Cognitive analysis of contraceptive behavior.
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Biomedical subjects
Publications and source records attributed to A E Norris.
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During summer 1989, 30 Hispanic (15 men, 15 women) and 34 African American (17 men, 17 women) adolescents and young adults from Detroit participated in face-to-face interviews designed to provide preliminary descriptive data of this population's AIDS and condom knowledge, sexual behavior, and condom and needle use behavior. Results suggest almost all knew that AIDS could be transmitted sexually or by needle sharing, and most participants knew condoms protect against AIDS. Although many sexually active participants reported using condoms, the majority reported engaging in unprotected vaginal intercourse. More Hispanic women reported episodes of unprotected intercourse than any other group. The following results may be useful in designing AIDS prevention strategies. Many participants seemed unaware of the ineffectiveness of nonlatex condoms. Hispanic female participants seemed to have a low level of knowledge concerning their own reproductive health. Small numbers of Hispanic and African American participants reported that people in their neighborhood used needles to self-administer steroids or vitamins.
Low-income, urban, African-American and Hispanic youth have been identified as a group that may be at risk for the spread of human immunodeficiency virus (HIV). This article evaluates general knowledge of acquired immunodeficiency syndrome (AIDS), knowledge of routes of sexual transmission of HIV, risk behaviors related to sex, and perceived susceptibility to AIDS of urban low-income youth in Detroit. We drew data from a household probability sample of 1,435 of these Detroit youth. The data indicate that, with a few exceptions, general knowledge of AIDS and routes of sexual HIV transmission was good; there were small ethnic and gender differences in knowledge. However, we found substantial ethnic and gender differences in risk behaviors. Young African-American men reported the earliest initiation of sexual activity and the most partners. Young Hispanic women reported the latest initiation of sexual activity and the fewest partners. A substantial minority of the youth were concerned about becoming infected with HIV, and these concerns were related to risk behavior. We demonstrate from these data a need for interventions in this population to correct misconceptions and to promote use of condoms and other safer sexual behaviors.