Diego Rios-Zertuche1, Jose Cuchilla2, Paola Zúñiga-Brenes3, Bernardo Hernández4, Patricia Jara5, Ali H Mokdad4, Emma Iriarte3. 1. Salud Mesoamérica Initiative/Inter-American Development Bank, Panama City, Panama. diegori@iadb.org. 2. University of California, Los Angeles, USA. 3. Salud Mesoamérica Initiative/Inter-American Development Bank, Panama City, Panama. 4. Institute for Health Metrics and Evaluation, University of Washington, Seattle, USA. 5. Inter-American Development Bank, Santiago, Chile.
Abstract
OBJECTIVES: We applied the Integrative Model of Behavioral Prediction to analyze factors associated with risky sexual behaviors for adolescent students living in the poorest segments in Costa Rica. METHODS: We used data from a school-based knowledge, attitudes, and behaviors survey from the poorest districts of Costa Rica, collected for Salud Mesoamerica Initiative. We analyzed responses of 919 male and female students (12-19 years old) to determine factors associated with sexual intercourse and condom use. RESULTS: One of every four students reported being sexually active. Students that reported being sexually active were more likely to consume excessive alcohol (OR 3.04 [95 % CI 1.94-4.79]). While 88.0 % [95 % CI 73.5-95.1] of sexually active adolescents said they would use a condom the next time they have sex, only 53.1 % [95 % CI 39.3-66.5] reported condom use the last time. Non-condom-users felt purchasing condoms was uncomfortable (OR 0.34 [95 % CI 0.12-0.93]). CONCLUSIONS: Poor adolescents in Costa Rica begin sexual activities early and undertake behaviors that increase their risk for unwanted pregnancies and sexually transmitted infections. We found the urgent need to address alcohol abuse, and recognize gender differences in youth health programs.
OBJECTIVES: We applied the Integrative Model of Behavioral Prediction to analyze factors associated with risky sexual behaviors for adolescent students living in the poorest segments in Costa Rica. METHODS: We used data from a school-based knowledge, attitudes, and behaviors survey from the poorest districts of Costa Rica, collected for Salud Mesoamerica Initiative. We analyzed responses of 919 male and female students (12-19 years old) to determine factors associated with sexual intercourse and condom use. RESULTS: One of every four students reported being sexually active. Students that reported being sexually active were more likely to consume excessive alcohol (OR 3.04 [95 % CI 1.94-4.79]). While 88.0 % [95 % CI 73.5-95.1] of sexually active adolescents said they would use a condom the next time they have sex, only 53.1 % [95 % CI 39.3-66.5] reported condom use the last time. Non-condom-users felt purchasing condoms was uncomfortable (OR 0.34 [95 % CI 0.12-0.93]). CONCLUSIONS: Poor adolescents in Costa Rica begin sexual activities early and undertake behaviors that increase their risk for unwanted pregnancies and sexually transmitted infections. We found the urgent need to address alcohol abuse, and recognize gender differences in youth health programs.
Authors: Ali H Mokdad; Mohammad Hossein Forouzanfar; Farah Daoud; Arwa A Mokdad; Charbel El Bcheraoui; Maziar Moradi-Lakeh; Hmwe Hmwe Kyu; Ryan M Barber; Joseph Wagner; Kelly Cercy; Hannah Kravitz; Megan Coggeshall; Adrienne Chew; Kevin F O'Rourke; Caitlyn Steiner; Marwa Tuffaha; Raghid Charara; Essam Abdullah Al-Ghamdi; Yaser Adi; Rima A Afifi; Hanan Alahmadi; Fadia AlBuhairan; Nicholas Allen; Mohammad AlMazroa; Abdulwahab A Al-Nehmi; Zulfa AlRayess; Monika Arora; Peter Azzopardi; Carmen Barroso; Mohammed Basulaiman; Zulfiqar A Bhutta; Chris Bonell; Cecilia Breinbauer; Louisa Degenhardt; Donna Denno; Jing Fang; Adesegun Fatusi; Andrea B Feigl; Ritsuko Kakuma; Nadim Karam; Elissa Kennedy; Tawfik A M Khoja; Fadi Maalouf; Carla Makhlouf Obermeyer; Amitabh Mattoo; Terry McGovern; Ziad A Memish; George A Mensah; Vikram Patel; Suzanne Petroni; Nicola Reavley; Diego Rios Zertuche; Mohammad Saeedi; John Santelli; Susan M Sawyer; Fred Ssewamala; Kikelomo Taiwo; Muhammad Tantawy; Russell M Viner; Jane Waldfogel; Maria Paola Zuñiga; Mohsen Naghavi; Haidong Wang; Theo Vos; Alan D Lopez; Abdullah A Al Rabeeah; George C Patton; Christopher J L Murray Journal: Lancet Date: 2016-05-09 Impact factor: 79.321
Authors: Ali H Mokdad; Katherine Ellicott Colson; Paola Zúñiga-Brenes; Diego Ríos-Zertuche; Erin B Palmisano; Eyleen Alfaro-Porras; Brent W Anderson; Marco Borgo; Sima Desai; Marielle C Gagnier; Catherine W Gillespie; Sandra L Giron; Annie Haakenstad; Sonia López Romero; Julio Mateus; Abigail McKay; Ali A Mokdad; Tasha Murphy; Paria Naghavi; Jennifer Nelson; Miguel Orozco; Dharani Ranganathan; Benito Salvatierra; Alexandra Schaefer; Gulnoza Usmanova; Alejandro Varela; Shelley Wilson; Sarah Wulf; Bernardo Hernandez; Rafael Lozano; Emma Iriarte; Ferdinando Regalia Journal: Popul Health Metr Date: 2015-02-07