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August 27, 2026Journal of American College Health

Psychosocial and behavioral correlates of STI-related sexual risk among college students: A multivariable analysis across racial and ethnic groups

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Authors

TSTodd M. SabatoJames Madison University

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Implication

Cross-sectional study reveals external sexual regulation and substance use predict STI risk in college students, highlighting the need for culturally responsive screening.

Key Points

  • To determine psychological, behavioral, and knowledge-based predictors of STI-related sexual risk among undergraduate college students across racial and ethnic groups.
  • Surveyed 1,826 undergraduate students across three U.S. universities using validated instruments assessing sexual behaviors, HIV knowledge, substance use, depressive symptoms, and sexual regulation.
  • Conducted ANOVAs, t-tests, and race- and ethnicity-stratified multivariable logistic regression analyses.
  • Overall, 15.6% of sexually active undergraduate students demonstrated elevated STI-related sexual risk.
  • External sexual regulation and substance use consistently predicted greater sexual risk among Black and White students, whereas depressive symptoms and HIV knowledge showed inconsistent associations.
  • Black students reported higher rates of both STI testing and sexual risk behaviors compared to other groups, indicating increased screening among those at elevated risk.

Cite This Study

Todd M. Sabato (2026) studied this question.

synapsesocial.com/papers/6a8fe94110c91c1e92620e45https://doi.org/10.1080/07448481.2026.2717316
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