The attitude towards nature,and incidence of sexual intimacy among students at a South African University

The authors, of the University of Stellenbosch, South Africa, surveyed 60 male university students of mean age 21.37 years and 79 female students of mean age 20.13 years with the goal of gaining insight into their sex behavior and their attitudes toward sexuality. The home language of 83% of the women and 85% of the men was Afrikaans, while the remaining subjects had English as a home language. One student was married, three were engaged to be married, and two lived together with a person of the opposite sex. 51 students were in steady relationships and 82 were single. 82% of the men and 90% of the women choose to have sex with someone of the same race. The study found a relatively low occurrence of sexual intercourse and promiscuity, and a very high percentage of subjects regarded themselves as heterosexual and as morally and religiously conservative. 97% of the men and 99% of the women regarded themselves as being heterosexual, and 3% of men and 1% of women regarded themselves as being bisexual. 6.6% of men and 1.34% of women, however, reported having had sexual contact with someone of the same sex. 37% of the men and 32% of the women reported having ever had sexual intercourse with a person of the opposite sex. These percentages are notably lower than those found by other investigators and the authors believe that a higher proportion of students at the university are actually sexually active than that suggested by this survey's findings. Among those sexually active, 17% of men and 18% of women were involved in sexual relationships with more than one partner. 68% of the sexually active men and women report using condoms often, 14% of men and 8% of women use contraceptives on an irregular basis, and 18% of men and 25% of women never use contraceptives. The birth control pill and condom were the most widely used methods. 85% of men and 86% of women felt that both partners should be responsible for taking precautions against unwanted pregnancy. These findings indicate that the overwhelming majority of subjects in this study are not at high risk for contracting AIDS.     

Early, late and non-participants in sexual intercourse: A profile of black South African first-year university students

This study investigated the differences among early-, late-and non-participants in sexual intercourse. 1817 first-year black South African university students completed a structured questionnaire, which tapped their knowledge, attitudes, beliefs and practices about sexuality. The results revealed significant differences among the three groups with regard to their sources of sexual knowledge, approval of pre-marital sex, first intercourse partner relationship, number of sexual partners, contraceptive use, satisfaction with first sexual intercourse and parental communication about contraception.     

The role of cues,self-efficacy,level of worry,and high-risk behaviors in college student condom use

A sample of 879 undergraduate students were recruited from a public university in western New York state during the 1993-94 academic year in order to study condom use among sexually active young people 18-24 years old. A 104-item questionnaire was administered consisting of 5 instruments and single-item measures of sexual behavior and demographics. The instruments were: the Condom Use Self-Efficacy Scale (CUSES), the Perceived Barriers to Condom Use, the Perceived Susceptibility to HIV/AIDS and other STDs, the Cues to Condom Action Scale, and the Perceived Norms scale. 92% of students reported having had sexual intercourse in the past, while 86.75 reported having sexual intercourse in the previous year. About 61% reported having 1 sex partner in the previous 12 months, whereas 35.2% reported having 3 or more partners. 22.4% reported 2 or more 1-night stands. 54.5% reported worrying about HIV/AIDS occasionally, while 23.1% reported doing so frequently. 17.2% (99) of the students were classified as non-users of condoms, 50.2% (289) as sporadic users, and 32.6% (188) as consistent users. 78 (12%) could not be classified. A multiple discriminant function analysis was also conducted to distinguish among the 3 condom user groups totalling 576 cases. The variables were age, gender, frequency of drunkenness during sexual intercourse, number of sex partners, and number of 1-night stands in the past 12 months, perceived barriers, worrying about HIV/AIDS, perceived susceptibility, condom use self-efficacy, and cues to condom action. Two significant functions emerged. Function 1 clearly separated the sporadic users from the consistent users (p 0.001), while Function 2 clearly separated the sporadic users from the non-users (p 0.001). The discriminating variables correctly classified 64.58% of the respondents into the 3 condom user groups. The variables were most effective at correctly classifying non-users (68.7%), consistent users (67.8%), and sporadic users (61.2%). Sporadic users were more diverse with respect to condom use than the other 2 groups.     

Premarital Sex, Social Support, Submissive Behaviors, and Loneliness Among Turkish University Students

The purpose of this study was to investigate whether differences in social support, submissive behaviors, and loneliness existed among Turkish university students who had had premarital sexual intercourse and those who had not. Using self-reported questionnaires, students who had experienced sexual intercourse were contrasted with those who had not. Data were gathered on 420 university students in Ankara, Turkey. MANOVA statistics were used in the data analysis. Results indicated that more than 75?% of the total respondents reported that they had never had sexual intercourse; the frequency of sexual intercourse was higher among males than females. It was found that students who had had sexual intercourse reported less perceived support from family. The two groups were not significantly different, however, in perceived support from friends, submissive behaviors and loneliness. Possible interpretations of these data and implications for future study are suggested.     

Black South African freshmen's experience of first coitus and contraception

The purpose of this study was to investigate Black South African freshmen's experience of first intercourse and contraception. The study found that many students do not use contraception during first intercourse and that peers were reported as the primary first source of learning about sexual intercourse as well as the preferred source. Freshmen who are contemplating, anticipating or deferring the transition from virginity to non-virginity are an important target group for campus safer sex programmes because safer sex behaviours could be encouraged before a high risk sexual behavior pattern develops.     

Sexual and Reproductive Health Behaviors of Asian Pacific Islander Community College Students

Analyzed were the sexual and reproductive health behaviors of Asian Pacific Islander (API) California community college students who took the National College Health Assessment (NCHA) survey. This was done to identify characteristics related to sexual behavior and choice of birth control and examine the association between condom use and history of HIV testing. A total of 769 API heterosexual, male and female students between ages 18–24 were included in the analysis. Chi-square analyses were conducted to determine whether there was an association between condom use and history of HIV testing. API students reported few sexual partners (41% with no partner, and 49% with 1 or 2 partners), and preferred condoms (53.0%) for birth control over hormonal methods (29.3%). One-fifth of API students have used emergency contraception, and 21.7% have had an HIV test. API students had more conservative sexual practices and lower HIV testing practices than community college students in general. More culturally tailored education is needed on contraceptive options and to increase HIV testing behaviors among APIs.     

Implementation and Evaluation of a Condom Availability Program on a College Campus: Lessons From the Field

The U.S. Centers for Disease Control and Prevention advocate access to condoms as a critical sexual health prevention strategy. The purpose of this article is to discuss the implementation and evaluation of a condom availability program using dispensing machines in residence halls at a Midwestern U.S. university. Undergraduate students (N = 337) living in on-campus housing participated in a survey about their utilization of condom dispensers at the beginning and end of three academic years (2008–2009, 2009–2010, and 2010–2011). Questions also addressed students' attitudes toward the condom dispensers and related sexual behavior. Results indicated that the presence of condom machines did not increase rates of sexual activity (a concern of university administrators), but there was also no improvement in rates of unprotected sex. Overall, students reported high levels of satisfaction with the condom availability program. Implementation challenges are discussed and recommendations for universities and colleges wishing to execute similar programs are provided.     

Correlates of Condom use Among Community College Women: The Role of Victimization,Substance Use,and Mental Health Symptoms

Research is needed to understand intersecting health risks among community college students. Applying a syndemic framework, the present research explored childhood sexual victimization, adolescent sexual victimization, intimate partner violence (IPV), marijuana use, alcohol consumption, and symptoms of depression and post-traumatic stress disorder as additive as well as interactive correlates of women's condom use. Questionnaires were administered to a sample of 212 women between the ages of 18 to 24 attending a community college. A series of logistic regression analyses documented that an increased number of psychosocial risk factors was associated with not using a condom during sexual intercourse. Experiencing both adolescent sexual victimization and lifetime IPV, compared to experiencing one form of victimization, increased the odds of not using a condom. Endorsing both lifetime IPV and past year marijuana use, compared to endorsing only one of these factors, also increased the odds of not using a condom. These findings highlight the importance of targeting intersections between adolescent sexual victimization, IPV, marijuana use, and sexual risk behavior when developing educational programs for community college women.     

An examination of emergency contraception use by undergraduate college students in the Midwest using the integrated behavioural model

The purpose of this study was to identify the factors that influence undergraduate college student use of emergency contraception (EC) and their level of knowledge about the product, in order to assist in the development of intervention programmes to increase its use, which could lead to lower rates of unintended pregnancies in this population. A response rate of 98.4% included 1553 surveys from students at 11 Midwestern universities. Students were predominantly female (63.5%), white (75.3%) and aged 18–21 years (80%). They ranged from first-year students (23.8%) through to fourth-year students (13.8%), with second-year students comprising the largest group (32.6%). The majority of respondents reported being heterosexual (92.1%), and 34.1% of those completing the questionnaire reported being in a committed relationship. Most respondents reported having had sexual intercourse at least once in their lifetime (78.9%). Of the 8.4% of sexually active students who had experienced an unintended pregnancy, 18.1% had used EC in the past 12 months. Knowledge of EC was not high; but as knowledge increased, the use of EC increased. The Integrated Behavioural Model predicted 50% of the variance in intention. Each construct contributed a portion of variance except experiential attitude, which was not statistically significant in the path analysis. The model could be used in any future interventions to increase EC use and decrease unintended pregnancies among college students.     

Sexual behavior and social education in China

The application on a massive scale of various population, family planning, sex education measures in China is a societal feature that is quickly evident to the country's visitors. For anyone concerned with population limitation on a national scale, the Chinese experiments and progress are of particular interest. In China there is a clearly discernible 3 step program: the minimization of sexual interest or enforced "national abstinence standard" in the teen years; a period of intense propaganda to postpone marriage until the mid 20s and avoid sexual intercourse outside marriage; and a concerted educational campaign aimed predominantly at married females for the 20 year span covering the fertile ages of approximately 25-45 to limit families. The Chinese approach to family planning and sexual education is direct and ubiquitous. One of the more paradoxical aspects of China's campaign to enforce their severe and particular natalist policy is the relatively high level of preventive sex knowledge among young married couples and the virtual absence of any major form of sex education for teenagers in the schools. In the past few years there has been a modest yet detectable change in this approach. Some middle school students are now being introduced, albeit on a sexually segregated basis, to somewhat wider aspects of population knowledge and human population studies. For the most part these units fall into the traditional teaching areas utilized in many western nations, i.e., physiology, biology, and physical education courses. The development and expansion of such courses may foreshadow the gradual introduction nationally of new material into the middle schools, but the predominant aim of sex education will remain the limitation and control of population. Some of the answers to sex education questions posed by this author in various schools and to a range of senior education officials are reported. The answers represent a recent sample, extracted from a number gathered during various visits to China in the past 3 years. The topic of sex education is viewed within special parameters. The target for sex education, particularly as it relates to birth control, will remain for the foreseeable future the young adult of marriageable age.     

大学生性道德现状与教育思考

大学生的性道德观影响着他们对待恋爱、婚姻的态度,影响着他们的人格成长乃至人生幸福。本文通过访谈调研．分析了大学生性道德的现状及学校教育方面的问题,在此基础上对高校教育提出了几点思考。     

Why schools should make condoms available to teenagers

The controversy surrounding sex education and condom availability programs in schools in New York City and throughout the US continues because parents worry that such programs encourage teenagers to engage in sexual behavior. But the reality is that more and more teenagers are engaging in sexual behavior anyway. The Carnegie Council on Adolescent Development found the 17% of girls and 29% of boys engaged in sexual intercourse by the time they were 16 years old. Many parents are ready to blame sex education and condom availability programs for these figures; these parents issue calls for "chastity education." Opponents of sex education also believe that these programs violate the rights of parents to education their children about moral behavior and religious values. But the truth is that these programs do not preclude the right of a parents to teach a child anything. They simply prevent the use of the public schools to impose religious beliefs on students. Those who argue that the mandate of schools is only to teach academic subjects forget that public high schools are the best place for sex education and condom availability programs because the schools are full of teenagers and of adults who are trained and willing to counsel them. Few educators would argue that schools should not teach values, and sex education and condom availability programs provide an excellent way to help teenagers understand not only human sexuality, reproduction, and the spread of disease but also social relationships, the development of cultural norms, and the role of responsible citizens. At the same time that we encourage sexual abstinence among young people, we must also teach about sexual responsibility. Sexual responsibility today means using a condom to prevent pregnancy and disease. If teenagers are embarrassed in their efforts to acquire condoms, pregnancy and diseases will be the result, not abstinence.     

Western influences on Chinese sexuality: insights from a comparison of the sexual behavior and attitudes of Shanghai and Hong Kong freshmen at universities

In this 1991 study the sex behavior and attitudes of first-year university students in Shanghai, China, were compared to attitudes and beliefs of first-year students in Hong Kong. Findings do not confirm a strong Western influence and increased promiscuity. The evidence suggests that the effect of Westernization or modernization is dependent on and varies with the nature of the imported Western culture and the form of and standards for sex education. Students from Hong Kong, which is more modernized than Shanghai, were less sexually active and more conscientious about using contraception. A high percentage of Shanghai students had experienced sexual intercourse and multiple sex partners. Christian males from the Hong Kong survey had less coital experience than non-Christian Hong Kong males. The surveys were conducted in 22 universities in Shanghai among 1919 first-year students, but only 25.1% responded with completed questionnaires (344 single Chinese males and 137 single Chinese females). The Hong Kong questionnaire was distributed to 7675 students. 2341 single Chinese males and 2247 single Chinese females who were unmarried and non-Chinese completed the survey (a 48.5% response rate). It is argued that restrained female unmarried sexuality is still limited by cultural and religious attitudes.     

Protection styles of prostitutes' clients: intentions,behavior, and considerations in relation to AIDS

The perceived costs and benefits of condom use within the context of commercial sex were examined in interviews with 87 clients of female Dutch prostitutes. 8 types of condom users were identified: convinced (46% of the study group), guilty conscience (11%), anti-ridden (13%), defaulting (6%), maximum selective (8%), minimum selective (3%), indifferent (8%), and recalcitrant (5%). Clients who consistently used condoms take responsibility for both the pleasure and safety of their sexual encounter; their attitude toward prostitution is positive and straightforward. Guilty conscience users are motivated to use condoms by feelings of guilt toward their wife and are ambivalent about their participation in commercial sex. Angst-ridden users are motivated to seek out prostitutes more by loneliness than the pursuit of sexual pleasure; they view their personal risk of acquired immunodeficiency syndrome (AIDS) as higher than that reported by consistent users and thus are motivated by fear to use condoms. Defaulting users perceive themselves as the victims of temptation and express a lack of control over the sexual encounter that places them at risk of unprotected sex. Maximum selective users are consistent in using condoms in sex with prostitutes, except when it involves a prostitute whom they see regularly and frequently. Minimum selective users seek frequent contact with prostitutes and base condom use on a subjective assessment of whether the woman is healthy or not. Indifferent users, often disabled and lonely men with no other source of sexual contact, base their condom use or nonuse solely on the wishes of the prostitute. Finally, recalcitrant users are characterized by a desire for power and protest condom use. In general, consistent condom use was related to a positive evaluation of prostitutes, positive attitudes toward the advantages of condom use, an internal locus of control with regard to health, and a higher level of education.     

Positive and negative aspects of relationship quality and unprotected sex among young women

The aim of this study was to examine both positive and negative aspects of relationship quality in relation to condom use. Sexually active young women aged 14–18 years (n = 111; 34% non-white) were recruited from community clinics and schools in the Midwest USA and provided data via an online survey. The number of unprotected sex acts in the past month with the most recent male partner was regressed on relationship quality with that partner, adjusting for demographics and other characteristics. Negative relationship quality was associated with a greater number of unprotected sex acts among women reporting a low level of positive relationship quality and among women taking hormonal/IUD contraception. Positive relationship quality was associated with unprotected sex among women who reported multiple partners in the past month. Both positive and negative aspects of relationship quality may confer risk for unprotected sex. This risk appears to be modified by patterns of contraceptive use and other sexual behaviours. Health professionals and sexual health educators may be more effective in promoting condom use if they ask questions about both positive and negative aspects of young people’s relationship quality and tailor their conversations based on the responses received.     

Sexual abuse among female high school students in Istanbul, Turkey

OBJECTIVE: The objective of the study was to determine the prevalence of sexual abuse in female adolescents in Istanbul, Turkey from data collected as part of a school-based population study on health and health behaviors. METHOD: A stratified cluster sampling procedure was used for this cross-sectional study. The study sample included 1,955 randomly selected 9th through 11th grade female students attending 26 randomly-selected high schools in Istanbul. A self-report questionnaire was administered anonymously in the classroom. Information on sexual abuse history was collected through the questions investigating "touching" and "intercourse." RESULTS: Of 1,955 female students, 1,871 (95.7%) provided answers to the questions addressing unwanted sexual experience. Of these, 250 (13.4%) reported sexually abusive experiences. Two hundred and thirteen (11.3%) students reported that someone touched their private parts in a way they did not like; 91 (4.9%) reported they were forced to have sexual intercourse; 54 (3.0%) reported both types of sexual abuse. Incest was reported by 1.8% of the subjects. Ninety-three percent of the perpetrators were reported to be male. CONCLUSIONS: This is the first reported school-based study to determine the prevalence of sexual abuse in Turkey. The results show that at least 13.4% of female high school students disclosed having experienced sexual abuse during childhood.     

Preferences towards sex education and information from an ethnically diverse sample of young people

This paper reports sex education preferences from an ethnically diverse sample of 3007 15–18 year olds. Findings are presented on preferred topics, where and from whom young people would like to receive this information. Preferences were centred around learning more about sexual behaviour and sexually transmitted infections (STIs) in particular, and receiving this at school from someone ‘professional’ and of similar age. Females showed a greater preference towards learning about emotions, relationships and contraception, and to having this delivered by someone of the same sex. Of the four main ethnic groups, Black and Asian students generally reported more sex education preferences than White British or White Other students. Black students wanted to learn more about biological issues and cultural issues alongside sexual behaviour and STIs. Black male students reported a greater than average preference towards family‐based information, and interest towards someone of the same ethnic background delivering sex education was also expressed. Asian students reported stronger preferences for more information about STIs and contraception, and wished to keep sex education out of the family household. Implications for sex and relationships education and working with professionals and parents are outlined.     

Contraceptive self-efficacy in adolescents: a comparative study of male and female contraceptive practices

This comparative study examined the relationship between self-efficacy theory and contraceptive practices in male and female adolescents enrolled in Midwestern University. A survey method was employed to obtain data from 101 female and 106 male subjects aged 18-20, sexually active, single, and who had one sexual partner for at least 3 months. Findings suggest that both genders need to develop the necessary communication skills in sexual matters and contraceptive issues. Females scored low on several self-efficacy statements that involve the ability to communicate about sexual matters and securing the use of contraception. They also obtained a low score in statements that require assertiveness in preventing sexual intercourse in highly involved situations. Meanwhile, male subjects scored low in items involving communication skills. Finally, contraceptive self-efficacy was found to be significantly different for males and females in the following areas: females need to learn how to assume responsibility and to become more effective in securing contraceptives; and males need to learn to be assertive about avoiding sexual intercourse when not using contraception and to develop the ability to talk about using contraceptives.     

Childhood sexual abuse, adolescent sexual coercion and sexually transmitted infection acquisition among homeless female adolescents

OBJECTIVE: To examine the relationship between childhood experiences of sexual abuse, sexual coercion during adolescence, and the acquisition of sexually transmitted infections (STIs) in a population of homeless adolescents. METHOD: Homeless adolescent females (N = 216) from a northwestern United States city were recruited by street outreach workers for a longitudinal study of STI epidemiology. Baseline data on childhood abuse and recent history of sexual coercion were used to predict physiologically confirmed STI acquisition over the subsequent 6 months. RESULTS: About 38% of all girls reported a history of childhood sexual abuse (CSA). Girls with a history of CSA were more likely to report recent sexual coercion. In turn, sexual coercion in the last three months was significantly associated with a higher number of sexual partners (but not with a greater frequency of intercourse or with lower rates of condom use). Number of sexual partners significantly predicted the future acquisition of an STI within 6 months. CONCLUSIONS: Interventions to reduce risky sexual behaviors in homeless adolescent females may need to consider the impact of CSA, particularly on the number of sexual partners during adolescence. However, it also should be noted that engagement in intercourse often results from coercion and is not voluntary in this population.