality characteristics, behavior patterns, social structure, and processes on health maintenance, health restoration, and health improvement; to disseminate knowledge of holistic, multidisciplinary approaches to designing and implementing effective health programs; and to showcase health behavior analysis skills that have been proven to affect health improvement and recovery.

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