2013 International AIDS Society Conference

“Sexual behaviors and condom use among younger versus older college students in North Carolina, U.S”
(Presented at the 2013 International AIDS Society Conference on HIV Diagnosis, Pathogenesis, and Treatment in Kuala Lumpur, Malaysia)
Authors: Rachel Safeek, Mehri McKellar, MD
Duke Univeristy
ABSTRACT (Direct link: http://pag.ias2013.org/Abstracts.aspx?AID=2123)

Background: Young adults have high rates of STD’s, including HIV. We evaluated sexual behaviors and condom use at a private university and a community college in Durham, NC, to see whether younger adults (ages 16-24) had riskier behaviors and lower rates of condom use than their older student peers (ages 25+).

Methods: Data was collected anonymously between 2006-12 from college students undergoing free rapid HIV testing at Duke University (DU) and Durham Technical Community College (DTCC). Students completed questionnaires regarding sexual behaviors, including type of sex, number of partners in the last year, and condom use, including use at last sexual encounter. Students rated frequency of condom use on a 5-point scale from never (0) to always (5).

Results: There were 2146 students overall (63% from DU) who participated, of which 56% were female; 25% black, 30% white, 9% Asian, 7% Hispanic, and 24% were other or did not report.  Students ranged from 16-54 years old with 69% age 16-24; the mean age was 21.0 at DU versus 26.0 at DTCC. The majority at both schools were female (706/1373 at DU; 509/810 at DTCC); 51% (588/1156) at DU were white, while 86% (494/575) at DTCC were black or black/Hispanic. Fifteen percent at each site identified as gay, bisexual, or other. The average number of sexual partners in the last year was 2.7 for younger students versus 2.5 for older students. Sixty-eight percent (1106/1631) of younger students reported being sexually active versus 79% (406/515) of older students. Of those sexually active, 52% (574/1106) of younger students used condoms at their last sexual encounter versus 39% (159/406) of older students.  Of those in engaging in vaginal intercourse 38.2% (360/968) of younger students versus 23.3% (80/344) of older students reported always using condoms. 40.2% (111/276) of younger students engaging in anal intercourse versus 31.9% (45/141) of older students reported always using condoms. The top reasons for not using condoms were: monogamous sexual relationships, use of alternative contraception, and lack of condom.

Conclusions: The data suggests that more prevention initiatives should be geared toward both younger and older college-students. There should be a greater effort made by universities to promote the distribution of condoms in areas which are accessible to all students.

IAS 2013 Poster Presentation

IAS 2013 Poster Presentation

2013 IAS poster Presentation

2013 IAS poster Presentation

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