Risky sexual behavior and associated factors in undergraduate students in a city in Southern Brazil

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ABSTRACT

OBJECTIVE

To describe the sexual behavior of freshmen undergraduate students according to demographic, economic, psychosocial and behavioral characteristics, and evaluate the prevalence of risky sexual behavior and its associated factors.

METHODS

A cross-sectional study of the census type with undergraduate students over 18 years old of 80 undergraduate courses of the Universidade Federal de Pelotas (UFPel), in Rio Grande do Sul (RS), who entered in the first semester of 2017 and remained enrolled in the second semester. Undergraduate students who reported having had sex were evaluated. We considered as risky sexual behavior having more than one sexual partner within the last three months and not having used condoms in the last sexual intercourse.

RESULTS

The prevalence of risky sexual behavior was 9% (95%CI 7.6–10.5). Men presented more risky behavior than women, with a prevalence of 10.8% and 7.5%, respectively. Of the undergraduate students, 45% did not use condoms in the last sexual intercourse, and 24% had two partners or more within three months before the survey. Smartphone applications for sexual purposes were used by 23% of students within three months before the survey. Risky sexual behavior was associated with gender, age at first sexual intercourse, frequency of alcohol consumption, consumption of psychoactive substances before the last sexual intercourse and use of smartphone applications for sexual purposes.

CONCLUSION

Although undergraduate students are expected to be an informed population, the prevalence of risky sexual behavior was important, indicating the need to expand public investment in sexual education and awareness actions.

Related collections

Most cited references 26

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Comportamento sexual de risco: fatores associados ao número de parceiros sexuais e ao uso de preservativo em adolescentes

Ana Cruzeiro, Luciano Dias de Mattos Souza, Ricardo Silva … (2010)

O objetivo deste estudo foi avaliar os fatores associados ao número de parceiros sexuais, no último ano, e ao uso de preservativo nas últimas três relações sexuais, entre jovens de quinze e dezoito anos de idade. Trata-se de um estudo transversal com 960 adolescentes. Foram consideradas duas variáveis dicotomizadas como indicativas de comportamentos sexuais de risco: dois ou mais parceiros sexuais nos últimos doze meses e uso ocasional de camisinha nas três últimas relações. Foi investigada a associação destes comportamentos com nível socioeconômico, sexo, escolaridade do adolescente e dos pais, idade, religião, morar com os pais, trabalho remunerado, uso de drogas, tabagismo, consumo de álcool e uso de bebidas alcoólicas na última relação sexual. Para a análise estatística, utilizou-se o modelo de regressão de Poisson. O número de parceiros sexuais nos últimos doze meses associou-se ao sexo, escolaridade do adolescente, uso de drogas ilícitas e cigarro no último mês, assim como consumo de bebida alcoólica antes da última relação sexual. O uso ocasional de preservativo associou-se ao sexo feminino e à baixa escolaridade materna. Os fatores associados ao aumento do número de parceiros sexuais apontam para a forte inter-relação entre comportamentos de risco.

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High-risk cocktails and high-risk sex: examining the relation between alcohol mixed with energy drink consumption, sexual behavior, and drug use in college students.

Daniel J Snipes, Eric Benotsch (2013)

Alcohol mixed with energy drink (AmED) consumption has garnered considerable attention in the literature in recent years. Drinking AmED beverages has been associated with a host of negative outcomes. The present study sought to examine associations between AmED consumption and high-risk sexual behaviors in a sample of young adults. Participants (N=704; 59.9% female) completed an online survey assessing AmED consumption, other drug use, and sexual behavior. A total of 19.4% of the entire sample (and 28.8% of those who reported using alcohol) reported consuming AmED. Participants who reported consuming AmED were significantly more likely to report marijuana, cocaine, and ecstasy use. Those who reported consuming AmED also had increased odds of engaging in high-risk sexual behaviors, including unprotected sex, sex while under the influence of drugs, and sex after having too much to drink. Relationships between AmED consumption and sexual behavior remained significant after accounting for the influence of demographic factors and other substance use. Results add to the literature documenting negative consequences for AmED consumers, which may include alcohol dependence, binge drinking, and the potential for sexually transmitted infections via high-risk sexual behavior.

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Sexual behavior among high school students in Brazil: alcohol consumption and legal and illegal drug use associated with unprotected sex

Zila M. Sanchez, Solange A. Nappo, Joselaine I. Cruz … (2013)

OBJECTIVE: Alcohol and other drug use appears to reduce decision-making ability and increase the risk of unsafe sex, leading to possible unplanned pregnancies, sexually transmitted diseases/human immunodeficiency virus/HIV transmission, and multiple sexual partners. This study aimed to test the hypothesis that risky sexual behaviors among adolescents are associated with legal and illegal drug use. METHODS: A national cross-sectional survey of 17,371 high-school students was conducted in 2010. Students were selected from 789 public and private schools in each of the 27 Brazilian state capitals by a multistage probabilistic sampling method and answered a self-report questionnaire. Weighted data were analyzed through basic contingency tables and logistic regressions testing for differences in condom use among adolescents who were sexually active during the past month. RESULTS: Approximately one third of the high school students had engaged in sexual intercourse in the month prior to the survey, and nearly half of these respondents had not used a condom. While overall sexual intercourse was more prevalent among boys, unsafe sexual intercourse was more prevalent among girls. Furthermore, a lower socioeconomic status was directly associated with non-condom use, while binge drinking and illegal drug use were independently associated with unsafe sexual intercourse. CONCLUSION: Adolescent alcohol and drug use were associated with unsafe sexual practices. School prevention programs must include drug use and sexuality topics simultaneously because both risk-taking behaviors occur simultaneously.

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Author and article information

Journal

Journal ID (nlm-ta): Rev Saude Publica

Journal ID (iso-abbrev): Rev Saude Publica

Journal ID (publisher-id): rsp

Title: Revista de Saúde Pública

Publisher: Faculdade de Saúde Pública da Universidade de São Paulo

ISSN (Print): 0034-8910

ISSN (Electronic): 1518-8787

Publication date (Electronic, pub): 03 April 2020

Publication date (Electronic, collection): 2020

Volume: 54

Electronic Location Identifier: 41

Affiliations

[I ] orgnameUniversidade Federal de Pelotas orgdiv1Programa de Pós-Graduação em Epidemiologia Pelotas RS Brasil originalUniversidade Federal de Pelotas. Programa de Pós-Graduação em Epidemiologia. Pelotas, RS, Brasil

[II ] orgnameUniversidade Federal de Ciências da Saúde de Porto Alegre Porto Alegre RS Brasil originalUniversidade Federal de Ciências da Saúde de Porto Alegre. Porto Alegre, RS, Brasil

[III ] orgnameUniversidade Federal de Pelotas orgdiv1Faculdade de Medicina orgdiv2Departamento de Medicina Social Pelotas RS Brasil originalUniversidade Federal de Pelotas. Faculdade de Medicina. Departamento de Medicina Social. Pelotas, RS, Brasil

[I ] Brasil originalUniversidade Federal de Pelotas. Programa de Pós-Graduação em Epidemiologia. Pelotas, RS, Brasil

[II ] Brasil originalUniversidade Federal de Ciências da Saúde de Porto Alegre. Porto Alegre, RS, Brasil

[III ] Brasil originalUniversidade Federal de Pelotas. Faculdade de Medicina. Departamento de Medicina Social. Pelotas, RS, Brasil

Author notes

Correspondence: Débora Dalmas Gräf Rua Marechal Deodoro, 1160 - 3° Piso Bairro Centro - Pelotas, RS CEP: 96020-220 E-mail: dalmasgraf@ 123456gmail.com

Authors’ contributions: Study design: DDG, MAM, AGF. Data analysis and interpretation; manuscript elaboration: DDG, MAM, AGF. Critical review of the manuscript: MAM, AGF. All the authors approved the final version and take public responsibility for the article’s content.

Conflict of interest: The authors declare no conflict of interest.

Correspondência: Débora Dalmas Gräf Rua Marechal Deodoro, 1160 - 3° Piso Bairro Centro - Pelotas, RS CEP: 96020-220 E-mail: dalmasgraf@gmail.com

Contribuição dos autores: Concepção e planejamento do estudo: DDG, MAM, AGF. Análise e interpretação dos dados, elaboração do manuscrito: DDG, MAM, AGF. Revisão crítica do manuscrito: MAM, AGF. Todas as autoras aprovaram a versão final do manuscrito e assumem responsabilidade pública pelo seu conteúdo.

Conflito de interesses: As autoras declaram não haver conflito de interesses.

Author information

Débora Dalmas Gräf https://orcid.org/0000-0002-5900-540X

Marilia Arndt Mesenburg https://orcid.org/0000-0001-9598-4193

Anaclaudia Gastal Fassa https://orcid.org/0000-0001-6070-6214

Article

Other ID: 00235

DOI: 10.11606/s1518-8787.2020054001709

PMC ID: 7135094

PubMed ID: 32321057

SO-VID: dcc5690c-851b-4565-943b-64eb9855b94b

License:

This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

History

Date received : 05 May 2019

Date accepted : 31 July 2019

Page count

Figures: 0, Tables: 8, Equations: 0, References: 30

Funding

Funded by: Coordenação de Aperfeiçoamento de Pessoal de Nível Superior

Award ID: 001

Funding: Our study was funded with resources from the Academic Excellence Program (Proex) of the Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (Capes) – Funding Code 001.