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Community Influences on Sexual Risk Taking Behavior among Youth in Bolivia and the Dominican Republic

Gilman, Sarah Dawn (2011)
Master's Thesis (67 pages)
Committee Chair / Thesis Adviser: Stephenson, Robert
Committee Members:
Research Fields: Health Sciences, Public Health; Health Sciences, Epidemiology; Health Sciences, Human Development
Partnering Agencies: Does not apply (no collaborating organization)
Keywords: youth; community; contextual; sexual; reproductive
Program: Rollins School of Public Health, Hubert Department of Global Health
Permanent url:


Objectives: This analysis examined the role of community-level factors on risky sexual behaviors among young people aged 15 to 24 years in Bolivia and the Dominican Republic (DR). Methods: Demographic and health survey data from Bolivia (2003) and the DR (2007) was analyzed to identify individual and community level factors associated with reports of risky sexual behaviors. Results: The pathways through which the community environment affected sexual behaviors varied by gender, country and outcome. The community environment plays an important role in shaping risky sexual behavior among youth. Marital status, parity and ethnicity of surrounding communities were strong influences on youth sexual behavior. Conclusions: These results provide support for a focus on community-level influences as an intervention point for behavioral change. However, interventions should recognize culture and context specific pathways through which the community can shape the sexual behaviors of youth.

Table of Contents

Table of Contents -- Chapter 1: Introduction...1 -- Chapter 2: Comprehensive Review of the Literature...10 -- Chapter 3: Manuscript...27 -- Chapter 4: Public Health Implications...50 -- References...55


application/pdf Dissertation/Thesis 67 pages (1 MB) [Access copy of Dissertation/Thesis]
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