This revised application is to study longitudinal factors associated with changes in risk behaviors related to transmission of HIV and other sexually transmitted diseases (STDs) among young males. We propose to use data from the National Survey of Adolescent Males, which has collected three waves of data about a nationally representative sample of young men collected over seven years.
The specific aims are: (1) To describe the longitudinal changes in HIV risk behaviors among young men, across three points in time, as they age from 15 to 19 years old in 1988 to 21 to 26 years old in 1995. Also, to assess the reliability of measurement of behaviors over time. (2) To determine whether and which key life events, such as moving away to college, entering full-time employment, marrying or cohabiting, trigger transitions from safer to riskier HIV-related behaviors or vice versa. (3) To assess how life events may trigger changes in HIV risk behaviors, particularly focusing on possible mediating roles of changes in personal attitudes and normative environment. (4) To identify characteristics of teenagers that predict persistent risky HIV-related behaviors in their later years, for use in developing intervention programs. We will investigate multiple HIV risk behaviors, selected based on May and Anderson's model of HIV transmission. Our conceptual model of factors that affect long-term changes in behaviors is based on a combination of theories about adolescent development and life course transitions to help understand the longer-term factors associated with behavioral change and social psychological theories about the roles of attitudes and perceived norms as specific, proximate determinants of behaviors.

Agency
National Institute of Health (NIH)
Institute
Eunice Kennedy Shriver National Institute of Child Health & Human Development (NICHD)
Type
Research Project (R01)
Project #
5R01HD036948-02
Application #
6181796
Study Section
Special Emphasis Panel (ZRG1-AARR-8 (01))
Program Officer
Newcomer, Susan
Project Start
1999-06-01
Project End
2003-05-31
Budget Start
2000-06-01
Budget End
2003-05-31
Support Year
2
Fiscal Year
2000
Total Cost
$253,254
Indirect Cost
Name
Urban Institute
Department
Type
DUNS #
074803701
City
Washington
State
DC
Country
United States
Zip Code
20037
Casey, Frances E; Sonenstein, Freya L; Astone, Nan M et al. (2016) Family Planning and Preconception Health Among Men in Their Mid-30s: Developing Indicators and Describing Need. Am J Mens Health 10:59-67
Marcell, Arik V; Gibbs, Susannah E; Choiriyyah, Ifta et al. (2016) National Needs of Family Planning Among US Men Aged 15 to 44 Years. Am J Public Health 106:733-9
Choiriyyah, Ifta; Sonenstein, Freya L; Astone, Nan M et al. (2015) Men Aged 15-44 in Need of Preconception Care. Matern Child Health J 19:2358-65
Astone, Nan Marie; Pleck, Joseph H; Dariotis, Jacinda M et al. (2013) Union status and sexual risk behavior among men in their 30s. Perspect Sex Reprod Health 45:204-9
Dariotis, Jacinda K; Sifakis, Frangiscos; Pleck, Joseph H et al. (2011) Racial and ethnic disparities in sexual risk behaviors and STDs during young men's transition to adulthood. Perspect Sex Reprod Health 43:51-9
Marcell, Arik V; Eftim, Sorina E; Sonenstein, Freya L et al. (2011) Associations of Family and Peer Experiences with Masculinity Attitude Trajectories at the Individual and Group Level in Adolescent and Young Adult Males. Men Masc 14:
Dariotis, Jacinda K; Pleck, Joseph H; Sonenstein, Freya L et al. (2009) What are the consequences of relying upon self-reports of sexually transmitted diseases? Lessons learned about recanting in a longitudinal study. J Adolesc Health 45:187-92
Dariotis, Jacinda K; Sonenstein, Freya L; Gates, Gary J et al. (2008) Changes in sexual risk behavior as young men transition to adulthood. Perspect Sex Reprod Health 40:218-25
Sonenstein, Freya Lund (2008) Can we afford to be complacent about teens'use of condoms? J Adolesc Health 43:313-4
Gates, G J; Sonenstein, F L (2000) Heterosexual genital sexual activity among adolescent males: 1988 and 1995. Fam Plann Perspect 32:295-7, 304