Lemoire, S. Jim; Chen, Charles P.
Drawing attention to the very unique and complex needs of stigmatized sexual minority youth, the authors explore the therapeutic potential of person-centered counseling in helping lesbian, gay, bisexual, transgender/sexual (LGBT) adolescents who are working toward the acceptance and disclosure of their sexual identity. They suggest that
Goldbach, J.T.; Gibbs, J.J.
Sexual minority adolescents (SMA) experience disparities in health and behavioral health outcomes, including high rates of depression, anxiety, self-harm, substance use, HIV risk behavior, suicidal ideation, and suicide attempts. These outcomes are commonly attributed to minority stress. Stress experiences are different for SMA than their adult counterparts. For example, disclosing their sexual orientation may be more likely to result in homelessness because these youth more often live with p...
Champion, Jane Dimmitt; Harlin, Badia; Collins, Jennifer L.
Although information is available for prevention of sexually transmitted infection (STI/HIV), adolescents continue to engage in high risk sexual behavior particularly ethnic minority adolescent women with histories of STI or abuse. A description therefore of STI/HIV knowledge and sexual risk behavior among these women is indicated for modification of prevention efforts for sexual health promotion. African-American (n=94) and Mexican-American (n=465) adolescent women 1418 years of age were in...
Martin-Storey, Alexa; Crosnoe, Robert
The well-documented higher rates of depression among sexual minority youth are increasingly viewed by developmentalists as a byproduct of the stigmatization of sexual minority status in American society and of the negative impact this stigma has on the processes associated with depression. This study attempted to spur future research by testing
Calero, Juan del Rey
The social Adolescent features are insecurity, narcissism, eroticism, more impetuosity than reason. 1/3 of adolescents have risk behaviour for health. The pregnancy rate in adolescent are 9/1,000 (11,720, the abort about 50 %). The total abort (2009) were 114,480. Increase the rate of 8,4 (1990) to 14,6/ 1,000 (2009). The sexual education fails. The consulting about contraceptives get pregnancy of the OR 3,2, condom OR 2,7. The adolescent are influenced in his matter: oeer have 70-75 % of influence, mother 30-40 %, father 15 %, for yhe environment and education Cyberspace access to information: 33 % exposed to unwanted sexual materials, 1 in 7 solicited sexual online. The argument have 4 central topic: Morality and Responsibility, Desire (responsibility vs gratification), Danger (fear related to pregnancy and STD/VIH), and Victimization. The prevention of STD: so called safe sex, delayed, and abstinence, Prevention HPV vaccine. The information is not enough, are necessary personal integral formation in values as self control, abstinence, mutual respect, responsibility, reasonable decisions. PMID:21877398
In this project I investigate the nature and future opportunities of sexual education for male ethnic minorities. Through qualitative interviews and participant observation I will gain information about the current state of sexual education for ethnic minorities providing me with the opportunity to provide suggestions for improvement. One can conclude that general sexual education programs need to be improved, that parents of ethnic minorities need to be involved and that educators must visit...
Burton, Chad M; Marshal, Michael P; Chisolm, Deena J; Sucato, Gina S; Friedman, Mark S
Sexual minority youth (youth who are attracted to the same sex or endorse a gay/lesbian/bisexual identity) report significantly higher rates of depression and suicidality than heterosexual youth. The minority stress hypothesis contends that the stigma and discrimination experienced by sexual minority youth create a hostile social environment that can lead to chronic stress and mental health problems. The present study used longitudinal mediation models to directly test sexual minority-specific victimization as a potential explanatory mechanism of the mental health disparities of sexual minority youth. One hundred ninety-seven adolescents (14-19 years old; 70 % female; 29 % sexual minority) completed measures of sexual minority-specific victimization, depressive symptoms, and suicidality at two time points 6 months apart. Compared to heterosexual youth, sexual minority youth reported higher levels of sexual minority-specific victimization, depressive symptoms, and suicidality. Sexual minority-specific victimization significantly mediated the effect of sexual minority status on depressive symptoms and suicidality. The results support the minority stress hypothesis that targeted harassment and victimization are partly responsible for the higher levels of depressive symptoms and suicidality found in sexual minority youth. This research lends support to public policy initiatives that reduce bullying and hate crimes because reducing victimization can have a significant impact on the health and well-being of sexual minority youth. PMID:23292751
Calzo, Jerel P.; Masyn, Katherine E.; Corliss, Heather L.; Scherer, Emily A.; Field, Alison E.; Austin, S. Bryn
This study investigates body image concerns and disordered weight- and shape-related behaviors across adolescence and young adulthood in males and how patterns vary by sexual orientation. Participants were 5,388 males from the U.S. national Growing Up Today Study. In 2001, 2003, and 2005 (spanning ages 15-20 years), participants reported sexual
Hughes, Tonda L.; Aranda, Frances; Birkett, Michelle; Marshal, Michael P.
Objectives. We examined sexual orientation status differences in alcohol use among youths aged 13 to 18 years or older, and whether differences were moderated by sex, age, or race/ethnicity. Methods. We pooled data from the 2005 and 2007 Youth Risk Behavior Surveys and conducted weighted analyses, adjusting for complex design effects. We operationalized sexual orientation status with items assessing sexual orientation identity, sexual behavior, sexual attraction, or combinations of these. Results. Compared with exclusively heterosexual youths, sexual-minority youths were more likely to report each of the primary study outcomes (i.e., lifetime and past-month alcohol use, past-month heavy episodic drinking, earlier onset of drinking, and more frequent past-month drinking). Alcohol-use disparities were larger and more robust for (1) bisexual youths than lesbian or gay youths, (2) girls than boys, and (3) younger than older youths. Few differences in outcomes were moderated by race/ethnicity. Conclusions. Bisexual youths, sexual-minority girls, and younger sexual-minority youths showed the largest alcohol-use disparities. Research is needed that focuses on identifying explanatory or mediating mechanisms, psychiatric or mental health comorbidities, and long-term consequences of early onset alcohol use, particularly frequent or heavy use, among sexual-minority youths. PMID:24328614
Pendragon, Diane K
This article summarizes data from a qualitative study investigating the ways in which female youth perceive and respond to challenges related to the interplay of late adolescence and a minority sexual orientation. Fifteen sexual minority females in late adolescence were interviewed individually and in focus groups. The interviews focused on participants' perceptions of challenges, the impact those stressors have in their lives, and methods they utilize to cope with them. The most common negative experiences reported were isolation, lack of acceptance, harassment, and violence. Sub-themes include: hearing negative messages about gender and sexual orientation, pressures to conform to a variety of cultural norms including gender norms, fears of future violence, and pressure to identify sexual orientation. Collectively, the participants described these negative consequences of experiences of heterosexism, sexism, and racism as their most difficult experiences. The most common responses to these stressors reported by participants were finding support in relationships, engaging in coping responses, pursuing education and activism, rebellion and resistance, and avoidance and deferment. PMID:20077261
Bryant, Lawrence O.; Bowman, Lorenzo
This chapter addresses tobacco use among sexual minorities. It examines research on the prevalence of tobacco use in the lesbian, gay, bisexual, and transgender (LGBT) community and discusses why tobacco use within this group continues to significantly exceed that of the general population.
Holloway, Ian W.; Traube, Dorian E.; Sheree M. Schrager; Levine, Brooklyn; Alicea, Stacey; Watson, Janet L.; Miranda, Ana; McKay, Mary M.
This study examines the effects of different types of sexual expectancies on early sexual behavior among racial/ethnic minority young adolescents. African American and Latino participants between 11 and 13 years old were recruited through schools and community-based agencies in the South Bronx, New York (N = 223). Multiple logistic regression analyses were used to predict early sexual behavior outcomes, which include engagement in sexual possibility situations, kissing, and sexual touching. T...
Bramsen, Rikke Holm; Lasgaard, Mathias; Koss, Mary P; Elklit, Ask; Banner, Jytte
The present study set out to investigate predictors of first time adolescent peer-on-peer sexual victimization (APSV) among 238 female Grade 9 students from 30 schools in Denmark. A prospective research design was utilized to examine the relationship among five potential predictors as measured at baseline and first time APSV during a 6-month period. Data analysis was a binary logistic regression analysis. Number of sexual partners and displaying sexual risk behaviors significantly predicted subs...
Scheer, P J
Numerous sexual disorders, which were previously in the foreground, have in fact disappeared due to our changing society. This broad field today includes repressed sexual disorders of adolescents who cannot or do not want to go along with the changes either for familial or personal reasons. Immigrant background, religious beliefs, and peer pressure may play a role here. As a dialog partner for adolescents, the competent physician must take into consideration the interplay of sexual desire, ethical beliefs, morals, and parental expectations, which requires interest, intuition, and tact. PMID:24535205
Bacon, J L
The adolescent pregnancy rate has decreased throughout the USA. However, compared with other industrialized countries, US rates remain high. Efforts to decrease the number of teenage pregnancies are centered on sex education, postponing sexual activity, and safe sex practices. PMID:11111875
Everett, Bethany G
Using the National Longitudinal Study of Adolescent Health, this study examined the relationship between changes in neighborhood characteristics during the transition from adolescence to young adulthood and depression among sexual minority young adults. Previous research has found that neighborhood characteristics influence sexual minority mental health and that sexual minorities are more likely to move to more urban and politically liberal locations. No study to date, however, has examined the impact of changes in neighborhood characteristics on sexual minority depression. The results from this study show that decreases in the percent urban was associated with increased risk of depression and decreases in the percent Republican voters in sexual minority's neighborhood was associated with decreases in risk of depression. The results suggest that clinicians may want to screen sexual minority youth for recent changes in their neighborhoods to assess if these changes may be related to the onset or exacerbation of depressive episodes. PMID:24217448
Quinn, Katherine; Ertl, Allison
This study explores the characteristics and risk behaviors of sexual minority high school students using the 2011 Wisconsin Youth Risk Behavior Survey. Among 3,043 students surveyed, 8% of students identified as lesbian, gay, bisexual, or unsure, and 7% reported having contact with same-sex partners. Findings indicate sexual minority students
Toomey, Russell B.; Russell, Stephen T.
Sexual minority youth are at risk for negative school-based experiences and poor academic outcomes. Yet, little is known about their experiences in positive school-based contexts. Using the "National Longitudinal Study of Adolescent Health" (1,214 sexual minority and 11,427 heterosexual participants), this study compared participation
Longmore, Monica A.; Eng, Abbey L.; Giordano, Peggy C.; Manning, Wendy D.
This study draws on social control and social learning theories to examine the role of dating-specific attitudes and practices as predictors of adolescents sexual initiation. We include attention to the adolescents reaction to control attempts as a further means of assessing family dynamics (i.e., frequency of dating disagreements). The study uses longitudinal data from 697 adolescents who were not sexually active at the first interview as well as separate interviews with parents. In models...
Blythe, M J; Rosenthal, S L
Health care providers must recognize the specific challenges and rewards of providing services for adolescents. Quality care begins with the establishment of trust, respect, and confidentiality between the health care provider and the adolescent. Data suggest that the normal age for beginning puberty is decreasing, which has important clinical, educational, and social implications. The health care provider should be aware of the broad range of potential sexual behaviors involving adolescents, as well as the teen's acceptance of such behaviors, often dictated by age, gender, culture, and education. When providing gynecologic care to adolescent girls, the physician should not only provide contraception and screen for sexually transmitted diseases but should contribute to the development of the patient's sexual health. Especially when providing care for the younger teen, the health care provider must focus on involving a member of the family or another significant adult to provide needed support and guidance. Anticipatory guidance for parents should focus on assessing their parenting styles and promoting supervision. Although parents should strive to maintain open communication with their adolescents, they may not accurately estimate the sexual activity of and the sexual risk for their teenage children. Parents need to be encouraged to consider the implications of their own sexual behaviors. The provider should attempt to foster a comfortable environment in which youth may seek help and support for appropriate medical care while reserving the right to disclose their sexual identity when ready. Health care professionals cannot exclude heterosexual behavior on the basis that a young woman self-identifies as homosexual. Her reported sexual behaviors may not indicate her sexual orientation. Self-definition of sexual orientation is a dynamic process including factors such as fantasies, desires, and behaviors. Self-definition of sexual identity is affected by individual variations in sex, gender, sexual roles, and sexual orientation. Most adolescents want to discuss sexual-related issues with their health care providers and will welcome direct questions about sexual behaviors and possible risks when posed in a confidential and nonmoralistic manner. Discussion of the physical, emotional, familial, and social changes related to adolescence will encourage healthy sexual development. PMID:10693186
Priebe, Gisela; Svedin, Carl Göran
The purpose of this study was to compare sexual-minority and heterosexual youths' exposure to sexual abuse off-line, problematic sexual meetings off-line with person/s met online and online harassment with regard to prevalence, psychological well-being and support seeking. A nationally representative sample of 3,432 Swedish high school seniors completed an anonymous school-based survey about sexuality, health, sexual abuse and online-related sexual victimisation or harassment. Sexual-minority adolescents reported a greater rate of sexual abuse, problematic sexual meetings off-line with person/s met online and online harassment, compared to heterosexual youth. When compared to non-victimised heterosexual adolescents, victimised heterosexual adolescents and non-victimised and victimised sexual-minority adolescents reported more psychiatric symptoms, lower self-esteem and a weaker sense of coherence. Same-sex sexual orientation was related to more psychiatric symptoms, lower self-esteem and a weaker sense of coherence even when controlled for victimisation and gender. Compared to victimised heterosexual adolescents, victimised sexual-minority adolescents were more likely to seek support because of sexual abuse (females) or Internet-related problems (males and females). Results for sexual-minority youth were basically the same whether sexual orientation was assessed as sexual identity or as sexual or emotional attraction. Health care providers are challenged to not only provide the same care to sexual-minority youth who seek counselling or psychiatric treatment for mental health problems or problems related to victimisation that all adolescents should receive but also to find ways to address topics like prevention of sexual abuse and risk-taking behaviour online or off-line. PMID:22772657
Toomey, Russell B.; Russell, Stephen T.
Sexual minority youth are at risk for negative school-based experiences and poor academic outcomes. Yet, little is known about their experiences in positive school-based contexts. Using the National Longitudinal Study of Adolescent Health (1,214 sexual minority and 11,427 heterosexual participants), this study compared participation rates in, predictors of, and outcomes associated with three types of school-based extracurricular activities - sports, arts, and school clubs - by sexual orientat...
Placed in the current political context of growing liberalization within China, this essay describes the Shanghai Hotline for Sexual Minorities. Funded by agencies outside the government, these services target LGBTs toward self-acceptance and AIDS/STD education while seeking to reduce social prejudice.
Sexual minority youth (gay, lesbian, bisexual, transgendered, and questioning) function in a society that condones homophobia. Results of a research study conducted by J. Sears (1991) indicated that teachers often expressed that they should be more proactive, supportive, and committed to the welfare of all their students, but the realities of
Ljubojevi?, Suzana; Lipozen?i?, Jasna
Sexually transmitted infections (STIs) remain a public health problem of major significance in most of the world. Adolescents make up about 20% of the world population, of whom 85% live in developing countries. They are at a greater risk of STIs because they frequently have unprotected intercourse, biologically may be more susceptible to infection, often are engaged in multiple monogamous relationships of limited duration, and face multiple obstacles in accessing confidential health care services. Young people who begin to have sexual intercourse in early or middle adolescence are more likely to develop an STI than those who postpone intercourse until later adolescence or adulthood. The most common STIs among adolescents are chlamydia, gonorrhea, human papillomavirus infection, and trichomoniasis. Unfortunately, lately the incidence of HIV/AIDS and syphilis among adolescents is growing. Comprehensive sex education programs in schools can increase STI knowledge and prevent risky sexual behaviors. Health care providers can promote STI prevention methods, including counseling about safe sex. PMID:21251451
Masatu Melkiory C
Full Text Available Abstract Background Sexual activities are increasingly changing from the cultural point of view what they used to be. Knowledge of these practices among adolescents may be a basis to create awareness among adolescents on practices that involve risks. This study aims to assess sexual practices among unmarried adolescents in Tanzania. Methods A cross-sectional survey was conducted among in-school and out-of-school but unmarried adolescents aged 10 to 19 in five locations in Tanzania. A questionnaire was used to collect information and to characterize sexual practices among these adolescents. Results About 32% of adolescents reported being sexually active; a higher proportion being males than females. The only inquired and reported sexual practices include vaginal sex, masturbation, oral and anal sex. About 15% of sexually active adolescents reported having multiple sexual partners. Significantly more males reported having multiple partners than females. Nearly 42% of sexually active adolescents reported having used a condom during most recent sexual act. Females reported older partners at first sexual act. Conclusion Adolescents experience several sexual practices that include penetrative and non-penetrative. More males reported being sexually active than females. Despite adolescents reporting having multiple sexual partners, reported condom use during the most recent sexual act was low. We advocate for a more enhanced approach of reproductive health education that includes safer sex to adolescents without forgetting those in-schools.
Kang, B S
This article discusses primary contributors of sexual problems among Korean adolescents. As a result of improved nutrition, physical maturity is occurring at an earlier age in Korean youths. On the other hand, marital age has increased; the average age for males to marry is 27.3 years and 24.1 years in females. Hence, these factors extend the time frame between onset of sexual maturity and marriage. Enrollment in schools has risen; middle school registration has increased from 74.2% in 1975 to 99.7% in 1985 and from 43.6% to 78.3% in high schools. Increased enrollment has also been observed at the university level which may promote prolonged educational periods; this focus on education may reduce sexual interest among students. Improved employment opportunities may also influence sexual behavior among adolescents; urban migration can encourage casual relationships. Changes in family structure and sexual morals has promoted liberal attitudes regarding sexual practices. Increased exposure to mass media has affected adolescent sexual problems; 99.1% of the households in 1985 possessed televisions. These sexual problems include onset of sexual intercourse at an earlier age, unwanted pregnancies, increased induced abortions, and early childbirth. Overall, sexual activity in females has risen from 3.6% in 1965 to 14.5% in 1981 and from 18.5% in 1971 for males to 27.7% in 1981. Pre-marital pregnancy rates have continually increased since 1950; this has resulted in a rise of unwed mothers' consultations which reflects adolescent childbirths. Sex-related crime have also increased; rape ranks 3rd in crimes committed by Korean youth. Sex education and family planning should be provided for adolescents. Furthermore, counseling services should be available to youth regarding unwanted pregnancies, sexually transmitted diseases, and contraception. The Planned Parenthood Federation of Korea provides youth sex telephone services in which adolescents can acquire information on sexual matters. Proposals needing implementation include family life education for parents and their children, sex education and counseling within the school systems, treatment centers for sexually transmitted diseases and pre/post natal care, and youth counseling centers. PMID:12316430
Bramsen, Rikke Holm; Lasgaard, Mathias; Koss, Mary P; Elklit, Ask; Banner, Jytte
baseline and first time APSV during a 6-month period. Data analysis was a binary logistic regression analysis. Number of sexual partners and displaying sexual risk behaviors significantly predicted subsequent first time peer-on-peer sexual victimization, whereas a history of child sexual abuse, early...
Pavilanis, Alan V.
Developing an independent sexual identity is one of the psychosocial tasks of adolescence. The only recent change in adolescent sexual activity is an increased percentage of teenage girls having intercourse. Coitus carries the risk of pregnancy and sexually transmitted diseases. It is also an area of conflict with parents. There are healthy and unhealthy approaches to these problems. Family physicians must demystify adolescent sexuality. They must give the adolescent non-judgmental, confident...
Adolescent sexual activity is increasing globally. Abstinence and a delay in the start of sexual intercourse may be the most effective methods in preventing the consequences of teenage sexual activity. However, these goals are seldom met. With the change in social norms, peer pressure and media influences; teenagers are engaging in premarital sex earlier. Family life education in countries like Sweden and Finland reduces teenage pregnancy and abortion. It is unrealistic to expect sexually active adolescents to stop their sexual activity. An effective contraceptive method will provide an alternative to prevent teenage pregnancy. Issues on compliance of contraceptive use, especially at the very outset of sexual activity should be addressed. Most of the problems associated with teenage pregnancy are now thought to be related to the social circumstances of the mother, the poor nutritional status before pregnancy and poor attendance at antenatal clinics. Risk-taking behaviour in this age group will also make them more prone to contracting sexually transmitted diseases. High risk groups should be screened and treated early. Contraceptive methods with protection against sexually transmitted diseases should be advised. PMID:8579322
Burton, Chad M.; Marshal, Michael P.; Chisolm, Deena J.; Sucato, Gina S.; Friedman, Mark S.
Sexual minority youth (youth who are attracted to the same sex or endorse a gay/lesbian/bisexual identity) report significantly higher rates of depression and suicidality than heterosexual youth. The minority stress hypothesis contends that the stigma and discrimination experienced by sexual minority youth create a hostile social environment that can lead to chronic stress and mental health problems. The present study used longitudinal mediation models to directly test sexual minority-specifi...
Bishop, Holly N.; Caraway, Chadwick; Stader, David L.
Discrimination based on sexual orientation in K-12 education is not prohibited in many school districts across the United States. Teachers who are of the sexual minority (gay, lesbian, or bisexual) must remain closeted or risk losing their jobs. A history of past court decisions and laws deeming sexual minorities to be degenerates from which
Rodman, H; Griffith, S B
During adolescence, dependent children grow into independent and autonomous adults, and it is necessary to make difficult policy judgements about children's rights. Questions that arise include: shoudl minors have the right to work, to marry, to make legal contracts, and to obtain medical care without parental consent; or should parental consent be required by the state in order to protect minors and to preserve parental authority. This discussion focuses upon the area of family planning, a topic of special interest to policymakers because they now face many questions about minor's contraceptive and abortion rights in Congress, in state legislatures, and in the courts. comprehensive response to policy questions about family planning rights for minors would require information about adolescent development, maturity, and autonomy; about teenagers' sexual and contraceptive attitudes and behavior; about the nature of parent-child communication regarding sexual and contraceptive questions; and about politics and values. Many from the legal system want help in answering questions about minors' rights. As little research has been conducted, policymakers can obtain only limited guidance from social scientists. As the policy issue is fundamentally tied to developmental issues, the better the knowledge about the development of cognitive competence, social competence, and autonomy, the easier it will be to make the difficult legal and policy judgements about minor's rights. Regarding minors' access to contraceptives, the situation is somewhat cloudy. There is only 1 state statute that requires parental consent for access to contraceptive medical services, passed in Utah in 1981, and pertaining to services provided with public funds. Yet, common law requires parental consent for any medical treatment (with exceptions for emancipated or mature minors) and "physicians often hesitate to serve young people without first obtaining parental consent because they fear civil liability." The situation is even more cloudy in the case of abortion. The Supreme Court's present position seems to grant emancipated and mature minors access to abortion without a requirement for parental consent or notification, but states may place some requirements for parental involvement upon other minors, as long as these minors have an alternative route to abortion. A thorough search of the literature on adolescent development reveals that the policy questions loom larger than the alternatives. 2 policy alternatives are: to single out a reasonable age below which minors require either parental consent or some form of adult involvement; or treat family planning and fertility control as basic rights which cannot be abridged because of age. PMID:12266643
Li, Gu; Pollitt, Amanda M; Russell, Stephen T
Sexual minority individuals are at an elevated risk for depression compared to their heterosexual counterparts, yet less is known about how depression status varies across sexual minority subgroups (i.e., mostly heterosexuals, bisexuals, and lesbians and gay men). Moreover, studies on the role of young adult gender nonconformity in the relation between sexual orientation and depression are scarce and have yielded mixed findings. The current study examined the disparities between sexual minorities and heterosexuals during young adulthood in concurrent depression near the beginning of young adulthood and prospective depression 6 years later, paying attention to the diversity within sexual minority subgroups and the role of gender nonconformity. Drawn from the National Longitudinal Study of Adolescent Health (N = 9421), we found that after accounting for demographics, sampling weight, and sampling design, self-identified mostly heterosexual and bisexual young adults, but not lesbians and gay men, reported significantly higher concurrent depression compared to heterosexuals; moreover, only mostly heterosexual young adults were more depressed than heterosexuals 6 years later. Furthermore, while young adult gender nonconforming behavior was associated with more concurrent depression regardless of sexual orientation, its negative impact on mental health decreased over time. Surprisingly, previous gender nonconformity predicted decreased prospective depression among lesbians and gay men whereas, among heterosexual individuals, increased gender nonconformity was not associated with prospective depression. Together, the results suggested the importance of investigating diversity and the influence of young adult gender nonconformity in future research on the mental health of sexual minorities. PMID:25868403
Burton, Chad M.; Marshal, Michael P.; Chisolm, Deena J.; Sucato, Gina S.; Friedman, Mark S.
Sexual minority youth (youth who are attracted to the same sex or endorse a gay/lesbian/bisexual identity) report significantly higher rates of depression and suicidality than heterosexual youth. The minority stress hypothesis contends that the stigma and discrimination experienced by sexual minority youth create a hostile social environment that
White, Yohann R. G.; Barnaby, Loraine; Swaby, Antoneal; Sandfort, Theo
This study examined the prevalence of Axis I disorders and associated risk factors in a sample of sexual minority men and women in Jamaica, a country that is widely known for its high societal rejection of homosexuality. Poor relationships with family, negative or abusive experiences related to ones sexual orientation, and greater openness about ones sexual orientation were independent risk factors for Axis I disorders. Prevention of mental disorders in sexual minorities in Jamaica should f...
Chandy, Joseph M.; And Others
Impact of parent alcohol misuse on the sexual behavior of female adolescents was studied with 1,134 teenagers of alcohol-misusing parents. Index adolescents were more likely to report sexual intercourse and greater frequency of intercourse. Gender of the drinking parent was related to a number of factors related to sexuality. (SLD)
Neufeld, Jacob A; Klingbeil, Fred; Bryen, Diane Nelson; Silverman, Brett; Thomas, Anila
Regardless of what our beliefs about sex and disability may be, as health care providers we can promote the health and well being of our patients with disabilities in several ways. First and perhaps foremost, physical and programmatic barriers to accessing general health care including routine gynecologic care must be dramatically reduced. The promise of Title III of the Americans with Disabilities Act must be aggressively extended to our health care system to ensure equal access to routine health care for all. Second, knowledge of community resources that can support the healthy development and exercise of responsible and satisfying sexuality is critical. For example, health care providers should know about adaptive and assistive technologies as well as the use of personal care assistants to support the healthy although sometimes nontypical expression of one's sexuality. Centers for Independent Living are community resources that are often underutilized by the medical profession. These centers--run by and for people with disabilities--are likely resources and allies for providing education, role models, and peer mentoring around relationships, intimacy, sexuality, sexual expression, and parenting with a disability. Finally, sex education is a must and should include the following: Basic facts of life, reproduction, and sexual intercourse; Human growth and development Human reproduction and anatomy Self-pleasuring/masturbation and the use of sexual aids Intimacy and privacy Pregnancy and child birth Contraception and abortion Family life and parenthood Sexual response and consensual sex Sexual orientation Sexual abuse HIV/AIDS and other sexually transmitted diseases. The question should not be whether sex education is provided to persons with disabilities, but rather how it is most effectively provided. Health sex education must include the development of effective communication skills, decision-making skills, assertiveness, and the ability to say "no." It must also include ways to create satisfying relationships. For more information about sex education as it relates to people with disabilities, the following abbreviated resource list may be helpful: http://www.sexualhealth.com http://www.lookingglass.com Ludwig S, Hingsburger, D. Being sexual: an illustrated series on sexuality and relationships. SIECCAN, 850 Coxwell, Aven., East York, Ontario, M4C 5R1 Tel: 416-466-5304; Fax: 416-778-0785. Sexuality Information and Education Council of the United States (SIECUS), 130 West 42nd Street, Suite 350, New York, NY 10036. Tel: 212-819-9770. National Information Center for Children and Youth with Disabilities (NICHCY), P.O. Box 1492, Washington, DC 20013; Tel/TTY: 800-695-0285; Fax: 202-884-8641; Internet: www.nichcy.org Non-Latex Supplies (Ask your pharmacist if not available) Trojan-Supra: http://www.trojancondoms.com Durex-Avanti: http://www.durex.com Female Health Company-FC Female Condom http://www.femalehealth.com Pasante--EzOn http://www.postalcondoms.co.uk (available in Canada and U.K.). PMID:12465564
Poteat, V. Paul; Aragon, Steven R.; Espelage, Dorothy L.; Koenig, Brian W.
This investigation tested a large adolescent sample (n = 14,439) for significant group differences on psychosocial concerns on the basis of intersecting identities of sexual orientation (lesbian, gay, bisexual, questioning/less certain, heterosexual), race (Whites, racial minorities), and gender (boys, girls). A significant 2-way interaction
Zulkifli, S N; Low, W Y; Yusof, K
This paper examines data on the sexual activities of 1,200 Malaysian adolescents aged 15-21 years based on a probability household sampled survey carried out in Kuala Lumpur in 1986. Sexual behaviours like premarital sexual intercourse, contraceptive usage and masturbation were presented. Of the 1,181 unmarried respondents, 9% (105) reported having had sexual intercourse; males were significantly more experienced compared to females. Older age groups were also found to be more sexually active than the younger ones. Among those who had experience dating (n = 521), 20% (105) have experienced sexual intercourse, 44% (228) have kissed and necked, and 35% (183) have experienced petting, while 24% (130) have had no physical intimacies. Poor use of contraception was also revealed. The most commonly used were condoms, oral contraceptives and withdrawal. With regard to masturbation, males begin this practice relatively earlier than females. Almost half of those who indulged in masturbation were worried by the act, especially the females. Implications of the findings are discussed. PMID:7752975
Masatu Melkiory C; Kazaura Method R
Abstract Background Sexual activities are increasingly changing from the cultural point of view what they used to be. Knowledge of these practices among adolescents may be a basis to create awareness among adolescents on practices that involve risks. This study aims to assess sexual practices among unmarried adolescents in Tanzania. Methods A cross-sectional survey was conducted among in-school and out-of-school but unmarried adolescents aged 10 to 19 in five locations in Tanzania. A question...
In Sweden, society's attitudes towards teenage sexual relationships are liberal, and sexual and reproductive health issues are given high priority. Family and sex education has been taught in schools since the 1950s. The age of sexual consent is 15 years. Since 1975, abortion has been free on demand. Contraceptive counselling is free, easily available at family planning and youth health clinics. Screening for genital chlamydial infection is performed at these clinics, thus providing a "one stop shop" service. Condoms and oral contraception are available at low cost, emergency contraception is sold over the counter. Teenage childbearing is uncommon. However, sexual and reproductive health problems are on the increase among young people. During the 1990s, a period of economic stagnation in Sweden, schools have suffered budget cut backs. Sex education is taught less. Social segregation, school non-attendance, smoking, and drug use have increased. Teenage abortion rates have gone up, from 17/1000 in 1995 to 22.5/1000 in 2001. Genital chlamydial infections have increased from 14,000 cases in 1994 to 22,263 cases in 2001, 60% occurring among young people, and with the steepest increase among teenagers. Thus, a question of major concern is whether and how adolescent sexual behaviour has shifted towards more risky practices during the late 1990s. PMID:12407239
Fisher, Lauren D.; Gushue, George V.; Cerrone, Michelle T.
The authors examined the relationship between sexual identity, family/friend career support, and career aspirations in a sample of 381 sexual minority women. The results indicated that family career support and friend career support were positively related to career aspirations of sexual minority women. The results also indicated that the
Bazargan, Mohsen; Stein, Judith A.; Bazargan-Hejazi, Shahrzad; Hindman, David W.
BACKGROUND Testing, refining, and tailoring theoretical approaches that are hypothesized to reduce sexual risk behaviors among adolescent subpopulations is an important task. Relatively little is known about the relationship between components of the information-motivation-behavior (IMB) model and sexual behaviors among underage minority youth. Using the IMB model, this study examines predictors of risky sexual behavior among underserved Hispanic and African-American youth. METHODS This cross-sectional study was conducted with a sample of 380 youths aged 1117 years recruited in Los Angeles, California, and utilized latent variable models to examine interrelationships and predictive relations among IMB model variables associated with risky sexual behavior. RESULTS Sixty percent of the participants aged 1517 and 1 out of 10 participants aged 1112 reported prior sexual intercourse. Of the sexually active, more than half reported having unprotected sex and 11% had sexual intercourse with 4 or more partners. Results of the structural equation model indicated that older age and attitudes against sexual activities had significant, direct impacts on risky sexual behaviors. Behavioral refusal skills, positioned as an intervening variable, also significantly predicted less risky sex. Knowledge, attitudes against sexual activities, and perceived peer pressure against sexual behavior predicted sexual refusal skills. Additionally, there were significant indirect effects on risky sexual behavior mediated through behavioral refusal skills. CONCLUSION A large number of disadvantaged minority urban youth are engaged in risky sexual behaviors. Intervention programs, particularly those targeting preadolescents, should focus on building long-lasting behavioral skills that emphasize the reduction of peer pressure and normative influences on risky sexual behaviors. Components of the IMB model clearly have a role in the design of efficacious interventions. PMID:20573141
LIVINGSTON, JENNIFER A.; Hequembourg, Amy; Testa, Maria; VanZILE-TAMSEN, CAROL
This study explored females adolescent experiences with sexual aggression, using event-level data. A community sample of women, ages 1830 years (N = 319), were interviewed regarding their most recent unwanted sexual experience. Incidents were categorized as occurring during adolescence (ages 1417) or adulthood (after age 18). Preliminary statistical comparison of adolescent and adult incidents revealed differences in perpetrators, type of aggression, preceding activities, and location of a...
Quincy, Michael L.
The purpose of this review paper, "Adolescent Sexual Education: Designing Curriculum That Works", is to present some basic curriculum necessities for developing an in-school sexual education program that results in decreasing the number of teenagers initiating sex, thus reducing the number of teen pregnancies and cases of sexually transmittedâ¦
Lacasse, Anne; Mendelson, Morton J.
Adolescence is a transitional period when the pressure to engage in romantic and sexual relationships can leave teenagers feeling confused and at risk for sexual coercion. Our studies investigated characteristics of male and female perpetrators and victims of peer sexual coercion, focusing on self-esteem, sexist attitudes, and involvement in
Research conducted by Human Rights Watch and International Gay and Lesbian Human Rights Commission indicates that in southern Africa, people have a more fluid understanding of sexuality, often preferring not to label themselves as gay or homosexual, but rather perceiving the act of sex to be more important than the sex of the person with whom they are having intercourse. The need to understand sexuality, sexual relations and sexual orientation in a more flexible and less fixed way has cha...
In the late 1980´s, teenage abortions and genital chlamydial infections were increasing adolescent health problems in Sweden, indicating unsafe sex practices among young people. The emergence of HIV highlighted the need for research on adolescent sexual health issues. The cross-sectional questionnaire-based survey SAM 73-90 was conducted in 1990 among 1,943 high school students and 210 school drop-outs born in 1973, response rate 92% and 44%, respectively. Consensual sexual ...
Bauermeister, José A.; Johns, Michelle M.; Pingel, Emily; Eisenberg, Anna; Santana, Matt Leslie; Zimmerman, Marc
Research examining how sexual minorities characterize love within same-sex relationships is scarce. In this study, we examined the validity of Sternberg's Triangular Theory of Love in a sample of sexual minority male youth (N = 447). To test the adequacy of the theory for our population, we examined the psychometric properties of the Triadic Love Scale (TLS) and tested whether the three underlying constructs of the theory (Intimacy, Passion, and Commitment) emerged when participants were aske...
Louis F. Graham; Aronson, Robert E.; Tracy Nichols; Charles F. Stephens; Rhodes, Scott D
The primary aim of this study was to examine the relationships between depression and anxiety, and ethnic and sexual identity development, and discrimination and harassment (DH) among Black sexual minority men. Additional aims were to determine whether an interaction effect existed between ethnic and sexual identity and whether coping skills level moderated these relationships. Using an observational cross-sectional design, 54 participants recruited through snowball sampling completed self-ad...
Harader, Dana L.; Fullwood, Harry; Hawthorne, Melissa
Adolescents with moderate disabilities are not being given vital information regarding their sexuality and ways to behave responsibly with their peers. This article examines the laws that govern the education of all persons with disabilities, how societal norms and attitudes have contributed to this lack of sexuality knowledge, how these
Santelli, John S.; And Others
Special edition discusses adolescent sexuality, focusing on pregnancy, sexually transmitted diseases, and prevention. The articles focus on demographics, risk factors, school-based risk reduction programs, contraception, early intervention, options, school-based prenatal and postpartum care programs, teenage parenting, abortion, HIV and AIDS,
Tseng, Ying-Hua; Wang, Ruey-Hsia; Wang, Hsiu-Hung; Chou, Fan-Hao
Internet use is an important part of the daily life of adolescents. The ease of searching the internet for information makes finding information on sex, a topic of particular interest to adolescents, easy. Although the internet is replete with sexual information, the influence of internet use on adolescents' sexual health is analogous to a double-edged sword. This article identifies the four main sexual dilemmas facing Taiwan adolescents and analyzes the pros and cons of internet use with regard to adolescents' sexual health. Cons include the predominance of internet pornography and the potential risks of making friends online. Pros include the internet's role as an optimal communications platform and tool for sex-related research. We suggest that nurses have a unique role and functions to play in promoting adolescent sexual health. We also offer recommendations for school health nursing and clinical nursing. Further internet-based quantitative and qualitative research is necessary to clarify relevant sexual health issues. Finally, we offer design suggestions for sexual education homepages. PMID:23212259
Burton, Chad M.; Marshal, Michael P.; Chisolm, Deena J.
Adolescent school absenteeism is associated with negative outcomes such as conduct disorders, substance abuse, and dropping out of school. Mental health factors, such as depression and anxiety, have been found to be associated with increased absenteeism from school. Sexual minority youth (youth who are attracted to the same sex or endorse a gay, lesbian, or bisexual identity) are a group at risk for increased absenteeism due to fear, avoidance, and higher rates of depression and anxiety than ...
Romeo, Felicia F.
Suggests that the high incidence of anorexia nervosa in adolescent girls may be related to developmental sexual pressure. Symptoms appear with the onset of puberty and are related to physiological and psychological changes. (JAC)
Hatzenbuehler, Mark L; Jun, Hee-Jin; Corliss, Heather L; Bryn Austin, S
Although epidemiologic studies have established the existence of large sexual orientation disparities in illicit drug use among adolescents and young adults, the determinants of these disparities remain understudied. This study sought to determine whether sexual orientation disparities in illicit drug use are potentiated in states that are characterized by high levels of stigma surrounding sexual minorities. State-level structural stigma was coded using a previously established measure based on a 4-item composite index: (1) density of same-sex couples; (2) proportion of Gay-Straight Alliances per public high school; (3) 5 policies related to sexual orientation discrimination (e.g., same-sex marriage, employment non-discrimination); and (4) public opinion toward homosexuality (aggregated responses from 41 national polls). The index was linked to individual-level data from the Growing Up Today Study, a prospective community-based study of adolescents (2001-2010). Sexual minorities report greater illicit drug use than their heterosexual peers. However, for both men and women, there were statistically significant interactions between sexual orientation status and structural stigma, such that sexual orientation disparities in marijuana and illicit drug use were more pronounced in high-structural stigma states than in low-structural stigma states, controlling for individual- and state-level confounders. For instance, among men, the risk ratio indicating the association between sexual orientation and marijuana use was 24% greater in high- versus low-structural stigma states, and for women it was 28% greater in high- versus low-structural stigma states. Stigma in the form of social policies and attitudes may contribute to sexual orientation disparities in illicit drug use. PMID:25753931
Katz-Wise, Sabra L.; Blood, Emily A.; Milliren, Carly E.; Calzo, Jerel P.; Richmond, Tracy K; Gooding, Holly C; Bryn Austin, S
Obesity is a key public health issue for US youth. Previous research with primarily white samples of youth has indicated that sexual minority females have higher body mass index (BMI) and sexual minority males have lower BMI than their same-gender heterosexual counterparts, with sexual orientation differences in males increasing across adolescence. This research explored whether gender and sexual orientation differences in BMI exist in nonwhite racial/ethnic groups. Using data from Waves IIV...
Remarkable progress has been made towards the recognition of sexual minority rights in Africa. At the same time, a marked increase in attacks, rhetorical abuse, and restrictive legislation against sexual minorities or homosexuality makes activism for sexual rights a risky endeavour in many African countries. Campaigns for sexual rights and coming out are frequently perceived as a form of Western cultural imperialism, leading to an exportation of Western gay identities and provoking a patriotic defensiveness. Cultures of quiet acceptance of same-sex relationships or secretive bisexuality are meanwhile also problematic given the high rate of HIV prevalence on much of the continent. This article examines specific initiatives that are using subtle, somewhat covert means to negotiate a path between rights activism and secretive bisexuality. It argues that strategies primarily focused on health concerns that simultaneously yet discreetly promote sexual rights are having some success in challenging prevalent homophobic or silencing cultures and discourses. PMID:22826897
Mulcahy, F M; Lacey, C J
Two hundred and ten adolescent girls in residential care with an age range of 12 to 16 years were screened for sexually transmitted infections. The incidences of infection with Neisseria gonorrhoeae, Chlamydia trachomatis, and Trichomonas vaginalis were 13.7%, 16.2%, and 16.0% respectively. Pelvic inflammatory disease was identified in 16.4% of those with C trachomatis or gonococcal infection. The high morbidity from sexually transmitted disease in these adolescent girls reinforces the need f...
Baiocco, Roberto; Laghi, Fiorenzo; Di Pomponio, Ileana; Nigito, Concetta Simona
This study is the first contribution to the understanding of gender differences in best friendship patterns of adolescents sexual minorities. We explored friendship patterns, self-disclosure, and internalized sexual stigma in an Italian sample of lesbian (N = 202) and gay (N = 201) adolescents (aged 14-22 years). We found gender differences in
Buzi, Ruth S.; Weinman, Maxine L.; Smith, Peggy B.
The purpose of this study was to examine the occurrence of depression among adolescents attending family planning clinics, and to determine the relationship among depression, a history of sexual abuse, and other risk behaviors. The sample consisted of 279 minority females. Results of the study indicated that 40 adolescents (14.3%) scored at or
Szymanski, Dawn M.; Sung, Mi Ra
The purpose of this study was to examine multiple minority stressors (i.e., heterosexist events, racist events, heterosexism in communities of color, racism in sexual minority communities, race-related dating and relationship problems, internalized heterosexism or homophobia, outness to family, and outness to world) as they relate to the
Lehavot, Keren; Simoni, Jane M.
Objective: We examined the direct and indirect impact of minority stress on mental health and substance use among sexual minority women. Method: A combination of snowball and targeted sampling strategies was used to recruit lesbian and bisexual women (N = 1,381) for a cross-sectional, online survey. Participants (M age = 33.54 years; 74% White)
Rhodes, Scott D; Alonzo, Jorge; Mann, Lilli; Downs, Mario; Andrade, Mario; Wilks, Cindy; SimÃ¡n, Florence M; Martinez, Omar; Abraham, Claire; Villatoro, Guillermo R; Bachmann, Laura H
Guatemalan gay and bisexual men, men who have sex with men (MSM), and transgender persons carry disproportionate burden of HIV and other sexually transmitted infections compared with other Guatemalan subgroups. However, little is known about the determinants of sexual health to inform health promotion and disease prevention interventions among these sexual minorities. We sought to explore sexual health and HIV risk among Guatemalan sexual minorities, using a community-based participatory research approach. We conducted 8 focus groups (n = 87 participants total) and 10 individual in-depth interviews with gay and bisexual men, MSM, and transgender persons. Using constant comparison, an approach to grounded theory, we analyzed verbatim transcripts and identified 24 themes that we organized into five ecological factors influencing sexual health: intrapersonal (e.g. misconceptions about HIV transmission, low perceived susceptibility and lack of condoms use skills); interpersonal (e.g. family rejection and condom use as a barrier to intimacy); community (e.g. discrimination and stigma); institutional (e.g. limited access to health promotion resources); and public policy (e.g. perceived lack of provider confidentiality and anti-gay rhetoric). There is profound need for multiple-level interventions to ensure that Guatemalan sexual minorities have the knowledge and skills needed to reduce sexual risk. Interventions are warranted to increase social support among sexual minorities, reduce negative perspectives about sexual minorities, develop institutional resources to meet the needs of sexual minorities and reduce harmful anti-gay rhetoric. Understanding and intervening on the identified factors is especially important given that the health of Guatemalan sexual minorities has been to-date neglected. PMID:24688113
De Gaston, Jacqueline F.; And Others
Interviewed junior high school students regarding sexual activity. Females were less likely to have "ever had sex." More males anticipated partner pressure for sex and believed they might have sex before marriage. Among nonvirgins there was little gender difference in frequency or recency. Asserts that understanding adolescent sexual behavior
Ryu, Eunjung; Kim, Kyunghee; Kwon, Hyejin
Background: The proportion of adolescents experiencing unwanted pregnancy and abortion caused by the premature initiation of sexual intercourse is increasing at an alarming rate in Korea. This study aimed at developing a theoretical model for identifying individual and environmental risk factors affecting the initiation of sexual intercourse by
Novilla, M. Lelinneth B.; Dearden, Kirk A.; Crookston, Benjamin T.; De La Cruz, Natalie; Hill, Susan; Torres, Scott B.
This study describes the prevalence of risky sexual activities among Bolivian adolescents within the context of other behavioral factors that contribute to compromised health outcomes, unintended pregnancies, and sexually transmitted infections including HIV/AIDS. Data was collected from 576 adolescents, 13-18 years of age, from six schools in La
Tyler, Kimberly A.; Hoyt, Dan R.; Whitbeck, Les B.
Investigates the effects of early sexual abuse on later sexual victimization among female homeless, runaway adolescents. Results indicate that early sexual abuse in the home had a positive direct effect on sexual victimization of adolescents on the street. The social context of street life puts these adolescents in close proximity to potential
Zabin, L S
Low self esteem does not explain problems of adolescence, particularly unwanted pregnancy and early childbearing. This intimates that their root causes are personal rather than structural and socioeconomic, thereby allowing us to blame the victim. Contrary to popular opinion, few teens (10%) want to conceive and most teens want something other than pregnancy, indicating a need for effective intervention. Teens who were ambivalent about childbearing 2 years earlier are just as likely to have given birth as those who wanted to conceive. Teens self-concept is based on the reality of their environment, which, for most teens who have given birth, involves chronic unemployment, a culture of single parenthood in which men play no supportive role in the home, and the knowledge that teens who choose to continue to attend school despite having given birth fare the same as those who drop out of school. Structural changes (jobs and career goals), long term intervention, and continuous social support are needed to improve a teen's capacity to make choices, especially those concerning contraception. In other words, motivation must be so strong that conceptions are avoided. No family wants to go on welfare and no woman wants to have a baby while a teenager, but when teens become pregnant, they tend not to choose abortion. If welfare reform creates true opportunity for jobs, it will create the motivation to avoid pregnancy but not reduce the childbearing rate among teens that conceive. Very early maturation is correlated with very early onset of sexual activity. The very best sex education and services are unlikely to be offered at a young enough age in schools. US society is obsessed with and unwilling to talk about sex. The notion of choice is not part of poor America. Interactive interventions providing continuing support are needed to make a difference in adolescent pregnancy. PMID:8086816
Johnson, Jeffrey G.; COHEN, PATRICIA; KASEN, STEPHANIE
Data from a community-based prospective longitudinal study were used to investigate the association of minor depressive disorder during adolescence with adverse mental health outcomes during adulthood. Structured diagnostic interviews were administered to a community-based sample of 755 individuals during adolescence and adulthood. Results indicated that minor depressive disorder during adolescence was associated with elevated risk for subsequent psychiatric disorders during adulthood, ...
Brewster, Melanie E; Velez, Brandon L; Foster, Aasha; Esposito, Jessica; Robinson, Matthew A
In prior research with primarily heterosexual religious and spiritual individuals, positive and negative forms of religious coping have been posited to moderate the links between minority stressors and psychological outcomes (Kim, Kendall, & Webb, 2015; Szymanski & Obiri, 2011). With a sample of 143 sexual minority people, the present study extended these hypotheses by examining the moderating roles of positive and negative religious coping in the link of 2 sexual minority-specific minority stress variables (heterosexist discrimination, internalized heterosexism) with psychological distress and well-being. In partial support of our hypotheses, we found that positive religious coping moderated the relation of internalized heterosexism and psychological well-being such that greater positive religious coping weakened the deleterious impact of internalized heterosexism on psychological well-being. Negative religious coping did not moderate any links. As the first test of the moderating roles of religious coping styles in the sexual minority stress-psychological distress link, the present study yields important findings for research and practice with religious and spiritual sexual minority individuals. (PsycINFO Database Record PMID:26460976
Moran, J S; Aral, S O; Jenkins, W C; Peterman, T. A.; Alexander, E R
Sexually transmitted diseases (STD) are more prevalent among some minority populations in the United States than they are among the white majority. Primary and secondary syphilis occurs 45 times as often among non-Hispanic blacks as among non-Hispanic whites and 13 times as often among Hispanics as among non-Hispanic whites, according to morbidity reports received in 1988 by the Centers for Disease Control. Gonorrhea is reported more commonly among some minorities, with 1988 rates per 100,000...
Tripp, J.; Viner, R.
Sexual health becomes a new health priority in early adolescence. The sexual health of young people is a matter of intense public concern. The adverse consequences of unsafe sexual behaviour-such as pregnancy and sexually transmitted infections (STIs), including HIV infection-affect adolescents as well as adults. "Risk taking" behaviours are common when adolescents start being sexually intimate and are often linked with other health risk behaviours, such as substance misuse.
INTRODUCTION: unsafe sexual behaviour among adolescents has drawn attention from all spheres of life because it makes them susceptible to different sexually transmitted diseases, unwanted pregnancies sometimes leading to abortion and a host of other health related problems. OBJECTIVE: To analyse the sexual and reproductive health, particularly sexual activity and contraceptive use among adolescents in Kintampo, Ghana, to contribute to the limited data on adolescent sexual and reproductive hea...
Haffner, D W
Compared to life in the 1950s, today's teenagers become physically mature earlier and marry later. There is a steady increase in the proportion of adolescents having sexual intercourse, and in the percentage doing so at younger ages. Moreover, almost all teens experiment with some type of sex, with largely similar patterns of sexual activity among males and females, and young people from different ethnic, socioeconomic, and religious groups. There is, however, little public, professional, or political consensus about what is sexually healthy for teenagers. SIECUS convened the National Commission on Adolescent Sexual Health in 1994. The commission believes that there is an urgent need for a new approach to adolescent sexual health, one in which adults help young people avoid unprotected and unwanted sexual behavior. Individual adults and society in general must help adolescents develop the values, attitudes, maturity, and skills to become sexually healthy adults. On June 21, 1995, SIECUS released its report on adolescent sexual health in America. This condensed version highlights key findings and recommendations of the National Commission on Adolescent Sexual Health. Sections consider adolescent development, adolescent sexual behavior in the 1990s, abstinence and sexual intercourse, the adult role in promoting adolescent sexual health, and recommendations for policymakers. A consensus statement on adolescent sexual health endorsed by 48 national organizations and the commission, as well as a listing of characteristics of a sexually healthy adolescent are also presented. PMID:12319704
Burke, Sara E; LaFrance, Marianne
Bisexual people are often implored to "pick a side," implying that bisexuality is both more controllable and less desirable than heterosexuality or homosexuality. Bisexual people's status as a social group perceived to fall between a traditionally advantaged group and a traditionally disadvantaged group may have the potential to clarify lay conceptions of sexual orientation. We examined participants' views of groups varying in sexual orientation by randomly assigning participants (including heterosexual men and women as well as gay men and lesbian women) from four samples to evaluate heterosexual, bisexual, or homosexual targets (N = 1379). Results provided strong evidence for the previously untested theoretical argument that bisexuality is perceived as less stable than heterosexuality or homosexuality. In addition, participants low in Personal Need for Structure rated female (but not male) bisexuality as relatively stable, suggesting that a preference for simple, binary thinking can partially explain a negative conception of an ostensibly "intermediate" identity. Bisexual targets were perceived as falling between heterosexual and homosexual targets in terms of gender nonconformity, and less decisive, less monogamous, and lacking in positive traits that were associated with homosexual targets. In sum, views of bisexual people were both more negative than and qualitatively different from views of gay men and lesbian women. We discuss the results as an illustration of the complex ways that perceivers' attitudes can differ depending on which target groups they are considering, suggesting that intergroup bias cannot be fully understood without attending to social categories viewed as intermediate. PMID:26597649
I will discuss some of the challenges experienced by sexual minorities in physics, from both a personal and broader perspective. I will also comment on the opportunities for the field to become more inclusive, supportive, and scientifically stronger by addressing these challenges.
Bettinger, Thomas V.
While there is growing attention to sexual minorities in adult education (AE) and human resource development (HRD) literature, lesbian, gay, bisexual, transgender, and queer (LGBTQ) people have received very little attention in AE or in HRD research. This article captures methodological issues and concerns from LBGTQ-related research from
Dowling, Kristen B.; Rodger, Susan; Cummings, Anne L.
Fifty-two secondary teacher candidates from a Canadian university completed questionnaires assessing levels of homoprejudice, knowledge of homosexuality, and perceptions of professional issues related to sexual minority youth. The level of homoprejudice in this sample was lower than in earlier studies with teachers, and lower homoprejudice was
Kar, Sujita Kumar; Choudhury, Ananya; Singh, Abhishek Pratap
Adolescence, derived from the Latin word "adolescere" meaning "to grow up" is a critical developmental period. During adolescence, major biological as well as psychological developments take place. Development of sexuality is an important bio-psycho-social development, which takes an adult shape during this period. During adolescence, an individual's thought, perception as well as response gets colored sexually. Puberty is an important landmark of sexuality development that occurs in the adolescence. The myriad of changes that occurs in adolescents puts them under enormous stress, which may have adverse physical, as well as psychological consequences. Understanding adolescent sexuality has important clinical, legal, social, cultural, as well as educational implications. PMID:26157296
Priebe, Gisela; Backstrom, Martin; Ainsaar, Mare
Objective: The aim of this research was to study the discomfort experienced by adolescents when answering questions in a survey about sexuality and sexual abuse and to investigate factors that may determine possible experience of discomfort. The research focused particularly on vulnerable adolescents--sexually abused and sexually inexperienced.
Somers, Cheryl L.; Tynan, Joshua J.
The purposes of this study were to examine group differences in sexual media consumption and to explore how well adolescents' sexual attitudes and behavior can be explained by viewing of sexually suggestive dialogue (SD) and explicit sexual content (SC) in television media. Participants were 473 male and female high school adolescents who were
O'Hanlan, Katherine A
Homosexuality and transsexuality are still widely viewed by lay individuals as morally negative and deserving of legal proscription. Peer-reviewed data confirm that experiences of legal discrimination are associated with stress-related health problems, reduced utilization of health care, and financial and legal challenges for individuals and families, especially those with children. In the last 3 years, the American Psychiatric Association, American Psychological Association, and American Psychoanalytic Association have each reviewed the research on sexual orientation and identity, and each has confirmed that sexual orientation and gender identity do not correlate with mental illness or immorality. They have each endorsed laws that confer equality to sexual minorities, including nondiscrimination in employment, medical insurance coverage, adoption, and access to civil marriage. The American College of Obstetricians and Gynecologists (ACOG), by virtue of its history of advocacy for women's health, is in a position to promote policy and make similar recommendations, recognizing that sexual minority women's health and their family issues are an integral component of taking care of all women. The College should review the policies of America's premier mental health associations and consider including sexual orientation and gender identity in its own nondiscrimination policy, and ACOG should issue a policy statement in support of laws to provide safety from violence and discrimination, equal employment opportunities, equal health insurance coverage, and equal access to civil marriage. PMID:16507945
Woodford, Michael R.; Kulick, Alex; Atteberry, Brittanie
Heterosexism on campus can create a chilly climate for sexual minority students. Research has documented the negative impacts of campus climate on sexual minority students' health; however, little research has examined the role of potential protective factors among this population. Drawing on data collected from self-identified sexual minority
Senn, Theresa E; CAREY, MICHAEL P.; VANABLE, PETER A.; Coury-Doniger, Patricia; Urban, Marguerite
Childhood and adolescent sexual abuse has been associated with subsequent (adult) sexual risk behavior, but the effects of force and type of sexual abuse on sexual behavior outcomes have been less well-studied. The present study investigated the associations between sexual abuse characteristics and later sexual risk behavior, and explored whether gender of the child/adolescent moderated these relations. Patients attending an STD clinic completed a computerized survey that assessed history of ...
Martyn, Kristy K.; Darling-Fisher, Cynthia; Pardee, Michelle; Ronis, David L.; Felicetti, Irene L.; Saftner, Melissa A.
This study was conducted to explore the effects of an event history calendar (EHC) approach on adolescent sexual risk communication and sexual activity. Adolescent school-linked health clinic patients (n = 30) who reported sexual activity self-administered the EHC that was used by nurse practitioners (NPs; n = 2) during a clinic visit. Immediately pre- and post-visit, and at 1 and 3 months, adolescents reported sexual risk behaviors and perceptions about EHC communication on questionnaires an...
HÃ©ctor Alexander Afanador CastaÃ±eda
Full Text Available The education and research project âI Build my Sexuality and my Life Planâ in its first phase sought to identify particular behaviors of adolescents about sexuality. The methodological and qualitative design, of exploratory nature, includes descriptive as well as interpretative aspects to recognize the characteristics of a particular context. For doing this, structured interviews with mixed items were applied in the classroom. This instrument assessed the incidence of T.V in sexual education, the student behaviors and conceptions when starting an interpersonal relationship (dating, and the actions of parents and adults about sexuality in the presence of adolescents. In applying the instrument, informed consents criteria were taken into account. Besides, it was created an atmosphere of comfort to respect the rights of adolescents and provide security to the respondent. This study was conducted with students between 15 and 17 years old, who belong to low or middle socioeconomic status. The results allowed to identify parents tended to omit or avoid speech acts about sexuality with their sons or daughters because this type of content is still seen as a taboo. Besides, when parents talk about this topic with their children, this behavior reflects a gender training (women are in charge of talking to their daughters, and men, to their sons. Moreover, meanwhile boys respond to a natural and spontaneous vision, girls respond to a traditional and moralized perspective.
Friedman, Carly K.; Morgan, Elizabeth M.
The present study provides a comparative analysis of sexual-minority and heterosexual emerging adult women's experiences seeking support for sexual issues from parents and friends. Participants included 229 college women (88 sexual-minority women; 141 heterosexual women), ranging from 18 to 25 years of age, who provided written responses to an
Full Text Available Introduction. Obtaining objective data on sexual offenders against minors is difficult. In order to enhance the possibilities to prevent such crimes it is essential to determine factors that condition this kind of sexual behavior. Aim: The aim of the study was to prepare a multidimensional analysis of a profile of sexual offenders against minors. Material and method. A detailed analysis of documentation from forensic sexological, psychiatric and psychological examinations and information from the records of the proceedings concerning 257 perpetrators was performed by the authors. Information analyzed included demographic data, psychosocial background, psychosexual development, recent sexual activity, physical and mental health issues and information concerning accused sexual crime. Results. The majority of the offenders had undisturbed family relations. However, subjects with sexual preference disorders perceived their parentsâ relationship as worse, reported more difficulties in educational process and in relation to teachers and peers. 5.4% of subjects experienced sexual abuse and 23.3% physical violence in their childhood. The majority reported no sexual dysfunction and had regular but rare sexual activity. 20.6% were diagnosed as having mental disorder and 36.8% were alcohol abusers. Almost 30% were under influence of alcohol or another substance during the crime. The majority had no sexual preference disorder. Definite pedophilia was found in 27% and traits of psychosexual immaturity in 23.1% of cases. There was no relationship between sexual preference disorders and psychiatric comorbidity, alcohol or substance abuse. The acts of sexual abuse comprised genital touching, vaginal or oral intercourse as well as exposing offenderâs or victimâs body. These acts were typically against one child, planned, being aware of victimâs age and using physical violence. Conclusions. The data from our research should be taken into account when planning therapeutic and preventive interventions.
Budge, Stephanie L; Keller, Bethany L; Sherry, Alissa R
Sexual pressure can have detrimental effects to individuals both physically and emotionally; however, research in this area is lacking regarding the experiences by lesbian, gay, bisexual, queer, and questioning (LGBQ) women. This online study qualitatively examined sexual pressure experienced and explained by LGBQ women (n = 50) using grounded theory methodology. Participants responded to open-ended questions by providing perspectives from both those who were on the receiving end of the sexual pressure (recipients) and from those who pressured their partners (initiators). Results indicated that there were eight overarching themes, 43 higher order categories, and 241 line-by-line codes. The eight overarching themes included: Reasons to Not Want Sex, Reasons for Pressuring, Reasons for Giving In, Actions of Initiators, Expectations, Communication, Negative Outcomes, and Positive Reactions. Negative Outcomes was the most common theme endorsed. Several higher order categories indicated the unique experiences of sexual minority women, namely trying to be "normal" (e.g., engaging in sexual acts as a result of internalized homophobia), experiencing more pressure from men, and self-consciousness (specifically related to lack of knowledge about sex with women). Implications for the current study include the importance of addressing sexual pressure with sexual minority women and creating interventions, such as assertiveness training and communication skills, that could assist both recipients and initiators with engaging in mutually satisfactory sexual practices. PMID:24872189
Kenney, J W; Reinholtz, C; Angelini, P J
This report of a comparative study on the effect of ethnicity on sexual abuse experience and adolescent pregnancy opens with a review what is known about teenage pregnancy in the US, the sexual abuse of children and adolescents, and links between sex abuse and teenage pregnancy. Data for the current study, part of a larger study of adolescent pregnancy, sexually transmitted diseases, and childhood victimization, were gathered using a 20-page questionnaire administered over 16 months beginning in the fall of 1993 to 1937 women aged 18-22 recruited from 44 urban and rural sites in a southwestern state. The sample included 785 Whites, 549 Hispanics, 283 Blacks, and 320 American Indians. It was found that higher levels of educational attainment led to increased age at first adolescent pregnancy. While 60% of the women had never married, over 54% of those who were separated, divorced, or widowed had become pregnant during their teenage years. Minority teenagers were more likely than Whites to become pregnant at younger ages. Almost 36% of the women reported at least one form of sexual abuse before age 18. Analysis of adolescent pregnancy by severity of sexual abuse (contact molestation, coercion into sex, attempted rape, and rape) revealed that nonabused Whites had the lowest percentage of teenage pregnancies but that, in all groups, experience of sexual abuse led to increased adolescent pregnancy rates. Minority teenagers who were coerced into sex were more likely than nonabused peers to become pregnant during adolescence as were White teenagers who had been raped. Additional studies are required to explore the interrelated factors that contribute to sexual abuse and adolescent pregnancy and to provide girls at greatest risk of teenage pregnancy with educational enhancement opportunities. PMID:9215504
Katz-Wise, Sabra L; Reisner, Sari L; Hughto, Jaclyn White; Keo-Meier, Colton L
This study characterized sexual orientation identities and sexual fluidity in attractions in a community-based sample of self-identified transgender and gender-nonconforming adults in Massachusetts. Participants were recruited in 2013 using bimodel methods (online and in person) to complete a one-time, Web-based quantitative survey that included questions about sexual orientation identity and sexual fluidity. Multivariable logistic regression models estimated adjusted risk ratios (aRRs) and 95% confidence intervals (95% CIs) to examine the correlates of self-reported changes in attractions ever in lifetime among the whole sample (n = 452) and after transition among those who reported social gender transition (n = 205). The sample endorsed diverse sexual orientation identities: 42.7% queer, 19.0% other nonbinary, 15.7% bisexual, 12.2% straight, and 10.4% gay/lesbian. Overall, 58.2% reported having experienced changes in sexual attractions in their lifetime. In adjusted models, trans masculine individuals were more likely than trans feminine individuals to report sexual fluidity in their lifetime (aRR = 1.69; 95% CI = 1.34, 2.12). Among those who transitioned, 64.6% reported a change in attractions posttransition, and trans masculine individuals were less likely than trans feminine individuals to report sexual fluidity (aRR = 0.44; 95% CI = 0.28, 0.69). Heterogeneity of sexual orientation identities and sexual fluidity in attractions are the norm rather than the exception among gender minority people. PMID:26156113
Martyn, Kristy K.; Darling-Fisher, Cynthia; Pardee, Michelle; Ronis, David L.; Felicetti, Irene L.; Saftner, Melissa A.
This study was conducted to explore the effects of an event history calendar (EHC) approach on adolescent sexual risk communication and sexual activity. Adolescent school-linked health clinic patients (n = 30) who reported sexual activity self-administered the EHC that was used by nurse practitioners (NPs; n = 2) during a clinic visit. Immediately
The role of adolescent sexual behavior in educational attainment has been overlooked. Homosexual and heterosexual men were interviewed to test for a correlation between adolescent sexual activeness and educational attainment, as well as any link between childhood masculine sex roles and early sexual activity. Approximately 1,000 volunteers,
Gilson, Kathryn J.; Lancaster, Sandra
Objective: To examine childhood sexual abuse in Australian childbearing adolescents and the contribution of abuse variables (sexual and physical abuse) to antenatal and postpartum depression and anxiety in adolescents. Methods: Seventy-nine adolescents proceeding with a pregnancy for the first time were surveyed about abuse experiences and were
Burton, David L.; Duty, Kerry Jo; Leibowitz, George S.
This study compares sexually victimized and nonsexually victimized male adolescent sexual abusers on a number of variables. Self-report measures were administered to 325 male sexually abusive youth (average age 16) in six residential facilities in the Midwest, 55% of whom reported sexual victimization. The results indicate that the sexually
Bramsen, Rikke H; Lasgaard, Mathias; Koss, Mary P; Shevlin, Mark; Elklit, Ask; Banner, Jytte
The present study modeled the direct relationship between child sexual abuse (CSA) and adolescent peer-to-peer sexual victimization (APSV) and the mediated effect via variables representing the number of sexual partners, sexual risk behavior, and signaling sexual boundaries. A cross-sectional study...
Hennessy, Michael; Bleakley, Amy; FISHBEIN, MARTIN; Jordan, Amy
Using a web-based survey of adolescents 1416 years of age, a hierarchical index of heterosexual behavior was developed with excellent psychometric properties. The easiest sexual behavior to perform was deep kissing and the most difficult was receiving anal sex for females and giving anal sex for males. The index was validated with data that show increased sexual activity with being older and of minority status, with social traits such as physical development, having a romantic partner,...
de Looze, Margaretha; Constantine, Norman A; Jerman, Petra; Vermeulen-Smit, Evelien; ter Bogt, Tom
Sexual communication is a principal means of transmitting sexual values, beliefs, expectations, and knowledge from parents to children. Although this area has received considerable research attention, more studies with representative samples are needed to assure that findings are reflective of populations of interest. A nationally representative sample of parent-adolescent dyads (N = 2,965; mean adolescent age = 13.8 years) in the Netherlands was employed to examine the frequency of parent-adolescent sexual communication and its association with adolescent sexual behaviors (defined as sexual initiation, condom use, and contraceptive pill use). Nine communication topics in the areas of anatomy, relationships and rights, and protection and contraception were examined. In all, 75%of parents reported having discussed at least one topic multiple times with their adolescents. Romantic relationships were discussed most frequently. Hierarchical logistic regression analyses indicated that parent-adolescent sexual communication on protection and contraception was positively associated with adolescent sexual initiation and contraceptive pill use but not condom use. This may reflect that adolescents, when they become sexually active, are more likely to discuss sexuality with their parents. Findings are interpreted within the context of Dutch culture, which is generally accepting of adolescent sexuality and characterized by open sexual communication. PMID:24512029
Cohen, Jeffrey M; Blasey, Christine; Barr Taylor, C; Weiss, Brandon J; Newman, Michelle G
Sexual minorities face greater exposure to discrimination and rejection than heterosexuals. Given these threats, sexual minorities may engage in sexual orientation concealment in order to avoid danger. This social stigma and minority stress places sexual minorities at risk for anxiety and related disorders. Given that three fourths of anxiety disorder onset occurs before the age of 24, the current study investigated the symptoms of generalized anxiety disorder, social phobia, panic disorder, posttraumatic stress disorder, and depression in sexual minority young adults relative to their heterosexual peers. Secondarily, the study investigated sexual orientation concealment as a predictor of anxiety and related disorders. A sample of 157 sexual minority and 157 heterosexual young adults matched on age and gender completed self-report measures of the aforementioned disorders, and indicated their level of sexual orientation concealment. Results revealed that sexual minority young adults reported greater symptoms relative to heterosexuals across all outcome measures. There were no interactions between sexual minority status and gender, however, women had higher symptoms across all disorders. Sexual minority young women appeared to be at the most risk for clinical levels of anxiety and related disorders. In addition, concealment of sexual orientation significantly predicted symptoms of social phobia. Implications are offered for the cognitive and behavioral treatment of anxiety and related disorders in this population. PMID:26763500
BAYER, ANGELA M.; Tsui, Amy O; Hindin, Michelle J.
While numerous studies have explored adolescent sexual behavior in Peru, to date, none have explored how adolescents situate sexuality within the context of their broader lives. This information is needed to inform policies and programs. Life history interviews were conducted with 20 1217 year-old females and males from a low-income settlement near Lima, Peru. Data were analyzed using holistic content analysis and grounded theory. Sexuality had a strong presence in adolescents lives. Howeve...
Siti Nor Y; Wong Fui-Ping; Rozumah B; Mariani M.; Rumaya J; Mansor, A.T
This influence of gender, race, age and personal belief on adolescents sexual knowledge was examined. The respondents for the study were 860 schoolgoing adolescents aged 13 to 18 from urbanization city in Peninsular Malaysia. Data were collected by using self-administered questionnaire. A cultural sensitive sexual knowledge scale was developed and employed to measure respondents sexual knowledge. Descriptive, bivariate and multiple statistical tests were conducted to examine the relationsh...
Opaneye, A. A.; Willmott, C.
OBJECTIVE--To examine the sexual behaviour and the prevalence of sexually transmitted diseases among adolescent girls who attended the Genito-Urinary Medicine Clinic in Birmingham. DESIGN--Retrospective case control study. SETTING--The Genito-Urinary Medicine Clinic (Ward 19), General Hospital, Birmingham. SUBJECTS--159 adolescent girls aged 13-16 years; 215 female clinic attenders older than 16 years and 55 male partners of the adolescent girls. OUTCOME MEASURES--Number of sexual partners; c...
Full Text Available Background and Aim: Becoming to an adult who is sexually healthy is one of the key developmental activities for adolescents. sexual health is included of sexual development and reproductive health and also the ability to create and maintain good interpersonal relationships, are valued for their body, Respectful engagement with both sexes in correct method and expressed a desire, love and intimacy based on personal and stable social values. Materials and Methods: In this study, using key words adolescence, sexual behavior, sexual risk behavior and sexual health and peers, related studies from 1370 to 1390 in IranMedex, Irandoc, Medlib, SID and Google scholar were investigated. Results: Factors and challenges are associated with adolescent sexual health can be categorized into the following 4 themes (12 sub themes: Religious beliefs and spirituality (abstinence; lack of sexual education (false beliefs and knowledge about sexual function; adolescents' attitudes toward risky behavior and sexual relations; information sources of adolescents; skills for "say no"; community and youth issues(gender differences; relationships with peers; monitoring and control by the family; communication challenges between teen and parents; socioeconomical factors; Centers for reproductive health services to adolescents; adolescents sexual relationship outcomes (catching sexually transmitted diseases probability. Conclusion: In some areas, including relationships between parents with children, gender differences, attitudes and sexual behavior and the influence of peers, Studies conducted in our country is well. But in areas such as spirituality and religious beliefs, self-control, prevalence of sexually transmitted diseases and AIDS, life skills in adolescents and intervention strategies to promote sexual health of adolescents there are a great gap.
Jacobs, Cecilia Dine; Wolf, Eve M.
Examines and critiques research that measures the effects of school sexuality education programs on adolescent sexual risk-taking behavior. Discusses common methodological problems and examines studies measuring program effectiveness. Research suggests participation in school sexuality education does not promote increased or earlier sexual
Bramsen, Rikke H; Lasgaard, Mathias; Koss, Mary P; Shevlin, Mark; Elklit, Ask; Banner, Jytte
adolescents with a mean age of 14.9 years (SD = 0.5). The estimates from the mediational model indicated full mediation of the effect of CSA on APSV via number of sexual partners and sexual risk behavior. The current study suggests that the link between CSA and APSV was mediated by sexual behaviors......The present study modeled the direct relationship between child sexual abuse (CSA) and adolescent peer-to-peer sexual victimization (APSV) and the mediated effect via variables representing the number of sexual partners, sexual risk behavior, and signaling sexual boundaries. A cross-sectional study...... specifically pertaining to situations of social peer interaction, rather than directly on prior experiences of sexual victimization. The present study identifies a modifiable target area for intervention to reduce adolescent sexual revictimization....
Corliss, Heather L.; Cochran, Susan D.; Mays, Vickie M.; Greenland, Sander; Seeman, Teresa E.
Women with minority sexual orientations (e.g., lesbian, bisexual) are more likely than heterosexual women to report histories of childhood maltreatment and attempted suicide; however, the importance of the timing of minority sexual orientation development in contributing to this increased risk is uncertain. This study investigated relationships between self-reported ages of achieving minority sexual orientation development milestones (first awareness of same-gender attractions, disclosure of ...
Hatzenbuehler, Mark L.
Sexual minorities are at increased risk for multiple mental health burdens compared to heterosexuals. The field has identified two distinct determinants of this risk, including group-specific minority stressors and general psychological processes that are common across sexual orientations. The goal of the present paper is to develop a theoretical framework that integrates the important insights from these literatures. The framework postulates that (a) sexual minorities confront increased stre...
Singh Sonal; Pant Sunil; Dhakal Suben; Pokhrel Subash; Mullany Luke C
Abstract Background Nepal has experienced sporadic reports of human rights violations among sexual and gender minorities. Our objective was to identify a range of human rights that are enshrined in international law and/or are commonly reported by sexual and gender minority participants in Kathmandu, to be nonprotected or violated. Methods In September 2009 three focus group discussions were conducted by trained interviewers among a convenience sample of sexual and gender minority participant...
Rosengard, Cynthia; Tannis, Candace; Dove, David C.; van den Berg, Jacob J.; Lopez, Rosalie; Stein, L. A. R.; Morrow, Kathleen M.
Background: Sources of sexual health information exert strong influence on adolescents' sexual behavior. Purpose: The current study was undertaken to understand how family serve as sexual information sources, the messages adolescents recall from family, and how family learning experiences affect sexual behavior among at-risk adolescents. Methods:
Hadley, Wendy; Larry K. Brown; Lescano, Celia M.; Kell, Harrison; Spalding, Kirsten; Diclemente, Ralph; Donenberg, Geri
This study investigated the relationship between parent-teen sexual communication, discussion of condoms, and condom use among adolescents in mental health treatment. Adolescents with a history of sexual intercourse and their parents completed questionnaires assessing adolescent sexual risk behavior, sexual communication, and discussion of sexual topics. Greater condom use by adolescents was associated with parent-adolescent condom discussion but was not associated with openness in sexual com...
Martin-Storey, Alexa; August, Elana G
The visibility of a stigmatized identity is central in determining how individuals experience that identity. Sexual minority status (e.g., identifying as gay, lesbian, or bisexual) has traditionally been identified as a concealable stigma, compared with race/ethnicity or physical disability status. This conceptualization fails to recognize, however, the strong link between sexual minority status and a visible stigma: gender nonconformity. Gender nonconformity, or the perception that an individual fails to conform to gendered norms of behavior and appearance, is strongly stigmatized, and is popularly associated with sexual minority status. The hypothesis that harassment due to gender nonconformity mediates the association between sexual minority status and depressive symptoms was tested. Heterosexual and sexual minority-identified college and university students (N = 251) completed questionnaires regarding their sexual minority identity, experiences of harassment due to gender nonconformity, harassment due to sexual minority status, and depressive symptoms. A mediational model was supported, in which the association between sexual minority identity and depressive symptoms occurred via harassment due to gender nonconformity. Findings highlight harassment due to gender nonconformity as a possible mechanism for exploring variability in depressive symptoms among sexual minorities. PMID:25621903
Selkie, Ellen M.; Benson, Meghan; Moreno, Megan
Background: Adolescents frequently report barriers to obtaining sexual health education. Purpose: The purpose of this study was to determine adolescents' views regarding how new technologies could be used for sexual health education. Methods: Focus group interviews were conducted with a purposeful sample of adolescents between 14 and 19 years old.â¦
Wherry, Jeffrey N.; Berres, Ashley K.; Sim, Leslie; Friedrich, William N.
The primary goal of this study was to determine if the Adolescent Clinical Sexual Behavior Inventory-Self-Report conformed to the five-factor scale format that was initially used with a clinical sample that included adolescents referred for sexual abuse evaluations. Participants were 141 teenagers, ages 12-19 (M = 15.11, SD = 1.4), and their
Sabia, Joseph J.
This study examines whether offering sex education to young teenagers affects several measures of adolescent sexual behavior and health: virginity status, contraceptive use, frequency of intercourse, likelihood of pregnancy, and probability of contracting a sexually transmitted disease. Using data from the National Longitudinal Study of Adolescent
Furby, Lita; Ochs, Linda M.; Thomas, Catherine W.
Reports on interviews of 48 sexually active adolescents concerning the possible secondary consequences of taking measures to reduce the risk of contracting a sexually transmitted disease (STD). Adolescents generated 134 consequences, suggesting that considering all the relevant consequences for a rational decision about STD prevention is not
Elfers, John; Carlton, Lidia; Gibson, Paul; Puffer, Maryjane; Smith, Sharla; Todd, Kay
The Adolescent Sexual Health Work Group commissioned the development of core competencies that define the knowledge, skills, and attitudes necessary for all providers of adolescent sexual and reproductive health. This article describes the background and rationale for this set of competencies, the history and use of competencies, and the process
Dinaj-Koci, Veronica; Deveaux, Lynette; Wang, Bo; Lunn, Sonya; Marshall, Sharon; Li, Xiaoming; Stanton, Bonita
The inclusion of parents in adolescent-targeted interventions is intended to benefit the adolescent. Limited research has explored whether parents participating in these programs also benefit directly. We examined the impact of Caribbean Informed Parents and Children Together, the parenting portion of an adolescent-targeted HIV prevention intervention, on parent-reported measures. Bahamian parent-youth dyads (N = 1,833) participating in the randomized control trial were assigned to receive one of four conditions. Parents were assessed longitudinally at baseline and 6 and 12 months later. Through 12 months follow-up, parents exposed to Caribbean Informed Parents and Children Together showed higher knowledge of condom use skills, perceptions of improved condom use competence on the part of their youth, and perceived improved parent-child communication about sex-related information. Although youth were the targeted beneficiary, parents also benefited directly from the sexual risk reduction parenting program. Parents demonstrated improved perceptions and knowledge that would enable them to more effectively guide their child and also protect themselves from sexual risk. PMID:25636315
Siti Nor Y
Full Text Available This influence of gender, race, age and personal belief on adolescents sexual knowledge was examined. The respondents for the study were 860 schoolgoing adolescents aged 13 to 18 from urbanization city in Peninsular Malaysia. Data were collected by using self-administered questionnaire. A cultural sensitive sexual knowledge scale was developed and employed to measure respondents sexual knowledge. Descriptive, bivariate and multiple statistical tests were conducted to examine the relationships between gender, race, age and personal belief with adolescents sexual knowledge. Findings of the present study showed that: 1 No significant mean difference in sexual knowledge between boys and girls. 2 There was a statistically significant difference in the mean of sexual knowledge among the three races (F (2,766 =14.84, p?.001. 3 Respondents with higher score in sexual knowledge tend to be older (r=.21, p?.05, have lower score on extent of living a life according to the religious belief (r=-.07, p?.05, have lower self-perceived importance of religion in life (r=-.11, p?.01, have higher self-perceived sexual openness (r=-.31, p?.01 and have more positive attitude toward sex related sources (r=.35, p?.01. Findings of this study will help to further improve the understanding of adolescents sexual knowledge and to give inputs to programs on adolescent development specifically in sexuality and reproduction health.
Sujita Kumar Kar
Full Text Available Adolescence, derived from the Latin word "adolescere" meaning "to grow up" is a critical developmental period. During adolescence, major biological as well as psychological developments take place. Development of sexuality is an important bio-psycho-social development, which takes an adult shape during this period. During adolescence, an individual?s thought, perception as well as response gets colored sexually. Puberty is an important landmark of sexuality development that occurs in the adolescence. The myriad of changes that occurs in adolescents puts them under enormous stress, which may have adverse physical, as well as psychological consequences. Understanding adolescent sexuality has important clinical, legal, social, cultural, as well as educational implications.
Reisner, Sari L.; Greytak, Emily A.; Parsons, Jeffrey T.; Ybarra, Michele
Bullying and substance use represent serious public health issues facing adolescents in the U.S. Few large-sample national studies have examined differences in these indicators by gender identity. The Teen Health and Technology Study (N=5,542) sampled adolescents 1318 years-old online. Weighted multivariable logistic regression models investigated disparities in substance use and tested a gender minority social stress hypothesis, comparing gender minority youth (i.e., who are transgender/gen...
Atkins, Robert; Sulik, Michael J.; Hart, Daniel; Ayres, Cynthia; Read, Nichole
Using National Longitudinal Study of Adolescent Health data, hierarchical linear modeling was conducted to estimate the association of school poverty concentration to the sexual health knowledge of 6,718 adolescents. Controlling for individual socio-economic status, school poverty had modest negative effects on sexual health knowledge. Although not directly associated with sexual health knowledge, after controlling for demographic characteristics, school poverty interactions showed that sexua...
LeJeune, Brenna C; Zimet, Gregory D.; Azzouz, Faouzi; FORTENBERRY, J. DENNIS; Aalsma, Matthew C
The impact of religiosity in adolescent romantic partnerships on sexual behavior was assessed. Data were obtained from the National Longitudinal Study of Adolescent Health reciprocated couples database using religious- and relationship-oriented variables to predict sexual involvement in 374 couples (748 participants). We found that individual- and couple-based religiosity impacted sexual behavior. These findings provide evidence for dyad religiosity as a component involved in the expression o...
O'Halloran, Maria; Carr, Alan; O'Reilly, Gary; et. al.
Objective. This study aimed to profile the psychological and psychosocial characteristics of a group of Irish adolescents who had sexually abused other youngsters. Method. Levels of behaviour problems, personal adjustment, anger management and psychosocial adjustment were compared in 27 Irish adolescents with a history of sexual abusing another youngster (SA group); 20 clinical controls who had significant behavioural problems but no history of sexual offending (CC group); and ...
Sawin, Kathleen J; Buran, Constance F; Brei, Timothy J.; Fastenau, Philip S.
Substantial progress in the medical treatment of individuals with spina bifida (SB) has increased the numbers who survive into adolescence and adulthood. However, sexual health in this population has not received much attention. This study explored the knowledge (SB Sexuality Knowledge Scale), worries (SB Worries Scale), romantic appeal (from Harter's Self-Perception Scale), and access to sexuality information of a sample of 60 adolescents from a midwestern state. Study participants reported ...
Kwok, Diana K; Wu, Joseph
Intolerant attitudes and sexual prejudice against sexual minorities (lesbian, gay, bisexual, and questioning/queer-LGBQ) has been a long-standing global concern. In this article, Chinese attitudes towards sexual minorities are examined with reference to the cultural context in Hong Kong, a place where the East has intermingled with the West for over a century. Chinese sexuality manifested in Hong Kong is a mix of Confucian ideology and Christian thought. Traditional Confucian values of xiao (filial piety) and conventional religious thoughts of Christianity together influence Chinese attitudes towards sexual minorities. Though many governmental policies have been put in place and numerous laws have been enacted to protect the human rights of underprivileged and disadvantaged groups over the past few decades, sexual minorities are frequently being excluded from most of these protections. In Hong Kong, sexual prejudice exists not only among the general public, but also among educators and mental health professionals. Thus, Chinese sexual minorities experience sexual prejudice and minority stress in Hong Kong under unique cultural circumstances. This calls for inclusive policies and an embracing attitude towards sexual minorities so their mental health will not suffer. PMID:26569635
Bersamin, Melina; Todd, Michael; Fisher, Deborah A.; Hill, Douglas L; Grube, Joel W.; Walker, Samantha
The effects of parental attitudes, practices, and television mediation on adolescent sexual behaviors were investigated in a study of adolescent sexuality and media (N=887). Confirmatory factor analyses supported an eight-factor parenting model with television mediation factors as constructs distinct from general parenting practices. Logistic regressions indicated that adolescents reporting greater parental disapproval and limits on viewing at Wave 1 were less likely to initiate oral sex betw...
Ellen, Jonathan M.; Lane, Margo A; McCright, Jacque
Objectives To determine the proportion of sexually experiencedAfrican American adolescents who report having been screened for sexually transmitted diseases and to determine the proportion who report having been screened for these diseases among adolescents who have had a preventive primary health care visit in the past 2 years. Methods A telephone survey of a population-based sample of African American adolescents aged 12 to17 years residing in a low-income neighborhood in San Francisco with...
Full Text Available Sexual fetishism is defined by recurrent, intense, sexually arousing fantasies, sexual urges or behaviors involving the use of nonliving objects, such as female undergarments or non-sexual body parts. Although it is assumed that fetishism usually begins by adolescence, there is very limited data on the characteristics of sexual fetishism in children or adolescents. This paper aims to describe clinical pictures of two adolescent boys who developed sexual fetishism. They were 13 and 12 years-old of age and both have comorbid attention deficit hyperactivity and social anxiety disorders. We plan to discuss clinical picture, treatment intervention and impact of comorbid attention deficit hyperactivity and social anxiety disorders in the development of sexual fetishism in these subjects.
Seng, Magnus J.
Explored relationship between sexual abuse and adolescent prostitution by comparing 70 sexually abused children with 35 prostitution-involved children on 22 variables. Findings suggest that relationship is not direct, but involves runaway behavior as intervening variable. Concludes that it is not so much sexual abuse that leads to prostitution, as
Young, Michael; Donnelly, Joseph; Denny, George
This study examined area-specific self-esteem scores by sexual behavior relative to adolescents' values concerning participation in sexual intercourse as an unmarried teenager. The sample consisted of 332 students in grades 7-12 from a Southern rural school district. Students were asked if they had ever had sexual intercourse (yes/no) and if they
Eshbaugh, Elaine M.
The relationship between being an adolescent child of a teen mother and sexuality-related outcomes was investigated using data from the National Longitudinal Survey of Youth. Adolescents whose mothers were teenagers at first birth were more likely to have had sex by age 16 than other adolescents. Gender moderated this effect, as this relationship
Bleakley, Amy; Hennessy, Michael; Fishbein, Martin; Jordan, Amy
Published research demonstrates an association between exposure to media sexual content and a variety of sex-related outcomes for adolescents. What is not known is the mechanism through which sexual content produces this "media effect" on adolescent beliefs, attitudes, and behavior. Using the Integrative Model of Behavioral Prediction, this
Full Text Available Introduction. Investigation of adolescent sexual behavior carried out on a large sample is primarily motivated by health and social problems which can occur when young people practice sex without protection and necessary information. There is no data that the national study on adolescent sexual behavior has been conducted in the Serbian speaking area. Objective. Monitoring and follow-up of trends in adolescent sexual behavior. Methods. The investigation sample comprised 1101 adolescents (472 male and 629 female, aged 13-25 years. As an instrument of polling, the questionnaire 'Sexual Behavior' was used specifically designed for the purpose of this investigation. Results. Eighty-four percent of males and 65% of females reported having sexual experience. The age of the first sexual experience, total number of partners, number of sexual partners in the last year and the last month were investigated, and the number of loved and sexual partner compared. In addition, the length of foreplay, frequency of sexual activity, masturbation, sexual dreams and sexual daydreams and engagement into alternative sexual activities (oral sex, anal sex, group sex, exchange of partners were estimated, as well as the reasons for their practicing. Sexual desire and its correlation with personality dimensions, the frequency of sexual disorders (erectile and ejaculation problems, anorgasmia, abortion, rape and identification of the rapist, the use of condoms and other methods of contraception were assessed. Conclusion. It could be postulated that biological influence on sexual behavior is powerful and resistant to the influence of time and place, as well as socio-cultural religious influences. A high rate of premarital sexual activity with a number of sexual partners, a relatively low rate of condom use and the fact that 4% of the female adolescents in this sample had an induced abortion suggest that there are gaps in the education provided to adolescents about sexual and reproductive risks within the Serbian speaking territory. An alarming statistic is that 5% of the female adolescents in this sample reported that they had been raped, or forced to participate in non-consensual sex within an ongoing relationship with a regular partner. There is a need for systemic changes within the field of sexual education and protection from sexually risky behavior among young adults.
Frost, David M; Meyer, Ilan H; Schwartz, Sharon
This article reports a study of the function and composition of social support networks among diverse lesbian, gay, and bisexual (LGB) men and women (n = 396) in comparison to their heterosexual peers (n = 128). Data were collected using a structured social support network matrix in a community sample recruited in New York City. Our findings show that gay and bisexual men may rely on "chosen families" more than lesbian and bisexual women. Both heterosexuals and LGBs relied less on family and more on other people (e.g., friends, coworkers) for everyday social support (e.g., recreational and social activities, talking about problems). Providers of everyday social support were most often of the same sexual orientation and race/ethnicity as participants. In seeking major support (e.g., borrowing large sums of money), heterosexual men and women along with lesbian and bisexual women relied primarily on their families, but gay and bisexual men relied primarily on other LGB individuals. Racial/ethnic minority LGBs relied on LGB similar others at the same rate as did White LGBs but, notably, racial/ethnic minority LGBs reported receiving fewer dimensions of support. (PsycINFO Database Record PMID:26752447
Hong, Jun Sung; Espelage, Dorothy L.; Kral, Michael J.
This article examines major risk factors for suicide among sexual minority youth using Bronfenbrenner's ecological systems theory. Although suicidal behavior among sexual minority youth is a major public concern in the United States, understanding of this phenomenon has been limited since the majority of empirical research studies have addressed
Walls, Eugene N.; Freedenthal, Stacey; Wisneski, Hope
The increased risk of suicidal ideation and attempts among sexual minority youths have been documented in studies using both convenience samples and representative community samples. However, as most youths do not access social services, these studies do not necessarily represent the sexual minority youths that community-based social workers may
Moradi, Bonnie; Mohr, Jonathan J.; Worthington, Roger L.; Fassinger, Ruth E.
This lead article of the special issue discusses conceptual and methodological considerations in studying sexual minority issues, particularly in research conducted by counseling psychologists (including the work represented in this special issue). First, the overarching challenge of conceptualizing and defining sexual minority populations is
Alderson, Kevin G.
Past research indicates sexual minority training provided to graduate students of counselling psychology is minimal and inadequate (Bahr, Brish, & Croteau, 2000; Morrison & L'Heureux, 2001; Murphy, 1991). Graduates feel unprepared to work competently with sexual-minority individuals, yet Canadian and American Associations require their members to
Macintyre, Anna K-J; Montero Vega, Adela R; Sagbakken, Mette
Although Chile is a traditionally conservative country, considerable legal advances in sexual and reproductive rights over the past decade have brought discourses on sexuality into mainstream political, social and media agendas. In light of these changes it is important to explore how adolescents conceptualize sexuality, which in turn influences their understanding of sexual rights. This study is based on four focus group discussions and 20 semi-structured interviews with adolescents, and seven interviews with key informants in Santiago, Chile. Findings indicate that adolescent conceptualizations of sexuality are diverse, often expressed as attitudes or observations of their social context, and primarily shaped by peers, parents and teachers. Attitudes towards individuals with non-heterosexual orientations ranged from support to rejection, and conceptualizations of sexual diversity were also influenced by media, medicalization and biological explanations. Gender differences in sexual expression were described through gendered language and behaviour, in particular observations of gender stereotypes, censored female sexuality and discourses highlighting female risk. Many adolescents described social change towards greater equality regarding gender and sexuality. To optimize this change and help bridge the gap between legal and social recognition of sexual rights, adolescents should be encouraged to reflect critically on issues of gender equality and sexual diversity in Chile. PMID:26719000
Ryan J. Watson
Full Text Available A cross-national study of young adult sexual minorities was conducted in order to explore the associations between sexual orientation and measures of depression, suicidality, and substance use. Two nationally representative data sets were explored from the United States (N = 14,335 and Norway (N = 2423. Results indicated that sexual minorities experienced multiple health disparities (depression, suicidality, and substance use compared to their heterosexual counterparts. We found similar patterns of depression, suicidality, and substance use for sexual minorities in both the United States and Norway. The highest odds of substance use were among heterosexual-identified Norwegian youth who reported same-sex sexual activity, and the highest odds of suicidality were found for bisexual young adults in Norway. These findings have implications for how we consider culture and social policy as barriers and/or opportunities for sexual minorities.
Walcott, Christy M.; Meyers, Adena B.; Landau, Steven
Many adolescents are susceptible to negative outcomes associated with sexual behavior. This is particularly true for those who initiate sexual intercourse at an early age, have many sex partners, or engage in unprotected sex because these behaviors put one at risk for sexually transmitted infections (STIs), including HIV. This article reviews the
Zamboni, Brian D; Crawford, Isiaah
Minority stress, such as racism and gay bashing, may be associated with sexual problems, but this notion has not been examined in the literature. African-American gay/bisexual men face a unique challenge in managing a double minority status, putting them at high risk for stress and sexual problems. This investigation examined ten predictors of sexual problems among 174 African-American gay/bisexual men. Covarying for age, a forward multiple regression analysis showed that the measures of self-esteem, male gender role stress, HIV prevention self-efficacy, and lifetime experiences with racial discrimination significantly added to the prediction of sexual problems. Gay bashing, psychiatric symptoms, low life satisfaction, and low social support were significantly correlated with sexual problems, but did not add to the prediction of sexual problems in the regression analysis. Mediation analyses showed that stress predicted psychiatric symptoms, which then predicted sexual problems. Sexual problems were not significantly related to HIV status, racial/ethnic identity, or gay identity. The findings from this study showed a relationship between experiences with racial and sexual discrimination and sexual problems while also providing support for mediation to illustrate how stress might cause sexual problems. Addressing minority stress in therapy may help minimize and treat sexual difficulties among minority gay/bisexual men. PMID:17109233
Herek, Gregory M.; Gillis, J. Roy; Cogan, Jeanine C.
This article describes a social psychological framework for understanding sexual stigma, and it reports data on sexual minority individuals' stigma-related experiences. The framework distinguishes between stigma's manifestations in society's institutions ("heterosexism") and among individuals. The latter include "enacted sexual stigma" (overt
Vaillant, Nicolas Gérard; wolff, François-Charles
Using original French panel data, this paper investigates the relevance of the broken windows theory in case of an offence category featured by the absence of monetary benefits. Estimates from random and fixed effects models highlight the deterrent effect of sanctions for rapes and minor sexual offences. The enforcement activity of rapes is the most deterrent factor both for rapes and other sexual offences, compared with the rapes- and minor sexual offences-reducing impact of an increase in t...
Ryan J. Watson; Christopher W. Wheldon; Lars WichstrÃ¸m; Russell, Stephen T.
A cross-national study of young adult sexual minorities was conducted in order to explore the associations between sexual orientation and measures of depression, suicidality, and substance use. Two nationally representative data sets were explored from the United States (N = 14,335) and Norway (N = 2423). Results indicated that sexual minorities experienced multiple health disparities (depression, suicidality, and substance use) compared to their heterosexual counterparts. We found similar pa...
Kwok, Kan, Diana; ??
This phenomenological qualitative study is informed by integrated theories including a social constructionist perspective on human sexuality, sexual identity development models, heterosexism with theoretical support of minority stress model and feminist theory. The aim was to uncover the lived experiences of 20 male sexual minority students navigating heterosexism in secondary schools, within the socio-cultural context of Hong Kong Chinese society. Due to the invisibil...
Khubchandani, Jagdish; Clark, Jeffrey; Kumar, Raman
Sexuality education for adolescents is one of the most controversial topics in the field of child health. In the past decade, policymakers in India have also struggled with the issue and there has been greater public discourse. However, policymaking and public discussions on adolescent sexuality education are frequently fueled by religious, social, and cultural values, while receiving scant scientific attention. To meet the needs of an expanding young population in India, scientific evidence for best practices must be kept at the core of policymaking in the context of sexuality education for adolescents. PMID:25374847
Huamusse, Luis Edgar Francisco
"The protection of the rights of sexual minorities in many countries in Africa is a controversial issue. It is not unusual to find newspaper reports on gross violations suffered by this minority group. Gays and lesbians are victims of violence, sometimes resulting in death. Sexual minorities in Africa are often confronted with government actions such as those of the Nigerian government that recently submitted to the parliament a bill to make provisions for the prohibition of relationships bet...
Guilamo-Ramos, Vincent; Lee, Jane J; Kantor, Leslie M; Levine, Deborah S; Baum, Sarah; Johnsen, Jennifer
Research supports the central role of parents in the sexual health behaviors and outcomes of their adolescent children. Too often, parents and adolescents with the greatest sexual health disparities are difficult to reach and engage in preventative interventions. Online and mobile technologies (OMTs) represent an innovative opportunity to reach large numbers of youth and their parents. However, there is a dearth of information related to the feasibility and acceptability of OMT-delivered family interventions for reaching vulnerable youths--particularly, ethnic minority youths. The current manuscript addresses this gap in the empirical literature by examining the feasibility and acceptability of OMT-based parent-adolescent sexual health interventions for African American and Latino families. Focus groups were conducted with convenience samples of Latino and African Americans from six US cities. Fourteen focus groups (six parents and eight adolescents) with an average of 10-12 participants each provided data for the study. Researchers used inductive thematic analysis to evaluate data. The findings suggest that parents and adolescents were motivated to obtain sexual health information through OMTs due to their accessibility, widespread use, and ability to deliver large quantities of information. However, personalized and trustworthy information was viewed as less attainable through the Internet or similar digital means, presenting a potential barrier to delivering an adolescent sexual health intervention via OMTs. Sexual health interventions delivered through online and mobile mechanisms present a novel opportunity for reaching potentially at-risk ethnic minority adolescents and their parents. Feelings of discomfort surrounding OMT use with parents, generational differences, and parent-adolescent relationship quality must be considered when developing technology-based sexual health interventions for Latino and African American families. PMID:24522898
Castellanous Simons, B; Gonzalez Hernandez, A
Puberty today occurs about 2 years earlier than it did at the beginning of the century. The age of menarche is now usually between 11-13 years, while the establishment of spermatogenesis and appearance of the 1st ejaculation usually occurs between 13-15 years. The ages at which adolescents feel mature, want to behave like adults, and initiate sexual activity are now lower than in the past. Sexual relations may occur between adolescents before they are fully capable of recognizing their consequences as autonomous and responsible acts guided by a system of moral convictions. Both marriage and parenthood may have unfavorable consequences for future personality development, sexual adjustment, and the personal-social adaptation of the individual. In Cuba, the persistence of traces of bourgeois mentality can be seen in the tendency to teach young girls false concepts of female behavior. Traits such as submissiveness, passivity, and fragility are stressed, and girls are taught to inhibit their sexuality from a very young age. Adolescent boys are expected to display virility and machismo. Adolescent boys may be so interested in the physical aspects of sexual activity that they deprecate the aspects, considering them to be weak female traits. Boys are more likely to separate the sexual object and the love object, while such duality is unusual in girls. Among the most serious problems of adolescent sexual activity in Cuba is a high rate of abortions among young adolescents. Some adolescents are promiscuous and have frequent changes of partner. The age group 15-19 years has the 3rd highest rate of syphilis and the 2nd highest of gonorrhea. The proportion of births to minors has increased from 22% in 1973 to almost half in some provinces. Divorce rates have been in constant increase in Cuba, and psychosocial immaturity of very young spouses is a principal factor in divorce. The widening temporal gap between attainment of puberty and marriage, which is likely to be postponed until the completion of ever more time-consuming educations, is a factor in increased premarital sex although it is not a determinant of it. An adequate sex education program would help adolescents develop responsible attitudes and good foundations for their future sexual adjustments. It would also help prevent adolescent pregnancy, with its frequent negative consequences. PMID:12280815
Chang, Yu-Ting; Hayter, Mark; Lin, Mei-Ling
This study was designed to explore Taiwanese school students' attitudes toward sexual relationships and premarital sex. This was an exploratory descriptive, qualitative study. Focus groups (N = 8) were conducted with 47 adolescents from three high schools in Taiwan. Transcripts were transcribed and thematically analyzed using Atlas V 5.0. Adolescent attitudes toward sexual relationships and premarital sexual behavior comprise the following three dimensions: (1) external incentives, (2) the developmental process, and (3) internal control. External incentives include the normalization of sexual behavior between peers, the desire to feel included in a group, parental influence, and media influence. The developmental process includes imagining the sexual experience and onset of sexual activity. Internal control includes the fear of pregnancy, the fear of parental rejection, and the fear of being judged. These findings can provide a reference for designing future sex education curricula and counseling programs for adolescents. PMID:24502972
Girish H Banwari
Full Text Available Traditionally, sexual abuse is under-reported and under-recognized when the victims are boys. A study carried out by the Government of India in 2007 suggests that every second child/adolescent in the country faces some form of sexual abuse and it is nearly equally prevalent in both sexes. The significance of the problem is undermined all the more when the abuse is perpetrated by a peer. Sexual activity between children and adolescents that occurs without consent or as a result of coercion is tantamount to abuse. A majority of the victims do not disclose the occurrence to anyone. This often neglected issue of adolescent male peer sexual abuse in a sexually conservative country like India is highlighted and discussed through this case, which came to light only after the victim developed a venereal disease.
Kogan, Steven M.
The role of disclosing child sexual abuse on adolescent survivors' symptomology and the presence of additional unwanted sexual experiences was investigated in a subsample of 111 adolescents from the National Survey of Adolescents who reported child sexual abuse. Results indicated that prompt disclosure of sexual abuse to an adult moderated the
Reisner, Sari L; Greytak, Emily A; Parsons, Jeffrey T; Ybarra, Michele L
Bullying and substance use represent serious public health issues facing adolescents in the United States. Few large-sample national studies have examined differences in these indicators by gender identity. The Teen Health and Technology Study (N = 5,542) sampled adolescents ages 13 to 18 years old online. Weighted multivariable logistic regression models investigated disparities in substance use and tested a gender minority social stress hypothesis, comparing gender minority youth (i.e., who are transgender/gender nonconforming and have a gender different from their sex assigned at birth) and cisgender (i.e., whose gender identity or expression matches theirs assigned at birth). Overall, 11.5% of youth self-identified as gender minority. Gender minority youth had increased odds of past-12-month alcohol use, marijuana use, and nonmarijuana illicit drug use. Gender minority youth disproportionately experienced bullying and harassment in the past 12 months, and this victimization was associated with increased odds of all substance use indicators. Bullying mediated the elevated odds of substance use for gender minority youth compared to cisgender adolescents. Findings support the use of gender minority stress perspectives in designing early interventions aimed at addressing the negative health sequelae of bullying and harassment. PMID:24742006
Leclerc, Benoit; Felson, Marcus
Adolescent abuse of younger children has long been recognized, but empirical research on the circumstances of this phenomenon is rare. This article examines how adolescent offenders find and gain access to victims, work out time alone with them, and set up or exploit settings for sexual contact. Prior researchers learned that adult sex offenders use certain routine activities to perform these tasks. The current research inquires whether adolescent offenders are similar. We administered Kaufman's Modus Operandi Questionnaire to a sample of 116 Canadian adolescent males undergoing treatment for a sexual offense against a child. Adolescent offenders follow routines similar to adults but are better able to use games and activities as a prelude to sexual abuse. We discuss how routine legal activities set the stage for activities and should be considered when devising situational prevention strategies. PMID:25060598
Full Text Available BACKGROUND: Adolescent (1019 years is a transition of age during which hazardous sexual health behaviors may be adopted; increasing vulnerability to several kinds of behavioral disorders like drug use, unsafe sexual act leading to reproductive ill health. Objective of the study was to assess sexual health behaviors of adolescents in Pokhara, Nepal. METHODS: An institution based cross-sectional study was conducted among 1519 years adolescents studying in grades 11 and 12. Probability sampling techniques were applied. A structured, pretested, envelope sealed self administered questionnaire was distributed among all (1584 adolescents of the 11 and 12 grades of selected institutions. Data were analyzed using Statistical Package for Social Sciences (16 versions. Descriptive and inferential statistics were applied. RESULTS: About 19.37% adolescents had sexual contact and male participation was higher than females (P<0.05. Nearly one fifth of unmarried were found to be involved in sexual activities and most of them had first sex between 15-19 years age (median age 15.26 years. Of those who had sex, 6.91% had adopted all the three: vaginal, oral and anal sexes and majority had single followed by 2-5 sex partners in their sexual intercourse in the last one year and last month. About 13.93% adolescents were found to be indulged in group sex. Most of them had sex with regular partners and commercial sex workers. More than eight out of every ten who had sex had used contraceptive methods and condom was method of choice (94.77%. CONCLUSIONS: Premarital sexual involvement was prevalent among adolescents; sex with commercial sex workers and non commercial sex partners was perceived to be risk. Behavior change intervention strategies need to be formulated and implemented to promote adolescent reproductive and sexual health.
KILLOREN, SARAH E.; Updegraff, Kimberly A.; Christopher, F. Scott; Umaña-Taylor, Adriana J.
Drawing on a symbolic-interaction perspective and a compensation model, the processes linking mother-and father-adolescent relationship qualities, deviant peer affiliations, and adolescents sexual intentions were investigated for 246 Mexican-origin youths born in the United States and in Mexico using multiple-group structural equation models. Deviant peer affiliations significantly mediated the relations between paternal acceptance and sexual intentions and between disclosure to mothers and ...
Khubchandani, Jagdish; Clark, Jeffrey; Kumar, Raman
Sexuality education for adolescents is one of the most controversial topics in the field of child health. In the past decade, policymakers in India have also struggled with the issue and there has been greater public discourse. However, policymaking and public discussions on adolescent sexuality education are frequently fueled by religious, social, and cultural values, while receiving scant scientific attention. To meet the needs of an expanding young population in India, scientific evidence ...
Brown, Jennifer L.; Glennelle Halpin; Gerald Halpin
According to the National Campaign to Prevent Teen Pregnancy, one out of five youths has experienced sexual intercourse before the age of 15.That this early sexual involvement may have negative consequences on the adolescents personality system, behavior system, and environment system has been posited. This study clearly supports this assertion with regard, specifically, to school achievement. While causality cannot be confirmed, a strong relationship was found between school achievement and...
A review of family-planning literature reveals that researchers adopt narrow definitions of sexual behavior and focus almost exclusively on risks of pregnancy and diseases. Little concern is shown in these articles about promoting the idea of more communicative, pleasurable, and egalitarian sexual relations among teenagers, because the focus is on avoiding behaviors that are defined as "high risk." In the United States, there is little evidence that these contraceptive-based sex education programs have resulted in reduced sexual activity, diminished teenage-pregnancy rates, or increased effective contraceptive use. In Canada the clinical evidence is that existing prevention strategies are not working. In Sweden the increasing rates of STDs and teenage pregnancies in the late 1980s worried authorities. The figures were brought down in the 1990s by extensive efforts both in schools and at publicly funded adolescent health clinics and family-planning units. It has been shown that girls with good self-esteem and a sense of responsibility avoided pregnancies and STDs in follow-up studies. Girls with a high degree of risk-prone behavior or attitudes and girls with a problematic life situation and without adequate family support were those who became unintentionally pregnant and/or acquired an STD. Countries where sex education has been accepted, combined with widely spread family-planning services and abortion on demand, have the lowest pregnancy and abortion rates in the world. But even they could do better by putting sex education in its proper place in society and by using both old and new methods. PMID:9238296
WHO estimates that 20% of persons living with HIV/AIDS are in their 20s and one out of twenty adolescents contract a sexually transmitted disease (STD) each year. A total of 303 adolescents and youths (10-24 years of age) attending an STD clinic were subjected to a questionnaire to assess sexual behavioural patterns that predisposed them to STD. Scope of the questions included age at initiation of sexual intercourse, partner at first exposure, number of sexual partners, use of condoms,...
Bailey, Jennifer A.; McCloskey, Laura Ann
This study examined the link between childhood sexual abuse and adolescent substance use among girls, and evaluated depressive self-concept and behavioral under-control (BUC) as pathways to substance use for sexually abused girls. Participants (n = 150) were drawn from a longitudinal study of the impact of domestic violence on the lives of women
O'Halloran, Maria; Carr, Alan; O'Reilly, Gary; Sheerin, Declan; Cherry, Joan; Turner, Rhonda; Beckett, Richard; Brown, Sarah
A study compared psychological characteristics of 27 Irish adolescents who had sexually abused other youngsters (SA group), 20 controls who had significant behavioral problems but no history of sexually offending (CC group), and 29 normal controls. The psychological adjustment of the SA group was less problematic than the CC group. (Contains
Talley, Amelia E; Aranda, Frances; Hughes, Tonda L; Everett, Bethany; Johnson, Timothy P
We examined differences between sexual minority women's (SMW's) sexual identity and sexual behavior or sexual attraction as potential contributors to hazardous drinking across a 10-year period. Data are from a longitudinal study examining drinking and drinking-related problems in a diverse, community-based sample of self-identified SMW (Wave 1: n = 447; Wave 2: n = 384; Wave 3: n = 354). Longitudinal cross-lagged models showed that SMW who report higher levels of identity-behavior or identity-attraction discordance may be at greater risk of concurrent and subsequent hazardous drinking. Results of multigroup models suggest that sexual orientation discordance is a more potent risk factor for risky drinking outcomes among SMW in older adulthood than in younger adulthood. Findings support that discordance between sexual orientation dimensions may contribute to hazardous drinking among SMW and provide evidence that cognitive-behavioral consistency is important for individuals expressing diverse and fluid sexual identities, attraction, and behavior. PMID:25911224
Killoren, Sarah E.; Updegraff, Kimberly A.; Christopher, F. Scott; Umana-Taylor, Adriana J.
Drawing on a symbolic-interaction perspective and a compensation model, the processes linking mother- and father-adolescent relationship qualities, deviant peer affiliations, and adolescents' sexual intentions were investigated for 246 Mexican-origin youths born in the United States and in Mexico using multiple-group structural equation models.
Full Text Available Problem statement: Delinquent adolescents with substance abuse disorders frequently engage in behaviors that elevate their risk of contracting HIV. Although effective risk reduction interventions are urgently needed, there is uncertainty about the nature of interventions required to produce change. Approach:This study evaluated whether Modified version of Becoming A Responsible Teen (M-BART produced greater reductions in drug use and sexual risk behaviors than an Anger Management (AM condition among a mixed gender, culturally diverse sample of adolescents in court-ordered substance dependence treatment. Results: No significant differences were found between M-BART (n = 70 and AM (n = 59 groups in degree of change between intake and outcome in HIV sex risk or drug use behaviors. However, across groups, meaningful reductions were found in total number of sex partners and in proportions of total unprotected sex acts, unprotected vaginal sex, unprotected oral giving sex acts and unprotected oral receiving sex acts from baseline to follow-up (all p?s Conclusion: Factors that accounted for meaningful changes across groups and no change between intervention outcomes were discussed. While the M-BART intervention impacted the adolescents directly by teaching skills about how to reduce risky sex, the AM intervention and also impacted higher order factor, impulsivity, linked to risky sex and drug use. Implications for HIV prevention among minority adolescents were discussed.
Full Text Available Abstract Background Adolescents in developing countries face a range of sexual and reproductive health problems. Lack of health care service for reproductive health or difficulty in accessing them are among them. In this study we aimed to examine health care workers' attitudes toward sexual and reproductive health services to unmarried adolescents in Ethiopia. Methods We conducted a descriptive cross-sectional survey among 423 health care service providers working in eastern Ethiopia in 2010. A pre-tested structured questionnaire was used to collect data. Descriptive statistics, chi-square tests and logistic regression were performed to drive proportions and associations. Results The majority of health workers had positive attitudes. However, nearly one third (30% of health care workers had negative attitudes toward providing RH services to unmarried adolescents. Close to half (46.5% of the respondents had unfavorable responses toward providing family planning to unmarried adolescents. About 13% of health workers agreed to setting up penal rules and regulations against adolescents that practice pre-marital sexual intercourse. The multivariate analysis indicated that being married (OR 2.15; 95% CI 1.44 - 3.06, lower education level (OR 1.45; 95% CI 1.04 - 1.99, being a health extension worker (OR 2.49; 95% CI 1.43 - 4.35, lack of training on reproductive health services (OR 5.27; 95% CI 1.51 - 5.89 to be significantly associated with negative attitudes toward provision of sexual and reproductive services to adolescents. Conclusions The majority of the health workers had generally positive attitudes toward sexual and reproductive health to adolescents. However, a minority has displayed negatives attitudes. Such negative attitudes will be barriers to service utilization by adolescents and hampers the efforts to reduce sexually transmitted infections and unwanted pregnancies among unmarried adolescents. We therefore call for a targeted effort toward alleviating negative attitudes toward adolescent-friendly reproductive health service and re-enforcing the positive ones.
Fisher, Terri D.
Used variables of gender and parental sexual attitudes to categorize college students (N=349) and their parents to examine relationship between family communication about sexuality and adolescent sexual behavior, attitudes, knowledge and contraception use. Found sexual behavior of females correlated with parent-child communication; sexual
Prado Sánchez-Molero Martín
Full Text Available Adolescence is a key step in the process of building personal and sexual identity. The objective is to evaluate the effectiveness of a sex education program in the acquisition of knowledge about contraception and sexually transmitted diseases in a population of adolescents. We believe that the educational intervention is effective for increasing knowledge about contraceptive methods and an improvement in most of the attitudes for the promotion of condoms and an appropriate tool to reduce unwanted pregnancy rates in young and sexually transmitted diseases.
The overall aim of this thesis was to inestigate Swedish adolescents' perceptions and behaviours regarding sexual risk taking. Specific objectives were to explore teenagers' perceptions of contraceptive use, unintended pregnancy, and abortion; teenage girls' experiences of decision making process and support connected to abortion; and male adolescents' perceptions of sexual risk taking and barriers to practicing safe sex. Another objective was to evaluate the effect of advance provision of em...
This study explores the way minority ethnic youth in the Netherlands evaluate their sexual experiences, how they frame these experiences in different sexual discourses and how they deal with conflicts between different sexual discourses, both at home and in Dutch society. During 46 narrative interviews, Dutch young people (aged 12-22 years) from different minority ethnic communities shared their sexual histories and their dreams for the future relating to love and sexuality. Different sexual discourses can be identified in the language they used to describe their ideas and their experiences. Young people grow up with a variety of discourses but actively re-shape them according to circumstances and need. In many cases, young people experience a conflict between the discourses of the home and those that are prevalent more generally in Dutch society. Young people's ways of negotiating these contradictory discourses comprise four main strategies: (1) conforming to parents' values, (2) breaking up with parents, (3) leading a double life and (4) integrating competing discourses. By bringing together different sexual discourses and acknowledging diverse strategies, sexual health policies can become more effective in promoting sexual health for minority ethnic youth. Findings from the study add fuel to debate on understanding (sexual) agency among young people, exhibiting the social 'embeddedness' of individual agency. PMID:24902033
Full Text Available Abstract Background Men who have sex with men (MSM remain the group most at risk of acquiring HIV infection in Britain. HIV prevalence appears to vary widely between MSM from different ethnic minority groups in this country for reasons that are not fully understood. The aim of the MESH project was to examine in detail the sexual health of ethnic minority MSM living in Britain. Methods/Design The main objectives of the MESH project were to explore among ethnic minority MSM living in Britain: (i sexual risk behaviour and HIV prevalence; (ii their experience of stigma and discrimination; (iii disclosure of sexuality; (iv use of, and satisfaction with sexual health services; (v the extent to which sexual health services (for treatment and prevention are aware of the needs of ethnic minority MSM. The research was conducted between 2006 and 2008 in four national samples: (i ethnic minority MSM living in Britain; (ii a comparison group of white British MSM living in Britain; (iii NHS sexual health clinic staff in 15 British towns and cities with significant ethnic minority communities and; (iv sexual health promotion/HIV prevention service providers. We also recruited men from two "key migrant" groups living in Britain: MSM born in Central or Eastern Europe and MSM born in Central or South America. Internet-based quantitative and qualitative research methods were used. Ethnic minority MSM were recruited through advertisements on websites, in community venues, via informal networks and in sexual health clinics. White and "key migrant" MSM were recruited mostly through Gaydar, one of the most popular dating sites used by gay men in Britain. MSM who agreed to take part completed a questionnaire online. Ethnic minority MSM who completed the online questionnaire were asked if they would be willing to take part in an online qualitative interview using email. Service providers were identified through the British Association of Sexual Health and HIV (BASHH and the Terrence Higgins Trust (THT CHAPS partnerships. Staff who agreed to take part were asked to complete a questionnaire online. The online survey was completed by 1241 ethnic minority MSM, 416 men born in South and Central America or Central and Eastern Europe, and 13,717 white British MSM; 67 ethnic minority MSM took part in the online qualitative interview. In addition 364 people working in sexual health clinics and 124 health promotion workers from around Britain completed an online questionnaire. Discussion The findings from this study will improve our understanding of the sexual health and needs of ethnic minority MSM in Britain.
Bramsen, Rikke H; Lasgaard, Mathias
The present study modeled the direct relationship between child sexual abuse (CSA) and adolescent peer-to-peer sexual victimization (APSV) and the mediated effect via variables representing the number of sexual partners, sexual risk behavior, and signaling sexual boundaries. A cross-sectional study on the effect of CSA on APSV was conducted, utilizing a multiple mediator model. Mediated and direct effects in the model were estimated employing Mplus using bootstrapped percentile based confidence intervals to test for significance of mediated effects. The study employed 327 Danish female adolescents with a mean age of 14.9 years (SD = 0.5). The estimates from the mediational model indicated full mediation of the effect of CSA on APSV via number of sexual partners and sexual risk behavior. The current study suggests that the link between CSA and APSV was mediated by sexual behaviors specifically pertaining to situations of social peer interaction, rather than directly on prior experiences of sexual victimization. The present study identifies a modifiable target area for intervention to reduce adolescent sexual revictimization.
Doyle, David Matthew; Molix, Lisa
Work on structural stigma shows how public policy affects health outcomes for members of devalued groups, including sexual minorities. In the current research, structural stigma is proposed as a moderating variable that strengthens deleterious associations between perceived discrimination and social relationship functioning. Hypotheses were tested in two cross-sectional studies, including both online (N = 214; Study 1) and community (N = 94; Study 2) samples of sexual minority men and women r...
Gattis, Maurice N; Woodford, Michael R; Han, Yoonsun
Researchers have examined perceived discrimination as a risk factor for depression among sexual minorities; however, the role of religion as a protective factor is under-investigated, especially among sexual minority youth. Drawing on a cross-sectional study investigating campus climate at a large public university in the U.S. Midwest, we examined the role of affiliation with a gay-affirming denomination (i.e., endorsing same-sex marriage) as a moderating factor in the discrimination-depressi...
Isaksen, Eirin Winsnes
This thesis examines the recent legal, political and social changes for sexual and gender minorities in Nepal. The empirical data were produced during field work in Nepal in 2010. In a short period of time the sexual and gender minorities have experienced a significant improvement in rights as well as increased inclusion in political processes. However, this study shows that they still experience social challenges such as discrimination and harassment. Although positive social changes like in...
Full Text Available We provide a definition of the concept of "cognitive distortions in the sexual sphere," reveal the relevance of the study of these distortions in the context of sexual offenses against minors. We briefly review the literature of research on the subject. We describe a research, the aim of which was to study a group of individuals who have committed sexual crimes against minors: how homogeneous is the sample in terms of the severity of the distortion. The group was divided into two subgroups: those who have been diagnosed with pedophilia, and those without pedophilia. The norm group also included persons who has never been prosecuted. To assess cognitive distortions in the sexual sphere we used SONAR method (The Sex Offender Need Assessment Rating. The obtained results confirm the importance of the factor of cognitive biases in the field of sexuality in the assessment of sexual crimes risk, as well as in the differential diagnosis of pedophilia.
Secor-Turner, Molly; Sieving, Renee E.; Eisenberg, Marla E.; Skay, Carol
The objective of this study was to describe prevalent informal sources of information about sex and examine associations between informal sources of information about sex and sexual risk outcomes among sexually experienced adolescents. Work involved the secondary analysis of data from the Minnesota Student Survey, a statewide survey to monitor
Duryea, Daniel G.; Calleja, Nancy G.; MacDonald, Douglas A.
Results from the 2009 "National College Health Assessment" were analyzed by gender and sexual orientation for college students' nonmedical use of prescription drugs. Male and female students identified as having a minority sexual orientation (gay or bisexual) were significantly more likely to use nonmedical prescription drugs than
Bramsen, Rikke Holm; Lasgaard, Mathias
The present study set out to investigate predictors of first time adolescent peer-on-peer sexual victimization (APSV) among 238 female Grade 9 students from 30 schools in Denmark. A prospective research design was utilized to examine the relationship among five potential predictors as measured at baseline and first time APSV during a 6-month period. Data analysis was a binary logistic regression analysis. Number of sexual partners and displaying sexual risk behaviors significantly predicted subsequent first time peer-on-peer sexual victimization, whereas a history of child sexual abuse, early sexual onset and failing to signal sexual boundaries did not. The present study identifies specific risk factors for first time sexual victimization that are potentially changeable. Thus, the results may inform prevention initiatives targeting initial experiences of APSV.
Livingston, Nicholas A; Oost, Kathryn M; Heck, Nicholas C; Cochran, Bryan N
Research consistently demonstrates that sexual minority status is associated with increased risk of problematic substance use. Existing literature in this area has focused on group-specific minority stress factors (e.g., victimization and internalized heterosexism). However, no known research has tested the incremental validity of personality traits as predictors of substance use beyond identified group-specific risk factors. A sample of 704 sexual minority adults was recruited nationally from lesbian, gay, bisexual, transgender, queer, and questioning community organizations and social networking Web sites and asked to complete an online survey containing measures of personality, sexual minority stress, and substance use. Hierarchical regression models were constructed to test the incremental predictive validity of five-factor model personality traits over and above known sexual minority risk factors. Consistent with hypotheses, extraversion and conscientiousness were associated with drug and alcohol use after accounting for minority stress factors, and all factors except agreeableness were associated with substance use at the bivariate level of analysis. Future research should seek to better understand the role of normal personality structures and processes conferring risk for substance use among sexual minorities. (PsycINFO Database Record PMID:25347022
DÃ©vieux, Jessy G; Jean-Gilles, MichÃ¨le; Frankel, Anne; Attonito, Jennifer; Saxena, Anshul; Rosenberg, Rhonda
This study examined the impact of individual, peer, family, school, and neighborhood level variables on sexual activity among 276 Haitian-American adolescents. Differences between those who were sexually active and those who were not were analyzed using Chi square and t tests. Significant factors at pÂ â¤Â 0.1 were entered into logistic regression for the full group and for girls-only. Half of males and 36.6Â % of females were sexually active. The multivariable model revealed that adolescents were more likely to be sexually active if they reported delinquent behaviors; had sexually active friends; and were living with only one parent, friends or relatives. For girls, living with both parents was protective against sexual activity, while substance use and emotional distress were risk factors. No language or acculturation measures were associated with sexual activity. Haitian-American adolescents may benefit from interventions that focus on gender-specific, contextual and cultural factors to prevent early sexual activity. PMID:25491443
Maitra, N; Baxi, R K; Hazra, M
A survey of 959 young females (ages 10-21 years) from India highlighted the importance of educational attainment to fertility-related behaviors. Respondents represented a spectrum of educational levels: school drop-outs (32%), primary and secondary school attendees (41%), and college students (27%). The mean age at menarche was 13.6 years. School drop-outs were most likely to have obtained information about sexuality from films and other mass media, while students cited friends and neighbors as primary sources. There was an positive association between educational level and both preferred age at marriage and intended interval from marriage to first birth. 42% of adolescents with a secondary or college education planned to marry after 23 years of age and 84% wanted to defer childbearing for at least two years after marriage. The desire for formal sex education was strong in all educational subgroups (about 62%), however. It has been estimated that postponement of the marriage age from 16 years to 20-21 years would result in a 20-30% decrease in the annual number of births in India. School-based sex education represents a feasible mechanism for helping to achieve this goal. PMID:12290542
Kuyper, Lisette; Fokkema, Tineke
Minority stress is often cited as an explanation for greater mental health problems among lesbian, gay, and bisexual (LGB) individuals than heterosexual individuals. However, studies focusing on sex or sexual orientation differences in level of minority stress and its impact on mental health are scarce, even more so outside the United States.
Full Text Available WHO estimates that 20% of persons living with HIV/AIDS are in their 20s and one out of twenty adolescents contract a sexually transmitted disease (STD each year. A total of 303 adolescents and youths (10-24 years of age attending an STD clinic were subjected to a questionnaire to assess sexual behavioural patterns that predisposed them to STD. Scope of the questions included age at initiation of sexual intercourse, partner at first exposure, number of sexual partners, use of condoms, exposure to commercial sex workers (CSWs, previous infection with STDs and role of alcohol. Their diagnosis was based on history, clinical findings and laboratory confirmation. Adolescents and youths accounted for 30% of the total number of patients attending the STD clinic during this period. The male to female ratio was 1:0.95. Ninety-six percent (290 were single while 4% (13 were married. Seventy-two percent (217 were students. Age at onset of sexual activity was 10-20 years in 80%, 85% practiced risky sexual behaviour, patronising casual partners was frequent especially after alcohol use, 10% had been exposed to CSWs, condom use was poor, number of sexual partners varied between 1 and 5 and previous infections were not professionally treated. Adolescents and young people are sexually active and practice risky sexual behavioural patterns. Adolescents and youths account for a high percentage of patients patronising the STD clinic. Sexual education and youth friendly reproductive health services are urgently needed to curb the spread of HIV/AIDS/STDs.
A cross-sectional study on attitudes toward gender equality, sexual behavior, positive sexual experiences, and communication about sex among sexually active and non-sexually active adolescents in Bolivia and Ecuador
Sara De Meyer; Lina Jaruseviciene; Apolinaras Zaborskis; Peter Decat; Bernardo Vega; Kathya Cordova; Marleen Temmerman; Olivier Degomme; Kristien Michielsen
Background: It is widely agreed upon that gender is a key aspect of sexuality however, questions remain on how gender exactly influences adolescents sexual health. Objective: The aim of this research was to study correlations between gender equality attitudes and sexual behavior, sexual experiences and communication about sex among sexually active and non-sexually active adolescents in 2 Latin American countries. Design: In 2011, a cross-sectional study was carried out among 5,913 adolescent...
HirÅ¡l-HeÄej, V.; Å tulhofer, A.
The paper analyzes socio-cultural and psychosocial factors affecting sexual activities and related risk-taking behaviors in Croatian high-school students. It attempts to determine the correlates of sexual activity, early sexual initiation, the number of sexual partners, and the use of contraceptives and condoms. Due to the gender-specific trajectories of sexual socialization and initiation, all the analyses were carried out separately for female and male students. The results p...
Tangmunkongvorakul, Arunrat; Srithanaviboonchai, Kriengkrai; Guptarak, Marisa; Wichajarn, Monjun; Yungyuankul, Sawang; Khampan, Ratchaneekorn; Grimes, Deanna E; Grimes, Richard M
Early initiation of sexual intercourse has been associated with negative consequences, such as higher rates of unwanted pregnancy and HIV infection. This study examined the attitudes and behavior of rural Thai adolescent students aged 16 to 20 years from northern Thailand regarding sexual intercourse. Differences between participants who previously had sexual intercourse and those who had not were explored. Those who had not previously had sexual intercourse were asked about the reasons why they had not had sex, their future plans for having sex and their dating experiences. More than 70% of participants stated they had not previously had sexual intercourse but one third of this group reported engaging in other sexual behavior. There were significant differences by gender, religion, ethnicity, and household income between those who had previously had sex and those who had not. Among those who had not previously had sexual intercourse, concern for their parents' feelings was the most common reason for delaying intercourse. About two-thirds of this group had plans not to have sexual intercourse until after marriage; nearly half of them reported currently having a boyfriend/girlfriend. Interventions aimed at delaying sexual intercourse should involve adolescents in their design and include their attitudes for delaying intercourse. Because of many gender differences seen in our study, interventions should be designed differently for males and females in rural northern Thailand. PMID:26466430
Denny, Simon; Lucassen, Mathijs F G; Stuart, Jaimee; Fleming, Theresa; Bullen, Pat; Peiris-John, Roshini; Rossen, Fiona V; Utter, Jennifer
The purpose of this study was to determine if sexual minority students in supportive school environments experienced fewer depressive symptoms and lower rates of suicide ideation, plans and attempts ("suicidality") than sexual minority students in less supportive school environments. In 2007, a nationally representative sample (N = 9,056) of students from 96 high schools in New Zealand used Internet tablets to complete a health and well-being survey that included questions on sexual attractions, depressive symptoms, and suicidality. Students reported their experience of supportive environments at school and gay, lesbian, bisexual, and transgender (GLBT) bullying, and these items were aggregated to the school level. Teachers (n = 2,901) from participating schools completed questionnaires on aspects of school climate, which included how supportive their schools were toward sexual minority students. Multilevel models were used to estimate school effects on depressive symptoms and suicidality controlling for background characteristics of students. Sexual minority students were more likely to report higher levels of depressive symptoms and suicidality than their opposite-sex attracted peers (p suicidality (p < .001) than in schools where students reported less favorable school climates. These results suggest that schools play an important role in providing safe and supportive environments for male sexual minority students. PMID:25469988
MARÍA-PAZ, BERMÚDEZ; GUALDERMO, BUELA-CASAL; INMACULADA, TEVA.
Full Text Available El objetivo de este estudio fue evaluar algunas características de las conductas sexuales precoitales y el tipo de contacto sexual, en adolescentes españoles. Participó una muestra representativa de 4.456 estudiantes españoles de enseñanza secundaria obligatoria. Se administró un cuestionario sobre [...] conducta sexual. Es un estudio transversal descriptivo de poblaciones, mediante encuestas con muestras probabilísticas. Los adolescentes fueron seleccionados mediante un muestreo aleatorio estratificado, en función del tipo de centro educativo y de la comunidad autónoma. En comparación con las mujeres, los varones comenzaron las experiencias sexuales sin penetración a una edad más temprana, tenían un mayor número de parejas y un mayor porcentaje de ellos manifestó tener parejas ocasionales. Este estudio no solo contribuye al conocimiento sobre la conducta sexual de los adolescentes antes del inicio de las relaciones sexuales con penetración, sino que en él se destaca la importancia de desarrollar estrategias de prevención sexual en los adolescentes. Abstract in english The aim of this study was to examine characteristics of precoital sexual behaviors and types of sexual contact in adolescent. A representative sample of 4,456 Spanish high school students participated. These participants were selected by means of a stratified random sampling procedure. They complete [...] d a questionnaire about their sexual behaviour. It is a cross-sectional survey study. Differences according to age and gender in characteristics of sexual behaviour before the onset of sexual intercourse were found. Compared to females, males started non penetrative sexual experiences earlier, had a higher number of sexual partners and a higher percentage of males reported having had casual sexual partner. This study not only adds to knowledge about sexual behaviour before the initiation of sexual intercourse among adolescents, it also highlights the importance of developing sexual prevention strategies for young adolescents.
Zamboni, Brian D.; Silver, Rachel
Parental sex education might promote healthy sexual behavior among adolescents, but some parents assume that family communication about sex will lead to sexual activity. Family sex communication has been studied with a limited range of adolescent sexual behaviors but not sexual fantasy or desire. Two measures of family sex communication wereâ¦
Zamboni, Brian D.; Silver, Rachel
Parental sex education might promote healthy sexual behavior among adolescents, but some parents assume that family communication about sex will lead to sexual activity. Family sex communication has been studied with a limited range of adolescent sexual behaviors but not sexual fantasy or desire. Two measures of family sex communication were
Verkuyten, Maykel; Slooter, Luuk
An experimental questionnaire study, conducted in the Netherlands, examined adolescents' reasoning about freedom of speech and minority rights. Muslim minority and non-Muslim majority adolescents (12-18 years) made judgments of different types of behaviors and different contexts. The group membership of participants had a clear effect. Muslimâ¦
Kao, Tsui-Sui Annie; Loveland-Cherry, Carol; Guthrie, Barbara
Maternal influences on adolescents sexual initiation have been examined over two time points in 433 Asian AmericanPacific Islander (AAPI) adolescents in a secondary analysis of the Add Health data set using structural equation modeling. A longitudinal model built on a preliminary qualitative study is used to examine the fit between data and model. Maternal perceived connectedness and adolescents perceived maternal sexual expectations in sexual timing are found to be protective for delaying...
Hrefna Hrund Erlingsdóttir 1989
The aim of the study was to find out whether social support had a buffering effect on the impact of child sexual abuse (CSA) on adolescents happiness.The participants were 7514 secondary school students, 3633 boys and 3744 girls, enrolled in 9th and 10th grade in Iceland in February 2009. Using one-way Anova and logistic regression, the study examined whether social support from parents and friends increased the likelihood of adolescents happiness (main effects) and more so for sexually ab...
Espada, José P; Morales, Alexandra; Orgilés, Mireia; Piqueras, José A; Carballo, José L
This paper aims to compare sexual behaviour and risk and protective factors between samples of adolescents who have sex under the influence of alcohol and those who do not, and to determine predictors factors for having had sex under the influence of alcohol. We analysed differences between these two groups in sexual practices, attitudes towards HIV, subjective norms and HIV knowledge. Drawing on survey data collected from 1216 Spanish adolescents aged 14-18 (M = 15.92; SD = .76), a subset of 297 sexually experienced participants was selected. Of these, 117 reported having had sex under the influence of alcohol in the past six months (51% girls). Adolescents who combined sex and alcohol engaged more in vaginal sex, oral sex and anal sex than those who did not. Having had sex under the influence of alcohol in the past six months was associated with negative attitudes towards condom use, when there are obstacles on using them, and less consistent condom use. There were no differences in knowledge about STIs/HIV between both groups. Adolescents who combined sex and alcohol showed further characteristics associated with sexual risk. Preventive measures must address the particular characteristics of this risk group. Further evidence is need about alcohol effects on sexual behaviour. PMID:23487280
Dinaj-Koci, Veronica; Deveaux, Lynette; Wang, Bo; Lunn, Sonya; Marshall, Sharon; Li, Xiaoming; Stanton, Bonita
The inclusion of parents in adolescent-targeted interventions is intended to benefit the adolescent. Limited research has explored whether parents participating in these programs also benefit directly. We examined the impact of Caribbean Informed Parents and Children Together, the parenting portion of an adolescent-targeted HIV prevention
Houck, Christopher D.; Hadley, Wendy; Tolou-Shams, Marina; Brown, Larry
While previous studies have identified relationships between school truancy and adolescent substance use risk, sexual risk remains unaddressed. Urban early adolescents (mean age 13.14 years) with mental health symptoms completed audio computer-assisted self-interviews regarding risk behaviors. Teens who reported a history of skipping school (n=25), compared to those who did not (n=113), indicated greater frequency of having ever engaged in oral, vaginal, and anal sex, as well as non-intercour...
Haider, Sadia; Stoffel, Cynthia; Donenberg, Geri; Geller, Stacie
Minority women and adolescent females of all races and ethnicities are disproportionately a?ected by unintended pregnancy in the United States. Adolescents also experience an additional proportion of the burden compared to other age groups, as 82% of pregnancies among women 19 years old and younger are unintended. Moreover, minority and adolescent mothers are at increased risk for having preterm deliveries, low birth weight infants, and other complications. Unintended pregnancy continues to b...
The market potential of sexual minorities has been traditionally overlooked by marketers. When the economic times are tough and the competition is only getting fiercer, can marketers afford to narrow down their target customer groups anymore? The aim of this thesis is to understand how B2C products marketers in Finland view and approach the sexual minorities as a target consumer group in their marketing. The findings will contribute to the existing theories of sexual minorities as a targe...
Kahn, Rachel E; Holmes, Christopher; Farley, Julee P; Kim-Spoon, Jungmeen
Parent-adolescent relationship quality and delay discounting may play important roles in adolescents' sexual decision making processes, and levels of self-control during adolescence could act as a buffer within these factors. This longitudinal study included 219 adolescent (55 % male; mean age = 12.66 years at Wave 1; mean age = 15.10 years at Wave 2) and primary caregiver dyads. Structural equation modeling (SEM) was utilized to determine whether delay discounting mediated the association between parent-adolescent relationship quality and adolescents' risky sexual behavior and how this mediated association may differ between those with high versus low self-control. The results revealed parent-adolescent relationship quality plays a role in the development of risky sexual behavior indirectly through levels of delay discounting, but only for adolescents with low self-control. These findings could inform sex education policies and health prevention programs that address adolescent risky sexual behavior. PMID:26202153
Schlesinger, L B
A case of a 16-year-old male who committed a sexual matricide following years of mother-son incest is reported. After murdering his mother by strangulation, which itself was sexually arousing, the youngster engaged in both vaginal and anal necrophilia. The homicide occurred while the perpetrator was in a dissociative state and experiencing what has been referred to as a catathymic crisis: the sudden release of emotionally charged psychic conflict and tension, resulting in extreme violence within an interpersonal bond. Discussion of maternal image and maternal sexual conduct in relationship to the psychosexual development of adolescent males offers insight into the motivation in this extremely rare case. PMID:10432609
Akanle Florence Foluso
This study investigates the magnitude and patterns of sexual coercion experienced by female adolescents in Southwest zone in Nigeria. The study population consists of all female adolescents aged 12-16 years. These adolescents are those who are either enrolled in the secondary school or those with limited education that was not in school at the period of this study. Samples of 475 girls were drawn from both the school and those not in schools. The sample was drawn from three different Yoruba s...
Antin, Tamar M J; Lipperman-Kreda, Sharon; Hunt, Geoffrey
Although the population-level success of tobacco denormalization is widely accepted, it remains unclear whether these strategies alleviate health inequities for sexual and gender minorities. The high risk of smoking among sexual and gender minorities together with research that documents a relationship between stigma-related processes and smoking prevalence for these groups raises questions about whether tobacco-related stigma intensifies the disadvantages associated with the stigmas of other social identities. We have not adequately considered how tobacco-related stigma overlaps with other social identity stigmas. Given concerns about the intensification of inequality, this type of inquiry has important implications for understanding both the effectiveness and limitations of tobacco denormalization strategies for sexual and gender minorities and identifying those tobacco prevention, treatment, and public health policies that work to ameliorate health inequities. PMID:26469677
Rose, India D.; Friedman, Daniela B.; Annang, Lucy; Spencer, S. Melinda; Lindley, Lisa L.
Positive perceptions of parent-child communication can influence behavioral outcomes such as sexual behavior and substance use among young people. Parent-child communication has been effective in modifying adverse health outcomes among heterosexual youth; however, limited research has examined the perceptions of parent-child communication among
Sylaska, Kateryna M; Edwards, Katie M
Although research on disclosure following intimate partner violence (IPV) victimization is burgeoning, sexual minority young adults' (lesbian, gay, bisexual, queer, questioning, etc.; LGBQ+) experiences have not received equal attention. The current study employed the minority stress framework to examine disclosure experiences of LGBQ+ college students across the United States reporting physical IPV victimization within their current relationship (n = 77). Participants completed measures assessing minority stress and IPV disclosure, and answered open-ended questions regarding the most and least helpful persons/responses to disclosure or reasons for non-disclosure. Results indicated that approximately one-third (35 %) of victims disclosed to at least one person, with friends being the most common recipients. Thematic analyses indicated that talking or listening to the victim was considered the most helpful response and not understanding the situation least helpful. Reasons for non-disclosure centered on themes of the victims' perception that the IPV was not a big deal. Quantitative findings regarding physical IPV disclosure indicated that non-disclosers experienced greater minority stress than disclosers. The current study suggests the presence of differences between sexual minority (i.e., LGBQ +persons) and non-sexual minority persons, as well as between LGBQ+ young adults/college students and older adults and presents a theoretical structure (i.e., minority stress framework) through which these differences may be understood. PMID:25845665
Werner-Wilson, Ronald Jay; Fitzharris, Jennifer Lynn; Morrissey, Kathleen M.
Empirical evidence suggests that television and other media influence adolescents' attitudes and behaviors. Much of the research in this area is based on surveys in which adolescents are asked to rank the relative importance of a fixed set of factors such as parents, peers, and media. We reviewed data from focus groups conducted with adolescents
MENA, MAITE P.; Dillon, Frank R.; Mason, Craig A.; SANTISTEBAN, DANIEL A.
Hispanic adolescents have been shown to have high prevalence of sexually transmitted infections and HIV, and substance abuse has been linked to risky sexual behaviors. The literature indicates that good parent-adolescent communication about sexual risk and safe sexual behaviors may help protect youth, yet little is known about this type of communication in Hispanic families. This article reports data on adolescent and parent factors associated with communication about moral and birth control ...
Madan Mohan Laddunuri
Introduction: A surge of sexual interest occurs around puberty and continues through adolescence. Heightened adolescent sexuality may be caused by a number of factors, including bodily changes, sexual hormones, social forces, and rehearsal for adult gender roles. The main objective of the present study is to understand the patterns and trends of adolescent studentsâ sexual behaviour in Tanzania.Methodology: A descriptive cross sectional study was conducted and 550 secondary school students (1...
Horner, Jennifer R.; Laura F. Salazar; Romer, Daniel; VANABLE, PETER A.; Diclemente, Ralph; CAREY, MICHAEL P.; Valois, Robert F; Bonita F. Stanton; Larry K. Brown
This study examined adolescents beliefs about the benefits and risks of withdrawal (coitus interruptus) with respect to both pregnancy and sexually transmitted infections (STIs). In the course of qualitative interviews with African-American youth aged 1419 (n = 124) about sexuality and risk, 24 adolescents spontaneously introduced the subject of withdrawal as a sexual risk reduction strategy. Eighteen percent of the sexually experienced adolescents mentioned their own use of withdrawal as a...
Robab Latifnejad Roudsari; Mojgan Javadnoori; Marzieh Hasanpour; Seyyed Mohammad Mehdi Hazavehei; Ali Taghipour
Background: Despite clear reasons for necessity of sexual health education for adolescents, it is a contested issue and has faced challenges in most cultures. Providing sexual education for non-married adolescents is culturally unacceptable in most Muslim societies. Objective: This qualitative study addressed socio-cultural challenges to sexual health education for female adolescents in Iran. Materials and Methods: Qualitative data from female adolescents (14-18 yr), mothers, teachers, author...
Crawford, Tazhmoye V.; Donovan A. McGrowder; Alexay Crawford
Background: Access to contraceptive by minors (pre-adolescents and adolescents) has spurred policy and legislative debates, part of which is that in an effort to successfully meet governments objective of a healthy sexual lifestyle among minors. Aims: This study examined factors affecting sexual reproductive health in minors, namely: access to contraceptive advice and treatment, pregnancy, number of sexual partners, sexually transmitted infections (STIs) and confidentiality. Materials and Me...
Mazloomian, Hoda; Moon, Bruce L.
This article describes the clinical practice of two male art therapists and their work with male adolescent sex offenders in a residential treatment facility. The authors share experiences of working with clients who, in addition to being offenders, were diagnosed with a mental illness and were themselves victims of sexual abuse. The function of
Whitbeck, Les B.; And Others
Examines the effect of unsupportive family relations and low self-esteem on teenage sexual activity and alcohol use. Data from a telephone survey of 301 male and 242 female adolescents in Iowa suggested significant gender differences, with young women in unsupportive contexts seeking compensatory intimacy outside the family. (JB)
Davoren, Martin P
The burden of sexually transmitted infections (STIs) rests with young people, yet in Ireland there has been very little research into this population. The purpose of this study was to determine the incidence rate and establish risk factors that predict STI occurrence among adolescents in Ireland.
Somers, Cheryl L.
This study evaluates the effectiveness of an experiential approach to teen pregnancy (TP) prevention called "Baby Think It Over," a computerized infant simulator, on adolescents' attitudes and behaviors regarding teen pregnancy and sexuality. Recently, a more realistic model called "Real Care Baby" was developed. The small amount of research on
Royer, Heather R.; Keller, Mary L.; Heidrich, Susan M.
The purpose of this article is to describe young adolescents' perceptions of romantic relationships, ratings of important romantic partner characteristics, and acceptability of sexual activity with romantic relationships. Fifty-seven eighth-grade participants (average age = 13.8 years) from one urban US public middle school completed an anonymous
Fortenberry, J; Brizendine, E; Katz, B.; Orr, D.
Methods: 251 1421 year old participants (83% female; 83% African-American) diagnosed with gonorrhoea, chlamydia, trichomonas, or non-gonococcal urethritis or sexual contacts of infected partners. Participants were clients of a public sexually transmitted diseases clinic or primary care adolescent clinics. Data were collected by structured interview at treatment, 1 month post-treatment, and 3 months post-treatment. At each visit, participants were asked about coital frequency and condom use f...
Bazzi, Angela Robertson; Whorms, Debra S; King, Dana S; Potter, Jennifer
We used retrospective (2012-2013) chart review to examine breast cancer screening among transgender persons and sexual minority women (n?=?1263) attending an urban community health center in Massachusetts. Transgender were less likely than cisgender patients and bisexuals were less likely than heterosexuals and lesbians to adhere to mammography screening guidelines (respectively, adjusted odds ratios?=?0.53 and 0.56; 95% confidence intervals?=?0.31, 0.91 and 0.34, 0.92) after adjustment for sociodemographics. Enhanced cancer prevention outreach is needed among gender and sexual minorities. PMID:26378843
Hequembourg, Amy L; Dearing, Ronda L
This study examined the interrelations among shame-proneness, guilt-proneness, internalized heterosexism (IH), and problematic substance use among 389 gay, lesbian, and bisexual men and women. Problematic alcohol and drug use were positively related to shame-proneness and negatively related to guilt-proneness. Bisexuals reported riskier substance use behaviors, lower levels of guilt-proneness, and higher levels of IH than gay men and lesbians. Furthermore, study findings indicated that shame and IH are related. Additional investigations of these associations would supplement current understandings of sexual minority stress and advance the development of substance-related intervention and prevention efforts targeting sexual minorities. PMID:23469820
Keith W. Beard
Full Text Available Anonymous retrospective data were provided by 3,443 adult participants via computer-assisted self-interview. This was the first study focused on determinants of adult sexual orientation to adjust for the effects of same-sex sibling incest. Five measures of adult sexual orientations (ASOs provided evidence consistent with the theory that ASOs result from early sex-specific romantic attachment, conditioning caused by early sexual experiences with partners, and other experiences, such as early masturbation using human images, acting synergistically with critical period learning, and sexual imprinting. Early same-sex crushes were the most powerful predictor of ASOs, and they also increased the likelihood of engaging in early same-sex partnered and masturbation behaviors. Incestuous experiences with same-sex siblings affected the ASOs of the incest participants. And, lesbian, gay, and bisexual participants tended to have an earlier onset of puberty than heterosexual controls within sexes. However, statistical analyses showed that the incest and puberty effects were mathematically explained by the participants early sexual experiences with partners and other experiences such as masturbation using human images. Early same-sex crushes were predicted by nuclear family variables implying that same-sex crushes were more likely when the opposite-sex parent modeled an unsatisfactory heterosexual romantic partner.
Agnes Caroline Souza Pinto, Patrícia Neyva da Costa Pinheiro
Full Text Available Objective: to describe the risk behaviors and vulnerability adopted by adolescents regarding STD/AIDS. Methodology: this is an ethnographic study, carried out at a public school of Fortaleza-CE, Brazil. The population was composed of twenty male adolescents, from 12 to 18 years and that study in the fundamental and secondary education. The data collection happened through a semi-structured interview and simple observation. The content analysis followed Bardin's orientation. The survey was adopted by the Ethics in Research of the UFC, under protocol number 119/07 and after the informed consent of parents. Results: the data showed that among the risk conducts mentioned by the adolescents, the main one is sexual intercourse without preservative, and that there is fear and regret after the unprotected intercourse, and that the partner's age do influence in a negative way for protection. Conclusion: we considered necessary an approach on safe sex among teenagers, demanding the production of creative strategies that make sense in several socio-cultural contexts in which the adolescents are inserted. Descriptors: adolescent; sexual behavior; sexually transmitted diseases.
McCarty-Caplan, David Milo
School-based adolescent sexual health education in the United States has long served as a means of combating emotional and physical threats to the well-being of youth. However, this sex education has since its inception marginalized the experiences and health concerns of lesbian, gay, and bisexual (LGB) students and contributed to school
Lormand, Donna K.; Markham, Christine M.; Peskin, Melissa F.; Byrd, Theresa L.; Addy, Robert C.; Baumler, Elizabeth; Tortolero, Susan R.
Background: Whereas dating violence among high school students has been linked with sexual risk-taking and substance use, this association has been understudied among early adolescents. We estimated the prevalence of physical and nonphysical dating violence in a sample of middle school students and examined associations between dating violence,
McCarty-Caplan, David Milo
School-based adolescent sexual health education in the United States has long served as a means of combating emotional and physical threats to the well-being of youth. However, this sex education has since its inception marginalized the experiences and health concerns of lesbian, gay, and bisexual (LGB) students and contributed to schoolâ¦
Aliucha Díaz Curbelo
Full Text Available OBJETIVOS: caracterizar y explorar aspectos relacionados con sexualidad y reproducción en un grupo de adolescentes de 15 a 19 años de politécnicos del municipio Cotorro (diciembre 2007. MÉTODOS: investigación observacional, descriptiva, prospectiva y transversal. Universo: 2153 efebos de los cuales se tomó al azar una muestra de 1292. Se estudiaron: edad, sexo, edad de iniciación en vida sexual, conocimientos sobre sexualidad y reproducción, infecciones de transmisión sexual y fuentes de información. RESULTADOS: edades entre 15 y 18 años, 61,9 %, varones 56,7 % y 70,9 % se habían iniciado en la vida sexual. "Responsabilidad de evitar embarazo" obtuvo el porcentaje más elevado de respuestas correctas (81,4 %, 79,3 % señaló el condón como anticonceptivo ideal. En "riesgos de infecciones de transmisión sexual", 61,9 % acertó. Los pares, fueron la primera fuente de información en 55,7 % y principal en 68,1 %. CONCLUSIONES: predominaron los menores de 18 años y el sexo masculino de los iniciados en la vida sexual. La primera y principal fuente de información fue el grupo de pares.OBJECTIVES: to characterize and explore aspects related to sexuality and reproduction in a group of adolescents aged 15-19 from the polytechnics of Cotorro municipality (December 2007. METHODS: an observational, descriptive, prospective and cross-sectional research was undertaken. The universe was composed of 2153 adolescents, of whom a sample of 1292 was taken at random. Age, sex, age at the beginning of sexual relations, knowledge about sexuality and reproduction, sexually tranasmited infections, and iniformation sources were studied. RESULTS: 61.9 % were between 15 and 18 years old, 56.7 % of them were males and 70.9 % had already initiated sexual relations. "The responsability for preventing pregnancy" obtained the highest percent of correct answers (81.4 %. 79.3 % referred to condom as the ideal contraceptive. As regards "risks for sexually transmitted infections" 61.9 % were right. The peer groups were the first source of information in 55.7 % and the main in 68.1 %. CONCLUSIONS: It was observed a predominance of adolescents under 18, of males and of those who had started their sexual life. The main source of information was the peer group.
Akanle Florence Foluso
Full Text Available This study investigates the magnitude and patterns of sexual coercion experienced by female adolescents in Southwest zone in Nigeria. The study population consists of all female adolescents aged 12-16 years. These adolescents are those who are either enrolled in the secondary school or those with limited education that was not in school at the period of this study. Samples of 475 girls were drawn from both the school and those not in schools. The sample was drawn from three different Yoruba speaking states in the south west Nigeria. The sampling techniques that were used were stratified and simple random sampling. The research instrument was a self constructed questionnaire title (SCAQ- Sexual Coercion of female Adolescents Questionnaire. The instrument has a reliability coefficient of 0.76 and was validated using, face content, validity procedure of testing validity. The data generated were analyzed using frequency counts and percentages for describing the data. The appropriate statistics such as t-test, Pearson product moment correlation and chi-square were used to make inferences about the data. The analysis of the data shows that girls have experienced sexual coercion such as verbal threats, unwanted touch, deceived into sex or forced sex. Other forms of sexual coercion such as verbal pressure, threats or unwanted holding of hands unwanted hugging or kissing as well as forced sexual activities have been experienced by girls. Based on the findings, it was recommended that skill training needs to be provided in and outside the school system. Teachers and counsellors should convey prevention messages so as to sensitize or discourage sexual coercion of female students in school.
Chirinos Jesús L.; Salazar Victor C.; Brindis Claire D.
To document knowledge and attitudes regarding sexuality and sexual practices of male adolescent high school students in Lima, Peru, a self-administered, anonymous survey was completed by 991 male adolescents aged 12-19 as part of a School-Based Sex Education Intervention model. Questions concerned sociodemographic information; family characteristics; personal activities; knowledge and attitudes regarding sexuality; sexual experience; and contraceptive use. Knowledge related to sexuality was l...
Mereish, Ethan H; Poteat, V Paul
Sexual minorities (e.g., lesbians, gay men, bisexual individuals) are at an increased risk for poorer mental and physical health outcomes than heterosexuals, and some of these health disparities relate to minority stressors such as discrimination. Yet, there is little research elucidating pathways that predict health or that promote resiliency among sexual minorities. Building on the minority stress model, the present study utilized relational cultural theory to situate sexual minority health within a relational framework. Specifically, the study tested mediators of the relationships between distal (i.e., discrimination, rejection, victimization) and proximal stressors (i.e., internalized homophobia, sexual orientation concealment) and psychological and physical distress for sexual minorities. Among 719 sexual minority adults, structural equation modeling analyses were used to test 4 models reflecting the mediating effects of shame, poorer relationships with a close peer and the lesbian/gay/bisexual/transgender (LGBT) community, and loneliness on the associations between minority stressors and psychological distress (i.e., depression and anxiety) and physical distress (i.e., distressing physical symptoms). As hypothesized, the associations between distal and proximal minority stressors and distress were mediated by shame, poorer relationships with a close peer and the LGBT community, and loneliness. Findings underscore the possible relational and interpersonal mechanisms by which sexual minority stressors lead to psychological and physical distress. PMID:26010289
Cragun, Ryan T; Sumerau, J Edward
Prior research has reported that many Americans hold prejudicial attitudes toward sexual and gender minorities. Most of this research analyzed attitudes toward target categories in isolation and not in relation to attitudes toward heterosexuals. In addition, most previous research has not examined attitudes of members of sexual and gender minority categories toward other categories. While some research has examined the influence of religiosity on attitudes toward sexual and gender minorities, none of these studies has examined religiosity while also examining the influence of spirituality. In this article we drew on insights from queer theory to examine attitudes toward heterosexual, gay, lesbian, bisexual, and transgender individuals, as well as individuals who practice polygamy, among college students. Three samples gathered over a four-year period (2009, 2011, 2013) at a private, nonsectarian, midsized urban university in the Southeastern United States were used. We found that heterosexuals had the most positive rating, followed in order of rating by gay/lesbian, bisexual, and transgender individuals, and then those who practice polygamy. Regression analyses revealed gender and race were significant predictors of attitudes toward various sexual and gender categories. Holding a literalistic view of the Bible and self-identifying as more religious were related to more negative views toward sexual minorities, while self-identifying as more spiritual was related to more positive views. PMID:25116166
Bonvanie, Irma J; van Gils, Anne; Janssens, Karin A M; Rosmalen, Judith G M
The main aim of this study was to investigate the effect of childhood sexual abuse on medically not well explained or functional somatic symptoms (FSSs) in adolescents. We hypothesized that sexual abuse predicts higher levels of FSSs and that anxiety and depression contribute to this relationship. In addition, we hypothesized that more severe abuse is associated with higher levels of FSSs and that sexual abuse is related to gastrointestinal FSSs in particular. This study was part of the Tracking Adolescents' Individual Lives Survey (TRAILS): a general population cohort which started in 2001 (N=2,230; 50.8% girls, mean age 11.1 years). The current study uses data of 1,680 participants over four assessment waves (75% of baseline, mean duration of follow-up: 8 years). FSSs were measured by the Somatic Complaints subscale of the Youth Self-Report at all waves. Sexual abuse before the age of sixteen was assessed retrospectively with a questionnaire at T4. To test the hypotheses linear mixed models were used adjusted for age, sex, socioeconomic status, anxiety and depression. Sexual abuse predicted higher levels of FSSs after adjustment for age sex and socioeconomic status (B=.06) and after additional adjustment for anxiety and depression (B=.03). While sexual abuse involving physical contact significantly predicted the level of FSSs (assault; B=.08, rape; B=.05), non-contact sexual abuse was not significantly associated with FSSs (B=.04). Sexual abuse was not a stronger predictor of gastrointestinal FSSs (B=.06) than of all FSSs. Further research is needed to clarify possible mechanisms underlying relationship between sexual abuse and FSSs. PMID:26142915
Frost, David M.; Meyer, Ilan H
Theory and research agree that connectedness to the lesbian, gay, bisexual, and transgender (LGBT) community is an important construct to account for in understanding issues related to health and well-being among gay and bisexual men. However, the measurement of this construct among lesbian and bisexual women or racial/ethnic minority individuals has not yet been adequately investigated. This study examined the reliability and validity of an existing measure of Connectedness to the LGBT Commu...
Hatzenbuehler, Mark L; Bellatorre, Anna; Lee, Yeonjin; Finch, Brian K; Muennig, Peter; Fiscella, Kevin
Stigma operates at multiple levels, including intrapersonal appraisals (e.g., self-stigma), interpersonal events (e.g., hate crimes), and structural conditions (e.g., community norms, institutional policies). Although prior research has indicated that intrapersonal and interpersonal forms of stigma negatively affect the health of the stigmatized, few studies have addressed the health consequences of exposure to structural forms of stigma. To address this gap, we investigated whether structural stigma-operationalized as living in communities with high levels of anti-gay prejudice-increases risk of premature mortality for sexual minorities. We constructed a measure capturing the average level of anti-gay prejudice at the community level, using data from the General Social Survey, which was then prospectively linked to all-cause mortality data via the National Death Index. Sexual minorities living in communities with high levels of anti-gay prejudice experienced a higher hazard of mortality than those living in low-prejudice communities (Hazard Ratio [HR]Â =Â 3.03, 95% Confidence Interval [CI]Â =Â 1.50, 6.13), controlling for individual and community-level covariates. This result translates into a shorter life expectancy of approximately 12 years (95% C.I.: 4-20 years) for sexual minorities living in high-prejudice communities. Analysis of specific causes of death revealed that suicide, homicide/violence, and cardiovascular diseases were substantially elevated among sexual minorities in high-prejudice communities. Strikingly, there was an 18-year difference in average age of completed suicide between sexual minorities in the high-prejudice (age 37.5) and low-prejudice (age 55.7) communities. These results highlight the importance of examining structural forms of stigma and prejudice as social determinants of health and longevity among minority populations. PMID:23830012
Warenius, Linnéa U; Faxelid, Elisabeth A; Chishimba, Petronella N; Musandu, Joyce O; Ong'any, Antony A; Nissen, Eva B-M
Adolescent sexuality is a highly charged moral issue in Kenya and Zambia. Nurse-midwives are the core health care providers of adolescent sexual and reproductive health services but public health facilities are under-utilised by adolescents. The aim of this study was to investigate attitudes among Kenyan and Zambian nurse-midwives (n=820) toward adolescent sexual and reproductive health problems, in order to improve services for adolescents. Data were collected through a questionnaire. Findings revealed that nurse-midwives disapproved of adolescent sexual activity, including masturbation, contraceptive use and abortion, but also had a pragmatic attitude to handling these issues. Those with more education and those who had received continuing education on adolescent sexuality and reproduction showed a tendency towards more youth-friendly attitudes. We suggest that critical thinking around the cultural and moral dimensions of adolescent sexuality should be emphasised in undergraduate training and continuing education, to help nurse-midwives to deal more empathetically with the reality of adolescent sexuality. Those in nursing and other leadership positions could also play an important role in encouraging wider social discussion of these matters. This would create an environment that is more tolerant of adolescent sexuality and that recognises the beneficial public health effect for adolescents of greater access to youth-friendly sexual and reproductive health services. PMID:16713886
Feiring, Candice; Lewis, Michael; Taska, Lynn
Interviews with 96 children and 73 adolescents following sexual abuse found significant age and sex differences. Adolescents reported a higher level of depressive symptoms, negative reactions by others, and lower levels of self-esteem, social support, and sexual anxiety. Girls reported higher levels of intrusive thoughts, hyperarousal, sexual
This study examined the effect of anonymity on adolescents' sexual self-disclosure on the Internet and the impact of topic intimacy on their reply intent for sexual disclosure by conducting a survey with 1,347 adolescents. It was found that male participants were more likely than females to engage in sexual self-disclosure and to correspondingly
Metzler, Carol W.; And Others
Reports on the development and construct validation of two measures of high-risk sexual behavior for heterosexual adolescents. It was hypothesized that specific risky sexual behaviors would be interrelated, and that the cluster of high-risk sexual behaviors would be correlated with measures of other adolescent problem behaviors. Results provideâ¦
Low Nicola; Nelson Simon; Doerner Rita; McKeown Eamonn; Elford Jonathan; Anderson Jane
Abstract Background Men who have sex with men (MSM) remain the group most at risk of acquiring HIV infection in Britain. HIV prevalence appears to vary widely between MSM from different ethnic minority groups in this country for reasons that are not fully understood. The aim of the MESH project was to examine in detail the sexual health of ethnic minority MSM living in Britain. Methods/Design The main objectives of the MESH project were to explore among ethnic minority MSM living in Britain: ...
SeÃ±a, Arlene C; Hsu, Katherine K; Kellogg, Nancy; Girardet, Rebecca; Christian, Cindy W; Linden, Judith; Griffith, William; Marchant, Anne; Jenny, Carole; Hammerschlag, Margaret R
Survivors of sexual assault are at risk for acquiring sexually transmitted infections (STIs). We conducted literature reviews and invited experts to assist in updating the sexual assault section for the 2015 Centers for Disease Control and Prevention sexually transmitted diseases (STD) treatment guidelines. New recommendations for STI management among adult and adolescent sexual assault survivors include use of nucleic acid amplification tests (NAATs) for detection of Trichomonas vaginalis by vaginal swabs; NAATs for detection of Neisseria gonorrhoeae and Chlamydia trachomatis from pharyngeal and rectal specimens among patients with a history of exposure or suspected extragenital contact after sexual assault; empiric therapy for gonorrhea, chlamydia, and trichomoniasis based on updated treatment regimens; vaccinations for human papillomavirus (HPV) among previously unvaccinated patients aged 9-26 years; and consideration for human immunodeficiency virus (HIV) nonoccupational postexposure prophylaxis using an algorithm to assess the timing and characteristics of the exposure. For child sexual assault (CSA) survivors, recommendations include targeted diagnostic testing with increased use of NAATs when appropriate; routine follow-up visits within 6 months after the last known sexual abuse; and use of HPV vaccination in accordance with national immunization guidelines as a preventive measure in the post-sexual assault care setting. For CSA patients, NAATs are considered to be acceptable for identification of gonococcal and chlamydial infections from urine samples, but are not recommended for extragenital testing due to the potential detection of nongonococcal Neisseria species. Several research questions were identified regarding the prevalence, detection, and management of STI/HIV infections among adult, adolescent, and pediatric sexual assault survivors. PMID:26602623
Craig, Shelley L.; Smith, Mark S.
Sexual minority youth are known to face increased risk of poor school performance; however, little research has focused on the educational experiences of multiethnic sexual minority youth (MSMY) in particular. Using venue-based sampling approaches, this study surveyed 255 MSMY at 15 urban high schools. The majority of participants identified asâ¦
Duong, Jeffrey; Bradshaw, Catherine
Background: Research on the extent to which cyberbullying affects sexual minority youth is limited. This study examined associations between experiencing cyber and school bullying and engaging in aggressive and suicidal behaviors among sexual minority youth. We also explored whether feeling connected to an adult at school moderated these
Wiseman, Marcie C.; Moradi, Bonnie
On the basis of integrating objectification theory research with research on body image and eating problems among sexual minority men, the present study examined relations among sociocultural and psychological correlates of eating disorder symptoms with a sample of 231 sexual minority men. Results of a path analysis supported tenets of
Wiseman, Marcie C.; Moradi, Bonnie
On the basis of integrating objectification theory research with research on body image and eating problems among sexual minority men, the present study examined relations among sociocultural and psychological correlates of eating disorder symptoms with a sample of 231 sexual minority men. Results of a path analysis supported tenets ofâ¦
Casey, Erin A.; Beadnell, Blair; Lindhorst, Taryn P.
Data from male participants in the National Longitudinal Study of Adolescent Health are used to examine childhood predictors of late adolescent and early adulthood sexually coercive behavior and adolescent mediators of these relationships. A path analysis shows that experiencing sexual abuse as a child has a direct effect on perpetrating
Skilling, Tracey A.; Doiron, James M.; Seto, Michael C.
This study examined the extent of, and explored several possible explanations for, the discrepancies found between adolescent and parent reports of conduct problems in adolescent sexual and nonsexual offenders. We found that adolescent sexual offenders scored lower on measures of conduct problems than did nonsexual offenders, whether on the basis
Kao, Tsui-Sui Annie; Manczak, Melissa
This study explored the relationships among personal factors, family structure and family function, adolescents self-efficacy for safe sex, and sexual behaviors among sexually active adolescents. A subset sample from the first three waves of the National Longitudinal Study of Adolescent Health (Add Health) was selected for this exploratory
Haley, Tammy; Puskar, Kathryn; Terhorst, Lauren; Terry, Martha Ann; Charron-Prochownik, Denise
Adolescents who engage in unprotected intercourse are at risk of pregnancy and sexually transmitted infection (STI). Although adolescents in rural areas participate in levels of sexual risk taking similar to that of nonrural youth, few data are available identifying factors that influence condom use among rural adolescents. The purpose of this
Miller, Brent C.; Moore, Kristin A.
Summarizes research from the 1980s on topics of adolescent sexual activity, contraception, abortion, marriage, adoption, and childrearing. Emphasizes research about antecedents of adolescent sexual and contraceptive behavior because they are key risk factors in adolescent pregnancy. Notes advances in data and methods and highlights research gaps.
Mallie, Adana L.; Viljoen, Jodi L.; Mordell, Sarah; Spice, Andrew; Roesch, Ronald
Recent research indicates that adolescents who have sexually offended are more likely than other adolescents to have a history of sexual and physical abuse. However, it is unclear whether abuse predicts re-offending among these adolescents. To examine this relationship, a meta-analysis was conducted which included 29 effect sizes drawn from 11
Crosby, Richard A.; Danner, Fred
Background: Estimates suggest that about 48% of nearly 19 million cases of sexually transmitted diseases (STDs) occurring annually in the United States are acquired by persons aged 15-24 years. The purpose of this study was to test the hypothesis that adolescents' attitudes about protecting themselves from STDs predict their laboratory-confirmed
Crosby, Richard A.; Danner, Fred
Background: Estimates suggest that about 48% of nearly 19 million cases of sexually transmitted diseases (STDs) occurring annually in the United States are acquired by persons aged 15-24 years. The purpose of this study was to test the hypothesis that adolescents' attitudes about protecting themselves from STDs predict their laboratory-confirmedâ¦
Frisco, Michelle L.
High school students today have high ambitions but do not always make choices that maximize their likelihood of educational success. This is the motivation for investigating relationships between high school sexual behavior and two important academic attainment milestones: earning a high school diploma and enrollment in distinct postsecondary programs. Analysis of data from 7,915 National Education Longitudinal Study of 19881994 participants indicates that timing of sexual initiation, contra...
Gottfried, Michael; Estrada, Fernando; Sublett, Cameron
Sexual minority students such as those identifying as lesbian, gay, or bisexual, as well as those identifying with emerging self-labels (e.g., queer) face a host of risk factors in high school that can potentially compromise educational excellence, particularly in rigorous academic disciplines. The current study advances the area of diversity
A queer theory perspective and grounded theory techniques were used to examine perceptions of counselor competency with sexual minority intimate partner violence victims. Ten counselors participated in two rounds of individual interviews. Results indicate that beneficial aspects of competency development occurred prior to, during, and after their
This paper addresses the issues and desirable professional school counselor responses when working with sexual minority youth in the schools, including gay, lesbian, bisexual, transgender, intersex, queer, and questioning youth. The issues that are addressed include: developing a context in which to discuss these issues; coming out or the
Triffleman, Elisa G.; Pole, Nnamdi
Objective: Studies examining psychological trauma or posttraumatic stress disorder (PTSD) in ethnoracial or sexual minority groups are relatively few. The "Journal of Consulting and Clinical Psychology" recently published 4 articles (Balsam, Lehavot, Beadnall, & Circo, 2010; Harrington, Crowther, & Shipherd, 2010; Lester, Resick, Young-Xu, & Artz,
Gottfried, Michael; Estrada, Fernando; Sublett, Cameron
Sexual minority students such as those identifying as lesbian, gay, or bisexual, as well as those identifying with emerging self-labels (e.g., queer) face a host of risk factors in high school that can potentially compromise educational excellence, particularly in rigorous academic disciplines. The current study advances the area of diversityâ¦
Friedman, Carly; Leaper, Campbell
This study examined sexual-minority women's reports of sexism, heterosexism, and gendered heterosexism (discrimination that is both sexist and heterosexist) as predictors of social identity and collective action during college. A measure of gendered heterosexism was developed that assesses women's experiences with discrimination that isâ¦
Friedman, Carly; Leaper, Campbell
This study examined sexual-minority women's reports of sexism, heterosexism, and gendered heterosexism (discrimination that is both sexist and heterosexist) as predictors of social identity and collective action during college. A measure of gendered heterosexism was developed that assesses women's experiences with discrimination that is
Balsam, Kimberly F; Molina, Yamile; Blayney, Jessica A; Dillworth, Tiara; Zimmerman, Lindsey; Kaysen, Debra
Previous research suggests that sexual minorities are at greater risk for trauma exposure, mental health problems, and substance use. To date, few studies have examined racial/ethnic differences among sexual minorities in relation to health-related behaviors and outcomes. Furthermore, studies of racial/ethnic differences among young adult sexual minority women (SMW) are virtually nonexistent. The current study adds to the previous literature by exploring differences in trauma exposure, sexual identity, mental health, and substance use in a nonprobability national sample of young adult SMW. A total of 967 self- identified lesbian and bisexual women were recruited via the Internet using social networking sites to participate in a larger longitudinal study on young women's health behaviors. The present study included 730 (76%) White, 108 (10%) African American, 91 (9%) Latina, and 38 (4%) Asian women ages 18 to 25 years. Results revealed differences in socioeconomic variables, degree of outness to family, childhood sexual assault, and forcible rape, but not overall lifetime trauma exposure. Among mental health and health-related behavior variables, few differences between groups emerged. Our findings indicate that both researchers and clinicians should turn their attention to processes of resilience among young SMW, particularly young SMW of color. PMID:25642782
Driesmans, Karolien; Vandenbosch, Laura; Eggermont, Steven
Objective: Prior research has documented favorable effects of active and educational videogames among adolescents. However, research on potential negative effects of such games is limited. Scholars have called attention to games portraying sexualized female characters. The purpose of the current study was to experimentally investigate the effect of playing a videogame with a sexualized female character on adolescents acceptance of rape myths and tolerance for sexual harassment. Materials...
Cecil, Heather; Matson, Steven C.
Adolescent females are disproportionately represented among reported cases of sexual victimization. Because sexual victimization is associated with an array of negative sequelae (e.g., depression, alcohol abuse), psychometrically sound instruments are urgently needed to assess sexual victimization or coercion. The investigation conducts a
Mitchell, Kimberly J; Ybarra, Michele L; Korchmaros, Josephine D
This article examines (a) variation in rates of sexual harassment across mode (e.g., in-person, online) and type of harassment, (b) the impact of sexual harassment (i.e., distressing vs. non-distressing), and (c) how sexual harassment is similarly and differently experienced across sexual orientation and gender identity groups. Data were collected as part of the Teen Health and Technology online survey of 5,907 13 to 18 year-old Internet users in the United States. Past year sexual harassment was reported by 23-72% of youth, depending upon sexual orientation, with the highest rates reported by lesbian/queer girls (72%), bisexual girls (66%), and gay/queer boys (66%). When examined by gender identity, transgender youth reported the highest rates of sexual harassment - 81%. Overall, the most common modes for sexual harassment were in-person followed by online. Distress in the form of interference with school, family, and/or friends; creating a hostile environment; or being very/extremely upset was reported by about half of the sexually harassed bisexual girls and lesbian/queer girls, 65% of the gender non-conforming/other gender youth, and 63% of the transgender youth. Youth with high social support and self-esteem were less likely to report sexual harassment. Findings point to the great importance of sexual harassment prevention for all adolescents, with particular emphasis on the unique needs and experiences of youth of different sexual orientations and gender identities. Socio-emotional programs that emphasize self-esteem building could be particularly beneficial for reducing the likelihood of victimization and lessen the impact when it occurs. PMID:24148274
Full Text Available Para los propósitos de esta publicación, se define lo que entendemos por abuso sexual infantil (ASI. Los datos se obtienen de un protocolo utilizado en la revisión de las fichas clínicas. Se describen algunas de las características del abuso sexual en una población de 44 niños y adolescentes de ambos sexos, 24 mujeres (54,5% y 20 varones (45,5%, que consultaron en el Servicio de Salud Mental Infantil del Hospital Roberto del Río durante 1998, ya sea directamente por la situación de abuso sexual, por la patología psiquiátrica asociada a esta situación o porque en sus antecedentes figuraba el dato de ASI. Los abusos sexuales mayoritariamente correspondieron a las formas más graves y de mayor penalidad legal (penetración bucal, vaginal, anal o intento de penetración, afectando éstos al 62,5% de las mujeres y al 55% de los varones. Los abusadores se distinguieron, de acuerdo a la edad, en adultos (mayores de 18 años y adolescentes (menores de 18 años que correspondían al 79,5% y 20,5% respectivamente. El abusador era un familiar o conocido en el 90,9% de los casos. El 66,7% de los casos fueron abusos sexuales intrafamiliares. El abuso sexual constituye una patología emergente en los Servicios de Psiquiatría Infantil, debe ser buscado intencionadamente, pues de lo contrario puede pasar desapercibido. Se plantea la necesidad de constituir grupos multiprofesionales para proteger al menor de nuevos abusos y favorecer la recuperación de los miembros de la familia afectadosA definition is given of child sexual abuse (CSA for the purposes of this publication. The data was obtained from clinical records. Sexual abuse is described in a population of 44 children and adolescents of both sexes, 24 girls (54.5% and 20 boys (45.5% that were seen at the Pediatric Mental Health Service of Roberto del Rio Hospital during 1998 either directly for the sexual abuse, for psychiatric pathologies associated with the situation, or because of a past history of CSA. The sexual abuse was generally the more serious type carrying more serious legal penalties (mouth, vaginal or anal penetration, or attempted penetration and affected 62.5% of the girls and 55% of the boys. The abusers included both adults (over the age of 18 and adolescents (under 18, 79.5% and 20.5% respectively. Abusers were relatives or acquaintances in 90.9% of the cases, and 66.7% were cases of intrafamily sexual abuse. Sexual abuse is an emerging pathology in the pediatric psychiatric services, and it must be intentionally sought so that it does not go undetected. The need to establish multiprofessional groups is suggested in order to protect minors from subsequent abuse and to facilitate the recovery of the family members affected
Carlos, Almonte; Carla, Insunza; Cecilia, Ruiz.
Full Text Available Para los propósitos de esta publicación, se define lo que entendemos por abuso sexual infantil (ASI). Los datos se obtienen de un protocolo utilizado en la revisión de las fichas clínicas. Se describen algunas de las características del abuso sexual en una población de 44 niños y adolescentes de amb [...] os sexos, 24 mujeres (54,5%) y 20 varones (45,5%), que consultaron en el Servicio de Salud Mental Infantil del Hospital Roberto del Río durante 1998, ya sea directamente por la situación de abuso sexual, por la patología psiquiátrica asociada a esta situación o porque en sus antecedentes figuraba el dato de ASI. Los abusos sexuales mayoritariamente correspondieron a las formas más graves y de mayor penalidad legal (penetración bucal, vaginal, anal o intento de penetración), afectando éstos al 62,5% de las mujeres y al 55% de los varones. Los abusadores se distinguieron, de acuerdo a la edad, en adultos (mayores de 18 años) y adolescentes (menores de 18 años) que correspondían al 79,5% y 20,5% respectivamente. El abusador era un familiar o conocido en el 90,9% de los casos. El 66,7% de los casos fueron abusos sexuales intrafamiliares. El abuso sexual constituye una patología emergente en los Servicios de Psiquiatría Infantil, debe ser buscado intencionadamente, pues de lo contrario puede pasar desapercibido. Se plantea la necesidad de constituir grupos multiprofesionales para proteger al menor de nuevos abusos y favorecer la recuperación de los miembros de la familia afectados Abstract in english A definition is given of child sexual abuse (CSA) for the purposes of this publication. The data was obtained from clinical records. Sexual abuse is described in a population of 44 children and adolescents of both sexes, 24 girls (54.5%) and 20 boys (45.5%) that were seen at the Pediatric Mental Hea [...] lth Service of Roberto del Rio Hospital during 1998 either directly for the sexual abuse, for psychiatric pathologies associated with the situation, or because of a past history of CSA. The sexual abuse was generally the more serious type carrying more serious legal penalties (mouth, vaginal or anal penetration, or attempted penetration) and affected 62.5% of the girls and 55% of the boys. The abusers included both adults (over the age of 18) and adolescents (under 18), 79.5% and 20.5% respectively. Abusers were relatives or acquaintances in 90.9% of the cases, and 66.7% were cases of intrafamily sexual abuse. Sexual abuse is an emerging pathology in the pediatric psychiatric services, and it must be intentionally sought so that it does not go undetected. The need to establish multiprofessional groups is suggested in order to protect minors from subsequent abuse and to facilitate the recovery of the family members affected
Inyang, Mfrekemfon P; Inyang, Obonganyie P
The success of any type of sexual education programme depends on the knowledge and preparedness for practice by adolescents. A recent study has found that an 'abstinence-only' sexual education programme is effective in reducing sexual activity among adolescents. Knowledge of abstinence-only sexual education and preparedness for practice as an effective tool for promotion of sexual health among Nigerian secondary school adolescents was studied. An analytic descriptive survey design was used for the study. The research population comprised of all public secondary schools in three southern geopolitical zones of the Niger Delta Region of Nigeria. A multistage sampling technique was used to select 2020 senior secondary school (SS1-SS3) students as sample for the study. A partially self-designed and partially adapted questionnaire from an 'abstinence-only versus comprehensive sex education' debate, from debatepedia (http://wiki.idebate.org/), entitled 'Questionnaire on Nigerian Secondary School Adolescents' Perspective on Abstinence-Only Sexual Education (QNSSAPAOSE)' was used in eliciting information from respondents. Hypotheses were formulated and tested. Frequency counts, percentage and Pearson Product Moment Correlation were used in analysing data. A greater proportion of secondary school adolescents in this study lacked knowledge of sexual education. About 80% of the respondents could not define sexual education. The general perspective on abstinence-only sexual education was negative, as revealed by the larger number of respondents who demonstrated unwillingness to practice abstinence-only sexual education. Specifically, of those who responded in favour of abstinence-only sexual education, the youngest group of adolescents (11-13 years) and the male respondents were more likely to accept this type of education than the other groups. Poor knowledge of sexual education could be responsible for unwillingness to practice abstinence-only sexual education. Sexual education should, therefore, be introduced into the secondary school curriculum and taught by well-prepared teachers to enable an informed decision on practice. PMID:24627776
Povlsen, Lene; Olsen, Birthe; Ladelund, Steen
AIM: This paper reports an investigation to establish whether metabolic control is different in children and adolescents from ethnic minorities with type 1 diabetes compared with young Danish patients, and to learn about factors affecting their opportunities to achieve good metabolic control. BACKGROUND: The prevalence of diabetes in children and adolescents from ethnic minorities in Denmark is increasing. Having a different ethnic background has frequently been described as a risk factor for po...
Manuel Rodríguez González
Full Text Available Background: child sexual abuse is a reality that deeply lacerates families and individuals who suffer it.Objective: to characterize child victims of sexual abuse.Methods: a descriptive study was conducted in 2012 at the Dr. Gustavo Aldereguía Lima Hospital, involving 50 victims of sexual abuse less than 16 years of age who were assessed by the Forensic Psychiatric Evaluation Commission. Sex, age, origin, form and frequency of sexual abuse, relationship to perpetrator, place and time of occurrence, physical indicators found on genital examination and personal, family and community risk factors were analyzed.Results: the highest incidence of sexual abuse was found in girls (76%. The most common sexual offenses were lascivious abuse (48%, corruption of minors (22% and rape (16%. Abuses were continuous in 62% of cases. Ninety percent of these acts were committed by individuals related to the child, relatives, neighbors or acquaintances; 58% occurred in the house of the perpetrator or the victim and in the afternoon (44%. There were no physical indicators on the genital examination in 58% of the cases. There are no personal risk factors in most of the children (92%, predominant community and family risk factor was alcoholism (64 and 38 % respectively. Conclusions: child victims of sexual abuse have characteristics and risk factors at the family and community levels that help to identify vulnerable groups.
Blum Robert W; Fatusi Adesegun O
Abstract Background Early sexual debut among adolescents is associated with considerable negative heath and development outcomes. An understanding of the determinants or predictors of the timing of sexual debut is important for effective intervention, but very few studies to date have addressed this issue in the Nigerian context. The aim of the present study is to examine predictors of adolescent sexual initiation among a nationally representative sample of adolescents in Nigeria. Methods Int...
Baams, Laura; Overbeek, GeertJan; Dubas, Judith Semon; Aken, Marcel A. G.
Little is known about the relationship between personality and sexual development among mid-adolescents. In the current study, we used a person-centered approach to investigate the relation between personality types and the development of sexual behavior. We hypothesized that undercontrolling adolescents would engage in more advanced, casual, and risky sexual behavior compared to their resilient and overcontrolling peers. Data were used from 407 mid-adolescents (Mage = 14.5) followed across f...
Mamabolo, Marumo Nyabane
In rendering child care protection services to adolescents in the Marshite area as a social worker in the Department of Social Development, the researcher recognised that an increased number of adolescents are sexually abused also by persons known to them. The sexual abuses are not reported because adolescents and caregivers lacked adequate knowledge of what is sexual abuse and services provided by social workers available for them. This became evident from the intervention programme statisti...
A cross-sectional study on attitudes toward gender equality, sexual behavior, positive sexual experiences, and communication about sex among sexually active and non-sexually active adolescents in Bolivia and Ecuador
Sara De Meyer
Full Text Available Background: It is widely agreed upon that gender is a key aspect of sexuality however, questions remain on how gender exactly influences adolescents sexual health. Objective: The aim of this research was to study correlations between gender equality attitudes and sexual behavior, sexual experiences and communication about sex among sexually active and non-sexually active adolescents in 2 Latin American countries. Design: In 2011, a cross-sectional study was carried out among 5,913 adolescents aged 1418 in 20 secondary schools in Cochabamba (Bolivia and 6 secondary schools in Cuenca (Ecuador. Models were built using logistic regressions to assess the predictive value of attitudes toward gender equality on adolescents sexual behavior, on experiences and on communication. Results: The analysis shows that sexually active adolescents who consider gender equality as important report higher current use of contraceptives within the couple. They are more likely to describe their last sexual intercourse as a positive experience and consider it easier to talk with their partner about sexuality than sexually experienced adolescents who are less positively inclined toward gender equality. These correlations remained consistent whether the respondent was a boy or a girl. Non-sexually active adolescents, who consider gender equality to be important, are more likely to think that sexual intercourse is a positive experience. They consider it less necessary to have sexual intercourse to maintain a relationship and find it easier to communicate with their girlfriend or boyfriend than sexually non-active adolescents who consider gender equality to be less important. Comparable results were found for boys and girls. Conclusions: Our results suggest that gender equality attitudes have a positive impact on adolescents sexual and reproductive health (SRH and wellbeing. Further research is necessary to better understand the relationship between gender attitudes and specific SRH outcomes such as unwanted teenage pregnancies and sexual pleasure among adolescents worldwide.
Ellen, J.; Lane, M.; McCright, J
Objectives: To determine the proportion of sexually experienced African American adolescents who report having been screened for sexually transmitted diseased (STDs), and to determine the proportion who report having been screened for STDs among those adolescents who have had a preventive primary healthcare visit in the past 2 years.
Morris, Jessica L; Rushwan, Hamid
Adolescent sexual and reproductive health (ASRH) has been overlooked historically despite the high risks that countries face for its neglect. Some of the challenges faced by adolescents across the world include early pregnancy and parenthood, difficulties accessing contraception and safe abortion, and high rates of HIV and sexually transmitted infections. Various political, economic, and sociocultural factors restrict the delivery of information and services; healthcare workers often act as a barrier to care by failing to provide young people with supportive, nonjudgmental, youth-appropriate services. FIGO has been working with partners and its member associations to break some of these barriers-enabling obstetricians and gynecologists to effect change in their countries and promote the ASRH agenda on a global scale. PMID:26433504
van Oosten, Johanna M F; Peter, Jochen; Boot, Inge
Previous research suggests that adolescents' social network site use is related to their sexual development. However, the associations between adolescents' exposure to sexy self-presentations of others on social network sites and their sexual attitudes and experience have not yet been empirically supported. This study investigated reciprocal longitudinal relationships between adolescents' exposure to others' sexy self-presentations on social network sites and their sexual attitudes (i.e., sexual objectification of girls and instrumental attitudes towards sex) and sexual experience. We further tested whether these associations depended on adolescents' age and gender. Results from a representative two-wave panel study among 1,636 Dutch adolescents (aged 13-17, 51.5 % female) showed that exposure to sexy online self-presentations of others predicted changes in adolescents' experience with oral sex and intercourse 6 months later, but did not influence their sexual attitudes. Adolescents' instrumental attitudes towards sex, in turn, did predict their exposure to others' sexy online self-presentations. Sexual objectification increased such exposure for younger adolescents, but decreased exposure for older adolescents. In addition, adolescents' experience with genital touching as well as oral sex (only for adolescents aged 13-15) predicted their exposure to sexy self-presentations of others. These findings tentatively suggest that the influence on adolescents' sexual attitudes previously found for sexual media content may not hold for sexy self-presentations on social network sites. However, exposure to sexy self-presentations on social network sites is motivated by adolescents' sexual attitudes and behavior, especially among young adolescents. PMID:25287000
Hansson, Robert O.; And Others
Female subjects whose mothers were employed outside the home during the high school years (a) had a greater tendency to begin sexual relations before age 19, (b) expressed less concern regarding the risk of unintended pregnancy, and (c) scored lower on an objective test of their practical knowledge about contraception. (Author/GK)
Johnson, Timothy P.; Hughes, Tonda L.; Cho, Young Ik; Wilsnack, Sharon C.; Aranda, Frances; Szalacha, Laura A.
Objective: Sexual-minority women are at heightened risk for a number of mental health problems, including hazardous alcohol consumption, depression, and anxiety. We examined self-medication and impaired-functioning models of the associations among these variables and interpreted results within a life course framework that considered the unique social stressors experienced by sexual-minority women. Method: Data were from a sample of 384 women interviewed during the first two waves of the Chicago Health and Life Experiences of Women (CHLEW) study. Results: Covariance structure modeling revealed that (a) consistent with a self-medication process, anxiety was prospectively associated with hazardous drinking and (b) consistent with an impaired-functioning process, hazardous drinking was prospectively associated with depression. Conclusions: Our findings support a life course perspective that interprets the mental health of adult sexual-minority women as influenced by adverse childhood experiences, age at drinking onset, first heterosexual intercourse, and first sexual identity disclosure, as well as by processes associated with self-medication and impaired functioning during adulthood. PMID:23739020
Nereo, Nancy E.; Farber, Barry A.; Hinton, Veronica J.
Compared the willingness of sexually abused late adolescent women (n=22) to self-disclose general and sexual information to strangers and intimate partners with that of similar women who had not been sexually abused. Results indicate that those who were sexually abused in childhood are less likely than nonabused counterparts to be highly
Bismarys, Lescaille Riverí; Dayamí, Odelín Veranes; Maritza, González; Katia, Alfonso Aguilera; Alina, Arencibia Álvarez.
Full Text Available Se indagó acerca de la sexualidad y la procreación responsable en la adolescencia como perspectivas de análisis dentro de las ciencias médicas, desde un enfoque de género, y se expusieron algunas consideraciones sobre la etapa de la adolescencia y los estereotipos sexuales. [...] Abstract in english Sexuality and the responsible procreation in the adolescence were investigated as analysis perspectives within the medical sciences, from a gender approach, and some considerations on the stage of adolescence and the sexual stereotypes were exposed. [...
Holmberg, Lars I
The overall aims of this research were to develop methods of identifying adolescents with unhealthy and/or risk-taking behavior with special reference to sexuality, and to evaluate support measures for young people in need of such interventions. A further aim was to assess strategies for preventing unhealthy and/or risk-taking behavior. Data were obtained by questionnaires (studies I, III, IV and V) and interviews (study II). The results showed that young men involved in unintended pregnancie...
Shaffer, David; And Others
Examined relationship between suicidal behavior and homosexuality in adolescence in an unselected, matched sample. Found no evidence that suicide is a common characteristic of gay youth, or that when suicide does occur among gay teenagers, that it is a direct consequence of stigmatization or lack of support. (JBJ)
Bleakley, Amy; Hennessy, Michael; FISHBEIN, MARTIN
This paper reports on the extent to which adolescents report actively seeking sexual content in media, identifies from which media they report seeking, estimates the association between seeking sexual information and romantic and sexual behavior, and shows that active seeking of sexual content in media sources is explained by an intention to seek such content using the Integrative Model of Behavioral Prediction, a reasoned action approach. The data are a national sample of 810 adolescents age...
Graaf, Hanneke; Vanwesenbeeck, W.M.A.; Meijer, Suzanne
Educational level is strongly associated with age of first intercourse and risk of unintended pregnancies. This study examined these associations in a large representative sample of Dutch adolescents and also included associations of educational level with other sexual health aspects. Adolescents aged 12 to 25 (3,926 boys and 3,915 girls) completed an online questionnaire that included measures of romantic and sexual experience; the evaluation of their sexual debut; the risk of sexually trans...
van Teijlingen Edwin R; Penfold Suzanne C; Tucker Janet S
Abstract Background There is continuing concern about high pregnancy rates and increasing numbers of sexually transmitted infections being detected in Scottish adolescents. Consistent evidence about factors associated with risky sexual behaviours, including early first sexual intercourse, may help to identify adolescents at risk and help improve interventions. This study aimed to provide detailed analysis of the evidence of the associations between individual factors and early sexual intercou...
Bruce, Douglas; Harper, Gary W; FernÃ¡ndez, M. Isabel; Jamil, Omar B.
There is evidence that risks for HIV and sexually transmitted infections among adolescent females are higher for those with older male sexual partners. Yet, little empirical research has been conducted with male adolescents who engage in sexual activity with older men. In this article, we summarize in a number of ways the range of sexual activity reported by an ethnically diverse sample of 200 gay and bisexual male youth (15â22 years old) in Chicago and Miami. A general pattern of progression...
Forsyth, Sophie; Rogstad, Karen
Adolescence is a time of sexual risk-taking and experimentation but also vulnerability. Young people may present to general physicians with systemic symptoms of sexually transmitted infections (STIs), such as arthritis, hepatitis or rash, but may not necessarily volunteer information about sexual activity. It is important for physicians to ask directly about sexual risks and if appropriate test for STIs and pregnancy. Knowing how to take a sexual history and consent a patient for an HIV test are core medical skills that all physicians should be trained to competently perform. Safeguarding young people is the responsibility of all healthcare professionals who come into contact with them, and young victims of abuse may present with physical symptoms such as abdominal pain or deliberate self-harm. We must all be aware of indicators of both child sexual exploitation and HIV infection and not be afraid to ask potentially awkward questions. If we don't we may miss vital opportunities to prevent or minimise harm to young people. PMID:26430183
Sales, Jessica M; Brown, Jennifer L.; DiClemente, Ralph J; Davis, Teaniese L.; Kottke, Melissa J.; Rose, Eve S.
Objective To explore age differences in factors associated with positive sexually transmitted diseases (STD) status among a sample of African-American adolescent females. Methods Data were collected via ACASI from 701 African-American adolescent females (1420 years) seeking services at reproductive health clinics. Adolescents provided self-collected vaginal swabs assayed using NAAT to assess the prevalence of three STDs. Results Younger adolescents (1417 years) had significantly higher rate...
Chambers, Kathryn B; Rew, Lynn
Adolescent women are at risk for unintended pregnancies and sexually transmitted diseases, including human immune deficiency virus (HIV)/acquired immunodeficiency deficiency syndrome (AIDS), if they do not engage in safer sexual practices. Adolescent women are biologically, behaviorally, and socially more at risk for sexually transmitted diseases (STDs) and HIV than adolescent men. Although abstinence is the safest sexual health practice for adolescent women, once sexual activity begins, safer sexual practices involve condom and contraceptive use, and communicating with sexual partners to negotiate condom use. A number of implicit and explicit decisions are involved in these activities. A number of researchers have examined safer sexual decisions of adolescent women, some of whom have used theory models such as the Transtheoretical Model of Change. Although these findings have contributed to the knowledge base about safer sexual decision making, many questions remain unanswered about how adolescent women make safer sexual decisions. The Conflict Model of Decision Making is presented and discussed as a framework for enhanced understanding of safer sexual decision making by adolescent women. PMID:12936697
Man-Yee Emmy Wong; Tak-Ming Lawrence Lam
Internal migration in China has introduced critical challenges to the education and health of migrant adolescents. The aim of this study was to explore the differences in sexual knowledge and attitudes among migrate and local adolescents. Survey research with a total of 616 adolescents in grades equivalent to US 10th and 11th grades including 113 migrants completed a selfadministered questionnaire. Misconceptions of adolescent physical development, sexual activity, marriage, birth contro...
Khan, Maria R; Rosen, David L; Epperson, Matthew W.; Goldweber, Asha; Hemberg, Jordana L.; Richardson, Joseph; Dyer, Typhanye Penniman
Criminal justice involvement (CJI) disrupts social and sexual networks, and sexually transmitted infections (STIs) thrive on network disruption. Adolescent CJI may be a particularly important determinant of STI because experiences during adolescence influence risk trajectories into adulthood. We used Wave III (20012002: young adulthood) of the National Longitudinal Study of Adolescent Health (N?=?14,322) to estimate associations between history of adolescent (younger than 18 years) CJI and a...
Castillo Mezzich, A; Tarter, R E; Giancola, P R; Lu, S; Kirisci, L; Parks, S
The purpose of this study was to elucidate the etiological pathways towards substance use and risky sexual behavior in female adolescent substance abusers. The study had three aims: (1) to determine the relations between behavioral dysregulation, negative affectivity, and childhood victimization with substance use and risky sexual behavior, (2) to determine whether these relations are mediated by internalizing symptomatology, antisocial behavior, and affiliating with an adult boyfriend; and (3) to determine whether age of menarche moderates the relation between the mediating variables and substance use and risky sexual behavior. Multiple behavioral, psychiatric interview, and self-report measures were used to index behavioral dysregulation, negative affectivity, childhood victimization, internalizing symptomatology, antisocial behavior, affiliation with adult boyfriends, substance use, and risky sexual behavior in 125 substance abusing female adolescents and 78 controls between the ages of 14-18 years. Structural equation modeling was used to determine the etiological pathways. Results indicated that behavioral dysregulation, negative affectivity, and childhood victimization were related to substance use and risky sexual behavior. Age of menarche was significantly correlated with affiliation with an older boyfriend and risky sexual behavior. Antisocial behavior mediated the associations between behavioral dysregulation, negative affectivity and childhood victimization with substance use and risky sexual behavior. Affiliation with an adult boyfriend was directly associated with substance use involvement and accounted for the relationship between chronological age and risky sexual behavior. Finally, late menarche enhanced the association between internalizing symptomatology and substance use involvement. The results highlight the importance of behavioral dysregulation, negative affectivity, and childhood victimization in predicting substance use and risky sexual behavior, as well as the finding that antisocial behavior and affiliation with an adult boyfriend may be etiologically important in predicting these outcomes. Therefore, from a prevention and treatment standpoint, behavioral and affective dysregulation, childhood victimization as well as antisocial behavior may serve as clinical 'gateways' for altering the developmental trajectory toward substance use and risky sexual behavior in high risk and substance abusing youth. For example, reducing dysregulation through behavior modification procedures that have been developed for conduct disordered children would appear to be a heuristic avenue of investigation emanating from the results obtained in this study. PMID:9088788
Castro, Ingrid E.; Sujak, Mark Conor
In the spaces of high school, sexual minority youth often find that their needs for inclusion are not met by their institutions and those employed within. Through interviews with sexual minority high school students and written questionnaires with high school teachers and other faculty, we find that sexual minority youth are faced with exclusion
Vargas Trujillo, Elvia
Full Text Available The aim of this study was to describe youth sexual and reproductive decision making styles, as well as cognitions associated to them. Testimonies were obtained through in depth interviews carried out with a sample of 72 adolescents from BogotÃ¡ and Cali, 48 women and 24 men. The authors analyze the way cognitions - knowledge, social norms, beliefs, attitudes, values, expectancies, goals and meanings- constructed in the socio-cultural context, guide youth decision making towards establishing romantic relationships, having sexual intercourse, using contraceptive methods, getting married, getting pregnant or having an abortion. The findings of the study led to recommendations for the design of sexual education programs that include the different socialization agents
Full Text Available The present article focused on the perception of sexual exploitation as a job, using a single case study design. The aim of the study was to investigate the case of a 14 year-old girl, involved in commercial sexual exploitation, who considered this situation as her labor activity. A content analysis showed protective and risk factors as categories, especially related to her labor activities. The girl perceived the sexual exploitation activity as a job that provided autonomy, subsistence, and survival. The study revealed that the negative effects of working during adolescence may bring consequences to health and development. Youth work may be defined as a risk factor, especially when the labour conditions are not adequate and protected.
Fabiane do Amaral Gubert, Neiva Francenely Cunha Vieira, Patrícia Neyva da Costa Pinheiro, Eliany Nazaré de Oliveira, Izabelle MontAlverne Napoleão Albuquerque
Full Text Available Objectives: to analyze publications involving communication between parents and children about issues related to sexuality in the databases MEDLINE, BDENF E LILACS of the Virtual Health Library - VHL from 2004 to 2009. Methods: systematic literature review study, held in VHL, in May 2009, from descriptors: communication, adolescent and sexuality. For the analysis of information, there was the organization of content as thematic categories present in the publications. Results: the 20 references were analyzed, and 12 in the database MEDLINE, five in LILACS and three in BDENF. The results show the family as a reference in the communication and identify the mother, as the main mediator of the dialogue with the children. In studies, it emphasizes the need for educational strategies that strengthen parents, as young people who enjoy communication in the family, tend to experience sexual health in a more healthy and pleasant. Conclusion: place new strategies/experiences in the sexual and reproductive behavior from family relationships promote the understanding of health and quality of life. The nurse must strengthen the social support network of adolescents and actions for health promotion in this field.
JOSÉ P., ESPADA; ALEXANDRA, MORALES; MIREIA, ORGILÉS.
Full Text Available Na Espanha os jovens debutam sexualmente antes que em outros países; porém pouco se sabe com respeito à relação entre idade de debute sexual e o comportamento sexual nesta população. Analisam-se as práticas sexuais e o uso do preservativo segundo a idade de debute sexual em adolescentes espanhóis se [...] xualmente experimentados (N = 351); a idade média foi 15.9 anos (DT = .75, faixa: 14-18). Estabeleceram-se três grupos a partir da idade de debute sexual informada: debute sexual precoce (anterior aos 15 anos), média (15 anos) e tardio (posterior aos 15 anos). O grupo com debute sexual precoce praticou em maior medida masturbação mútua, coito vaginal e sexo oral, com um número de parceiros sexuais superior ao resto. O uso do preservativo na primeira relação sexual, a porcentagem de uso e o uso consistente do preservativo foi inferior no grupo de debute sexual precoce com respeito aos outros dois. O debute sexual anterior aos 15 anos foi associado com maior risco de contrair infecções sexuais por déficit no uso do preservativo e maior exposição sexual. Os descobrimentos deste estudo sugerem que a idade de debute sexual tem implicações na saúde sexual dos jovens. Abstract in spanish En España los jóvenes debutan sexualmente antes que en otros países; sin embargo, poco se sabe de la relación entre la edad de debut sexual y el comportamiento sexual en esta población. Se analizan las prácticas sexuales y el uso del preservativo según la edad de debut sexual en adolescentes español [...] es sexualmente experimentados (N = 351); la edad media fue 15.9 años (DT = .75, rango: 14-18). Se establecieron tres grupos a partir de la edad de debut sexual informada: debut sexual temprano (anterior a los 15 años), promedio (15 años) y tardío (posterior a los 15 años). El grupo con debut sexual temprano practicó en mayor medida masturbación mutua, coito vaginal y sexo oral, con un número de parejas sexuales superior al resto. El uso del preservativo en la primera relación sexual, el porcentaje de uso y el uso consistente del preservativo fue inferior en el grupo debut sexual temprano respecto a los otros dos. El debut sexual anterior a los 15 años se asoció con mayor riesgo de contraer infecciones sexuales por déficit en el uso del preservativo y mayor exposición sexual. Los hallazgos de este estudio sugieren que la edad de debut sexual tiene implicaciones en la salud sexual de los jóvenes. Abstract in english In Spain young people have their first sexual intercourse at an earlier age than in other countries; however, little is known about the relationship between age of sexual debut and sexual behavior in this population. Sexual practices and methods of protection are analyzed depending on the age of sex [...] ual debut among Spanish adolescents who are sexually experienced (N = 351). The mean age was 15.9 years (SD = .75, range: 14-18). Three groups were formed according to the age of sexual debut reported: early sexual debut (earlier than 15 years), average (15 years) and late (later than 15 years). The early sexual debut group reported further mutual masturbation, vaginal intercourse and oral sex with a higher number of sexual partners than the rest. Condom use at first intercourse, percentage of use and consistent condom use was significantly lower in the early sexual debut group compared to the others. Sexual debut before 15 years old was associated with increased risk of sexual infections, deficit in condom use and increased sexual exposure. The findings of this study suggest that the age of sexual debut has implications for the sexual health in young people.
Bioethics plays an important role and has remarkable implications on all those who operate in the field of adolescentology at all levels. The forma mentis and the modus operandi that bioethics offers to each operator and educator will surely bring benefits towards the prevention of illness and the general well-being of adolescents, who will be tomorrow's adults. This paper, which analyses problems related to adolescence, such as corporeity, sexuality, health and education, underlines the need to consider them from a bioethical perspective. Furthermore, among the various bioethical approaches, the importance of the Aristotelian-Thomistic virtues is highlighted and should be preferred when dealing with the overall health, both physical and moral, of everyone and especially of every adolescent. PMID:15637414
Gartrell, N.K.; Bos, H.M.W.; Goldberg, N.G.
This study assessed Kinsey self-ratings and lifetime sexual experiences of 17-year-olds whose lesbian mothers enrolled before these offspring were born in the longest-running, prospective study of same-sex parented families, with a 93% retention rate to date. Data for the current report were gathered through online questionnaires completed by 78 adolescent offspring (39 girls and 39 boys). The adolescents were asked if they had ever been abused and, if so, to specify by whom and the type of a...
US Supreme Court rulings concerning sanctions for juvenile offenders have drawn on the science of brain development and concluded that adolescents are inherently less mature than adults in ways that render them less culpable. This conclusion departs from arguments made in cases involving the mature minor doctrine, in which teenagers have been portrayed as comparable to adults in their capacity to make medical decisions. I attempt to reconcile these apparently incompatible views of adolescents' decision-making competence. Adolescents are indeed less mature than adults when making decisions under conditions that are characterized by emotional arousal and peer pressure, but adolescents aged 15 and older are just as mature as adults when emotional arousal is minimized and when they are not under the influence of peers, conditions that typically characterize medical decision-making. The mature minor doctrine, as applied to individuals 15 and older, is thus consistent with recent research on adolescent development. PMID:23607975
Full Text Available Inadaquate parental monitoring is widely recognized as a risk factor for the development of child and adolescent conduct problems, including early premarital sexual behavior. Previous studies examining parental monitoring have largely effect to adolescents premarital sexual behavior. Parental monitoring is the most important and effective factor to prevent early adolescents sexual activity. This paper examines the role of perceived parental monitoring in adolescentâs premarital sexual behavior (study on Adolescentâs Junior High School in Pontianak. A cross-sectional study and proportionated random sampling was conducted among 402 adolescents of junior high school at six subdistricts in Pontianak. SEM analyses was conducted using SMART-PLS. Result of path analysis revealed that parental knowledge (r = 0.389 and parental-adolescence relationship (r = 0.334 had a strong influence on parental monitoring. Then, parental monitoring had a significant indirect relationship with adolescent premarital sexual behavior through attitudes about premarital sexual (path coefficient = 0.063, and attitudes about premarital sexual and intention to sexual behaviour (path coefficient = 0.03. Parental monitoring can act as protective factor in early adolescent premarital sexual behavior. Therefore, risk reduction interventions with adolescents should include their parents to learn about monitoring skill and develop skill that will allow them to buffer negative influences.
Man-Yee Emmy Wong
Full Text Available Internal migration in China has introduced critical challenges to the education and health of migrant adolescents. The aim of this study was to explore the differences in sexual knowledge and attitudes among migrate and local adolescents. Survey research with a total of 616 adolescents in grades equivalent to US 10th and 11th grades including 113 migrants completed a selfadministered questionnaire. Misconceptions of adolescent physical development, sexual activity, marriage, birth control, sexually transmitted diseases and the probability of pregnancy were found in most of the migrant adolescents. Significantly lower attitudinal scores were found for the sub-scales of clarity of personal sexual values, understanding of emotional needs, social behavior, sexual responses; attitudes towards gender role, birth control, premarital intercourse, use of force in sexual activity, the importance of family and satisfaction with social relationship in migrant adolescents. Migrant adolescents have a low level of knowledge of sexual activities. The content of education programs should include engagement in sexual behavior to equip adolescents with unbiased and factual knowledge. The adolescents have a high demand for family support. School based sex education programs should involve the participation of parents to address these issues.
Regmi, Pramod R; van Teijlingen, Edwin
Despite progressive legislative developments and increased visibility of sexual and gender minority populations in the general population, mass media often report that this population face a wide range of discrimination and inequalities. LGBT (lesbian, gay, and bisexual, and transgender) populations have not been considered as priority research populations in Nepal. Research in other geographical settings has shown an increased risk of poor mental health, violence, and suicide and higher rates of smoking, as well as alcohol and drugs use among LGBT populations. They are also risk for lifestyle-related illness such as cancer, diabetes, and heart diseases. Currently, in Nepal, there is a lack of understanding of health and well-being, social exclusion, stigma, and discrimination as experienced by these populations. Good-quality public health research can help design and implement targeted interventions to the sexual and gender minority populations of Nepal. PMID:26543163
Sneed, Carl D; Tan, Huey Peing; Meyer, Jacob C
The authors used the theory of planned behavior to examine the influence of parents and peers on early adolescent sexual attitudes, self-efficacy to limit sexual behavior, and behavioral intentions to have vaginal intercourse. Adolescents (N = 212) provided self-reports of their perception of parent and peer attitudes regarding sexual behavior. The authors used bivariate and regression analyses to examine the relation between parent and peer attitudes with adolescent sexual attitudes, self-efficacy to limit sexual behavior, and behavioral intentions to have vaginal intercourse. Although there were gender differences, the analyses revealed the importance of both parents and peers on adolescent sexual attitudes, self-efficacy to limit sexual behavior, and intentions to have vaginal sex in the next year. PMID:25951343
Leroux, Elisabeth J; Pullman, Lesleigh E; Motayne, Gregory; Seto, Michael C
More knowledge is needed about the etiology and treatment needs of adolescent sex offenders. The current study compared adolescents who had offended against children (defined as below the age of 12 and at least 5 years younger than the adolescent), adolescents who have offended against peers or adults, and adolescents who had victims in both age groups. Based on Seto and Lalumière's meta-analytic findings, participants were compared on theoretically derived factors, including childhood sexual abuse, atypical sexual interests, sexual experience, social competence, psychiatric history, and general delinquency factors (past criminal history, substance abuse history, and offense characteristics). The study sample consisted of 162 court-referred male adolescent sexual offenders aged 12 to 17 years. Of the six identified domains, groups significantly differed on five of them; the exceptions were variables reflecting social competence. The results further support the validity of distinguishing adolescent sex offenders by victim age. PMID:24906363
Woodford, Michael R; Kulick, Alex
A heterosexist campus climate can increase risk for mental health problems for sexual minority students; however, the relationship between campus climate for sexual minorities and academic outcomes remains understudied. Using a sample of sexual minority respondents extracted from a campus climate survey conducted at a large university in the Midwest, we examine relationships between multiple dimensions of psychological and experiential campus climate for sexual minorities with academic integration (academic disengagement, grade-point average [GPA]) and social integration (institutional satisfaction, acceptance on campus). We also investigate the protective role of engagement with informal academic and peer-group systems. Findings suggest campus climate affects sexual minority students' integration. In multivariate analyses, perceptions of whether lesbian, gay, and bisexual (LGB) people could be open about their sexual identity was positively associated with acceptance on campus; personal heterosexist harassment was positively associated with academic disengagement and negatively with GPA. Students' informal academic integration (instructor relations) and informal social integration (LGB friends) demonstrated influential main effects but did not moderate any of the climate-outcome relationships. Researchers should further explore the relationships between climate and academic outcomes among sexual minority students, both collectively and among specific sub-groups, and address the role of other protective factors. PMID:25367265
Bauermeister, José A.; Meanley, Steven; Hickok, Andrew; Pingel, Emily; VanHemert, William; Loveluck, Jimena
Discrimination has been linked to negative health outcomes among minority populations. The increasing evidence regarding health disparities among sexual minorities has underscored the importance of addressing sexuality discrimination as a public health issue. We conducted a web-based survey between May and September of 2012 in order to obtain a diverse sample of young men who have sex with men (ages 1829; N = 397; 83% gay; 49% Black, 27% White, 15% Latino) living in the Detroit Metro Area (M...
Lanza, H. Isabella; Huang, David Y. C.; Murphy, Debra A.; Hser, Yih-Ing
The present study sought to extend empirical inquiry related to the role of parenting on adolescent sexual risk-taking by using latent class analysis (LCA) to identify patterns of adolescent-reported mother responsiveness and autonomy-granting in early adolescence and examine associations with sexual risk-taking in mid- and late-adolescence.
Sun, Christina J.; Reboussin, Beth; Mann, Lilli; Garcia, Manuel; Rhodes, Scott D.
The use of websites and GPS-based mobile applications ("apps") designed for social and sexual networking has been associated with increased HIV risk; however, little is known about Latino sexual minorities' and transgender persons' use of these websites and apps and the risk profiles of those who use them compared with those who do not.
Sun, Christina J.; Reboussin, Beth; Mann, Lilli; Garcia, Manuel; Rhodes, Scott D.
The use of websites and GPS-based mobile applications ("apps") designed for social and sexual networking has been associated with increased HIV risk; however, little is known about Latino sexual minorities' and transgender persons' use of these websites and apps and the risk profiles of those who use them compared with those who do not.â¦
Moreno, Megan A.; Brockman, Libby; Wasserheit, Judith; Christakis, Dimitri A.
Many older adolescents display sexual references on their social networking site profiles; this study investigated whether these references were associated with self-reported sexual intention, sexual experience or risky sexual behavior. We identified public Facebook profiles of undergraduate freshmen within one large US university Facebook network. Profile owners who displayed sexual references (Displayers) and did not display references (Non-Displayers) were invited to complete surveys. Surv...
Full Text Available Background: Emerging findings have shown that high parental monitoring of adolescents sexual and reproductive health (SRH communications between parents and adolescents and good parenting styles prevent adolescents from engaging in risky sexual practices. Objective: The aim of this study was to examine the associations of parental monitoring, parentadolescent SRH communications, and parenting styles with risky sexual practices among adolescents in Harar, Ethiopia. Designs: This was a cross-sectional study conducted on adolescents aged 1318 who had sexual initiations. Adolescents who failed to use any contraceptive method and/or condom during last sexual intercourse and who experienced multiple sexual partners in the 12 months prior to the study were taken as at risk. In view of these, the adolescents risk count ranged from zero to three greater number indicates higher count of risky sexual practices. Poisson regression model was used to examine the associations and p<0.05 indicated a statistical significance. Results: It was found out that 301 of 633 (47.55%; 95% CI=43.62%, 51.45% adolescents experienced one or more risky sexual practices. High parental monitoring compared to low decreases the Incidence Rate of engaging in risky sexual practices by 28% (adjusted incidence rate ratio, or IRR=0.72; 95% CI=0.520, 0.986. Those who had a satisfactory level of SRH communications with their parents compared to poor communicators experianced less incidence rate of risky sexual practices which was marginal (adjusted IRR=0.82; 95% CI=0.637, 1.051. Conclusions: A significant proportion of the adolescents engaged in one or more risky sexual practices. Importantly, high parental monitoring decreases the likelihood of these risky practices. Therefore, parents need to be encouraged to keep an eye on their young children.
de Moraes, Silvia Piedade; Vitalle, Maria Sylvia de Souza
The scope of this article is to describe the international documents of the UN and laws passed in Brazil from 1950 onwards focusing on sexual and reproductive rights during adolescence. It involved a descriptive study by consulting the official website of the UN organ entitled the Economic Commission for Latin America and the Caribbean and sites of the President of the Republic, Ministry of Health and Education and the Virtual Health Library. The documents were organized from 1950 to 2010 with an emphasis on sexual and reproductive rights and adolescence. Ten conferences were found within the scope of the UN: six conferences on Population and Development, two on Human Rights, one on the Rights of the Child and another on the Millennium Development Goals. Thirty-two documents were found in the field of national legislation (four decrees, thirteen federal laws, three technical norms, two ordinances, three resolutions, a technical note and six programs). The role of the UN and Brazil in consolidating the broad concept of sexual and reproductive rights has made significant progress, however greater achievements in the area of reproductive rights still prevail. PMID:26221817
Wilkinson, Jason D.
Sexual addiction is increasingly being discussed by professionals and the lay public, and these conversations have begun to focus on adolescents as a special treatment population. At the same time, limited literature is available on the subject and practitioners currently working with sexual addiction among adolescents (SA-A) report the need for
Grossman, Jennifer M.; Frye, Alice; Charmaraman, Linda; Erkut, Sumru
Background: Early sexual activity can undermine adolescents' future school success and health outcomes. The purpose of this study was to assess the role of a family homework component of a comprehensive sex education intervention in delaying sexual initiation for early adolescents and to explore what social and contextual factors prevent
Texas School for the Deaf, Austin.
This student booklet, designed to teach deaf adolescents about human sexuality, is written for students with a second- to fourth-grade reading level. Topics include: (1) relationships; (2) adolescent growth and development; (3) female and male anatomy; (4) conception, fetal development, and birth; (5) contraception; and (6) sexual intercourse and
Walters, Jessica Bleil; Hughes, Tammy L.; Sutton, Lawrence R.; Marshall, Stephanie N.; Crothers, Laura M.; Lehman, Cathryn; Paserba, Dave; Talkington, Vanessa; Taormina, Rochelle; Huang, Ann
This study examined the self-reported presence and severity of abuse, neglect, and depressive symptoms for 43 adolescents adjudicated delinquent due to a sexual offense. Twenty-seven of the adolescent sexual offenders were also diagnosed with an autism spectrum disorder, and 16 did not carry an autism spectrum disorder diagnosis. Both groups
Scharko, Alexander M.
Objective: To review the existing literature on selective serotonin reuptake inhibitor (SSRI)-induced sexual dysfunction in adolescents. Method: A literature review of SSRI-induced adverse effects in adolescents focusing on sexual dysfunction was done. Nonsexual SSRI-induced adverse effects were compared in adult and pediatric populations.
Zapata, Lauren B.; Hillis, Susan D.; Marchbanks; Polly A.; Curtis, Kathryn M.; Lowry, Richard
Background: Lifetime methamphetamine use among adolescents is estimated to be between 5% and 10%. Youth substance use in general is known to be associated with risky sexual behaviors, but the effect of methamphetamine use on recent risky sexual behaviors and adolescent pregnancy has received little attention. The purpose of this analysis was to
Rodgers, Kathleen Boyce; McGuire, Jenifer K.
In this study we estimated the combined effects of violence experiences, parenting processes, and community poverty on sexual onset, alcohol or other drug (AOD) use at last sex, multiple sex partners, and prior pregnancy in a sample of 7th-, 9th-, and 11th-grade adolescents (n = 7,891), and the subsample of sexually experienced adolescents (n =
Russell, Stephen T.; Joyner, Kara
Used data from the National Longitudinal Study of Adolescent Health to investigate links between sexual orientation and suicidality. There was a strong link between adolescent sexual orientation and suicidal thoughts and behaviors. This relationship was mediated by critical youth suicide risk factors (depression, hopelessness, alcohol abuse,
Buckle, Sarah K.; Lancaster, Sandra; Powell, Martin B.; Higgins, Daryl J.
Objectives: To examine the relationship between sexual abuse and academic achievement in an adolescent inpatient psychiatric population. Individual factors expected to influence this relationship were measured to explore the way they each interacted with sexual abuse and its relationship to academic achievement. Method: Eighty-one adolescent
Huang, Bin; Hillman, Jennifer; Biro, Frank M.; Ding, Lili; Dorn, Lorah D.; Susman, Elizabeth J.
Adolescent sexual maturation is staged using Tanner criteria assessed by clinicians, parents, or adolescents. The physiology of sexual maturation is driven by gonadal hormones. We investigate Tanner stage progression as a function of increasing gonadal hormone concentration and compare performances of different raters. Fifty-six boys (mean age,
Kress, Victoria E.; Adamson, Nicole A.; Yensel, Jennifer
Counselors will regularly counsel children and adolescents with histories of sexual abuse and be challenged with providing supportive and empowering interventions that serve to move the client from victim to survivor status. Therapeutic stories are a creative counseling technique that can be used when counseling child and adolescent sexual abuse
Jaruseviciene, Lina; Lazarus, Jeff; Zaborskis, Apolinaras
To assess the attitudes of Lithuanian residents towards the protection of confidentiality in the sexual and reproductive health care of adolescents.......To assess the attitudes of Lithuanian residents towards the protection of confidentiality in the sexual and reproductive health care of adolescents....
Trinh, Thang; Steckler, Allan; Ngo, Anh; Ratliff, Eric
This qualitative study examines parent-adolescent communication on sexual topics in Thai Binh province, Vietnam. Data were collected from 45 in-depth interviews and seven focus groups with parents and adolescents of high school age. Results indicate that parents were apprehensive when it comes to sexual communication. Parents warned their children
Price, Shelley A; Beech, Anthony R; Mitchell, Ian; Humphreys, Glyn W
Adolescent sexual abusers are a heterogeneous group of offenders that often receive generic assessment and treatment services that are modeled on research findings from adult sex offender samples. The emotional Stroop task has been used to measure deviant sexual interest in adult samples. The purpose of the present study was to test whether the emotional Stroop task could also be used to assess deviant sexual interest in adolescent samples. Three groups of adolescents (a) sexual abusers (n = 24); (b) offending controls (n = 21); and (c) nonoffending controls (n = 21) completed two emotional Stroop tasks related to deviant sexual interest and tests of executive function. Adolescent sexual abusers were significantly slower to color-name some word stimuli than both adolescent offending controls and adolescent nonoffending controls. However, the task was unable to differentiate between the groups on most of the Stroop word categories. Very little research has been conducted with adolescent offender samples and the emotional Stroop task. Reaction time (RT) and Stroop bias outcome data for adolescent samples appear to be more unsystematic and weaker than has been observed in previous adult data. Based on potential difficulties with reading and development, the emotional Stroop task may not be a task suitable for measuring deviant sexual interest in adolescent samples. PMID:23907659
Bianca Assunção Iuliano
Full Text Available OBJETIVO: Verificar a prevalência de anemia em adolescentes (hemoglobina0,05. Observou-se aparente aumento do nível médio de hemoglobina com o desenvolvimento do adolescente. Detectou-se anemia em 11,0% dos adolescentes, a maioria na fase púbere, classificada como ''prevalência leve'' segundo a World Health Organization. Não foi encontrada associação entre indicadores sociais e anemia. CONCLUSÃO: O estudo apontou baixa prevalência de anemia, mas acima do esperado entre púberes de escola particular e indica tendência de aumento dos níveis de hemoglobina com o desenvolvimento sexual dos adolescentes. Devem ser realizados novos estudos de prevalência de anemia para se determinar sua causa entre adolescentes de diferentes níveis socioeconômicos.OBJECTIVE: To assess the prevalence of anemia (hemoglobin level <12g/dL in adolescents, according to their sexual maturation stage. METHODS: A cross-sectional study was conducted with all adolescents enrolled in 5th - 8th grades in a private school in the city of São Paulo. Their hemoglobin level was measured (using Hemocue® and sexual development was self-evaluated (with the aid of pictures of the maturation stages proposed by Tanner. The social indicators evaluated were the per capita family income and maternal schooling. Student t test and non-parametric Kruskal-Wallis test were used for mean comparison and Chi-square-test for associations (p<0.05. RESULTS: We analyzed 118 students, of which 66.9% were females (aged 12.2±1.13 years and 33.1% were males (aged 12.0±1.18 years. The mean hemoglobin level was 13.2±1.08 g/dL for females and 13.3±1.21 g/dL for males, with no significant difference. An apparent increase in the mean hemoglobin level was verified along with sexual development of the adolescents. Anemia was detected in 11% of them, most in the pubertal stage, which is classified by the World Health Organization as ''mild prevalence''. No association was found between social indicators and anemia prevalence. CONCLUSION: This study showed low prevalence of anemia at rates higher than expected during puberty in a private school and indicates a trend for increased hemoglobin levels in connection with sexual development of adolescents. Further studies on anemia prevalence should be carried out to establish the factors associated with this disease, having adolescents from different socioeconomic levels as subjects.
van Reeuwijk, Miranda; Nahar, Papreen
This article explores the mismatch that exists between what unmarried adolescents in Bangladesh experience, want and need in regard to their sexuality and what they receive from their society, which negatively impacts on their understanding of sexuality and their well-being. The findings provide a picture of Bangladeshi adolescents' (12-18 years) sexual feelings, experiences, behaviours, anxieties and concerns - in particular in relation to desire, pleasure, sexual power, masturbation, virginity, romantic love and dating, and arranged marriage - and how socio-sexual norms and taboos influence these. Curiosity of boys and girls about sex was driven by a need and desire to know and understand, but also because it was exciting to read about and talk about sex. Young people are not just passive recipients of adult norms and messages around sexuality, but agents who actively construe meanings and navigate between what is expected from them and what they want, need and feel themselves. Adolescents have a need for information and support - long before they ever have sex. We call for a positive, rights-based approach to sexuality education for adolescents and a focus beyond health outcomes alone to support adolescents and young people to make sense of the multiplicity of messages they encounter and reduce unnecessary feelings of guilt and anxiety. PMID:23684189
Gattis, Maurice N; Woodford, Michael R; Han, Yoonsun
Researchers have examined perceived discrimination as a risk factor for depression among sexual minorities; however, the role of religion as a protective factor is under-investigated, especially among sexual minority youth. Drawing on a cross-sectional study investigating campus climate at a large public university in the U.S. midwest, we examined the role of affiliation with a gay-affirming denomination (i.e., endorsing same-sex marriage) as a moderating factor in the discrimination-depression relationship among self-identified sexual minority (n = 393) and heterosexual youth (n = 1,727). Using multivariate linear regression analysis, religious affiliation was found to moderate the discrimination-depression relationship among sexual minorities. Specifically, the results indicated that the harmful effects of discrimination among sexual minority youth affiliated with denominations that endorsed same-sex marriage were significantly less than those among peers who affiliated with denominations opposing same-sex marriage or who identified as secular. In contrast, religious affiliation with gay-affirming denominations did not moderate the discrimination-depression relationship among heterosexual participants. The findings suggest that, although religion and same-sex sexuality are often seen as incompatible topics, it is important when working with sexual minority clients for clinicians to assess religious affiliation, as it could be either a risk or a protective factor, depending on the religious group's stance toward same-sex sexuality. To promote the well-being of sexual minority youth affiliated with denominations opposed to same-sex marriage, the results suggest these faith communities may be encouraged to reconsider their position and/or identify ways to foster youth's resilience to interpersonal discrimination. PMID:25119387
Bogani, Giorgio; Cromi, Antonella; Serati, Maurizio; Monti, Zelia; Apolloni, Chiara; Nardelli, Federica; Di Naro, Edoardo; Ghezzi, Fabio
This article aimed to determine sexual behaviors among female and male adolescents in northern Italy. An anonymous self-administered questionnaire evaluating sexual attitudes was distributed in middle and high schools in northern Italy. Adolescents between 13 and 19 years of age were asked to participate at the survey. The study group included 664 participants. Overall, 164 (25%) adolescents had had at least one sexual intercourse. Among adolescents who have had sexual intercourse, 90 (55%) use condoms, 25 (15%) use hormonal contraception, and 49 (30%) do not use any contraception method. A total of 559 adolescents (84%) participated in school-based sexual education programs. This group had better knowledge on sexually transmitted diseases and contraception methods in comparison with adolescents who have never participated in such educational programs (p sexual behaviors was observed (p = 1.0). School-based sexual education programs improve knowledge of sexual transmitted diseases and contraception methods. However, this knowledge does not correlate to high-risk sexual behaviors reduction. PMID:25189401
Moore, Elya E.; Romaniuk, Helena; Olsson, Craig A.; Jayasinghe, Yasmin; Carlin, John B.; Patton, George C.
Objectives: Childhood sexual abuse (CSA) is associated with both short- and long-term adverse mental and physical health consequences, yet there remains considerable controversy about the prevalence of CSA in the general population. There is also little prospective data on unwanted sexual contact (USC) collected during adolescence. Methods: Data
Aebi, Marcel; Landolt, Markus A; Mueller-Pfeiffer, Christoph; Schnyder, Ulrich; Maier, Thomas; Mohler-Kuo, Meichun
A long-standing belief in the literature on sex offenders is that sexually victimized youths are at increased risk of becoming sex offenders themselves. The present study tested the link between past sexual abuse, either with or without contact, and sexually offending behavior in a representative sample of male and female adolescents while controlling for other types of abuse, mental health problems, substance use, and non-sexual violent behaviors. Self-reported data were collected from a nationally representative sample of 6,628 students attending 9th grade public school in Switzerland (3,434 males, 3,194 females, mean age = 15.50 years, SD = 0.66 years). Exposure to contact and non-contact types of sexual abuse was assessed using the Child Sexual Abuse Questionnaire and sexually offending behavior by the presence of any of three behaviors indicating sexual coercion. Two-hundred-forty-five males (7.1 %) and 40 females (1.2 %) reported having sexually coerced another person. After controlling for non-sexual abuse, low parent education, urban versus rural living, mental health problems, substance use, and non-sexual violent behavior, male adolescents who were victims of contact sexual abuse and non-contact sexual abuse were significantly more likely to report coercive sexual behaviors. Females who experienced contact or non-contact sexual abuse were also found at increased risk of committing sexual coercion after controlling for covariates. The present findings demonstrate a strong relationship between past sexual abuse, with and without physical contact, and sexual-offending behavior in male and female adolescents. Reducing exposure to non-contact sexual abuse (like Internet-based sexual exploitation) should become a new area of sexual violence prevention in youths. PMID:25981223
Szymanski, Dawn M.; Owens, Gina P.
The purpose of this study was to test tenets of both minority stress and lesbian feminist/sexual identity development theories by examining the potential moderating and mediating roles of individual coping styles (i.e., problem-solving and avoidant coping) in the relationship between internalized heterosexism and lesbian and bisexual (sexual
Kuzman, Marina; Simetin, Ivana Pavi?; Franeli?, Iva Pejnovi?
Sexual behaviour in adolescence is a sensitive issue and has possible immediate and long term medical and psychical consequences. The aim of the study was to examine whether early sexual intercourse varies by gender and how is associated with unhealthy behaviour and factors of psycho-social well-being. 773 boys and 857 girls of 15.5 years old, included in a representative national school-based survey, conducted in Croatia in 2006, were invited to fill in anonymous questionnaires. Sexual experience before the age of 16 years was reported by 28.6% of the boys and 16.5% of the girls. Early sexual experience in boys was associated with smoking, drinking of alcohol, marijuana taking, physical fighting, and bullying other The odds ratio was highest for smoking. (OR:8. 1; CI:5.4-12. 1). For girls the same variables were associated with the early sexual intercourse, marijuana use being the strongest independent predictor (OR:8.0; CI:5.0-12.6). While controlled for other behaviours, daily smoking remained the strongest predictor for both genders. Girls who had early sexual experience were more prone to be dissatisfied with their health (OR:2.9; CI:2.0-4.2), with their life (OR:2.1; CI:1.4-3.0), communication with father and mother (OR:1.9; CI:1.2-2.8 and OR:1. 7; CI:1.1-2.6) and reported more psychosomatic symptoms (OR:2.9; CI:2.0-4.3). For both genders odds were higher if they had good communication with the friend of the opposite gender. Evenings spent out with friends were associated to early sexual experience in boys and girls as well as poorer school achievement. Early menarche was associated with the probability of being engaged in the early sexual intercourse and with smoking, marijuana use and psychosomatic symptoms. Early sexual intercourse is associated with unhealthy behaviour such as smoking, substance abuse, aggressiveness and lower psychosocial well-being. Preventive educational programmes should follow multi-facet approaches and recognize differences between boys and girls. Human papillomavirus (HPV) vaccination could be part of a comprehensive approach and is not to be viewed as an isolated activity. PMID:17598514
Kincaid, Carlye; Jones, Deborah J.; Sterrett, Emma; McKee, Laura
In spite of the established link between parenting and adolescent sexual risk behavior, less is known about the role of adolescent gender as a potential moderator of this association. This literature review integrates findings from 24 studies to examine gender as a moderator of the link between parenting and youth sexual risk behavior. Despite the wide variability in methodology across the reviewed studies, findings suggest that monitoring may be more protective against sexual risk behavior f...
Márcia Sacramento Cunha Machado; Bruno Fernando Borges da Costa e Silva; Igor Logetto Caetité Gomes; Iuri Usêda Santana; Maria Fernanda Rios Grassi
The incidence of sexually transmitted diseases among adolescents is increasing worldwide. Genital Chlamydia trachomatis infection is one of the most prevalent sexually transmitted diseases in young women, and undetected disease is highly associated with long-term complications in women. Our goal was to determine the prevalence of cervical Chlamydia trachomatis infection in a sexually active population of female adolescents from Salvador, Brazil, and to describe their socio-demographic, behavi...
Gardner, Margo; Martin, Anne; Brooks-Gunn, Jeanne
In a sample of urban youth (N = 1,070), we examined the links between primary caregiver affect (i.e., warmth and hostility) and two measures of sexual behavior in adolescence early sexual initiation and sex with multiple partners. We also examined the extent to which neighborhood disadvantage moderated associations between caregiver affect and adolescent sexual behavior. We found that caregiver hostility was positively associated with early sex and sex with multiple partners in neighborhood...
LIVINGSTON, JENNIFER A.; Bay-Cheng, Laina Y.; Hequembourg, Amy L.; TESTA, MARIA; Downs, Julie S.
Experimentation with alcohol and sexuality is a normative aspect of adolescent development. Yet both present distinct risks to adolescent females and are especially problematic when they intersect. Although youth are often cautioned about the dangers associated with having sex and using alcohol, popular entertainment media frequently depict the combination of alcohol and sexuality as carefree fun. It is unclear how adolescent females interpret these contradictory messages in their everyday li...
Sebla GÖKÇE ?MREN; Ay?e Burcu AYAZ; Canan YUSUFO?LU; Ay?e RODOPMAN ARMAN
Objective: This study investigated the sociodemographic variables, intelligence levels, psychiatric disorders, and suicide risks of sexually abused children and adolescents who were referred for forensic examination to our child and adolescent psychiatry outpatient clinic.Method: Forensic reports of 157 children and adolescents aged 3-17 years who had been referred to our child psychiatry outpatient clinic between July 2011 - June 2012 were examined retrospectively.Results: Of 157 sexually ab...
Tushar Rai; Pradeep Aggarwal; Kandpal, S.D.
Background: Sexually transmitted diseases are very important health challenges for adolescents. Many national and international governmental and nongovernmental health agencies are running programmes to reduce the incidence of these diseases. We can provide an insight to the reproductive and sexual health needs of adolescents by assessing their knowledge, attitude and practice about these diseases. Research Question: What is the level of knowledge awareness and practice among adolescents rega...
Arrington-Sanders, Renata; Harper, Gary W; Morgan, Anthony; Ogunbajo, Adedotun; Trent, Maria; Fortenberry, J Dennis
Sexually explicit material (SEM) (including Internet, video, and print) may play a key role in the lives of Black same-sex sexually active youth by providing the only information to learn about sexual development. There is limited school- and/or family-based sex education to serve as models for sexual behaviors for Black youth. We describe the role SEM plays in the sexual development of a sample of Black same-sex attracted (SSA) young adolescent males ages 15-19. Adolescents recruited from clinics, social networking sites, and through snowball sampling were invited to participate in a 90-min, semi-structured qualitative interview. Most participants described using SEM prior to their first same-sex sexual experience. Participants described using SEM primarily for sexual development, including learning about sexual organs and function, the mechanics of same-gender sex, and to negotiate one's sexual identity. Secondary functions were to determine readiness for sex; to learn about sexual performance, including understanding sexual roles and responsibilities (e.g., "top" or "bottom"); to introduce sexual performance scripts; and to develop models for how sex should feel (e.g., pleasure and pain). Youth also described engaging in sexual behaviors (including condom non-use and/or swallowing ejaculate) that were modeled on SEM. Comprehensive sexuality education programs should be designed to address the unmet needs of young, Black SSA men, with explicit focus on sexual roles and behaviors that may be inaccurately portrayed and/or involve sexual risk-taking (such as unprotected anal intercourse and swallowing ejaculate) in SEM. This work also calls for development of Internet-based HIV/STI prevention strategies targeting young Black SSA men who may be accessing SEM. PMID:25677334
Huwaidi, Mohamed A.; Daghustani, Wid H.
The present study aimed to identify common sexual behavior among adolescents with autism, where parents and teachers of sixty-one male adolescents from twelve to twenty-one years of age were recruited from three cities in the Kingdom of Saudi Arabia. They were asked to respond to a sexual behavior questionnaire, and a social-sexual skills
Bleakley, Amy; Hennessy, Michael; Fishbein, Martin
This article reports on the extent to which adolescents report actively seeking sexual content in media, identifies from which media they report seeking, estimates the association between seeking sexual information and romantic and sexual behavior, and shows that active seeking of sexual content in media sources is explained by an intention to seek such content using the Integrative Model of Behavioral Prediction, a reasoned action approach. The data are a national sample of 810 adolescents aged 13 to 18 years. Results show that 50% of adolescents reported actively seeking sexual content in their media choices, which included movies, television, music, Internet pornography sites, and magazines. Males sought sex content more than females, and gender differences were greatest for seeking from Internet pornography sites, movies, and television. Path analysis demonstrate that seeking sexual content is well-predicted by intentions to seek, and intentions are primarily driven by perceived normative pressure to seek sexual content. PMID:20672214
Full Text Available Abstract Objective To estimate factors associated with condom use at last sexual intercourse among adolescents. Methods Cross-sectional study of a representative sample of 368 sexually active adolescents aged 1317 years from eight public high schools on Santiago Island, Cape Verde, 2007. The level of significance was 5.0% obtained from logistic regression, considering the association between condom use and socio-demographic, sexual and reproductive variables. Results The prevalence of condom use at last sexual intercourse was 94.9%. Factors associated with condom use at last sexual relationship were: non-Catholic religion (OR=0.68, 95%CI: 0.52; 0.88 and affective-sexual partnership before the interview (OR=5.15, 95%CI: 1.79; 14.80. Conclusions There was a high prevalence of condom use at last sexual intercourse of adolescents.
Tschann, Jeanne M.; Adler, Nancy E.
Examined relationships among sexual self-acceptance, communication with sexual partners about sex and contraception, and contraceptive use in 201 adolescent females, ages 14 to 19. Found that females with greater sexual self-acceptance communicated more with partners about sex and contraception. Discussion about contraception, but not about sex,
This paper offers a critical examination of the problematics of childhood and adolescent sexuality and sex education in an Islamic context. By exploring conceptions of (pre-marital) sexuality, childhood, and maturity/adulthood, it is suggested that: (i) "childhood" and "sexuality" do not coexist harmoniously in Islamic
Chassman, Linda; Kottler, Jeffrey; Madison, Jeanne
This grounded theory study of 18 American and Australian counselors explores the impact of working with adolescents with sexual behavior problems. Findings are reported reflecting the counselors' own histories of abuse, their feelings regarding sexual information, their sexual and emotional responses to clients, and the importance of self-care and
Saranrittichai, Kesinee; Sritanyarat, Wanapa; Ayuwat, Dusadee
Since adolescents are now engaging in sexual activity in their early years, sexual behavior needs to be explored to prevent contact with HPVs and other sexually transmitted diseases (STD), including cervical cancer. This qualitative study aimed to explore this question from adolescents' view points in their natural context. The participants were 19 individuals aged 13-19 years living in rural families in Khon Kaen province, Thailand. The preliminary findings indicated that factors contributing to low sexual risk behavior were helping family to do housework, an emphasis on learning, listening to parents, and following their advice. Adolescent behavior leading to high sexual risk included being very close to friends, having a wide social circle, going out for enjoyment at night time, returning home late at night, drinking alcohol, smoking, paying less attention to learning, not listening to parents, and not following their advice. Adolescent sexual behavior was found to comprise: 1) sexual activities themselves; 2) non-disclosure of having sex; and 3) protective behavior. Sexual activities were ranked from low risk to high risk of sexual health. Low risk included having a steady boy/girlfriend, hugging, and kissing. High risk sexual behavior featured unprotected sex, abuse or rape, and abortion. Important influences were: eagerness to learn and try to have sex, mens' sexual desire, peer group value of having sex, and material value. The adolescents demonstrated no willingness to disclose having a boy/girl friend, having sex and negative consequences like becoming pregnant. Sexual protective behavior was up to males, whether they were willing to use a condom, with females having little power to negotiate. The study suggests that inappropriate adolescent risk behavior and social values need to be a focus of attention for education. In particular, families need to take action by early detection of adolescent sexual risk behavior. PMID:17250438
Cénat, Jude Mary; Blais, Martin; Hébert, Martine; Lavoie, Francine; Guerrier, Mireille
Purpose Bullying has become a significant public health issue, particularly among youth. This study documents cyberbullying, homophobic bullying and bullying at school or elsewhere and their correlates among both heterosexual and sexual-minority high school students in Quebec (Canada). Method A representative sample of 8,194 students aged 1420 years was recruited in Quebec (Canada) high schools. We assessed cyberbullying, homophobic bullying and bullying at school or elsewhere in the past 12 months and their association with current self-esteem and psychological distress as well as suicidal ideations. Results Bullying at school or elsewhere was the most common form of bullying (26.1%), followed by cyberbullying (22.9%) and homophobic bullying (3.6%). Overall, girls and sexual-minority youth were more likely to experienced cyberbullying and other form of bullying as well as psychological distress, low self-esteem and suicidal ideations. The three forms of bullying were significantly and independently associated with all mental health outcomes. Conclusions The results underscore the relevance of taking into account gender and sexual orientation variations in efforts to prevent bullying experience and its consequences. PMID:26047959
Sherman, Michelle D; Kauth, Michael R; Shipherd, Jillian C; Street, Richard L
Approximately one million gay and lesbian Americans are veterans, and rates of engagement in the Veterans Affairs (VA) health care system may be increasing for both sexual and gender minority veterans. Very little research has examined the experience of these veterans when receiving care at VA health care facilities. The purpose of this study was to explore the experiences, beliefs, and preferences of lesbian, gay, bisexual, or transgender (LGBT) veterans in their communication with VA health care providers. LGBT veterans (n = 58) participated in focus groups or individual interviews and completed self-report measures at two southern VA hospitals. Approximately 2/3 of veterans report that none of their VA providers have specifically asked about their sexual orientation, and 24% of the veterans indicate that they have not disclosed their orientation to any VA provider. Although some veterans want providers to initiate these discussions, veterans also expressed fears about disclosure and its possible negative consequences. Similarly, LGBT veterans report varied opinions about the appropriateness of routine assessment of minority status. Only 28% of these veterans experience VA as welcoming to them as LGBT veterans. Systematic training is needed for all VA providers about the rationale for assessing sexual and gender orientation. Staff education should include specific skills for initiating these assessments, and ways of responding to veteran concerns about discussing this topic in the VA health care system. PMID:24588107
Liana Fortunato Costa
Full Text Available O texto trata de uma pesquisa qualitativa que enfoca o conhecimento das relações familiares do adolescente ofensor sexual, enfatizando as figuras da mãe e do pai, e se baseia nas entrevistas que antecedem o oferecimento de uma intervenção grupal, com os adolescentes e familiares. As entrevistas foram realizadas com sete adolescentes, entre 14 e 17 anos, e suas mães. Foram construídos três núcleos de resultados sobre: a interação familiar desse adolescente se organiza para garantir a sobrevivência da família; esse adolescente apresenta uma intensa e paradoxal relação com sua mãe; e há uma relação extremamente pobre de convivência e vinculação afetiva com a figura paterna. Concluímos que a violência sexual intrafamiliar, cometida pelos adolescentes, está ligada à dinâmica afetiva familiar de distanciamento e autoritarismo. Uma melhor compreensão da violência presente nas relações familiares desse adolescente é fundamental, porque uma característica desses sujeitos é a falta de habilidade social, e esse aspecto provém de um processo pobre de vinculação com seus pais.El texto trata de una investigación cualitativa que enfoca el conocimiento de las relaciones familiares del adolescente ofensor sexual, enfatizando las figuras de la madre y del padre, y se basa en las entrevistas que anteceden el ofrecimiento de una intervención grupal, con los adolescentes y familiares. Las entrevistas fueron realizadas con siete adolescentes, entre 14 y 17 años, y sus madres. Fueron construidos tres núcleos de resultados sobre: la interacción familiar de ese adolescente se organiza para garantizar la supervivencia de la familia; ese adolescente presenta una intensa y paradoxal relación con su madre; y hay una relación extremamente pobre de convivencia y vinculación afectiva con la figura paterna. Concluimos que la violencia sexual intrafamiliar, cometida por los adolescentes, está asociada a la dinámica afectiva familiar de distanciamiento y autoritarismo. Una mejor comprensión de la violencia presente en las relaciones familiares de ese adolescente es fundamental, porque una característica de eses sujetos es la falta de habilidad social, y ese aspecto proviene de un proceso pobre de vinculación con sus padres.This text deals with a qualitative research about family relations of the sexual offender adolescent, with emphasis on the paternal figures, and is based on the interviews that precede the offer of a group intervention with the adolescents and their families. The interviews were conducted with seven adolescents and their mothers. Three nuclei results were interpreted: the family interaction of this adolescent is organized to guarantee the survival of the family; this adolescent presents an intense and paradoxical relation with his mother; there is an extremely poor living relation and affective link with the father. We conclude that the intra-family sexual violence made by the adolescents is linked with the family affective dynamics of distance and authoritarianism. A better comprehension of the violence present in the family relations of this adolescent is of fundamental importance because one of their characteristics is the lack of social ability, which originates from a poor process of linking with their parents.
Guarini, Tristan E.; Marks, Amy K.; Patton, Flannery; Coll, Cynthia Garcia
This article contributes new evidence on the associations among immigrant generation, gender, and sexual risk behavior among Latino adolescents in the United States. Longitudinal data from 3,272 Latino adolescents (grades 7-12) who participated in the National Longitudinal Study of Adolescent Health (Add Health) were examined for evidence of the
Giordano, Peggy C.; Manning, Wendy D.; Longmore, Monica A.
We know more about parent and peer influences than about the ways in which specific qualities of adolescent romantic relationships may influence sexual decision-making. Using data from the Toledo Adolescent Relationships Study, we focus on communication processes and emotional feelings, as well as more basic contours of adolescent romantic
Popoola, Bayode Isaiah
This study investigated the association between sex stereotypes and the sexual behaviour of Nigerian school-going adolescents. It also ascertained the effects of age and sex on adolescents' beliefs about sex stereotypes. The study sample consisted of 658 (male = 287, female = 371) adolescents from nine randomly selected secondary schools in three
Zimmerman, Lindsey; Darnell, Doyanne A; Rhew, Isaac C; Lee, Christine M; Kaysen, Debra
Family support and rejection are associated with health outcomes among sexual minority women (SMW). We examined a social ecological development model among young adult SMW, testing whether identity risk factors or outness to family interacted with family rejection to predict community connectedness and collective self-esteem. Lesbian and bisexual women (N = 843; 57% bisexual) between the ages of 18-25 (M = 21.4; SD = 2.1) completed baseline and 12-month online surveys. The sample identified as White (54.2%), multiple racial backgrounds (16.6%), African American (9.6%) and Asian/Asian American (3.1%); 10.2% endorsed a Hispanic/Latina ethnicity. Rejection ranged from 18 to 41% across family relationships. Longitudinal regression indicated that when outness to family increased, SMW in highly rejecting families demonstrated resilience by finding connections and esteem in sexual minority communities to a greater extent than did non-rejected peers. But, when stigma concerns, concealment motivation, and other identity risk factors increased over the year, high family rejection did not impact community connectedness and SMW reported lower collective self-esteem. Racial minority SMW reported lower community connectedness, but not lower collective self-esteem. Families likely buffer or exacerbate societal risks for ill health. Findings highlight the protective role of LGBTQ communities and normative resilience among SMW and their families. PMID:25572956
Guilherme Vanoni Polanczyk
Full Text Available OBJETIVO: Verificar a prevalência da exposição à violência sexual entre adolescentes estudantes de escolas estaduais. MÉTODOS: Foram selecionadas 52 escolas estaduais de Porto Alegre, RS, Brasil, com ensino fundamental completo, por meio de um processo de amostragem aleatória, estratificada de acordo com o tamanho das escolas. Foi selecionada, em cada escola, uma turma de oitava série por sorteio aleatório e foram incluídos todos os adolescentes presentes nas salas de aula que consentiram em participar do estudo. Foi utilizado o instrumento Triagem da Exposição de Crianças à Violência na Comunidade para identificar jovens que foram vítimas, testemunhas ou que conheciam vítimas de atos de violência sexual. RESULTADOS: Foram incluídos 1.193 adolescentes, representando 10,3% dos alunos matriculados na oitava série da rede estadual da cidade. Vinte e sete (2,3% adolescentes relataram ter sido vítimas de violência sexual, 54 (4,5% ter sido testemunhas de algum tipo de violência sexual e 332 (27,9% relataram conhecer alguém que tenha sido vítima de violência sexual. CONCLUSÕES: A exposição à violência sexual pelas três formas de contato relatadas mostrou-se freqüente entre os adolescentes estudados. São necessários estudos que abordem a violência sexual como um fenômeno social amplo, com múltiplos fatores associados, amparando estratégias comunitárias de prevenção e de tratamento.OBJECTIVE: To assess the prevalence o sexual violence among adolescents of public schools. METHODS: Fifty-two public elementary schools of Porto Alegre, Brazil, were selected through random sampling stratified by school size. An 8th grade class was selected in each school through simple random sampling and all adolescents attending the classes who agreed to participate were included in the study. The Screening Survey of Children's Exposure to Community Violence was used to identify adolescents who were victims, witnesses or knew someone who had been a victim of sexual violence. RESULTS: There were 1,193 adolescents included in the study, representing 10.3% of all students enrolled on 8th grade classes in the city's public schools. Twenty-seven adolescents (2.3% reported being victims of sexual violence, 54 (4.5% reported witnessing some episode of sexual violence and 332 (27.9% reported knowing someone who was a victim of sexual violence. CONCLUSIONS: Exposure to sexual violence in any of the three forms of contact was a common event among the studied adolescents. Studies focusing sexual violence as a broad social phenomenon with multiples associated factors are necessary to support preventive and treatment strategies at the community level.
Reitz, Ellen; Van de Bongardt, Daphne; Baams, Laura; Doornwaard, Suzan; Dalenberg, Wieke; Dubas, Judith; van Aken, Marcel; Overbeek, Geertjan; Ter Bogt, Tom; van den Eijnden, Regina; Vanwesenbeeck, Wilhelmina; Kunnen, E. S.; Timmerman, M. C.; van Geert, P.; Dekovic, Maja
This study gives an overview of Project STARS (Studies on Trajectories of Adolescent Relationships and Sexuality), a four-wave longitudinal study of 1297 Dutch adolescents. First, the sample, measures and four sub-projects are described. Second, hierarchical regression analyses were conducted to examine how key variables from the individual domain (impulsivity), parent domain (parentâ adolescent relationship quality), peer domain (involvement with peers) and media domain (time spent on social...
Racz, Sarah Jensen; Saha, Shonali; Trent, Maria; Adger, Hoover; Bradshaw, Catherine P.; Goldweber, Asha; Cauffman, Elizabeth
Background: Adolescent juvenile offenders are at high risk for problems associated with drug use, including polysubstance use (i.e., use of a variety of drugs). The combination of juvenile offending and polysubstance use presents a significant public and child health concern. Objective: This study explored polysubstance use among a sample of youthâ¦
In Japan sex education has been introduced into the general curriculum of primary schools since 1992. But due to the lack of cooperation between schools and health organisations, it cannot always be said that an effective and proper sex education has been given to students. According to the nationwide survey of the Japan Association on Sex Education on the sexual behaviour of students, the rate of students having had sexual experiences has risen for both boys and girls. As a result of the remarkable increase of teenage induced abortions since 1975, the Japan Family Planning Association started a programme for adolescent health issues in 1980, and the Ministry of Health and Welfare set up a project in 1981, which included counseling for adolescents over telephone or in person. In 1991 another project, called the "Infant Association Learning Experience" was initiated as well as peer education by trained nurse students with collaboration between educational and health organisations in order to promote sex education; this had the close cooperation of families, schools and health organisations in the community. PMID:8579312
This paper will evaluate the extent to which the European Union (EU) manifests the ability to act as, and possesses the potential to develop into, a norm-setting bureaucracy in its external relations when it comes to the protection and promotion of sexual minority rights. In order to examine this, an overview of the theoretical notion of Normative Power Europe, as developed by Ian Manners, is offered. This is followed by an evaluation of the EUs international identity regarding LGBT rights. ...
Families in which parents are lesbian, gay, bisexual, or transgender are more diverse than they are similar. This article reviews current literature to identify fundamental issues facing families that include sexual minority parents and their children. The unique nursing needs of families with gay, lesbian, transgender, or bisexual parents are critically examined for direct relevance to family nursing practice. Nurses and other health care professionals can incorporate current knowledge of unique child developmental, parenting, and legal issues into their work with these families. Nursing assessment and policies that consider the unique needs of these families will be addressed. PMID:19531631
van der Put, Claudia; van Vugt, Eveline S; Stams, Geert Jan J M; Hendriks, Jan
The present study aimed to examine differences in psychosocial and developmental characteristics between Adolescent Females who have committed Sexual Offenses (AFSOs; n = 40), Adolescent Females who have committed nonsexual Violent Offenses (AFVOs; n = 533), and Adolescent Males who have committed Sexual Offenses (AMSO, n = 743). Results showed that AFSOs and AMSOs were remarkably similar, whereas AFSOs and AFVOs were remarkably different on the measured variables. Compared to AFVOs, AFSOs less often had antisocial friends and problems in the domains of school (truancy, behavior problems, dropping out of school) and family (e.g., parental problems, poor authority and control, and run away from home). Victimization of sexual abuse outside the family and social isolation were found to be more common in AFSOs than in AFVOs. Victimization of sexual abuse outside the family was the only specific characteristic of female adolescent sexual offending, as this was more common in AFSOs than in both AMSOs and AFVOs. PMID:23823249
Harris, Allyssa L
Adolescents spend an inordinate amount of time engaged with media, which is highly sexualized. Sexualized material can be found in music, on television and the Internet, as well as in magazines and books. Adolescents engaged with media are often influenced by this sexualized content, leading them to engage in risky sexual behavior. Urban literature (urban lit) is extremely popular among African-American female adolescents due to its portrayal of urban life and hip-hop culture. The purpose of this survey was to ascertain the extent to which African-American adolescent females are reading urban literature and to document whether this genre of literature had an effect on their sexual risk behaviors. PMID:26371361
Orgilés, Mireia; Carratalá, Elena; Espada, José P
Parental divorce has been linked to some risky sexual behaviour in previous studies. Here we examine whether the sexual behaviour of adolescents is related more to the perceived quality of the interparental relationship or to the parents' divorce in a sample from Spain, the country that has experienced the greatest recent increase in marital break-ups in the European Union. Participants were 801 adolescents aged between 14 and 17, who completed questionnaires anonymously. Adolescents who perceive high conflict in their parents' marriages have more sexual activity and engage in more risk practices in some sexual behaviours compared to adolescents with divorced parents and low interparental conflict. When adolescents perceive low conflict, those with divorced parents are more sexually active than adolescents with married parents, but they do not engage in more risk practices. The perceived quality of the parental relationship has a greater negative impact on adolescents than does the type of family structure. The study highlights the need to address the parents' marital relationship in the implementation of prevention programmes of sexual risk behaviours in Spanish adolescents. PMID:24788095
Prosper Adogu; Ifeoma Udigwe; Gerald Udigwe; Chika Ubajaka
Introduction: The problems of adolescents sexual behavior are grave and far-reaching. Methods: Review of exiting literature via Google scholar, AJOL, Pubmed, HINARI and other relevant data bases on the common problems of adolescents inappropriate sexual behavior. Result: Adolescent sexual behavior could result in adolescent pregnancy which prevalence varies widely throughout Nigeria perhaps due to differences in culture and development. Abortion, the willful terminati...
Vacek, Kimberly R.; Coyle, Laura D.; Vera, Elizabeth M.
This study examined hope, optimism, self-esteem, social support, stress, and indices of subjective well-being (SWB) in 137 low-income, urban, ethnic minority adolescents. Hope, optimism, and self-esteem were significant predictors of SWB indices, but stress predicted only 1 SWB index: negative affect. No moderators of stress and negative affect
Carlson, Daniel L.; McNulty, Thomas L.; Bellair, Paul E.; Watts, Stephen
Understanding the determinants of racial/ethnic disparities in adolescent sexual risk behavior is important given its links to the differential risk of teen pregnancy, childbearing, and sexually transmitted infections. This article tests a contextual model that emphasizes the concentration of neighborhood disadvantage in shaping racial/ethnic disparities in sexual risk behavior. We focus on two risk behaviors that are prevalent among Black and Hispanic youth: the initiation of sexual activity...
As the age at marriage continues to rise in East and Southeast Asia, the fertility behavior of unmarried teenagers is receiving more attention from population policymakers. In addition to fertility reduction through family planning, Asian societies today consider population planning strategies in relation to national needs and social goals, including such matters as the population's growth rate, age structure, educational quality and skills. The number of single youth in Asia is growing much more rapidly than the total youth population. By the year 2010, for example, India is projected to have nearly 70 million single teenagers, aged 15-19, 188% more than in 1980. In many developing countries today, such as the Philippines and Korea, the rising age at marriage has combined with rapid urbanization, improved status for women, and more educational opportunity to alter both the behavioral norms of young people and the traditional means of social control over youth. Studies of contemporary adolescent sexuality have been conducted in 4 Asian countries. In the Philippines an overt independent youth homosexual culture was found to exist in urban and to some extent rural areas. In Thailand research revealed little conservative resistance to family planning or to contraceptives for young unmarried people. Surveys in Taiwan indicate that behavior related to dating and choice of spouse has become more liberal, and a survey in Hong Kong revealed a higher level of premarital sex and use of prostitutes among Chinese men than expected. Population policy perspectives that need to be considered in these changing times include: 1) issues of access to family planning services by unmarried people below the legal age of maturity; 2) the development of social institutions, such as exist in Thailand and the Philippines, to guide adolescents' behavior; 3) more extensive study of adolescent sexuality; 4) establishment of the scope of family policy. PMID:12315866
Kawsar, M; Anfield, A; Walters, E.; McCabe, S.; Forster, G.
Objectives: To determine the prevalence of sexually transmitted infections (STIs) and the mental health needs of female child and adolescent survivors of rape and sexual assault who were referred to a specialist genitourinary medicine (GUM) clinic.
INTRODUCTION: Adolescence in Tanzania like in many other Sub-Saharan Countries face a number of Sexual and Reproductive Health (SRH) problems. Different initiatives respond to the SRH needs of adolescents. There is a need to relate the programme approaches and the SRH needs of adolescents. METHOD: Literature from Tanzania, Sub-Saharan and other developing countries was reviewed. RESULTS: Adolescents in Tanzania practice unprotected sex through premarital sex and early marriage. Factors influe...
Klingberg-Allvin, Marie; Thu Nga, Nguyen; Rangsjö-Arvidson, Ann-Berit; Johansson, Annika
Background: Vietnam has one of the highest abortion rates in the world and adolescent abortions are thought to constitute at least one third of all cases. Lack of balanced reproductive health information and services to adolescents and negative social attitudes towards adolescent sexuality are contributing factors to the high abortion rates. Health providers are important in guiding and counselling adolescents on how to protect their reproductive health. There is a lack of studies on health p...
Alleyne-Green, Binta; Grinnell-Davis, Claudette; Clark, Trenette T; Quinn, Camille R; Cryer-Coupet, Qiana R
This study explored the relationship between the involvement of biological fathers and the sexual risk behaviors and dating violence/victimization and/or perpetration of adolescent girls. The data used in this cross-sectional analysis were drawn from the second wave of the public release of the National Longitudinal Study of Adolescent Health. Only adolescents who reported their biological sex as female, reported a history of being sexually active, and reported having a romantic partner in the previous 18 months were selected (N = 879). This study focused on overall positive sexual behaviors and use of contraception. Structural equation modeling (SEM) was used to best utilize capacity for dealing with latent variables and to test for possible mediation effects. The analysis demonstrated main effects of dating violence and father involvement on sexual behaviors. The more dating violence an adolescent girl experiences, the less likely she is to engage in healthy sexual behaviors. Likewise, the more involvement the biological father has in a woman's life, the more likely she is to engage in positive sexual behaviors. Perceived father involvement was associated with risky sexual behaviors among sexually experienced adolescent girls. Dating violence was directly associated with risky sexual behaviors among sexually experienced adolescent girls, particularly non-White girls. Future studies should use longitudinal models and test theoretically and empirically guided potential mediators. Future studies should also consider father figures such as step-fathers and grandfathers in addition to biological fathers, as having a father figure may be a stronger predictor of adolescent sexual behaviors than having a biological connection. PMID:25475102
Part II: Differences between Sexually Victimized and Nonsexually Victimized Male Adolescent Sexual Abusers and Delinquent Youth--Further Group Comparisons of Developmental Antecedents and Behavioral Challenges
Leibowitz, George S.; Burton, David L.; Howard, Alan
In a recent paper published in the "Journal of Child Sexual Abuse," we assessed the differences between sexually victimized and nonsexually victimized male adolescent sexual abusers (Burton, Duty, & Leibowitz, 2011). We found that the sexually victimized group had more severe developmental antecedents (e.g., trauma and early exposure to
Page, Randy M.; Hall, Cougar P.
Background: This study examines the relationship between sexual behavior, alcohol use, and indicators of psychosocial distress (mental health) of adolescents in 6 sub-Saharan African countries using the Global School-based Student Health Survey (GSHS). Methods: The sample consisted of 22,949 adolescents from Botswana, Kenya, Namibia, Uganda,
Violência sexual contra crianças e adolescentes: características relativas à vitimização nas relações familiares / Sexual abuse of children and adolescents: characteristics of sexual victimization in family relations
Márcia Aparecida, Ribeiro; Maria das Graças Carvalho, Ferriani; Jair Naves dos, Reis.
Full Text Available O objetivo deste estudo é analisar as características relativas às vitimizações sexuais intrafamiliares cometidas contra grupos etários categorizados segundo o critério de idade estabelecido pelo Estatuto da Criança e do Adolescente,atendidos no Centro de Referência da Criança e do Adolescente e nos [...] Conselhos Tutelares de Ribeirão Preto, São Paulo, no período de 1995 a 2000. Identificou-se 234 agressões cometidas por 217 agressores contra 210 famílias e 226 vítimas. Foram vitimizadas 131 crianças (48,7%) e 95 adolescentes (41,2%) com predomínio do sexo feminino. Crianças com idade entre dez anos e um mês e 12 anos incompletos foram as mais atingidas (19,5%) e nos adolescentes, entre 12 e 14 anos completos (17,3%). A maioria das vítimas reside com famílias que possuem três (19,9%) ou quatro filhos (17,7%), sendo os primogênitos os mais agredidos (33,6%). Agressores únicos vitimizaram em sua maioria apenas uma vítima (86,7%). Pais (34,2%) e padrastos (30,3%) foram os que mais agrediram, com os primeiros vitimizando mais crianças (19,7%) e os segundos, adolescentes (17,1%). Abstract in english This study analyzes the characteristics of sexual abuse committed within the family against age groups classified according to the Brazilian Statute for Children and Adolescents (the prevailing legislation on matters pertaining to minors) and treated at the Reference Center for Children and Adolesce [...] nts and the Guardianship Councils in Ribeirão Preto, São Paulo State, Brazil, from 1995 to 2000. Some 234 abuses were identified, committed by 217 aggressors, against 210 families and a total of 226 victims. A total of 131 children (48.7%) and 95 adolescents (41.2%), predominantly females, were victimized. Children ranging from 10 to 12 years were the most frequently abused (19.5%), as well as adolescents from 12 to 14 years old (17.3%). The majority of the victims live in families with 3 (19.9%) or 4 children (177%), and the firstborn are the most frequently abused (33.6%). The majority of aggressors who acted alone victimized only one individual (86.7%). Fathers (34.2%) and stepfathers (30.3%) were the most frequent aggressors, with the former victimizing more children (19.7%) and the latter adolescents (17.1%).
Olivari, Maria Giulia; Santoro, Elena; Stagni Brenca, Elisa; Confalonieri, Emanuela; Di Blasio, Paola
Our aim was to explore health workers' perceptions of providing sexuality and contraception care for female adolescents within family health centers. We interviewed 26 volunteer health workers and analyzed the interviews using thematic analysis. We identified three main themes: (a) "adolescents and sexuality," with the subthemes "initiation rite," "me like the others," and "just for fun"; (b) "adolescents and contraception," with the subthemes "omnipotent adolescents," "aware adolescents," and "women's responsibility"; and PMID:26167812
Petchesky, Rosalind P
In any highly contested political domain, language can be a potent force for change or an obstacle to understanding and coalition building across difference. This is surely the case in the global debates over sexuality and gender, where even those terms themselves have aroused heated conflicts. In this spirit, we want to challenge the uncritical use of the term "sexual minorities", based on a number of historical and conceptual problems with which that term - like the larger thicket of identities and identity politics it signifies - is encumbered. These include: ignoring history, legitimating dubious normativity, fixing biological categories, and recreating exclusions. With this struggle, we seem caught in a modernist dilemma between two desires: to name and honour difference by signifying identities and to avoid exclusivity and hierarchy by reclaiming universals. The insistence of diverse groups on naming themselves and achieving recognition of their distinctness and variety will go on as long as aspirations for democracy exist, because that is the nature and necessity of emancipatory politics. At the same time, our language needs to reflect the fluidity and complexity of sexuality and gender expressions in everyday life and their intricate interweaving with other conditions such as class, race, ethnicity, time and place. PMID:19523587
Gunst, NoÃ«lle; Leca, Jean-Baptiste; Vasey, Paul L
We explored the role that sexual and social partners play in the expression of female homosexual behavior among adolescent female Japanese macaques at Arashiyama, Japan. Our data fully or partially supported all the predictions related to four non-mutually exclusive hypotheses, namely the "adult male disinterest in adolescent females" hypothesis, the "numerous homosexual adult females" hypothesis, the "safer homosexual interactions" hypothesis and the "same-sex sexual interactions" hypothesis. Our results show that both sexual context (e.g., lack of adolescent female attractivity toward adult males, presence of motivated same-sex sexual partners), and social context (e.g., risk of aggression) help explain the high frequency and prevalence of homosexual behavior in adolescent females in the Arashiyama group of Japanese macaques. As with adult females, whose homosexual consortships do not reflect generalized patterns of social affiliation or kinship, we found that adolescent females' same-sex sexual partners were neither kin, nor were they non-kin individuals with whom adolescent females were closely affiliated outside of a consortship context. Our study furthers the growing database of female homosexual behavior in Japanese macaques and provides additional evidence that homosexual behavior as expressed by adolescent female Japanese macaques is, like heterosexual behavior, sexual in nature. We discuss the relevance of our findings to a broader comparative approach that may shed light upon the development and evolution of human homosexuality. PMID:25597406
Saada A. Seif
Full Text Available This study was conducted to explore the perceptions of adolescents on caretaker-adolescent communication on sexuality. Using an Information-Motivation-Behavioural Skills model, this article highlights areas to emphasise when planning strategies to improve caretaker-adolescent communication on sexuality. Twelve focus group discussions were held with adolescents aged between 15 and 19 years, and data were analysed using content analysis. The participants found it important for caretakers to communicate with adolescents about sexuality to avoid sexual and related health risks. Caretakers were the most preferred communicators, by adolescents, on sexuality matters. It became apparent that information about the use of condoms was the most unpopular topic during the discussions, while information about the use of contraceptives seemed to be more interesting to the majority of the participants. From the adolescents point of view, the barriers to communication about sexuality on the caretakers side, include, the belief that such information might encourage promiscuity; some caretakers do not find it easy to discuss matters related to sexuality with their children; and others feel that some adolescents know more about sexuality than themselves. On the other hand, barriers on adolescents side include, fear of the caretakers, some of whom seem harsh, unfriendly, and sometimes unapproachable. Following the findings, it is being suggested that intervention strategies that would help to alleviate communication barriers would consequently facilitate caretaker-adolescent discussions about sexuality and reproductive health.
Full Text Available Adolescence is defined as the period of transition from childhood to adulthood in terms of physical, sexual, cognitive and psychosocial development. Adolescence period can be investigated in three phases which are early adolescence, middle adolescence and late adolescence. Physical and mental maturity is reached in late adolescence and the sexual behavior of the child changes from individual to socially shared relationships. There are some researches which show the increase of sexual abuse in adolescence. In these researches, importance of forensic and medical evaluation is emphasized in situations where sexual abuse of a psychosocially immature child by an adult exists. During forensic and medical evaluation, protecting every kind of material which can be used as medical evidence, and structuring the inspection as soon as possible is very important in order to not only preserve the rights of the attacked person, but also to identify the attacker. In forensic and medical evaluation, preparation of judicial report by doctors, who were assigned as medical referees, collaborating with doctors from different specialty areas in medicine is very important. During the evaluation of physical and mental symptoms in the sexually abused adolescent forensic and psychiatric examination is also needed. To be able to reintegrate child to the society, carrying out the medicalevaluation by an experienced team composed of forensic science experts, psychiatrists, psychologists, pedagogues, and social service experts is very important. (Turk Arch Ped 2011; 46 Suppl: 35-8
Folayan, Morenike Oluwatoyin
Introduction We aimed to determine differences in sexual practices, HIV sexual risk behaviors, and HIV risk profile of adolescents and young persons in rural and urban Nigeria. Methodology We recruited 772 participants 15 to 24 years old from urban and rural townships in Nigeria through a household survey. Information on participants socio-demographic profile (age sex, residential area, number of meals taken per day), sexual practices (vagina, oral and anal sex; heterosexual and homosexual sex; sex with spouse, casual acquaintances, boy/girlfriend and commercial sex workers), sexual behavior (age of sexual debut, use of condom, multiple sex partners, transactional sex and age of sexual partner), and other HIV risk factors (use of alcohol and psychoactive substances, reason for sexual debut, knowledge of HIV prevention and HIV transmission, report of STI symptoms) were collected through an interviewer administered questionnaire. Differences in sexual behavior and sexual practices of adolescents and HIV risk profile of adolescents and young persons resident in urban and rural areas were determined. Results More than half (53.5%) of the respondents were sexually active, with more residing in the rural than urban areas (64.9% vs 44.1%; p<0.001) and more resident in the rural area reporting having more than one sexual partner (29.5% vs 20.4%; p = 0.04). Also, 97.3% of sexually active respondents reported having vaginal sex, 8.7% reported oral sex and 1.9% reported anal sex. More male than female respondents in the urban area used condoms during the last vaginal sexual intercourse (69.1% vs 51.9%; p = 0.02), and reported sex with casual partners (7.0% vs 15.3%; p = 0.007). More female than male respondents residing in the rural area engaged in transactional sex (1.0% vs 6.7%; p = 0.005). More females than males in both rural (3.6% vs 10.2%; p = 0.04) and urban (4.7% vs 26.6%; p<0.001) areas self-reported a history of discharge. More females than males in both rural (1.4% vs 17.0%; p = 0.04) and urban (15.0% vs 29.1%; p<0.001) areas self-reported a history of itching. Conclusion There are differences in the sexual behavior and practices of adolescents and young persons residing in the urban and rural area with implication for HIV prevention programming. PMID:26171859
Marques, Sara S; Lin, Jessica S; Starling, M Summer; Daquiz, Aubrey G; Goldfarb, Eva S; Garcia, Kimberly C R; Constantine, Norman A
The web has unique potential for adolescents seeking comprehensive sexual health information. As such, it is important to understand the nature, scope, and readability of the content and messaging provided by sexuality educational websites. We conducted a content analysis of 14 sexuality education websites for adolescents, based on the 7 essential components (sexual and reproductive health and HIV, relationships, sexual rights and sexual citizenship, pleasure, violence, diversity, and gender) of the International Planned Parenthood Framework for Comprehensive Sexuality Education. A majority of content across all sites focused on sexual and reproductive health and HIV, particularly pregnancy and STI prevention, and other information about STIs and HIV. No other topic comprised more than 10% of content coverage across a majority of sites. The authors found little discussion of gender issues, sexual rights, sexual diversity, or sexual violence. Most sites provided brief references to sexual pleasure, generally moderated with cautionary words. Language used implied a heterosexual female audience. Reading levels for most sites were above the 9th-grade level, with several at the college level. These findings have implications for enhancing online sexuality education and broadening the coverage of essential topics. PMID:26147453
JØrgensen, Marianne Johansson; Maindal, Helle Terkildsen
Background: Surveying sexual behavior in the general population serves to identify critical points, monitor the effects, and interpret changes in the spread of sexually transmitted infection. Aim: The aim of this qualitative study was to identify points of particular importance to adolescents sexual behavior in order to initiate and design a behavior surveillance programme in Denmark. Methods: We conducted four semi-structured focus group interviews with a total of 19 sexually experienced adolescents aged 18 to 23. Boys and girls were interviewed separately. Each group contained pupils from one Danish Folk High School, but with different social and educational backgrounds. The interview guide was developed from literature reviews and hypotheses based on years of experience with sexually transmitted infections. Data were transcribed verbatim and analyzed using qualitative description. Results: Four major categories of risk behavior were identified: Alcohol consumption is associated with no condom use, Nights on the town and meetings in foreign counties or at festivals are associated with one night stands and often lead to unsafe sex, Low self-esteem increases the risk of pushing ones personal boundaries, thus resulting in promiscuous sexual behavior and Increased sexual experience is associated with lack of condom use. Conclusion: Danish adolescents identified four key elements that could lead to unsafe sex. These results differed slightly from our expectations and will be included in a sexual behavior questionnaire to describe important elements influencing the sexual behavior of Adolescents.
Bleakley, Amy; Hennessy, Michael; Fishbein, Martin; Jordan, Amy
Using a longitudinal web-based survey of adolescents 14-16 years of age, we estimate regression models where self-reported sexual behavior and content analytic-based exposure to sex in the media are related cross-sectionally and longitudinally. We find evidence for both cross-sectional non-recursive and prospective longitudinal relationships even after adjusting for both established predictors of sexual behavior (e.g., physical development, having a romantic partner, parental monitoring, peer and parental norms, respondent's age) and of exposure to sexual media content (e.g., time the respondent goes to bed, extracurricular activities, television in the bedroom, total time spent with television, music, videogames, and magazines). Sexually active adolescents are more likely to expose themselves to sex in the media and those exposed to sex in the media are more likely to progress in their sexual activity. These findings are consistent with others in the literature that demonstrate a causal effect of exposure to sexual content on sexual behavior but extend established results by also looking at the causal effect of sexual behavior on exposure both cross-sectionally and over time. PMID:20376301
Jessy Devieux; McMahon, Robert C.; Rhonda Rosenberg; Malow, Robert M.
Problem statement: Delinquent adolescents with substance abuse disorders frequently engage in behaviors that elevate their risk of contracting HIV. Although effective risk reduction interventions are urgently needed, there is uncertainty about the nature of interventions required to produce change. Approach:This study evaluated whether Modified version of Becoming A Responsible Teen (M-BART) produced greater reductions in drug use and sexual risk behaviors than an Anger Mana...
Bleakley, Amy; Hennessy, Michael; FISHBEIN, MARTIN; Jordan, Amy
Using a longitudinal web-based survey of adolescents 14-16 years of age, we estimate regression models where self-reported sexual behavior and content analytic-based exposure to sex in the media are related cross-sectionally and longitudinally. We find evidence for both cross-sectional non-recursive and prospective longitudinal relationships even after adjusting for both established predictors of sexual behavior (e.g., physical development, having a romantic partner, parental monitoring, peer...
Côrtes Rejane LM; Daud Lyana ES; Garcia Mônica SD; Seixas Mirian SS; Vieira Maria; Bontempo Nádia M; Guimarães Mark DC; Guimarães Eleuse MB; Alves Maria
Abstract Background Sexually transmitted infections constitute the main health risk among adolescents. In developing countries the diagnosis and treatment of cervical infections is based on the syndromic approach. In this study we estimated the prevalence of Chlamydia trachomatis and Neisseria gonorrhoeae among female adolescents from a Health Sector of the city of Goiânia, Brazil, and validated cervicitis diagnosis using World Health Organization/Ministry of Health risk score and gynecologic...
Smerecnik Chris; Schaalma Herman; Gerjo Kok; Meijer Suzanne; Poelman Jos
Abstract Background This paper describes the results of an exploratory qualitative study on Muslim adolescents' views on sexuality in the Netherlands. Methods Data were gathered from an Internet forum on which 44 Muslim and 33 non-Muslim adolescents discussed sexuality as it relates to Islam. These discussions were subsequently analyzed for content using Nvivo 2.0. Results Our analysis revealed several issues that are relevant for the design of future sex education programs targeting Muslim y...
Freeman, Daniel H; Temple, Jeff R.
We examine the association of adolescents self-reported sexual assault victimization with their living arrangements, parents education, and plans for college. Participants included 1,634 ethnically-diverse and economically-disadvantaged high school students in southeast Texas. Lifetime history of forced sexual assault was reported by 8.3% of girls and 9% of boys. No association with gender, age, or parents education was detected. However, adolescents in non-traditional households (living w...
Background Adolescence is a dynamic period in life with both opportunities and risks related to the culturally constructed gender norms. Many adolescents in sub-Saharan countries, Zambia included, lack control over their own sexual and reproductive lives, due to factors such as gender inequality, poverty, and sociocultural and religious norms. Aim The aim of this thesis was to explore, from a gender perspective, how sexuality and reproduction are conceptualised and communic...
The aim of this study is to assess the crucial role of sexuality education in addressing adolescents reproductive health needs within the backdrops of immense challenges in Nigerian environment. Young people have been well documented as a special need group in the area of reproductive health. Adolescent sexuality and reproductive health are important contemporary concerns especially for reproductive health problems such as early marriage, unintended/unwanted pregnancy, maternal mortality and...
Khurana, Atika; Romer, Daniel; Betancourt, Laura M; Brodsky, Nancy L.; Giannetta, Joan M.; Hurt, Hallam
Although deficits in working memory ability have been implicated in suboptimal decision making and risk taking among adolescents, its influence on early sexual initiation has so far not been examined. Analyzing 2 waves of panel data from a community sample of adolescents (N = 347; Mean age[baseline] = 13.4 years), assessed 1 year apart, the present study tested the hypothesis that weak working memory ability predicts early sexual initiation and explored whether this relationship is mediated b...
Steinberg, Jane K.; Grella, Christine E; Boudov, Melina R.; Kerndt, Peter R; Kadrnka, Carmel M.
Juvenile detention settings provide an important venue for addressing the health-related needs of adolescent populations, who often have high rates of sexually transmitted diseases (STDs) and concomitant drug use. This study examines factors associated with methamphetamine use and risky sexual behaviors among 539 incarcerated female adolescents between ages 1218 years with an STD diagnosis. Data were obtained from interviews with detainees receiving STD case management services within a Cali...
BACKGROUND: Nigeria has one of the largest numbers of married adolescents in the world. In the predominantly Muslim Northern region of the country, about 70% of girls get married and start childbearing by the age of 18. Early marriage limits the social and development opportunities of married adolescents as well as exposes them to sexual and reproductive health problems which often result in grave consequences such as vesico vagina fistula, sexually transmitted diseases including HIV and deat...
HalpÃ©rin, D. S.; Bouvier, P; JaffÃ©, P. D.; Mounoud, R. L.; Pawlak, C. H.; Laederach, J.; Wicky, H. R.; AstiÃ©, F.
OBJECTIVE--To measure the cumulative prevalence of child sexual abuse in a representative sample of the adolescent population of Geneva. DESIGN--Cross sectional survey with an anonymous self administered questionnaire centred on a factual description of sexual activities. SETTING--68 classes (17 schools) randomly selected from the 201 ninth grade classes of the public school system in Geneva. SUBJECTS--1193 adolescents aged 13-17 years, of whom 1116 (93.5%; 568 girls, 548 boys) consented to t...
Tilahun Mesfin; Mengistie Bezatu; Egata Gudina; Reda Ayalu A
Abstract Background Adolescents in developing countries face a range of sexual and reproductive health problems. Lack of health care service for reproductive health or difficulty in accessing them are among them. In this study we aimed to examine health care workers' attitudes toward sexual and reproductive health services to unmarried adolescents in Ethiopia. Methods We conducted a descriptive cross-sectional survey among 423 health care service providers working in eastern Ethiopia in 2010....
Wang, Bo; Stanton, Bonita; Deveaux, Lynette; Li, Xiaoming; Koci, Veronica; Lunn, Sonja
Parent involvement in prevention efforts targeting adolescents increases the impact of such programs. However, the majority of risk-reduction intervention programs that are implemented through schools do not include parents, in part because most existing parental interventions require significant time commitment by parents. We designed a brief parent-adolescent sexual risk communication intervention to be delivered with an effective HIV prevention intervention as part of a randomized, controlled trial among 2,564 grade 10 students and their parents in the Bahamas. Mixed effects modeling analysis was conducted to evaluate the effect of the brief parent-adolescent communication intervention using four waves of longitudinal data. Results indicate that a brief parent-adolescent communication intervention is effective in improving parent-adolescent communication on sex-related issues and perceived parental monitoring as well as the youth's condom use skills and self-efficacy. There is a marginal effect on consistent condom use. In addition, there is an apparent dose effect of the brief parent intervention on perceived parent-adolescent sexual risk communication and adolescent outcomes. These findings suggest that adolescent risk reduction interventions should include a brief parent-adolescent communication intervention that should be reinforced by periodic boosters in order to enhance the impact of adolescent HIV prevention programs. PMID:25490732
Valentine, Sarah E; Elsesser, Steven; Grasso, Chris; Safren, Steven A; Bradford, Judith B; Mereish, Ethan; O'Cleirigh, Conall
Previous studies documenting sexual minority women's disproportionate risk for a range of medical, mental health, and substance use disorders have not provided a predictive framework for understanding their interrelations and outcomes. The present study aimed to address this gap by testing the syndemic effect of co-occurring psychosocial problems on 7-year health care costs and utilization among sexual minority women. The sample was comprised of sexual minority women (N?=?341) who were seen at an urban LGBT-affirmative community health center. Medical and mental health care utilization and cost data were extracted from electronic medical records. Demographically adjusted regression models revealed that co-occurring psychosocial problems (i.e., childhood sexual abuse, partner violence, substance use, and mental health distress [history of suicide attempt]) were all strongly interrelated. The presence of these indicators had a syndemic (additive) effect on medical costs and utilization and mental health utilization over 7-year follow-up, but no effect on 7-year mental health costs. These results suggest that the presence and additive effect of these syndemic conditions may, in part, explain increased medical costs and utilization (and higher medical morbidity) among sexual minority women. PMID:26438415
Sexually transmitted infections associated with vulvovaginal symptoms in adolescents denying sexual activity Infecciones de transmisión sexual asociadas a síntomas vulvovaginales en adolescentes que niegan vida sexual activa
Full Text Available OBJECTIVE: To identify clinical, laboratory and ultrasonographic evidence of a probable sexually transmitted infection associated with vulvovaginal symptoms in adolescents denying sexual activity. MATERIAL AND METHODS: The medical records of female adolescents, aged 10-18 years were reviewed. These women received first-time medical care for vulvovaginitis, between 1995 and 1999 at Hospital Infantil de México Federico Gómez, (Children's Hospital. Comparisons between groups were performed, as appropriate, by the unpaired Student's t-test, the Z test or the chi-square test; statistically significant differences were set at a two-tailed pOBJETIVO: Identificar datos clínicos, de laboratorio y ultrasonográficos que permitan el diagnóstico de una infección de transmisión sexual asociada a síntomas vulvovaginales en las pacientes adolescentes que niegan vida sexual activa. MATERIAL Y MÉTODOS: Se revisaron los expedientes de las adolescentes de 10 a 18 años de edad que requirieron atención médica de primera vez por vulvovaginitis entre 1995 y 1999 en el Hospital Infantil de México Federico Gómez. Las comparaciones entre grupos se llevaron a cabo con la prueba t de Student, la prueba de Z, o la de ji-cuadrada. Se utilizó un valor de p<0.05 para establecer diferencias estadísticamente significativas. Se calcularon razones de momios con intervalos de confianza de 95%. RESULTADOS: De 258 adolescentes, en 53 (20.5% se identificó un microrganismo de transmisión sexual y 52 de ellas negaron tener vida sexual activa. No hubo diferencias estadísticas entre los dos grupos de adolescentes en cuanto a la edad, los años de estudio, el nivel socioeconómico, la maduración sexual y la presencia de menarquia. El dolor abdominal en los cuadrantes inferiores, la coloración anormal de la secreción vaginal, un cultivo urinario positivo y un estudio ultrasonográfico abdominal compatible con enfermedad pélvica inflamatoria estuvieron asociados con infección de transmisión sexual. Con el estudio ultrasonográfico se obtuvo una razón de momios de 144.8 (intervalo de confianza 95% 51.0 a 411.3. CONCLUSIONES: Se demostró una asociación entre infección de transmisión sexual en adolescentes con vulvovaginitis y dolor abdominal bajo, secreción vaginal anormal, urocultivo positivo y un estudio ultrasonográfico compatible con enfermedad pélvica inflamatoria.
Ayse Sonay Kurt
Full Text Available Recently, the importance of cervical cancer one of the womenâs most important health problems has increased. One of the important causes of cervical cancer is the HPV (Human Papilloma Virus. Cervical cancer has high level of severity and it is difficult to diagnose because it is difficult detect its symptoms in earlier period. Therefore, in order to reduce the negative effects of cervical cancer and to take appropriate measures, itsâ risk factors should be known. This study is designed to review studies to determine risk factors of cervical cancer. In reviewed studies, the clear and exact factors are given; however, common risk factors that were stated in the studies are listed as adolescent sexuality in the period (age at first intercourse at a young age or pregnancy in young, multiple sexual partner, smoking and oral contraceptive. As it is believed by the researchers that some precautions could be taken, informing of the community in this regard is of great importance.
Full Text Available Objective: To determine the prevalence of sexually transmitted infections in a group of adolescents in MedellÃn, Colombia, and the most frequent risk factors for acquiring them. Materials and methods: Cross-sectional study, between 2010 and 2013, in 569 students who had started sexual intercourse. A questionnaire was applied, and screening was done for the following infections: hepatitis B, syphilis, HIV, HPV, gonorrhea, Chlamydia trachomatis, bacterial vaginosis, candidiasis, and nongonococcal urethritis in men. Results: Women had the following frequencies of infections: HPV 28.1 %; Chlamydia trachomatis 11.4 %; bacterial vaginosis 42.7 %; candidiasis 14.1 %. Nongonococcal urethritis was found in 6.2 % of men. Hepatitis B, syphilis, HIV, and gonococcal infections were not found. The most frequent risk factors were as follows: to have started sexual relations before the age of 15 (59.9 %; not to use condom (58.2 %; not to have utilized condom in the last sexual intercourse (41.7 %; to lack adequate knowledge on sexual health (39.1 %; to have had three or more sexual partners (30.6 %; to have had sexual partners 10 or more years older than themselves (20.4 %, and to have sexual relations with persons different from the formal partner (18.8 %. Conclusions: The high prevalence of STIs in teenagers that are just starting sexual life must be an alert to implement high impact sexual health programs.
Madan Mohan Laddunuri
Full Text Available Introduction: A surge of sexual interest occurs around puberty and continues through adolescence. Heightened adolescent sexuality may be caused by a number of factors, including bodily changes, sexual hormones, social forces, and rehearsal for adult gender roles. The main objective of the present study is to understand the patterns and trends of adolescent students sexual behaviour in Tanzania.Methodology: A descriptive cross sectional study was conducted and 550 secondary school students (13 to 19 years old were recruited by using a multistage random sampling technique from Tanzanias secondary schools. The data collection tool was a structured questionnaire. Data were analysed by using SPSS software package version 16.Results: More than one third (40.2% of the participant students had experienced intercourse with mean age 17.2±1.8 years and one sixth (17.6% of the participants had multiple sexual partners. The mean age for hugging, kissing and breast fondling was significantly younger when compared to the sexual intercourse. Most (78.5% of the students had used contraceptives but the frequency of contraception was less than half (48.6% always. The main reasons beyond sexual debut were just for fun (37% and peer pressure (27.6%. A male student was 1.46 times more likely to have had intercourse than a female. Parental education was the most significant association with sexual debut of adolescents and the odds ratio indicates that sexual intercourse among students is decreasing with the increasing of parental education.Conclusion: A relatively high sexual intercourse has been recorded and risky sexual behaviour also existed among the respondents. Hence, there is a need to promote specific intervention programmes built upon those factors which are associated with an increased likelihood for early sexual debut and risky sexual behaviour.
Full Text Available The aim of this study is to assess the crucial role of sexuality education in addressing adolescents reproductive health needs within the backdrops of immense challenges in Nigerian environment. Young people have been well documented as a special need group in the area of reproductive health. Adolescent sexuality and reproductive health are important contemporary concerns especially for reproductive health problems such as early marriage, unintended/unwanted pregnancy, maternal mortality and sexually transmitted diseases, including AIDS. A large number of adolescents in Nigeria decide to be more sexually active without access to preventive measure, such as condoms or family planning devices and thus face undesired consequences, including unwanted pregnancies, Sexually Transmitted Diseases (STDs, including the Acquired Immunodeficiency Syndrome (AIDS and the social consequences of both. In fact, adolescents have a higher prevalence of most reproductive health problems because of lack of information and poor access to service. However, one of the 2004 Nigerian National Population Policy objectives is increasing the integration of adolescents and young people into development efforts and effectively addressing their reproductive health and related needs. The study, which relies mainly on secondary data, examines the crucial role and benefits of sexuality education against the backdrops of the challenges including reaching the youths with sexuality and reproductive information and service, or motivating them to change behavior in the light of new information and awareness, more institutional support and creating the social and economic climate, which will make the desired changes possible and sustainable. The author contends that it is a violation of ones fundamental human rights and freedom guaranteed by numerous international, regional and national policies as well as legal instruments when attempts are made to control rather than educate people to freely express their sexuality positively and in good health. Thus, there is need for all stakeholders to acknowledge the reality of adolescent sexuality and teach them how to be healthy sexual beings without endangering themselves and others.
Isiugo-Abanihe, Uche C; Olajide, Rasak; Nwokocha, Ezebunwa; Fayehun, Funke; Okunola, Rasheed; Akingbade, Retta
The introduction of school-based adolescent sexuality and life skills education in Nigeria's formal education sector raises the misgiving that out-of-school youths who constitute more than half of the youth population might be neglected. This study investigated the extent to which out-of-school adolescents have been reached with sexuality education in Nigeria. The study took place in the six geopolitical zones and the Federal Capital Territory Abuja, and involved out-of-school adolescents, Non-Governmental Organizations, and community leaders. The qualitative research approaches were employed. Most of the youths had been exposed to sexuality education through seminars, trainings and workshops organized by different organizations. However, states in the south were better served than those in the north. Sexually Transmitted Infections including HIV/AIDS prevention accounted for more than 40% of the content of sexuality and life skills education received by out-of-school adolescents. The programmes have impacted positively on adolescents' disposition and relationship with the opposite sex, knowledge and skill building. PMID:26103700
Massie, M E; Johnson, S M
We have become increasingly aware of sexual abuse in our society, and yet the majority of teens who were sexually abused as children enter adolescence carrying the secret of their abuse. Such hidden abuse may have devastating effects on the development of personal identity, self-esteem, attitudes, behaviors, and interpersonal relationships that may persist and set a pattern for a troubled adulthood. This article details how children cope with a sexually abusive situation, the long-term effects of unresolved sexual abuse, and diagnostic criteria to differentiate a hidden history of sexual abuse from other trauma and conditions. Focus is on recognizing and assessing "legitimate" symptoms that may be conscious or unconscious cries for help by victims of previous sexual abuse. Correct diagnosis is essential to appropriate intervention to lessen possible further psychologic damage during adolescence. PMID:2715090
Gottfried, Jeffrey A; Vaala, Sarah E; Bleakley, Amy; Hennessy, Michael; Jordan, Amy
Using the Integrated Model of Behavioral Prediction, this study examines the effects of exposure to sexual content on television by genre, specifically looking at comedy, drama, cartoon, and reality programs, on adolescents' sex-related cognitions and behaviors. Additionally, we compared the amount and explicitness of sexual content as well as the frequency of risk and responsibility messages in these four genres. Findings show that overall exposure to sexual content on television was not related to teens' engagement in sexual intercourse the following year. When examined by genre, exposure to sexual content in comedies was positively associated while exposure to sexual content in dramas was negatively associated with attitudes regarding sex, perceived normative pressure, intentions, and engaging in sex one year later. Implications of adolescent exposure to various types of content and for using genre categories to examine exposure and effects are discussed. PMID:24187395
This study examined victimisation, substance misuse, relationships, sexual activity, mental health difficulties and suicidal behaviour among adolescents with sexual orientation concerns in comparison to those without such concerns. 1112 Irish students (mean age 14 yrs) in 17 mixed-gender secondary schools completed a self-report questionnaire with standardised scales and measures of psychosocial difficulties. 58 students (5%) reported having concerns regarding their sexual orientation. Compared with their peers, they had higher levels of mental health difficulties and a markedly-increased prevalence of attempted suicide (29% vs. 2%), physical assault (40% vs. 8%), sexual assault (16%vs. 1%) and substance misuse. Almost all those (90%) with sexual orientation concerns reported having had sex compared to just 4% of their peers. These results highlight the significant difficulties associated with sexual orientation concerns in adolescents in Ireland. Early and targeted interventions are essential to address their needs.
Steinberg, Laurence; Monahan, Kathryn C.
It is widely believed that exposure to sexy content in the mass media leads teenagers to become sexually active. Although most research linking sexy media exposure to adolescents' sexual behavior is cross-sectional, several recent, well-publicized longitudinal studies purport to find a causal connection, which has alarmed the public and prompted
Simons, Ronald L.; Whitbeck, Les B.
Studied 40 adolescent runaways and 95 homeless women to examine impact of early sexual abuse on prostitution and victimization. Findings suggest that early sexual abuse increases probability of involvement in prostitution irrespective of influence of running away, substance abuse, and other deviant acts; only indirectly affects chances of
Huerta-Franco, Raquel; And Others
Studies family structure and function and their association with knowledge and attitudes toward sexuality, contraception, and sexually transmitted diseases (STD) in student and adolescent factory workers. Finds female workers at higher risk for unwanted pregnancies and STDs. Factors associated with knowledge and attitudes included age, schooling
Silver, Ellen Johnson; Bauman, Laurie J.
We compared knowledge, attitudes, and demographic characteristics of 630 sexually experienced and 422 inexperienced inner-city adolescents aged 14-17 years. Sexual experience was associated with indicators of risk previously reported in the literature: male gender, older age, single-family home, smoking, drinking, and poorer academic performance.
Salazar, Laura F.; Bradley, Erin L. P.; Younge, Sinead N.; Daluga, Nichole A.; Crosby, Richard A.; Lang, Delia L.; DiClemente, Ralph J.
This study sought to determine the perspective taken toward understanding adolescent sexual risk behaviors and related biological outcomes (i.e. pregnancy, sexually transmitted diseases) since 1990. We content analyzed 324 abstracts representing observational research published between January 1990 and December 2007 for inclusion of ecological
Bleakley, Amy; Hennessy, Michael; Fishbein, Martin; Jordan, Amy
Objectives: To examine how sources of sexual information are associated with adolescents' behavioral, normative, and control beliefs about having sexual intercourse using the integrative model of behavior change. Methods: Survey data from a quota sample of 459 youth. Results: The most frequently reported sources were friends, teachers, mothers,
Whether symptomatic or asymptomatic, children labeled sexually abused are routinely offered treatment at considerable financial cost. One result of this is that mental health professionals are being charged with exploiting the problem of child sexual abuse (CSA). Is the routine provision of psychotherapy for children and adolescents labeled
Alvarez, Paulina Millan
When it comes to adolescent sexuality, researchers have focused on topics such as sexuality education, contraceptive methods, the use of condoms, and first intercourse. These studies have provided valuable information on issues that need attention from authorities and that are widely recognized as social problems (unwanted pregnancies, for
Shorey, Ryan C; Fite, Paula J; Choi, HyeJeong; Cohen, Joseph R; Stuart, Gregory L; Temple, Jeff R
The objectives of this study is to examine dating violence perpetration and victimization (physical, psychological, and sexual) and lifetime substance use (alcohol, marijuana, and hard drugs) as longitudinal predictors of adolescents' risky sexual behavior across 1 year and to determine whether predictors varied across adolescents' gender and ethnicity. A sample of Caucasian, African American, and Hispanic male and female adolescents from seven public high schools in Texas (N?=?882) participated. Adolescents completed self-report measures of dating violence, lifetime substance use, and risky sexual behavior at baseline and, 1-year later, completed a second assessment of their risky sexual behavior. Path analysis demonstrated that greater physical dating violence victimization, lifetime alcohol use, lifetime marijuana use, and age (being older) were all significant predictors of risky sexual behavior at the 1-year follow-up. These results did not vary across gender or the three ethnic groups (Caucasian, African American, and Hispanic). Overall, substance use was a longitudinal predictor of risky sexual behavior across the three ethnic groups, with physical dating violence victimization being the only type of dating violence longitudinally predicting risky sexual behavior. Prevention efforts should consider the roles of physical dating violence and substance use in preventing risky sexual behavior. PMID:25797949
Rothman, Emily F.; Decker, Michele R.; Reed, Elizabeth; Raj, Anita; Silverman, Jay G.; Miller, Elizabeth
The authors used qualitative research methods to explore the context and sexual risk behavior associated with sexual intercourse involving multiple males and one female, commonly called "running a train." Participants were 20 adolescent males aged 14 to 22 years who were either perpetrators of dating violence or perceived by teachers to be at risk
Scull, Tracy Marie; Malik, Christina V.; Kupersmidt, Janis Beth
As states are moving toward comprehensive sexual health education, educators require engaging and effective curricula. This pre-post study (N = 64) examined the feasibility of a comprehensive, media literacy education program for influencing adolescents' sexual health and media literacy outcomes. After the program, participants were moreâ¦
Lando-King, Elizabeth; McRee, Annie-Laurie; Gower, Amy L; Shlafer, Rebecca J; McMorris, Barbara J; Pettingell, Sandra; Sieving, Renee E
Social-emotional intelligence (SEI) has been linked with a number of health behaviors in adolescent populations. However, little is known about the influence of SEI on sexual behavior. This study examined associations between three indicators of SEI (intrapersonal skills, interpersonal skills, stress management skills) and adolescent girls' sexual risk behaviors. Data come from a cross-sectional sample of sexually active adolescent girls (ages 13 to 17 years) at high risk for pregnancy (NÂ =Â 253), recruited from health care clinics in a Midwest metropolitan area during 2007 and 2008. Results of multivariable regression models controlling for participants' age and race/ethnicity indicated that each aspect of SEI was related to distinct sexual risk behaviors. Specifically, girls with greater intrapersonal skills had significantly fewer male sex partners in the past six months (bÂ =Â -0.16). Participants with greater interpersonal skills reported earlier communication with their sexual partner about sexual risk (bÂ =Â 0.14), and those with a better ability to manage stress reported more consistent condom use (bÂ =Â 0.31). Study findings suggest that SEI may provide a protective buffer against sexual risk behaviors. Building adolescent girls' social and emotional skills may be an effective strategy for reducing their risk for early pregnancy and sexually transmitted infections. PMID:25621508
Eisenberg, Marla E.; Sieving, Renee E.; Bearinger, Linda H.; Swain, Carolyne; Resnick, Michael D.
Parents may wait to talk to their teens about sexuality until they believe their child is in a romantic relationship. To examine this, telephone surveys were conducted with 1069 parents of adolescents. Measures assessed parents' perception of teens' romantic involvement and parent-child communication about several sexuality topics. Multivariable
Dupere, Veronique; Lacourse, Eric; Willms, J. Douglas; Leventhal, Tama; Tremblay, Richard E.
This study examined how the link between neighborhood poverty and the timing of sexual initiation varies as a function of age, gender, and background characteristics. A sample of N = 2,596 predominately White Canadian adolescents from the National Longitudinal Survey of Children and Youth was used. Sexual initiations occurring between 12 and 15
Szielasko, Alicia L.; Symons, Douglas K.; Price, E. Lisa
There is considerable interest in relations between sexual behavior and romantic attachment styles in adolescence as attachment needs are increasingly met through intimate partners rather than parents. The objectives of this research were to organize a measure of sexual behavior within an attachment theory framework, and then show that this new
Gardner, Margo; Martin, Anne; Brooks-Gunn, Jeanne
In a sample of urban youth (N = 1,070), we examined the links between primary caregiver affect (i.e., warmth and hostility) and two measures of sexual behavior in adolescence--early sexual initiation and sex with multiple partners. We also examined the extent to which neighborhood disadvantage moderated associations between caregiver affect and
Inyang, Mfrekemfon P.
Most adolescents engage in indiscriminate sexual experimentations. This practice exposes them to the risk of contracting sexually transmitted infections including HIV/AIDS. Human immunodeficiency virus (HIV) and acquired immune deficiency syndromes (AIDS) are among the deadly diseases that exist globally. Twice as many girls, compared to boys
Craig, Shelley L; Doiron, Christopher; Dillon, Frank
Sexual minority youth (SMY) face multiple risks in their daily lives that may influence their need for supportive care. Health and social service providers have unique opportunities to provide culturally competent services to these youth. This article describes a community-based educational intervention created to increase providers' knowledge, skills, and intention to support SMY. Based on the Information-Motivation-Behavioral Skills model, this pilot study found that for a diverse sample of multidisciplinary professionals (n = 2,850), the odds of behavioral intention (BI) to support SMY were significantly higher when trainings were relevant to the professionals' experience (OR = 1.3), were sensitive (OR = 1.3), developed skills (OR = 1.1), and incorporated policy (OR = 1.2). Implications for the delivery of community-based trainings are provided. PMID:26305479
Doyle, David Matthew; Molix, Lisa
To bolster knowledge of determinants of relationship functioning among sexual minorities, the current meta-analysis aimed to quantitatively review evidence for the association between social stigma and relationship functioning as well as examine potential moderators. Thirty-five studies were identified, including 130 effect sizes (39 independent; N = 10,745). Across studies, evidence was found for a small but significant inverse association between social stigma and relationship functioning. Furthermore, this association was moderated by stigma type (with more deleterious associations for internalized relative to perceived stigma) and dimension of relationship functioning (with more deleterious associations for affective relative to cognitive and negative relative to positive). Evidence for demographic moderators (region, sex, race, age) was generally mixed although important limitations related to unique characteristics of study samples are discussed. We conclude by highlighting the importance of social stigma for relationship functioning and point toward directions for future research and policy action. PMID:26199218
Parenting and family life are fundamental social constructs in human society and in law and public policy. Family structures and support systems provide important economic and psychological advantages for parents as well as for their children. Stigma toward lesbian and gay parents often marginalize individuals in these families and restrict family members' full expression of social citizenship, humanity, and personhood. Stigma directly contributes to increased risk for substance abuse, anxiety, and depressive illness among both parents and children. This article reviews the relevant policy literature to deconstruct the impacts of stigma on the psychological health and well-being of sexual minority parents so that psychiatric/mental health nurses and other health care providers can identify and counter these effects in their practices and advocate for policy improvements. PMID:18569207
Farr, Rachel H; Crain, Emily E; Oakley, M K; Cashen, Krystal K; Garber, Karin J
Limited research exists about the unique experiences and possible marginalization of children with sexual minority parents. From a larger longitudinal project of diverse adoptive families, we examined cross-sectional data using mixed methods from interviews with 49 adopted children (M age = 8 years; 47 % female) in 27 two-father and 22 two-mother families. Using thematic analysis, we coded themes of awareness of difference, microaggressions, and resilience (i.e., coping and positive family conceptualizations). Children experienced "feeling different" and microaggressions from peers, but generally at a low to medium intensity and with neutral (not negative) emotion. More instances of resilience and positive family conceptualizations were reported than microaggressions or feelings of difference, suggesting that children develop positive perceptions of their family and navigate experiences of difference with resilience. Filling important gaps in the literature, we discuss implications of our results for practice and policy. PMID:26374241
Baker, Sharon A.; And Others
Used clustered sample household survey of 329 males and females aged 14 to 17, and 470 of their parents to examine influence of parental factors on adolescent sexual behavior and contraceptive use. Found parents' reported behavioral norms accounted for 5% of variance in whether adolescents had had intercourse, and for 33% of variance in
Mrug, Sylvie; Borch, Casey; Cillessen, Antonius H. N.
Adolescents' friendships with other-sex peers serve important developmental functions, but they may also facilitate engagement in problem behavior. This study examines the unique contributions of other-sex friendships and friends' behavior to alcohol use, smoking, and initiation of sexual intercourse among late adolescent girls and boys. A total
Carrera, Michael; Kaye, Jacqueline Williams; Philliber, Susan; West, Emily
Reports the knowledge levels about reproduction, contraception, and sexuality of more than 600 young teenagers from 7 cities. Data show subgroup variations in knowledge levels and explore which variables predict greater knowledge among these adolescents. Findings show disturbingly low levels of information among adolescents. (SLD)
Perry, Raymond C. W.; Braun, Rebecca A.; Cantu, Michelle; Dudovitz, Rebecca N.; Sheoran, Bhupendra; Chung, Paul J.
Background: Text messaging is an increasingly common mode of communication, especially among adolescents, and frequency of texting may be a measure of one's sociability. This study examined how text messaging ("texting") frequency and academic performance are associated with adolescent sexual behaviors. Methods: A cross-sectional
St. Lawrence, Janet S.; And Others
Examined 295 African-American adolescents' degree of social support, attitudes regarding health beliefs and condoms, AIDS knowledge and risk, self-efficacy, and sexual behavior. Found that adolescents with less social support were less knowledgeable about AIDS, held more negative attitudes toward condoms, and were lower in self-efficacy than
Alriksson-Schmidt, Ann I.; Armour, Brian S.; Thibadeau, Judy K.
Background: The purpose of this study was to investigate whether US female adolescents who self-reported having a physical disability or long-term health problem were more likely to report having been physically forced to have sexual intercourse than US female adolescents without a physical disability or long-term health problem. Methods: Using
Drew, Cathy L.
Adolescent males are influenced by various social and cultural factors. This qualitative study sought to further understanding about adolescent males' thoughts and behaviors regarding sexual decision-making. Specific exploration encompassed the influences of the identified factors of parents, peers, media, first romantic relationship breakups, and
In this article Jan Steutel's paper "Towards a sexual ethics for adolescence" is discussed. It is argued that his dichotomous conception of "child" versus "adult" unnecessarily limits his conception of "adolescence", with unfortunate consequences for the answers to his research questions. Steutel's treatment of "competences" is discussed, in
Yen, Cheng-Fang; Yang, Mei-Sang; Yang, Ming-Jen; Su, Yi-Ching; Wang, Mei-Hua; Lan, Chu-Mei
Objective: The aims of this cross-sectional survey study were to examine the prevalence and correlates of childhood physical and sexual abuse in adolescents living in the rural areas of Taiwan. Method: A sample of indigenous (n = 756) and non-indigenous (n = 928) adolescents was randomly selected from junior high schools in the rural areas of
Full Text Available Background: Sexually transmitted diseases are very important health challenges for adolescents. Many national and international governmental and nongovernmental health agencies are running programmes to reduce the incidence of these diseases. We can provide an insight to the reproductive and sexual health needs of adolescents by assessing their knowledge, attitude and practice about these diseases. Research Question: What is the level of knowledge awareness and practice among adolescents regarding sexually transmitted diseases? Objectives: To assess the knowledge awareness and practice among adolescents regarding sexually transmitted diseases in an urban slum in Dehradun. Study Design: Cross-Sectional Settings and Participants: Adolescents belonging to registered families of Chandreshwar Nagar urban slum under the field practice area of Urban Health Training Centre (UHTC of department of Community Medicine, Himalayan Institute of Medical Sciences. Sample Size: 166 Adolescents i.e. Males-88 and Females-78. Study Period: May 2009 to October 2009 Study Variable: A predesigned, pretested, self-administered questionnaire was used for collecting information on Age, Sex, Knowledge and awareness regarding STDs, etc. Statistical Analysis: Standard statistical package i.e. SPSS, Microsoft Excel. Results: 51.2% of the adolescents were having knowledge about STDs. Majority of (91.4% the adolescents knew about AIDS as a type of STD. Their attitude cum practice towards prevention of STD was found to be 72.9% by use of condoms. Conclusions: Appropriate health care seeking behaviour and Information Education and Communication (IEC activities should be promoted.
Discursos de jovens adolescentes portugueses sobre sexualidade e amor: implicações para a educação sexual / Discourses of portuguese adolescents about sexuality and love: implications for sexual education
Luísa, Saavedra; Conceição, Nogueira; Sara, Magalhães.
Full Text Available Os esforços para diminuir os comportamentos sexuais de risco de adolescentes e jovens têm conduzido a resultados que ficam aquém das expectativas. Algumas causas para este fracasso parecem dever-se ao seu desconhecimento sobre os mitos e crenças associados à sexualidade. Tentando ultrapassar algumas [...] das limitações de estudos anteriores, o objectivo deste trabalhar foi auscultar directamente jovens adolescentes,1 procurando entender, de uma forma mais espontânea e profunda, as percepções e crenças associadas às relações amorosas e sexuais. Para isso, recolheram-se os seus discursos ao longo de um programa de educação sexual e usou-se a Análise Foucaudiana do Discurso como método de análise dos resultados. Estes apontam para a presença do duplo padrão sexual, embora pareça desenhar-se uma tendência para um padrão sexual singular e para a pouca importância atribuída aos comportamentos de prevenção. Conclui-se com a referência a algumas pistas para a educação sexual. Abstract in english The efforts to lower adolescents sexual risk behaviors have led to results that did not come up to the expectations. Lack of knowledge on myths and beliefs on sexuality may be the main cause of this failure. Trying to overcome some of the limitations of previous studies, this work aimed to directly [...] hear adolescents trying to understand, in a more spontaneous and deeply way, the perceptions and beliefs associated with love and sexual relations. To do so, the discourses of adolescents during a sexual education program were collected and analyzed through Foucauldian Discourse Analysis. Results point out the recognition of sexual double standard, although there seem to exist a tendency to consider a single sex standard and disregard the importance of prevention behaviors. We conclude with some clues about sexual education.
Discursos de jovens adolescentes portugueses sobre sexualidade e amor: implicações para a educação sexual Discourses of portuguese adolescents about sexuality and love: implications for sexual education
Full Text Available Os esforços para diminuir os comportamentos sexuais de risco de adolescentes e jovens têm conduzido a resultados que ficam aquém das expectativas. Algumas causas para este fracasso parecem dever-se ao seu desconhecimento sobre os mitos e crenças associados à sexualidade. Tentando ultrapassar algumas das limitações de estudos anteriores, o objectivo deste trabalhar foi auscultar directamente jovens adolescentes,1 procurando entender, de uma forma mais espontânea e profunda, as percepções e crenças associadas às relações amorosas e sexuais. Para isso, recolheram-se os seus discursos ao longo de um programa de educação sexual e usou-se a Análise Foucaudiana do Discurso como método de análise dos resultados. Estes apontam para a presença do duplo padrão sexual, embora pareça desenhar-se uma tendência para um padrão sexual singular e para a pouca importância atribuída aos comportamentos de prevenção. Conclui-se com a referência a algumas pistas para a educação sexual.The efforts to lower adolescents sexual risk behaviors have led to results that did not come up to the expectations. Lack of knowledge on myths and beliefs on sexuality may be the main cause of this failure. Trying to overcome some of the limitations of previous studies, this work aimed to directly hear adolescents trying to understand, in a more spontaneous and deeply way, the perceptions and beliefs associated with love and sexual relations. To do so, the discourses of adolescents during a sexual education program were collected and analyzed through Foucauldian Discourse Analysis. Results point out the recognition of sexual double standard, although there seem to exist a tendency to consider a single sex standard and disregard the importance of prevention behaviors. We conclude with some clues about sexual education.
Hightow-Weidman, Lisa B; Phillips, Gregory; Jones, Karen C; Outlaw, Angulique Y; Fields, Sheldon D; Smith, Justin C
Bullying is a form of violence characterized as an aggressive behavior that is unprovoked and intended to cause harm. Prior studies have found that lesbian, gay, bisexual, and transgender (LGBT) youth experience high levels of bullying related to their sexuality and this harassment can lead to engagement in risk behaviors, depression, and suicide. Ethnic/racial minority young men who have sex with men (YMSM) may experience dual levels of stigma and maltreatment due to both their sexuality and their race. The aim of the current study was to assess the prevalence and perceptions of racial and sexual identity-based abuse among a sample of minority YMSM, and whether this maltreatment plays a role in the emotional distress of these youth. We found that overall 36% and 85% of participants experienced racial and sexuality-related bullying, respectively. There was a significant association between experiencing a high level of sexuality-related bullying and depressive symptomatology (p=0.03), having attempted suicide (p=0.03), and reporting parental abuse (p=0.05). We found no association between racial bullying and suicide attempts. In a multivariable logistic regression model, experiencing any racial bullying and high sexuality-related bullying were significant predictors of having a CES-D score ?16; adjusted odds ratio (OR) 1.83 and 2.29, respectively. These findings contribute to the existing literature regarding the negative experiences and daily stressors facing LGBT youth with regard to both their minority status and LGBT identities. Future interventions for racial/ethnic minority YMSM should provide assistance to achieve a positive view of self that encompasses both their racial and sexual identities. PMID:21688988
Julliana Luiz, Rodrigues; Rachel de Faria, Brino; Lúcia Cavalcanti Albuquerque, Williams.
Full Text Available Os objetivos deste estudo consistiram em: verificar as concepções de sexualidade de adolescentes que passaram por violência sexual comparando as que não passaram e avaliar se os dois grupos de adolescentes (vítimas e não vítimas) diferiam quanto aos escores no Inventário de Depressão. A pesquisa foi [...] realizada com 16 adolescentes do sexo feminino, sendo oito jovens vítimas de violência sexual, e outras oito jovens que jamais passaram por experiência deste abuso. Na maioria dos casos o agressor era próximo da vítima e houve a consumação do ato sexual vaginal. Verificou-se que as adolescentes que passaram por violência sexual, contrastando com as demais, demonstravam medo quanto a se envolverem com indivíduo do sexo oposto e também do ato sexual. Neste grupo foram encontradas idéias equivocadas acerca da sexualidade. Quanto a se sentir à vontade diante de um indivíduo do sexo oposto, todas as vítimas de abuso declararam que não se sentiam. Abstract in english The goals of this study consisted in verifying the sexuality conceptions of adolescents who have been victims of sexual violence compared to the ones who were not victims and to evaluate if both teenagers' groups (victims and not victims) differed regarding their scores in the Depression Inventory. [...] The research was conducted with 16 female teenagers, eight youngsters victim of sexual violence, and eight nonvictims. In most victims' cases the aggressor was someone close to the victim and involved consummation of the vaginal sexual act. It was verified that the adolescents who experienced sexual violence, contrasting with the others, demonstrated striking fear regarding involvement with an individual of the opposite sex and also of the sexual act. In such group, mistaken ideas concerning sexuality were observed. Regarding feeling confortable in front of an individual of the opposite sex, all the abuse victims affirmed that they did not.
Gottfried, Jeffrey A.; Vaala, Sarah E.; Bleakley, Amy; Hennessy, Michael; Jordan, Amy
Using the Integrated Model of Behavioral Prediction, this study examines the effects of exposure to sexual content on television by genre, specifically looking at comedy, drama, cartoon, and reality programs, on adolescents sex-related cognitions and behaviors. Additionally, we compared the amount and explicitness of sexual content as well as the frequency of risk and responsibility messages in these four genres. Findings show that overall exposure to sexual content on television was not rel...
Warner, Tara D.; Giordano, Peggy C.; Manning, Wendy D.; Longmore, Monica A.
A neighborhood's normative climate is linked to, but conceptually distinct from, its structural characteristics such as poverty and racial/ethnic composition. Given the deleterious consequences of early sexual activity for adolescent health and well-being, it is important to assess normative influences on youth behaviors such as sexual debut, number of sex partners, and involvement in casual sexual experiences. The current study moves beyond prior research by constructing a measure of normati...
Whether symptomatic or asymptomatic, children labeled sexually abused are routinely offered treatment at considerable financial cost. One result of this is that mental health professionals are beingcharged with exploiting the problem of child sexual abuse (CSA). Is the routine provision of psychotherapy for children and adolescents labeled sexually abused warranted? In this paper, it is arguedthat the evidence indicates it is not warranted. Further, its provision is not in the best interests ...
Lecce, Paola Alessandra; Lafortezza, Elena; Pinto, Floriana; Craig, Francesco; Grattagliano, Ignazio; Carabellese, Felice; Tarricone, Ivana; Margari, Francesco
A deep understanding of the characteristics of sex offenders may serve to improve clinical prevention and treatment programs. Mostly, however, this knowledge can aid in the creation of better re-education and rehabilitation programs as well as criminological treatment. In prison systems outside of Italy, the use of treatment programs specifically designed for sex offenders is commonplace, whereas in Italy, there is only sporadic experimentation in this field which is aimed at evaluating adults. If this is true for adults, it is even more so for the minors who commit this type of crime that gives rise to worry and a great sense of alarm. The aim of this work is to show the preliminary results of an empirical study that explores the mental representations of the parents of minors who commit acts of sexual violence towards other. This study is an ongoing in collaboration with the Juvenile Justice Center (Centro Giustizia Minorile) of the Region of Apulia, whose first data on 10 juvenile perpetrators of such specific crimes are presented here. PMID:21779102
Sun, Christina J; Reboussin, Beth; Mann, Lilli; Garcia, Manuel; Rhodes, Scott D
The use of websites and GPS-based mobile applications ("apps") designed for social and sexual networking has been associated with increased HIV risk; however, little is known about Latino sexual minorities' and transgender persons' use of these websites and apps and the risk profiles of those who use them compared with those who do not. Data from 167 participants who completed the baseline survey of a community-level HIV prevention intervention, which harnesses the social networks of Latino sexual minorities and transgender persons, were analyzed. One quarter of participants (28.74%, n = 48) reported using websites or apps designed for social and sexual networking, and 119 (71.26%) reported not using websites or apps designed for social and sexual networking. Those who used websites or apps were younger and reported more male sex partners, a sexually transmitted disease diagnosis, and illicit drug use other than marijuana. HIV prevention interventions for those who use websites or apps should consider addressing these risks for HIV. PMID:26272786
Teenage pregnancy is one of the many public health problems facing the community in Bophuthatswana and neighbouring areas: Health professionals have attempted to address the problem yet little has been done to determine the role of the adolescent male in the prevention of this community problem. This study addresses the male adolescents sexual behaviour, his attitude towards contraception, contraceptive use and premarital pregnancy. The study revealed that most of the respondents commenced s...
Noll, Jennie G.; SHENK, CHAD E.; Putnam, Karen T.
Objective?Recent increases in adolescent pregnancies have sparked a renewed impetus to identify risk factors, such as childhood sexual abuse (CSA), associated with adolescent pregnancy. Given mixed evidence regarding the strength of the relationship between CSA and adolescent pregnancy (Blinn-Pike, Berger, Dixon, Kuschel, & Kaplan, 2002), our objective was to provide an estimate of the effect size of this relationship using updated literature and meta-analytic techniques.?Methods?Meta-analyse...
Giordano, Peggy C.; Manning, Wendy D.; Longmore, Monica A.
We know more about parent and peer influences than about the ways in which specific qualities of adolescent romantic relationships may influence sexual decision-making. Using data from the Toledo Adolescent Relationships Study, we focus on communication processes and emotional feelings, as well as more basic contours of adolescent romantic relationships, including power and influence dynamics. Controlling for traditional predictors and duration of the relationship, results suggest that subjec...
Soller, Brian; Haynie, Dana L.
While prior research has established associations between individual expectations of future events and risk behavior among adolescents, the potential effects of peers future perceptions on risk-taking have been overlooked. We extend prior research by testing whether peers anticipation of college completion is associated with adolescent sexual risk-taking. We also examine whether adolescents perceptions of the negative consequences of pregnancy and idealized romantic relationship scripts me...
Veldwijk Jorien; Proper Karin I; Hoeven-Mulder Henriëtte B; Bemelmans Wanda JE
Abstract Background Studies among adults show an association between abuse and Body Mass Index (BMI) status. When an aberrant BMI status as a consequence of abuse is already prevalent in adolescence, early detection and treatment of abuse might prevent these adolescents from developing serious weight problems and other long-term social, emotional and physical problems in adulthood. Therefore, this study investigated the prevalence of physical, sexual and mental abuse among adolescents and exa...
Hops, Hyman; Ozechowski, Timothy J.; Waldron, Holly B.; Davis, Betsy; Turner, Charles W.; Brody, Janet L.; Barrera, Manuel
Adolescents who abuse substances are more likely to engage in health-risking sexual behavior (HRSB) and are at particularly high risk for HIV/AIDS. Thus, substance abuse treatment presents a prime opportunity to target HIV-risk behaviors. The present study evaluated a one-session HIV-risk intervention embedded in a controlled clinical trial for drug-abusing adolescents. The trial was conducted in New Mexico and Oregon with Hispanic and Anglo adolescents. Youths were randomly assigned to indiv...
We proposed that first year medical students who voluntarily participated in the Healthy Sexuality adolescent program would perform better than their peers on an adolescent counseling station at the year-end OSCE (Objective Structured Clinical Examination). In addition we compared medical students? communication skills at the time of the program as assessed by self, peers and participating adolescents. Methods: Nineteen first year medical students voluntarily participated in the ongoing Healt...
Hipwell, Alison E.; Stepp, Stephanie D.; Keenan, Kate; Chung, Tammy; Loeber, Rolf
Clusters of pre-sexual and sexual behaviors were identified in an urban US sample of 546 mid-adolescent girls. No distinct group of girls engaging in sexually risky behavior was revealed. Sexually active girls were older, lived with a single parent, and reported more substance use and depression, but similar levels of conduct problems, impulsivity
Sherrill, Andrew; Renk, Kimberly; Sims, Valerie K.; Culp, Anne
The grayest areas of defining child sexual abuse appear to involve the age and sex of the individuals involved, resulting in a potential for different attributions regarding child sexual abuse across individuals. As a result, this study examines the responses of 262 male and female college student participants after viewing a series of
Jansen Lucres MC
Full Text Available Abstract Background The purpose of this study was to investigate the lifetime prevalence of teenage pregnancy in the histories of detained adolescent females and to examine the relationship between teenage pregnancy on the one hand and mental health and sexuality related characteristics on the other. Methods Of 256 admitted detained adolescent females aged 1218 years, a representative sample (N = 212, 83% was examined in the first month of detention. Instruments included a semi-structured interview, standardized questionnaires and file information on pregnancy, sexuality related characteristics (sexual risk behavior, multiple sex partners, sexual trauma, lack of assertiveness in sexual issues and early maturity and mental health characteristics (conduct disorder, alcohol and drug use disorder and suicidality. Results Approximately 20% of the participants reported having been pregnant (before detention, although none had actually given birth. Sexuality related characteristics were more prevalent in the pregnancy group, while this was not so for the mental health characteristics. Age at assessment, early maturity, sexual risk behavior, and suicidality turned out to be the best predictors for pregnancy. Conclusion The lifetime prevalence of pregnancy in detained adolescent females is high and is associated with both sexuality related risk factors and mental health related risk factors. Therefore, prevention and intervention programs targeting sexual risk behavior and mental health are warranted during detention.
Chirinos Jesús L.
Full Text Available To document knowledge and attitudes regarding sexuality and sexual practices of male adolescent high school students in Lima, Peru, a self-administered, anonymous survey was completed by 991 male adolescents aged 12-19 as part of a School-Based Sex Education Intervention model. Questions concerned sociodemographic information; family characteristics; personal activities; knowledge and attitudes regarding sexuality; sexual experience; and contraceptive use. Knowledge related to sexuality was limited. Males tended to mainly discuss sexuality with their male peers (49.8%. Attitudes towards sexual activity and condom use were largely positive, although some males expressed ambivalent feelings towards the latter. Of the sample, 43% had ever had sex; age at first sexual intercourse was 13 years. While 88% of the sample would use condoms, 74% also gave reasons for not using them. Sexual activity was related to age, ever having repeated a grade, living with only one parent or in a mixed family, activities such as going to parties, use of alcohol, tobacco, and drugs, and viewing pornographic videos or magazines. Many male adolescents were at risk of causing an unintended pregnancy or acquiring an STD.
van Teijlingen Edwin R
Full Text Available Abstract Background There is continuing concern about high pregnancy rates and increasing numbers of sexually transmitted infections being detected in Scottish adolescents. Consistent evidence about factors associated with risky sexual behaviours, including early first sexual intercourse, may help to identify adolescents at risk and help improve interventions. This study aimed to provide detailed analysis of the evidence of the associations between individual factors and early sexual intercourse using cross-sectional questionnaire data from 4,379 Scottish adolescents who participated in a sexual health intervention evaluation. Findings Multivariate secondary analysis showed that aspects of family and school life such as decreasing parental monitoring (OR 1.45, 95% CI 1.241.70 and decreasing enjoyment of school (OR 2.55, 95% CI 2.153.03 were associated with reporting previous sexual intercourse. Furthermore, females were more likely to report previous sexual intercourse than males (OR 1.48, 95% CI 1.141.91. Several factors commonly used to inform sexual health intervention design, such as socioeconomic status, self-esteem and religion, were not independently associated. Conclusion These results contribute to the evidence base for the association of several factors with early initiation of sexual activity. The findings suggest that interventions aiming to delay first intercourse may need to consider targeting aspects of individuals' connection to their school and family. Furthermore, the results do not support the need to consider socio-economic background, religion or self-esteem of the individuals in intervention design.
Raphan, Gwen; Cohen, Sarah; Boyer, Ann M.
Adolescent women are at high risk of sexually transmitted diseases/human immunodeficiency virus (STDs/HIV) because of physiologic susceptibility and risky sexual behavior. The latter may be related to the personal factors of self-efficacy, sexual knowledge, self-esteem, and ability to communicate/negotiate. In the current study, near-peers attempted to have an impact on these factors by using the female condom as a negotiating tool for safer sex in a group of 100 urban adolescent women recr...
Mª Rosario, Cortés Arboleda; José, Cantón Duarte; David, Cantón-Cortés.
Full Text Available Objetivo: Determinar la prevalencia, la naturaleza y las consecuencias de los abusos sexuales sufridos durante la infancia o la adolescencia. Métodos: 2.159 estudiantes de la Universidad de Granada respondieron voluntariamente y de forma anónima a un cuestionario sobre abuso sexual. Establecido el g [...] rupo de víctimas, se formó otro de comparación con estudiantes sin antecedentes de abusos. En una segunda sesión se evaluó la salud mental de ambos grupos. Resultados: 269 (12,5%) estudiantes manifestaron haber sufrido abusos sexuales antes de los 18 años de edad. El 62,8% de los abusos consistió en tocamientos y la edad media de inicio fue a los 8,8 años. Los perpetradores, mayoritariamente varones y un 44% menores de edad, solían cometer los abusos en el hogar de la víctima o en el suyo, aprovechándose de las visitas o de su estrecha vinculación. Alrededor del 50% se sirvió del engaño o del juego. En cuanto a la salud mental de las víctimas, las universitarias con antecedentes de abusos sexuales tenían menor autoestima y asertividad, y puntuaciones más altas en actitud vital negativa, depresión y ansiedad, que las del grupo de comparación. Las víctimas varones, sin embargo, sólo diferían de los universitarios sin antecedentes de abusos en su mayor nivel de ansiedad. Conclusiones: Los resultados demuestran la gravedad del problema de los abusos sexuales a menores y sus consecuencias, así como las circunstancias en que se producen y el perfil de los agresores y de las víctimas; unos resultados relevantes para la planificación de programas de detección y prevención de los abusos. Abstract in english Objective: To analyze the prevalence, nature and consequences of sexual abuse during childhood or adolescence. Methods: A total of 2,159 college students from the University of Granada anonymously completed a questionnaire on sexual abuse. A group of sexual abuse survivors was established and a comp [...] arison group without a history of abuse was selected. In a second session, the socio-affective adjustment of both groups was assessed. Results Sexual abuse before the age of 18 was reported by 269 (12.5%) students. In 62.8%, the abuse consisted of the perpetrator touching the victim and/or the victim touching the perpetrator. The average age at which the sexual abuse started was 8.8 years old. The vast majority of perpetrators were males and 44% were under-age minors. The perpetrators usually committed the sexual abuse in the victim's home or in their own homes, taking advantage of visits and/or close relationships. Almost half the perpetrators made use of deception or games. Female college students with a history of sexual abuse had lower self-esteem, were less assertive, had a more negative attitude toward life, and higher depression and anxiety scores than women in the comparison group. Male survivors, however, differed from non-survivors only in having higher anxiety levels. Conclusions: Our study demonstrates the severity of the problem of sexual abuse of minors and its consequences, the circumstances in which this abuse occurs, and the profiles of perpetrators and victims. These results are relevant for the planning of abuse detection and prevention programs.
MÂª Rosario CortÃ©s Arboleda
Full Text Available Objetivo: Determinar la prevalencia, la naturaleza y las consecuencias de los abusos sexuales sufridos durante la infancia o la adolescencia. MÃ©todos: 2.159 estudiantes de la Universidad de Granada respondieron voluntariamente y de forma anÃ³nima a un cuestionario sobre abuso sexual. Establecido el grupo de vÃctimas, se formÃ³ otro de comparaciÃ³n con estudiantes sin antecedentes de abusos. En una segunda sesiÃ³n se evaluÃ³ la salud mental de ambos grupos. Resultados: 269 (12,5% estudiantes manifestaron haber sufrido abusos sexuales antes de los 18 aÃ±os de edad. El 62,8% de los abusos consistiÃ³ en tocamientos y la edad media de inicio fue a los 8,8 aÃ±os. Los perpetradores, mayoritariamente varones y un 44% menores de edad, solÃan cometer los abusos en el hogar de la vÃctima o en el suyo, aprovechÃ¡ndose de las visitas o de su estrecha vinculaciÃ³n. Alrededor del 50% se sirviÃ³ del engaÃ±o o del juego. En cuanto a la salud mental de las vÃctimas, las universitarias con antecedentes de abusos sexuales tenÃan menor autoestima y asertividad, y puntuaciones mÃ¡s altas en actitud vital negativa, depresiÃ³n y ansiedad, que las del grupo de comparaciÃ³n. Las vÃctimas varones, sin embargo, sÃ³lo diferÃan de los universitarios sin antecedentes de abusos en su mayor nivel de ansiedad. Conclusiones: Los resultados demuestran la gravedad del problema de los abusos sexuales a menores y sus consecuencias, asÃ como las circunstancias en que se producen y el perfil de los agresores y de las vÃctimas; unos resultados relevantes para la planificaciÃ³n de programas de detecciÃ³n y prevenciÃ³n de los abusos.Objective: To analyze the prevalence, nature and consequences of sexual abuse during childhood or adolescence. Methods: A total of 2,159 college students from the University of Granada anonymously completed a questionnaire on sexual abuse. A group of sexual abuse survivors was established and a comparison group without a history of abuse was selected. In a second session, the socio-affective adjustment of both groups was assessed. Results Sexual abuse before the age of 18 was reported by 269 (12.5% students. In 62.8%, the abuse consisted of the perpetrator touching the victim and/or the victim touching the perpetrator. The average age at which the sexual abuse started was 8.8 years old. The vast majority of perpetrators were males and 44% were under-age minors. The perpetrators usually committed the sexual abuse in the victim's home or in their own homes, taking advantage of visits and/or close relationships. Almost half the perpetrators made use of deception or games. Female college students with a history of sexual abuse had lower self-esteem, were less assertive, had a more negative attitude toward life, and higher depression and anxiety scores than women in the comparison group. Male survivors, however, differed from non-survivors only in having higher anxiety levels. Conclusions: Our study demonstrates the severity of the problem of sexual abuse of minors and its consequences, the circumstances in which this abuse occurs, and the profiles of perpetrators and victims. These results are relevant for the planning of abuse detection and prevention programs.
van de Bongardt, Daphne; Reitz, Ellen; Dekovi?, Maja
The present study examined indirect over-time relations between parenting and adolescent sexuality through global self-esteem. Three waves of online questionnaire data were collected among a community sample of 1,116 Dutch adolescents (M = 13.9 years at baseline). Participants rated the quality of their relationship with parents, their global self-esteem, and their experience with various sexual behaviors. Sexually experienced adolescents (n = 168) evaluated their sexual experiences using six emotions. Path model results showed that a higher-quality relationship with parents at T1 predicted higher levels of self-esteem at T2, which in turn predicted less experience with sexual behaviors and more positive sexual emotions at T3. The indirect over-time path from relationship quality through self-esteem to adolescents' sexual emotions was significant; the indirect path to adolescents' experience with sexual behaviors was not significant at the .05 level. No significant age or gender differences were found in the path models. The findings indicate that self-esteem plays an important role in adolescent sexuality and that parents can contribute to positive sexual experiences of adolescents indirectly-through the enhancement of self-esteem-by fostering a high-quality relationship with their children. Implications for theory, future research, and strategies to promote healthy and positive youth sexuality are discussed. PMID:26452563
Rubin, Lisa R.; Tanenbaum, Molly
Feminist scholars and activists writing about breast cancer care among women have highlighted the sexist and heterosexist assumptions often embedded in the medical management of breast cancer, and of mastectomy in particular. Despite these contributions, and some speculation that sexual minority women may be less interested in breast
Walls, N. Eugene; Wisneski, Hope; Kane, Sarah
Using a sample of 284 sexual minority youth and young adults, this paper examines the relationships between mental health variables, the absence or presence of a gay-straight alliance, and membership status in a gay-straight alliance. The results suggest that the presence of a gay-straight alliance in a school or college, rather than actual
Eichler, Matthew A.; Mizzi, Robert C.
Sexual-minority male immigrants re-locating from the Middle East to the United States and Canada have particular experiences upon entry and integration into their new societies. The needs of learning and identity are highlighted through a multiple case approach involving three men. Interviews were conducted with the three participants, which were
This study examined the association between having a gay or lesbian friend and urban students' attitudes about sexual minorities. Results indicate that females were more likely than males to express supportive views about gays and lesbians. The contours of these sex differences were distinct by race/ethnicity. Black males and females differed more
Råssjö, Eva-Britta; Kiwanuka, Robert
Sexual problems such as forced and transactional sex are common among adolescents, especially in developing countries. The objective of the present study was to describe how young people respond to their social living conditions and why they marry early, have early pregnancies, experience forced sex and involve themselves in transactional sex. Young people, 15-24 years old, participated in focus group discussions that were tape recorded, translated into English, transcribed and analysed by qualitative content analysis. Six groups were mixed, with both women and men, while two groups had only men and one group only women as participants. The two study sites were located in a slum area in Kampala and in a village in Wakiso district, near a trading centre. The following topics were discussed: Forced sex, early marriage, contraception, teenage pregnancy and transactional sex. The participants described how young people are affected by harmful cultural practices, by power imbalance, especially due to gender-based inequity, and by lack of information and life skills. This study also showed that young people perceive themselves as a resource and are prepared to help other less advantaged youth to get knowledge about reproductive health issues. Enforcement of laws that can protect children and youth was suggested. Government and community should work against harmful traditional practices and introduce sexual education in primary school. PMID:21122615
Mahbobe Ghavidel Heidari
Full Text Available Objective: To investigate on relationship among family environment, pornography and sexual behavior of adolescents. Pornography may start from early youth along with starting of sexual behavior. Therefore it is important that the role of family factors in pornography be studied.Materials and methods: The sample includes 362 students who were chosen by Proportional Cluster method from the first grade of High School (14 and 15 years old. The research instruments were Schaefers Family Environment Scales (FES, a researcher made Sexual Behaviors Scale (SBS, and Pornography Scale (PS.Results: The results indicate that there is a positive significant relationship between sexual Behaviors Scale (SBS and pornography and there is a positive significant relationship between levels of coldness in family relationship and adolescents Freedom. Also the result of stepwise regression shows, in the first step, level of sexual behavior is the strongest variable that predicts .42 of variance of adolescent's pornography. In the second step, Coldness in family relationship determines .05 of variances of pornography of adolescents. Gender differentiates shows that boys' pornography is more than for girls.Conclusion: Therefore coldness in family relationship is related with pornography and sexual behavior of adolescents.
Swartzendruber, Andrea; Sales, Jessica M; Brown, Jennifer L; DiClemente, Ralph J; Rose, Eve S
African American female adolescents have a disproportionate risk of sexually transmitted infections (STIs) and other adverse sexual health outcomes. Both alcohol and marijuana use have been shown to predict sexual risk among young African American women. However, no studies have attempted to differentiate alcohol and marijuana typologies use as predictors of sexual risk outcomes exclusively among adolescents who use these substances. This study compared recent alcohol and/or marijuana use as predictors of sexual risk outcomes over 18 months among 182 African American female adolescents. African American females (14-20 years) completed interviews at baseline, 6-, 12-, and 18-months. At each assessment, pregnancy testing was conducted and self-collected vaginal swab specimens were assayed for Trichomonas vaginalis, Chlamydia trachomatis, and Neisseria gonorrhoeae using DNA amplification. Logistic subject-specific random-intercept models compared sexual risk outcomes during follow-up among adolescents who reported recent use of alcohol only (AO), marijuana only (MO) or both substances (A + M) at the baseline assessment. Relative to baseline AO use, baseline MO use predicted condom non-use at last sex. Relative to AO use, A + M use predicted pregnancy. Relative to MO use, A + M use predicted pregnancy and acquisition of T. vaginalis and any STI. The results suggest that African American female adolescents who use A + M may represent a priority population for STI, HIV, and pregnancy prevention efforts. PMID:25929200
Tangmunkongvorakul, Arunrat; Banwell, Cathy; Carmichael, Gordon; Utomo, Iwu Dwisetyani; Seubsman, Sam-Ang; Kelly, Matthew; Sleigh, Adrian
This study sheds light on obstacles to safe sexual health for young Thais and their need for appropriate sexual and reproductive health services. The study population was 1,745 unmarried adolescents aged 17-20 who resided or worked in Chiang Mai, the major city in northern Thailand. The study used quantitative and qualitative methods to explore the vulnerability of sexually active adolescents as well as the lack of support and care for them from parents and health providers. We found that young Thais still prefer pharmacies for self-medication and use government health care facilities as a last resort. Current health services are not suitable for adolescents in northern Thailand because they lack privacy and impose judgemental attitudes, especially towards sexually active adolescent females. Current programs for adolescent sexual and reproductive health focus on education and counselling and do not provide appropriate privacy or clinical care. There is a pressing need for advocacy, and policy support for the development of youth-friendly sexual and reproductive health services in Thailand. PMID:23082599
Márcia Sacramento Cunha, Machado; Bruno Fernando Borges da Costa e, Silva; Igor Logetto Caetité, Gomes; Iuri Usêda, Santana; Maria Fernanda Rios, Grassi.
Full Text Available The incidence of sexually transmitted diseases among adolescents is increasing worldwide. Genital Chlamydia trachomatis infection is one of the most prevalent sexually transmitted diseases in young women, and undetected disease is highly associated with long-term complications in women. Our goal was [...] to determine the prevalence of cervical Chlamydia trachomatis infection in a sexually active population of female adolescents from Salvador, Brazil, and to describe their socio-demographic, behavioral, and clinical characteristics. 100 sexually active adolescents (10-19 years) were included in this study, between 2008 and 2010. Endocervical samples were obtained during gynecological examination. Inhouse polymerase chain reaction of cervical specimens was used for Chlamydia trachomatis detection. The overall prevalence of cervical Chlamydia trachomatis infection was 31% (95% CI 22-40). There were no statistically significant differences in the age at first sexual intercourse, number of sexual partners, and frequency of condom use between Chlamydia infected and uninfected adolescents. The prevalence of cervical Chlamydia trachomatis infection among adolescents from Salvador was the highest in Brazil up to the present date. These results demonstrate an urgent need for continued and comprehensive prevention strategies along with proper screening for Chlamydia in high-risk populations in order to decrease the rates of infection.
Márcia Sacramento Cunha Machado
Full Text Available The incidence of sexually transmitted diseases among adolescents is increasing worldwide. Genital Chlamydia trachomatis infection is one of the most prevalent sexually transmitted diseases in young women, and undetected disease is highly associated with long-term complications in women. Our goal was to determine the prevalence of cervical Chlamydia trachomatis infection in a sexually active population of female adolescents from Salvador, Brazil, and to describe their socio-demographic, behavioral, and clinical characteristics. 100 sexually active adolescents (10-19 years were included in this study, between 2008 and 2010. Endocervical samples were obtained during gynecological examination. Inhouse polymerase chain reaction of cervical specimens was used for Chlamydia trachomatis detection. The overall prevalence of cervical Chlamydia trachomatis infection was 31% (95% CI 22-40. There were no statistically significant differences in the age at first sexual intercourse, number of sexual partners, and frequency of condom use between Chlamydia infected and uninfected adolescents. The prevalence of cervical Chlamydia trachomatis infection among adolescents from Salvador was the highest in Brazil up to the present date. These results demonstrate an urgent need for continued and comprehensive prevention strategies along with proper screening for Chlamydia in high-risk populations in order to decrease the rates of infection.
Kershaw, Trace S.; Ethier, Kathleen A.; Milan, Stephanie; Lewis, Jessica B.; Niccolai, Linda M.; Meade, Christina; Ickovics, Jeannette R.
Risky sexual behavior can lead to pregnancy, sexually transmitted diseases (STDs), and human immunodeficiency virus (HIV). Our study of 300 adolescent females takes an integrative approach by incorporating these multiple outcomes to assess the influence of risk perceptions on sexual behavior by (1) identifying subgroups of perceived susceptibility
Kershaw, Trace S.; Ethier, Kathleen A.; Milan, Stephanie; Lewis, Jessica B.; Niccolai, Linda M.; Meade, Christina; Ickovics, Jeannette R.
Risky sexual behavior can lead to pregnancy, sexually transmitted diseases (STDs), and human immunodeficiency virus (HIV). Our study of 300 adolescent females takes an integrative approach by incorporating these multiple outcomes to assess the influence of risk perceptions on sexual behavior by (1) identifying subgroups of perceived susceptibilityâ¦
Wechsler-Zimring, Adrianna; Kearney, Christopher A
Posttraumatic stress disorder (PTSD) is common among maltreated youth, but few investigations compare neglect with other maltreatment types. This study examined 84 adolescents who experienced neglect only, physical and/or sexual maltreatment only, or neglect with physical and/or sexual maltreatment. Symptoms of PTSD, dissociation, and depression were measured. Adolescents who experienced physical and/or sexual maltreatment, whether neglected or not, reported significantly greater symptomatology than adolescents who experienced neglect only (?2 = .094). This difference applied to PTSD symptoms, dissociative amnesia, depersonalization and derealization, negative mood, and anhedonia. Adolescents exposed to neglect only displayed substantial psychopathology but less than that of other groups. The findings may reflect emerging cascade models of the etiology of symptoms of PTSD following extensive maltreatment history. PMID:21887714
Blum Robert W
Full Text Available Abstract Background Early sexual debut among adolescents is associated with considerable negative heath and development outcomes. An understanding of the determinants or predictors of the timing of sexual debut is important for effective intervention, but very few studies to date have addressed this issue in the Nigerian context. The aim of the present study is to examine predictors of adolescent sexual initiation among a nationally representative sample of adolescents in Nigeria. Methods Interviewer-collected data of 2,070 never-married adolescents aged 1519 years were analysed to determine association between age of sexual debut and demographic, psychosocial and community factors. Using Cox proportional hazards regression multivariate analysis was carried out with two different models one with and the other without psychosocial factors. Hazard ratio (HR and 95% confidence interval (CI were calculated separately for males and females. Results A fifth of respondents (18% males; 22% females were sexually experienced. In the South 24.3% males and 28.7% females had initiated sex compared to 12.1% of males and 13.1% females in the North (p Conclusion Given the increased risk for a number of sexually transmitted health problems, understanding the factors that are associated with premarital sexual debut will assist programmes in developing more effective risk prevention interventions.
Full Text Available Researches in otherpopulations report a strong association between sexual orientationand depressive symptoms, that is, bisexual, gay, lesbian and unsureabout sexual orientation adolescents refer more depressive symptomsthan heterosexual students. Objective: To determine the associationbetween the sexual orientation and depressive symptomsin adolescent students of a public school at the city of Cartagena, Colombia.Method: A cross-sectional study was designed. This surveyincluded students aged 13-17 year-olds. These students completedin the classroom a questionnaire about health behaviors and theZung´s self-rating depression. Logistic regression was computed forcontrolling confounding variables. Results: A total of 432 students,219 boys and 213 girls, completed successfully the survey. The meanage was 14,6 (SD=1,3, and the mean scholarship was 8,4 (1,5. Atotal of 21,1% of girls and 19,2% of boys considered themselvesbisexuals, gays, lesbians or insure about sexual orientation. Depressivesymptoms were related to sexual orientation exclusivally amonggirls (OR=1,10, 95%CI 1,01-1,18, after controlling confounding factors.Conclusions: Among these adolescent students, depressivesymptoms were associated with the sexual orientation only amonggirls. It is likely that this association could be explained better by the gender than the sexual orientation. Futher investigations are needed in Colombian adolescents students.
Worling, James R; Langton, Calvin M
Current approaches to violence risk assessment are focused on the identification of factors that are predictive of future violence rather than factors that predict desistance. This is also true for the popular tools designed to predict adolescent sexual recidivism. Research on strengths-based variables with adolescents who have sexually offended that could serve a protective function is only recently underway. In the current prospective study, scores from clinician-completed assessments using the Estimate of Risk of Adolescent Sexual Offense Recidivism (ERASOR) and the parent-completed form of the Behavioral and Emotional Rating Scale (BERS-2) were evaluated in a sample of 81 adolescent males with at least one sexual offense. As expected, the ERASOR was significantly correlated with sexual recidivism over an average 3.5-year follow-up. In terms of a protective function, the Affective Strength scale of the BERS-2 was significantly negatively correlated with sexual recidivism, although it did not have incremental validity over and above the ERASOR. The BERS-2 School Functioning scale was significantly negatively correlated with nonsexual recidivism. The results are discussed in terms of previous findings and theoretical work on attachment in sexual offending behavior and implications for risk assessment practice. PMID:25201880
Nobelius, Ann-Maree; Kalina, Bessie; Pool, Robert; Whitworth, Jimmy; Chesters, Janice; Power, Robert
This paper defines the range of sexual partners chosen by out-of-school adolescents from Masaka District in rural south-west Uganda, and implications for sexual and reproductive health discussed. Data are drawn from a sexual health needs assessment using applied anthropological techniques with 31 adolescents, their parents, guardians and community leaders. Data were analysed using inductive thematic methods. Out-of-school adolescents are exposed to risk both stable and casual sexual relationships. Young men and women want a stable relationship with one reliable partner. Young men seek a "steady" relationship with younger schoolgirls; some also seek multiple "casual" relationships with young women easily convinced with gifts. Young women accept "permanent" partnerships with traders or transport workers one-three years older than themselves; some accept "casual" relationship with age mates, others have "casual" relationships with older men. All relationships involve the exchange of gifts and money. Older partners, or "sugar daddies", are valued, despite the knowledge they are more likely to be HIV positive, because they offer greater financial rewards than age mates. Though far less common, some older women seek relationships with younger men, but are treated with suspicion by young men, who believe they are seeking to "infect" them "maliciously" with AIDS. The community sees these relationships as a source of AIDS in adolescents, and condemn older men, whom they believe to be "killing" the younger generation. Both young men and women are exposure to sexual health risk in their primary partnerships; young men in partnerships with schoolgirls who have concurrent partnerships with older men, unlikely to use condoms and young women with partners who work, and have casual relationships in urban trading centres. Health promotion encouraging partnership with age mates, discouraging sex with older partners and 100% condom use before marriage are most appropriate for out-of-school adolescents in this context. PMID:21259139
Idania, Castro Abreu.
Full Text Available Se realizó un estudio de tipo descriptivo de corte transversal a un grupo de adolescentes de la Escuela Secundaria Básica Fructuoso Rodríguez de la localidad de Punta Brava, Municipio La Lisa, en un período de tiempo que abarcó desde enero a marzo del año 2008. Se utilizó un muestreo simple aleatori [...] o con 95 % de confiabilidad. Los datos fueron procesados por el cálculo porcentual y se expresaron en tablas. Se consideraron algunas variables sociodemográficas para caracterizar e identificar conocimientos y factores de riesgo sobre esta temática. Hubo un predominio del sexo femenino, el grupo de edades de 13 a 14 años y los que cursan el 9no grado. En cuanto a los conocimientos sobre infecciones de transmisión sexual y su prevención, las féminas evidenciaron mejor preparación. Observamos mayor dificultad en la identificación de las manifestaciones clínicas de las infecciones de transmisión sexual. Se apreció que la minoría de los estudiantes ha iniciado ya sus relaciones sexuales. Se demostró la existencia de prácticas sexuales de riesgo como: edad de inicio precoz entre 12.5 y 13.7, Motivación errada para iniciar la vida sexual (Curiosidad y búsqueda de apoyo, afecto), gran número de ellos ha tenido más de 3 parejas sexuales, aunque predominó el uso del condón como medio de protección, no es usado con la frecuencia adecuada. No se evidenció en la investigación estudiantes que hayan contraído infecciones de transmisión sexual. Se diseñó una estrategia para incrementar el conocimiento de las ITS en estos adolescentes. Abstract in english A survey was done with adolescents of the Fructuoso Rodriguez High School, located in Punta Brava town, La Lisa Municipality. During the months of January and March of 2008, a simple model 95% reliable by change was obtained and the data were processed by means of the porcentage calculus and put on [...] boards. General points of view were considered according to the social way of life and quantity of people to identify the risk factors about this subject there was a predominance of the feminine sex, in the students from 13 to 14 years old of the ninth grade. The females had the best preparation about how to prevent the sexual- transfer- infection. We observed difficulties identifying the clinic declare of the ITS. We appreciated that the minority of the students have already started the sexual relationship. In the survey was demonstrated the existence of the risk- sexual- practicing such as: Precocious start age between 12.5 and 13.7, erroneous motivation to start the sexual life (curiosity and search of a support affection), the great number of them have had more than 3 sexual couple, although the used condom as a means of protection, it was not used with an appropriate frequency. In our research we did not found students with ITS . A strategy to improve the adolescents knowledge about the ITS.
Lilian Fernández F
Full Text Available Background: Previous reports show that Chilean teenagers have an inadequate knowledge about sexuality and reproduction. Aim: To compare the knowlege about sexuality among adolescents coming from private and public schools, with and without sexual education programs. Material and methods: A structured anonymous inquiry, containing multiple choice and open questions, was applied to a sample of 229 adolescents attending seventh and eigth grade of junior school, in private and public schools of Temuco, Chile. Results: Eleven percent of adolescents had already their first sexual intercourse at a mean age of 12.2 ± 2.4 years old. Of these, 96% came from public schools. An overall analysis of tests, disclosed a 53% of correct answers to the inquiry. Adolescents coming from private schools had a better performance than those coming from public schools. Sexual attitudes were not influenced by sexual education programs. Conclusions: Adolescents coming from private schools have a better sexual knowledge level and more conservative attitudes towards sexuality. Overall knowledge is inadequate albeit overvalued. These teenagers are high risk group for unwanted pregnancies and sexually transmitted diseases and require efficient sexual education programs. (Rev Méd Chile 2000; 128: 574-83.
Lilian, Fernández F; Luis, Bustos M; Leonardo, González W; Damián, Palma A; Johanna, Villagrán A; Sergio, Muñoz N.
Full Text Available [...] Abstract in english Background: Previous reports show that Chilean teenagers have an inadequate knowledge about sexuality and reproduction. Aim: To compare the knowlege about sexuality among adolescents coming from private and public schools, with and without sexual education programs. Material and methods: A structure [...] d anonymous inquiry, containing multiple choice and open questions, was applied to a sample of 229 adolescents attending seventh and eigth grade of junior school, in private and public schools of Temuco, Chile. Results: Eleven percent of adolescents had already their first sexual intercourse at a mean age of 12.2 ± 2.4 years old. Of these, 96% came from public schools. An overall analysis of tests, disclosed a 53% of correct answers to the inquiry. Adolescents coming from private schools had a better performance than those coming from public schools. Sexual attitudes were not influenced by sexual education programs. Conclusions: Adolescents coming from private schools have a better sexual knowledge level and more conservative attitudes towards sexuality. Overall knowledge is inadequate albeit overvalued. These teenagers are high risk group for unwanted pregnancies and sexually transmitted diseases and require efficient sexual education programs. (Rev Méd Chile 2000; 128: 574-83).
JÃ¸rgensen, Marianne Johansson; Maindal, Helle Terkildsen; Olesen, Frede; Andersen, Berit
one Danish Folk High School, but with different social and educational backgrounds. The interview guide was developed from literature reviews and hypotheses based on years of experience with sexually transmitted infections. Data were transcribed verbatim and analyzed using qualitative description......Background: Surveying sexual behavior in the general population serves to identify critical points, monitor the effects, and interpret changes in the spread of sexually transmitted infection. Aim: The aim of this qualitative study was to identify points of particular importance to adolescents......â sexual behavior in order to initiate and design a behavior surveillance programme in Denmark. Methods: We conducted four semi-structured focus group interviews with a total of 19 sexually experienced adolescents aged 18 to 23. Boys and girls were interviewed separately. Each group contained pupils from...
Bramsen, Rikke Holm; Lasgaard, Mathias; Koss, Mary P; Elklit, Ask; Banner, Jytte
OBJECTIVE: The aim of the present study was to investigate the relationship between child maltreatment and severe early adolescent peer-on-peer sexual aggression, using a multiple mediator model. METHODS: The study comprised 330 male Grade 9 students with a mean age of 14.9 years (SD=0.5). RESULTS......: Estimates from the mediation model indicated significant indirect effects of child physical abuse on sexual aggression via peer influence and insecure-hostile masculinity. No significant total effect of child sexual abuse and child neglect on sexual aggression was found. CONCLUSIONS: Findings of the present...... study identify risk factors that are potentially changeable and therefore of value in informing the design of prevention programs aiming at early adolescent peer-on-peer sexual aggression in at-risk youth....
Bauermeister, José A; Meanley, Steven; Hickok, Andrew; Pingel, Emily; Vanhemert, William; Loveluck, Jimena
Discrimination has been linked to negative health outcomes among minority populations. The increasing evidence regarding health disparities among sexual minorities has underscored the importance of addressing sexuality discrimination as a public health issue. We conducted a web-based survey between May and September of 2012 in order to obtain a diverse sample of young men who have sex with men (ages 18-29; N = 397; 83% gay; 49% Black, 27% White, 15% Latino) living in the Detroit Metro Area (Michigan, USA). Using multivariate regression models, we examined the association between overall health (self-rated health, days in prior month when their physical or mental health was not good, limited functionality) and experiences of sexuality-based work discrimination. Fifteen percent reported at least one experience of sexuality-based work discrimination in the prior year. Recent workplace discrimination was associated with poorer self-rated health, a greater number of days when health was not good, and more functional limitation. We discuss the importance of addressing sexuality-related discrimination as a public health problem and propose multilevel intervention strategies to address these discriminatory practices. PMID:24659928
Espinosa-Hernández, Graciela; Vasilenko, Sara A
To broaden our understanding of romance and sexuality during adolescence in Latin American countries, we used a person-oriented approach (latent class analysis) to examine classes marked by different patterns of romantic and sexual behaviors in Mexican adolescents. We found 5 classes: Inactive (8.53%), Early stage (37.8%), Waiting class (27.5%), Physical (8.4%) and Committed (17.9%); but no group dating class. We also explored how these classes were associated with adolescents' mental health and school performance. Middle school adolescents in the Committed class (high in romantic and sexual behaviors) had the highest level of depressive symptoms. Girls in the Inactive class and boys in the Physical class had the lowest level of symptoms. Adolescents in the Committed class also reported less academic motivation and achievement, whereas adolescents in the Inactive class reported higher motivation. This study expands our knowledge of adolescent romantic and sexual development in Mexico. PMID:26340166
Bramsen, Rikke Holm; Lasgaard, Mathias; Koss, Mary P; Elklit, Ask; Banner, Jytte
: Estimates from the mediation model indicated significant indirect effects of child physical abuse on sexual aggression via peer influence and insecure-hostile masculinity. No significant total effect of child sexual abuse and child neglect on sexual aggression was found. CONCLUSIONS: Findings of the present......OBJECTIVE: The aim of the present study was to investigate the relationship between child maltreatment and severe early adolescent peer-on-peer sexual aggression, using a multiple mediator model. METHODS: The study comprised 330 male Grade 9 students with a mean age of 14.9 years (SD=0.5). RESULTS...
Full Text Available The aim of the current study was to examine attachment style as a predictor of risky sexual behavior in a younger, more vulnerable sample than previously investigated in the literature: High school aged adolescents. The hypothesized associations among the variables were partially supported. Contrary to our predictions, there was no significant association between avoidance and risky sexual behavior. However, higher anxiety was positively associated with risky sexual behavior. Finally, the prediction that the highest levels of risky sexual behavior would be found for those individuals with higher levels of anxiety and higher levels of avoidance (i.e., insecure attachment style was supported.
Full Text Available Abstract Background China is facing a critical challenge of rapid and widespread human immunodeficiency virus (HIV/acquired immunodeficiency syndrome (AIDS increase. Rural-to-urban migration plays a crucial role in shifting the HIV/sexual transmitted infection (STI epidemic. The purpose of this study was to assess the prevalence of sexual behaviors and the correlates among the early adolescents of migrant workers in China. Methods A cross-sectional study was conducted in 10 junior high schools from April to June of 2008. A total of 2821 adolescents aged 14.06 ± 0.93 years (8.9% of migrant workers vs. 91.1% of general residents participated in the survey. A self-administrated questionnaire was used to collect information on knowledge, attitude, and behaviors associated with increased risk for HIV/STI. Results The percentage of adolescents who ever had sexual intercourse or had sexual intercourse in last three months was 7.2% and 4.3% in adolescents of migrant workers, respectively; in contrast, 4.5% and 1.8% in their peers of general residents, respectively. 47.3% adolescents of migrant workers and 34.3% of those adolescents of general residents reported no condom use in sexual intercourse during last three months. Multivariate logistic regression analyses found that migration was a independent risk factor for sexual intercourse in last three months in our sampled adolescents (odds ratio [OR] = 1.23, 95% confidence interval [CI]: 1.011.72. In adolescents of migrant workers, factors such as lower family income (OR: 2.22, CI: 1.093.05 for low level; OR:1.25, CI: 1.041.59 for medium level, younger age at first sexual intercourse (OR: 1.24, CI: 1.091.57, lower knowledge on HIV/AIDS (OR: 0.93, CI: 0.900.97, and fewer communication on HIV/AIDS related issues (OR: 0.79, CI: 0.900.97 were related to sexual intercourse in last three months. Conclusion Based on these results, we advocated that heightened concerns targeting the adolescents of migrant workers be particularly necessary, given their higher level of sexual experience, lower socioeconomic status, restricted reproductive health information, and vulnerability to HIV/STI.
Mansh, Matthew; Garcia, Gabriel; Lunn, Mitchell R
Equality for sexual and gender minorities (SGMs)-including members of the lesbian, gay, bisexual, and transgender communities-has become an integral part of the national conversation in the United States. Although SGM civil rights have expanded in recent years, these populations continue to experience unique health and health care disparities, including poor access to health care, stigmatization, and discrimination. SGM trainees and physicians also face challenges, including derogatory comments, humiliation, harassment, fear of being ostracized, and residency/job placement discrimination. These inequities are not mutually exclusive to either patients or providers; instead, they are intertwined parts of a persistent, negative culture in medicine toward SGM individuals.In this Perspective, the authors argue that SGM physicians must lead this charge for equality by fostering diversity and inclusion in medicine. They posit that academic medicine can accomplish this goal by (1) modernizing research on the physician workforce, (2) implementing new policies and programs to promote safe and supportive training and practice environments, and (3) developing recruitment practices to ensure a diverse, competent physician workforce that includes SGM individuals.These efforts will have an immediate impact by identifying and empowering new leaders to address SGM health care reform, creating diverse training environments that promote cultural competency, and aligning medicine with other professional fields (e.g., business, law) that already are working toward these goals. By tackling the inequities that SGM providers face, academic medicine can normalize sexual and gender identity disclosure and promote a welcoming, supportive environment for everyone in medicine, including patients. PMID:25650825
Kimber, Melissa; Couturier, Jennifer; Georgiades, Katholiki; Wahoush, Olive; Jack, Susan M
To systematically summarize the literature examining ethnic minority status and body image dissatisfaction (BID) among children and adolescents living in Canada and the United States. Literature was identified by entering search terms into six electronic databases and through an electronic hand search of key research journals. Eligible sources were those published between 1946 and November 2012, conducted within Canada or the United States, included ethnic minority children or adolescents (<19 years), and measured BID through self-report. Synthesis of the sources followed the principles of thematic and content analysis (Vaismoradi et al. in Nurs Health Sci 15:398-405, 2013). A total of 33 sources were included in our scoping synthesis; spanning from 1991 to 2011. No results emerged from Canada. Evidence from the United States is equivocal. The literature is plagued by inconsistent nomenclature and inadequate attention to issues of measurement, sex and gender. A more robust evidence-base requires advanced methods to examine the intersection of ethnicity, sex and gender on BID among children and adolescents. PMID:25115290
Gontijo, Daniela Tavares; de Sena E Vasconcelos, Anna Carolina; Monteiro, Rosana Juliet Silva; Facundes, Vera LÃºcia Dutra; de FÃ¡tima Cordeiro Trajano, Maria; de Lima, Luciane Soares
Occupational therapy can contribute to sexual and reproductive health through health education. The purpose of this study was to describe an occupational therapy intervention aimed at sexual and reproductive health promotion in adolescents. Fifty-eight adolescents were involved in the study, before, during and after the interventions. Educative activities such as puzzles, storytelling, mime and board games were used, which occupational therapy faculty and students had constructed. The games were employed as mediators for gaining knowledge in sexual and reproductive health. Outcome was measured using a questionnaire, audio recordings and field diaries. The data were analysed by descriptive statistics and thematic content analysis. The results showed the adolescents' increased knowledge of sexual and reproductive health information immediately after the intervention. The thematic analysis was grouped into three categories: the adolescents' initial expectations regarding the project, reflections on the process experienced during the interventions and use of educational games by occupational therapists. The importance of rapport and dialogue was highlighted in the construction of interventions based on participatory methods. The absence of a longitudinal follow-up is a limitation in this study. Further research is important to systematically assess sexual health promotion strategies in adolescence. Copyright Â© 2015 John Wiley & Sons, Ltd. PMID:26174484
Charak, Ruby; Koot, Hans M; Dvorak, Robert D; Elklit, Ask; Elhai, Jon D
The present study assessed the unique versus cumulative effects of physical and sexual assault, on patterns of substance-use in adolescents. It was hypothesized that experiencing a single assault (physical or sexual) when compared with exposure to both physical and sexual assault would be more strongly related to membership of polysubstance use classes. From the National Survey of Adolescents-1995 (N= 4023) 918 adolescents (age range=12-17 years, M=14.92, 49.6% female) with reports of physical assault and/or sexual assault were selected. Using information on alcohol-use, cigarette-smoking, chewing tobacco, non-prescribed use of medicines, and drug-use, latent class analysis indicated a three class solution for substance-use, namely, Experimental use, Light polysubstance-use, and Polysubstance-use. Multinomial logistic regression analyses indicated that as compared to adolescents exposed to a single type of assault those exposed to both physical and sexual assault were two-to-three times more likely to be in the heavier polysubstance-use class. Females were more likely to be members of the polysubstance-use class than of the experimental use class. Gender did not emerge as a significant moderator. It was concluded that assessing for single type or co-occurring assault can facilitate identification of adolescents at elevated risk for polysubstance-use. PMID:26596366
Suleiman, Ahna Ballonoff; Deardorff, Julianna
Adolescents undergo critical developmental transformations that increase the salience of peer influence. Peer interactions (platonic and romantic) have been found to have both a positive and negative influence on adolescent attitudes and behaviors related to romantic relationships and sexual behavior. This study used qualitative methodology to explore how peers influence romantic and sexual behavior. Forty adolescents participated in individual semi-structured interviews. All interviews were audio recorded and transcribed, and analyzed using a modified grounded theory approach. The concept of peer influence on romantic relationships and sexual behavior emerged as a key theme. Youth described that platonic peers (friends) influenced their relationships and sexual behavior including pressuring friends into relationships, establishing relationships as currency for popularity and social status, and creating relationship norm and expectations. Romantic peers also motivated relationship and sexual behavior as youth described engaging in behavior to avoid hurting and successfully pleasing their partners. Future research should explore multiple types of peer influence in order to better inform interventions to improve the quality of adolescents' romantic and sexual relationships. PMID:25501657
Ab Rahman, Azriani; Ab Rahman, Razlina; Ibrahim, Mohd Ismail; Salleh, Halim; Ismail, Shaiful Bahri; Ali, Siti Hawa; Muda, Wan Manan Wan; Ishak, Maizun; Ahmad, Amaluddin
The objectives of this study were to describe the knowledge of sexual and reproductive health among adolescents attending school and to compare the levels of knowledge between males and females and between older and younger groups of adolescents. Across-sectional study was conducted among 1,034 secondary school students using a self administered validated questionnaire. The items with the fewest correct responses included: whether one can get pregnant after a single act of sexual intercourse (30.4%), whether sexual intercourse causes sexually transmitted diseases (STDs) (12.4%) and whether washing the vagina after sexual intercourse prevents pregnancy (17.0%). Their main source of sexual information was friends (64.4%). An independent t-test revealed the mean knowledge score was significantly higher among females than males on items assessing whether the genitalia may be touched freely by family members, females having attained menarche may become pregnant if having sex, whether pregnancy will occur if there is penetration of the penis into the vagina, whether premarital sexual intercourse causes pregnancy and if there is a relationship between abandoned babies and premarital pregnancies. The mean knowledge score assessing whether pregnancy can be prevented using condoms was higher among males than females. The mean knowledge scores were significantly higher among form four and form five students than forms one, two and three students. Lack of knowledge regarding important aspects of sexual and reproductive health warrant the need to strengthen sexual and reproductive health education. PMID:21706952
Collins, Rebecca L.; Martino, Steven C.; Elliott, Marc N.; Miu, Angela
Adolescent sexual health is a substantial problem in the United States, and two recent studies have linked adolescent sexual behavior and/or outcomes to youths' exposure to sex in the media. Both studies had longitudinal survey designs and used covariate-adjusted regression analysis. Steinberg and Monahan (2011) reanalyzed data from one of these
Price, Myeshia N.; Hyde, Janet Shibley
This study explored factors that may be associated with early initiation of sexual activity among adolescents. Using the cumulative risk model, we hypothesized that as exposure to risk factors increases, so does the likelihood of early sexual debut. A sample of 273 (53% girls, 90% European American) adolescents was followed longitudinally from age