Racial/Ethnic Differences in Patterns of Sexual Behavior and STI Risk among Sexually Experienced Adolescent Girls

Beth A. Auslander, Frank M. Biro, Paul A. Succop, Mary B. Short, Susan L. Rosenthal

Research output: Contribution to journalArticlepeer-review

18 Scopus citations


Study Objective: Racial/ethnic differences in prevalence and patterns of oral and anal sex were analyzed among girls participating in a microbicide acceptability study. Design: Cross-sectional analysis. Setting: Recruitment to participate in a 6-month study examining microbicide acceptability was conducted at a school-based health clinic and local colleges in Galveston, Texas and through snowball sampling. Participants: Sexually experienced girls (n = 202) ages 14 to 21 years of age. Main Outcome Measures: Girls reported on their demographic and sexual history at the intake interview. Results and Conclusions: Their mean age was 18.2 years; 26% were white, 43% African-American, and 31% Hispanic. African-American girls were significantly less likely than whites and Hispanics to have had oral sex; no differences were found for anal sex. African-American girls were significantly older than whites and Hispanics when they initiated oral sex. African-American girls had a greater difference between ages of vaginal and oral sex initiation than whites and Hispanics. Oral sex history was associated with a 6-factor increase and anal sex history was associated with a 3-factor increase in the likelihood of a history of sexually transmitted infection. Future studies should explore these differences in greater depth in order to develop culturally specific STI prevention efforts.

Original languageEnglish (US)
Pages (from-to)33-39
Number of pages7
JournalJournal of Pediatric and Adolescent Gynecology
Issue number1
StatePublished - Feb 2009


  • Adolescent
  • Anal sex
  • Oral sex
  • Race/ethnicity
  • Sexually transmitted infections

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Obstetrics and Gynecology


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