title: Teen pregnancy, motherhood, and unprotected sexual activity.
abstract: The sexual behaviors and attitudes toward condom use of adolescent mothers (N = 572) from ethnic minority groups were examined. Constructs from social cognitive theory (SCT), the theory of reasoned action (TRA), and the theory of planned behavior (TPB; e.g., intentions to use condoms, self-efficacy, outcome expectancies) were measured with questionnaires. Measures of AIDS and condom-use knowledge and selected psychosocial, behavioral, and demographic variables were included. Many adolescents reported early onset of sexual activity, multiple lifetime sexual partners, substance use, and childhood sexual or physical abuse. Only 18% stated a condom was used at last intercourse. Using hierarchical regression analysis, 13% of the variance for factors associated with unprotected sex was accounted for by TRA constructs. Other variables contributed an additional 17% of the variance. Unprotected sex was associated with behavioral intentions to use condoms, pregnancy, having a steady partner, more frequent church service attendance, and ever having anal sex. Findings support the urgent need for broad-based HIV prevention efforts for adolescent mothers that build on theoretical concepts and address the realities of their lives.
authors.affiliation: UCLA School of Nursing, Box 956919, Los Angeles, CA 90095-6919, USA.
authors.forename: Deborah
authors.initials: D
authors.lastname: Koniak-Griffin
authors.forename: Janna
authors.initials: J
authors.lastname: Lesser
authors.forename: Gwen
authors.initials: G
authors.lastname: Uman
authors.forename: Adeline
authors.initials: A
authors.lastname: Nyamathi
mesh_terms: D000293:Adolescent; D000328:Adult; D017280:Condoms; D003268:Contraception Behavior; D005260:Female; D015658:HIV Infections / Q000517:prevention & control* / Q000523:psychology; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D015141:Los Angeles; D008913:Minority Groups; D011247:Pregnancy; D011253:Pregnancy in Adolescence / Q000517:prevention & control* / Q000523:psychology; D011582:Psychological Theory; D012044:Regression Analysis; D012307:Risk Factors; D021841:Safe Sex / Q000523:psychology*; D012725:Sexual Behavior / Q000523:psychology*; D019966:Substance-Related Disorders / Q000523:psychology