OBJECTIVE: To examine sexual health disparities between blacks and whites in a national sample of US college students. PARTICIPANTS AND METHOD SUMMARY: Analyses utilized secondary data from 44,165 nonmarried undergraduates (aged 18-24; M = 20.1) responding to the Spring 2007 American College Health Association-National College Health Assessment; 64% were female and 94.7% were white. RESULTS: Whites reported more experience in oral and anal sex, were less likely to use condoms for oral, anal, and vaginal sex, and less likely to have been tested for HIV (human immunodeficiency virus) compared with blacks. However, blacks reported more sex partners, lower use of hormonal contraceptives, and higher rates of adverse sexual health outcomes, such as sexually transmitted infections (STIs) and unintended pregnancy. Sexual behaviors and outcomes also varied across gender. CONCLUSIONS: This study highlights a need to increase access to hormonal contraceptives and early STI screening/treatment among blacks, improve HIV testing among whites, and increase condom use promotion for all students.
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机译：目的：研究美国全国大学生样本中黑人和白人之间的性健康差异。参与者和方法摘要：分析了来自44165名未婚大学生（18-24岁; M = 20.1）的二手数据，这些数据是针对2007年春季美国大学健康协会-国家大学健康评估而做出的;女性为64％，白人为94.7％。结果：与黑人相比，白人报告了更多的口交和肛交经验，较少使用避孕套进行口交，肛交和阴道性交，也较少接受过HIV（人类免疫缺陷病毒）测试。但是，黑人报告说有更多的性伴侣，激素避孕药的使用减少，性健康不良后果的发生率更高，例如性传播感染（STIs）和意外怀孕。性行为和结果也因性别而异。结论：本研究强调需要增加黑人中激素避孕药的使用和早期性传播感染筛查/治疗，改善白人中的艾滋病毒检测，并增加对所有学生的安全套使用促进。
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