Sexual Knowledge, Attitudes, and Risky Sexual Behavior among Inner-City Black Male Adolescents

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Abstract
Sexual knowledge, attitudes toward sex and contraception, contraception use, and sexual behavior were examined among 200 Black male inner-city junior and senior high school students who completed an anonymous questionnaire. Virtually all of the students (97%) reported having had coitus at least once. Most (78%o) reported not using any contraceptive during initial coitus, and a majority (54%) reported not using one during their most recent coitus. Multivariate multiple regression analyses revealed that students with greater sexual knowledge and more positive attitudes toward contraception were more likely to report using contraception than were other students. Students with more liberal sexual attitudes reported greater sexual activity, including a higher frequency of, and number of female partners for, coitus and fellatio. Among students who reported involvement in a steady romantic relationship, relatively liberal sexual attitudes were associated with self-reports of a sexual relationship with a woman besides their girlfriend.