Chavonne D. Lenoir and Jonathan Ellen. Adolescent Health Research Group, Johns Hopkins University School of Medicine, Bayview Medical Center, 5200 Eastern Ave, Mason F. Lord Building, 4th Floor, Baltimore, MD, USA
Background:
Concurrency (overlapping sexual partnerships) is common among adolescents and represents a formidable risk factor for STD transmission. Health communication campaigns have been successful in changing the STD and HIV- related attitudes and risk behaviors of adolescents and offer a potentially effective mechanism to shift prevalent social norms regarding concurrency.
Objective:
To assess audience perceptions of concurrency messages and identify attitudes associated with intentions to disengage from a concurrent partnership after message exposure.
Method:
Two framed messages were created, promoting either the benefits of disengaging from a concurrent partnership or disadvantages of remaining in a concurrent partnership. Participants were randomized to receive one of the messages and completed a survey assessing demographics, concurrency attitudes, perceptions of the messages and intentions to disengage from a concurrent partnership. Analyses revealed no difference by message condition, and both message groups were analyzed together.
Result:
This clinic-based sample consisted of fifty-nine African American female adolescents (M= 17.1 years, SD = 1.1). On a scale of 1-4 participants perceived the messages to be effective (M = 3.35, SD = 0.50), realistic (M = 3.63, SD = 0.46) and 59% reported that they learned something. Multivariate analyses revealed that those who intended to disengage from a concurrent partnership after listening to the messages were older, felt they would be happier without a cheating partner and that it was easy to find a faithful partner.
Conclusion:
Concurrency messages were well received by a high risk group of adolescent females. Results suggest that normative attitudes, such as perceiving oneself as better off without a concurrent partner and the perception that monogamous partners are available, are related to the likelihood that one will or will not remain in a concurrent partnership.
Implications:
Concurrency messages may offer an effective vehicle in STD prevention by shifting social norms.