Understanding Sex Behaviors and Sexually Transmitted Infections/HIV among Latino Adolescents: An Integrative Literature Review

Monday, 18 November 2013

Young-Me Lee, PhD, RN
School of Nursing, DePaul University, Chicago, IL

Learning Objective 1: To understand factors related to sexual practice among Latino adolescents.

Learning Objective 2: To describe the common factors across successful intervention programs for reducing STI/HIV risk for Latino adolescents.

Purpose of the Study: The purpose of this integrative literature review was to explore factors that are related to sexual practices among Latino adolescents and identify which of those factors are common across successful STI/HIV intervention programs for Latino adolescents. 

Design:  An integrative literature review was conducted.  Search terms included: Latino, Hispanic, education, intervention/prevention programs, sex, sexuality, reproductive health, health risk behaviors, multiple sex partners, contraception, STI (sexually transmitted infections)/HIV/AIDS, STD (sexually transmitted diseases), delay in initiation of sexual intercourse, consistent use of birth control, avoidance of STI/HIV infections, unintended pregnancy, cultural factors, and gender roles. 

Findings: Findings revealed from the review of seventeen articles addressing factors related to sexual practices among Latino adolescents included familialism, religion, gender roles, level of knowledge/information, and privacy/confidentiality.  Five successful STI/HIV intervention programs that incorporated those factors to effectively reduce risky sexual behaviors were identified.  STI/HIV knowledge and gender roles were recognized as common factors integrated into and across successful intervention programs for this population.

Conclusion: Only STI/HIV knowledge and gender roles were found as common factors across the five successful STI/HIV intervention programs and should be incorporated into future intervention programs that are culturally and gender specific.  Therefore health care providers need to understand culturally related gender roles and their impact on sexual practices to provide culturally sensitive and appropriate sex education about STIs and HIV for Latino adolescents to increase the program potential for reducing STI/HIV.