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This descriptive and cross-sectional study’s purpose was to examine sexual behavior and its precursors using the theory of planned behavior (TPB) and considering gender-based differences. Increased understanding of behavioral intentions among adolescents may help to reduce sexual risk behaviors in this group.Ĭolombia has one of the highest rates of the human immunodeficiency virus (HIV) and pregnancies - both of which are influenced by lack of condom use -, among adolescent population in Latin America however, the mechanisms underlying the inconsistent use of condoms in this population are poorly understood. Findings highlight opportunities for psychologists, educators, and health-care providers to promote condom use in adolescents with differing sexual risk profiles.
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Among the 1557 participants, four latent classes of risk were identified: “Condom + drugs,” “abstinent,” “condom + no drugs,” and “no condom + drugs.” Differences in adolescents’ sex, age, educational level, sexual experience, and condom use across latent classes were found. Multinomial logistic regression was used to assess the association between class membership and participants’ sociodemographic variables (sex, age, educational level, socioeconomic status, and family situation), and behavioral variables (sexual experience and percentage of condom use). This study utilizes latent class analysis (LCA) to explore the subtyping of behavioral intentions related to sexual risk in a community-based sample of adolescents aged 14 to 16 years from Spain.
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It is known that sexual risk may vary as a function of behavioral intentions (e.g., condom use intention or having sex under the influence of alcohol), but no studies have yet characterized the sexual risk profiles considering behavioral intentions. The systematic adaptation approach to sexual health intervention for youth can be employed by researchers and community stakeholders in low-resource settings for the promotion of health wellness, linkage to care, and STI and unplanned pregnancy prevention for youth.Ĭonsistent condom use tends to be limited in youth, which makes this group especially vulnerable for sexually transmitted infections (STIs) and unplanned pregnancies. In addition, the adapted intervention incorporates cultural and linguistic appropriate content, including an emphasis on tackling machismo to promote risk reduction behaviors.
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The adapted intervention incorporates elements common to effective youth sex education interventions, including: a solid theoretical foundation, sexual communication skills and social support for protection, and guidance on how to utilize available cultural- and linguistic-appropriate services. The process included six steps: 1) consulting international researchers and community stakeholders 2) capturing the lived experiences of a diverse sample of colombian youth 3) identifying priorities and areas in need of improvement 4) integrating the social cognitive theory, information-motivation-behavioral skills model, and an ecological framework for colombian youth 5) adapting intervention content, activities, and materials and 6) quantitative evaluation of COMPAS by Colombian youth. We employed a systematic cultural adaptation process utilizing a mixed methods approach, including intervention adaptation sessions with 100 young adolescents aged 15-19. This study describes the adaptation process that resulted in a modified version of COMPAS for youth in Colombia. In an attempt to fill this void, our team adapted COMPAS, a Spanish school-based sexual health promotion intervention, for Colombian adolescents. In particular, Colombia lacks a nationally standardized youth sex education program, despite the fact that 15 to 24-year-olds accounted for the highest incidence and prevalence rates of HIV and STIs in the nation. Given the disproportionate impact of HIV and STIs among youth in Latin America, there is a compelling need for effective sex education programs.