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1

Attitudes and beliefs concerning sexual relationships among minority adolescent women.  

Science.gov (United States)

Learning about one's sexuality is an important developmental task for the adolescent and has implications for a lifelong process of becoming a sexual being and reaching sexual maturity. Learning about intimacy in relationship with others is another important developmental task for the adolescent. The occurrence of interpersonal violence, particularly sexual, physical, or psychological violence, disrupts the development of intimacy which informs the process for becoming a sexual being. Society can assist adolescent females experiencing interpersonal violence to understand their sexual nature and make informed sexual decisions throughout their lifetime. This assistance requires a contextual understanding of the relationship between adolescent sexual development and the effects of interpersonal violence on this process. This study presents the groundwork needed to understand the contextual meanings of sexual relationships of adolescent females with a history of interpersonal violence and discusses the evolution of these adolescents' attitudes and beliefs for sexual health promotion. PMID:19544127

Champion, Jane Dimmitt; Collins, Jennifer L; Reyes, Stephanie; Rivera, Rebecca L

2009-07-01

2

Minority adolescent women with sexually transmitted diseases and a history of sexual or physical abuse.  

Science.gov (United States)

Life history methods were used to obtain a more in-depth understanding of the configuration of psychosocial and situational factors that are associated with high-risk sexual behavior among minority adolescent women with a history of sexual or physical abuse and sexually transmitted disease (STD), to facilitate development of behavioral risk-reduction interventions. Study participants ranged in age from 14 to 18 years; 19 were Mexican American and 11 were African American. Women were recruited from clinics in a metropolitan health district. Various constitutive patterns unfolded during interview analysis including "fearing," "trusting," and "being a woman." The study revealed the perceptions of an extremely high-risk population of adolescent women regarding their STD risk, the context of their sexual relationships, sexual risk behaviors, contraception, and STD prevention, screening, and treatment practices. Intervention strategies based upon these findings are described. PMID:14965848

Champion, Jane Dimmitt; Shain, Rochelle N; Piper, Jeanna

2004-01-01

3

Sexual Minority Status, Peer Harassment, and Adolescent Depression  

Science.gov (United States)

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…

Martin-Storey, Alexa; Crosnoe, Robert

2012-01-01

4

Emotion Regulation and Internalizing Symptoms in a Longitudinal Study of Sexual Minority and Heterosexual Adolescents  

Science.gov (United States)

Background: Sexual minority adolescents appear to be at increased risk for internalizing disorders relative to their heterosexual peers, but there is a paucity of research explaining this elevated risk. Emotion regulation deficits are increasingly understood as important predictors of internalizing psychopathology among general samples of…

Hatzenbuehler, Mark L.; McLaughlin, Katie A.; Nolen-Hoeksema, Susan

2008-01-01

5

Conceptualization of Sexual Partner Relationship Steadiness Among Ethnic Minority Adolescent Women: Implications for Evidence-Based Behavioral Sexual Risk Reduction Interventions  

Science.gov (United States)

Cognitive behavioral interventions for sexual risk reduction have been less successful among ethnic minority adolescent women with histories of abuse and sexually transmitted infections (STI) than among other adolescent populations. African American and Mexican American adolescent women (ages 14–18 years, n = 548) self-reported sexual partner relationship steadiness and sexual risk behaviors via semi-structured interviews at study entry. Descriptive and bivariate analyses compared sexual risk behaviors by sexual partner relationship steadiness. Steady and unsteady relationships were conceptualized differently. Steady relationships included emotional or financial support, sexual communication, greater relationship importance, unintended pregnancy, and perceived monogamy during break-ups. Unsteady relationships were unpredictable, including sex with ex-steady partners and friends with benefits, lack of mutual respect, and poor sexual communication. Modification of sexual risk reduction interventions including conceptualizations of risk by context of sexual partner relationship status is recommended to enhance efficacy among minority adolescent women with STI or history of abuse.

Champion, Jane Dimmitt; Collins, Jennifer L.

2012-01-01

6

Minority Stress and Substance Use in Sexual Minority Adolescents: A Meta-analysis.  

Science.gov (United States)

Lesbian, gay, and bisexual (LGB) adolescents report disparate rates of substance use, and often consume more cigarettes, alcohol, marijuana, cocaine, and ecstasy than their heterosexual peers. It is therefore crucial to understand the risk factors for substance use among LGB adolescents, particularly those unique to their minority status. In an effort to organize the current knowledge of minority-related risk factors for substance use among LGB youth, this study presents results from a systematic review and meta-analysis of the published research literature. Results from 12 unique studies of LGB youth indicated that the strongest risk factors for substance use were victimization, lack of supportive environments, psychological stress, internalizing/externalizing problem behavior, negative disclosure reactions, and housing status. Results are discussed in terms of their implications for targeted intervention programs that address minority stress risk factors for substance use among LGB youth. PMID:23605479

Goldbach, Jeremy T; Tanner-Smith, Emily E; Bagwell, Meredith; Dunlap, Shannon

2014-06-01

7

Parent–Adolescent Communication About Sexual Pressure, Maternal Norms About Relationship Power, and STI/HIV Protective Behaviors of Minority Urban Girls  

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Racial/ethnic minority adolescent girls bear a disproportionate risk for HIV and face barriers to autonomous sexual decision making, but parental messages may help protect against sexual risk taking. The authors examined African American and Hispanic girls’ sexually transmitted infection (STI) and HIV prevention practices, parent–adolescent communication about sexual pressure, and maternal gender norms (N = 118). Teens were more likely to practice consistent STI/HIV prevention when mother...

Teitelman, Anne M.; Ratcliffe, Sarah J.; Cederbaum, Julie A.

2008-01-01

8

[Adolescent sexuality].  

Science.gov (United States)

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

Calero, Juan del Rey

2010-01-01

9

Outcomes of sexual behaviors among sexual minority youth.  

Science.gov (United States)

Very little is known about outcomes of sexual behavior for sexual minority youth. In this chapter, I review relevant literature and draw on findings from my own research to initiate an inquiry into this important topic. I begin with a brief overview of the range of sexual behaviors of sexual minority adolescents and young adults. Next, I describe what we know about positive and negative outcomes of sexual behavior among sexual minority youth. This discussion takes into account physical outcomes, psychological and emotional outcomes, and outcomes related to identity development. Lastly, I discuss the limitations of prior research and propose several goals for future research to expand our understanding of this topic. © 2014 Wiley Periodicals, Inc. PMID:24962360

Morgan, Elizabeth M

2014-06-01

10

Problems of adolescents sexuality.  

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Recent discussions highlighted adolescents' sexual behaviour, but published studies concentrate on specific problems or subgroups of patients without addressing factors related to sexuality. To obtain a broad picture we studied two groups of adolescents attending genito-urinary medicine/sexually transmitted disease (STD) clinics in contrasting areas of Britain, inner London and Swansea. These were evaluated for referral pattern, sexual partner, contraception, obstetric history, sexually trans...

Whatley, J.; Thin, N.; Reynolds, B.; Blackwell, A.

1989-01-01

11

Gender Power Inequality and Continued Sexual Risk Behavior among Racial/Ethnic Minority Adolescent and Young Adult Women Living with HIV  

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Adolescent and young adult minority women account for approximately 20% of new cases of HIV in this age group each year in the United States. It is vital to understand factors that influence sexual risk behavior in this population in order to prevent secondary transmission of HIV. As part of a larger qualitative study of youths living with HIV, in- depth interviews were conducted with 26 Black and Latina young women aged 16 to 24 years, infected with HIV through heterosexual transmission. The...

Devanter, Nancy; Duncan, Alexandra; Birnbaum, Jeffrey; Burrell-piggott, Tiphani; Siegel, Karolynn

2011-01-01

12

Sexual behavior of adolescents  

Directory of Open Access Journals (Sweden)

Full Text Available Introduction Numerous studies have shown that sexual behavior increases among adolescents. Disharmony between biological and psychosocial maturity among young people may cause risky behavior, and endanger psychophysical and reproductive health of young persons. Material and methods A questionnaire on sexual behavior was completed by 169 adolescents, 1st and 4th year high school students. Results Every 6th first grade and every 2nd forth grade adolescent is sexually active. Male adolescents begin sexual activities significantly earlier (at the age of 15.6 than female adolescents (16.5. Also, young men have significantly more partners (3.6 than girls (1.3, and more parallel sexual relations than girls. Only 1/3 of sexually active adolescents always use some kind of contraception, more frequently boys (41.9% than girls (26.7%. Discussion Early commencement of sexual activity results with longer active period before realization of the reproductive function, which increases risk for reproductive health disorders. Unprotected sexual intercourse and large number of partners also present significant risk factors. Conclusion Sexual life of adolescents begins at the age of 16, on average, and only every third always uses contraceptive protection, which points to a need for better education on reproductive health by using contemporary methods. It is also necessary to increase availability of contraceptives (condoms at all places where adolescents spend time (in schools, bars, cinemas, disco clubs etc. in order to achieve responsible sexual behavior and protection of reproductive health among youth.

Mijatovi?-Jovanovi? Vesna

2004-01-01

13

Adolescents sexual practices  

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Introduction: If teens options are experimenting sexualized practices, we should facilitate their knowledge, make them aware of their choices and help them living their sexuality in a safer mode. Objectives: To identify adolescents sexual practices; characterize the attitudes of teenagers against the use of contraception. Methods: quantitative research with exploratory nature. We studied a convenience sample of 301 adolescents of both sexes whitch attend the 9th grade. Sexual practices and a...

Frias, Ana; Chora, Anto?nia

2013-01-01

14

Sexual health in adolescents.  

Science.gov (United States)

Young people are particularly vulnerable to poor sexual health outcomes of high rates of sexually transmitted infections (STIs) and unwanted pregnancy. They partake in riskier sexual behaviors with higher rates of sexual partner change and poor levels of contraception, including condom use. Access to services may be limited either through lack of appropriate services or disinclination to seek out services. We review the biological, cognitive, behavioral, and socioeconomic risk factors that contribute to their poor sexual health outcomes. Details include the epidemiology, presentation and complications of STIs and pregnancy in adolescents, the clinical assessment of adolescents, contraception options, confidentiality, consent and safeguarding, and key characteristics of successful adolescent services. PMID:24559553

Slater, Ceri; Robinson, Angela J

2014-01-01

15

Effects of Sexual Expectancies on Early Sexualized Behavior Among Urban Minority Youth  

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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...

Holloway, Ian W.; Traube, Dorian E.; Schrager, Sheree M.; Levine, Brooklyn; Alicea, Stacey; Watson, Janet L.; Miranda, Ana; Mckay, Mary M.

2012-01-01

16

[Sexual disorders in adolescents].  

Science.gov (United States)

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

Scheer, P J

2014-02-01

17

Protective and risk behaviors of rural minority adolescent women.  

Science.gov (United States)

Studies of adolescent risk and protective behaviors have focused on identifying modifiable psychosocial variables that predict differential outcomes for subsequent intervention efforts. Research has been scarce in studies of rural minority adolescent women. This study examined the protective and risk behaviors of these women and their relationship to physical or sexual abuse. Rural minority adolescent women endured high levels of psychological distress and many high risk behaviors, yet experienced many protective behaviors. Barriers to health care included access and confidentiality. Physically or sexually abused adolescents endured relatively greater risk and fewer protective behaviors than nonabused adolescents. The prevalence of risk behaviors and abuse among rural minority adolescent women presents a need for development of psychotherapeutic interventions as part of behavioral interventions for risk reduction. These women may benefit from confidential identification and assessment of abuse history and risk and protective behaviors so that appropriate psychological treatment can accompany accessible medical treatment. PMID:11942187

Champion, Jane Dimmitt; Kelly, Pat

2002-01-01

18

PARENTING AND ADOLESCENTS’ SEXUAL INITIATION  

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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 adolescent’s 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 mo...

2009-01-01

19

Changes in neighborhood characteristics and depression among sexual minority young adults.  

Science.gov (United States)

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

Everett, Bethany G

2014-01-01

20

After breast cancer: sexual functioning of sexual minority survivors.  

Science.gov (United States)

Research on sexual difficulties after cancer has neglected sexual minority women (SMW); for example, lesbian and bisexual women. Clinicians treating these women are therefore at a disadvantage as they lack information about sexual problems in this population. This study tested the hypothesis that SMW with breast cancer have poorer sexual function than SMW without breast cancer, distinguishing partnered from unpartnered women. Using convenience sample recruitment, we conducted a case-control study to compare survivors of breast cancers who are SMW, in other words, cases to controls, that is, SMW without cancer. Anonymous survey data were collected from 85 cases after they had completed active cancer treatment and 85 age- and partner-status matched controls with no history of any cancer. Participants' self-reported sexual frequency and sexual function measured by the Female Sexual Function Index were evaluated. Cases and controls did not differ in risk of sexual dysfunction or the level of overall sexual functioning; however, cases had lower sexual frequency and scored lower on desire and ability to reach orgasm, and higher on pain compared to controls. Results inform clinicians about sexual minority survivors' sexual domains affected by cancer. When discussing sexual problems and therapeutic options, sexual orientation should be ascertained. PMID:23730713

Boehmer, Ulrike; Ozonoff, Al; Timm, Alison; Winter, Michael; Potter, Jennifer

2014-01-01

 
 
 
 
21

Adolescent sexual strategies.  

Science.gov (United States)

153 sexually active 11th and 12th graders attending two inner-city high schools in San Francisco participated in a study of strategies adolescents use to secure sexual intercourse with a partner. The study sample comprised 20 male and 16 female African-Americans, 21 male and 22 female Caucasians, 17 male and 18 female Chinese-Americans, and 19 male and 20 female Mexican-Americans aged 14-19 years (mean age, 16.96 years). Non-English-speaking and special education students were excluded from study. Relative to females, males reported using a higher degree of pressure, rape, lying, and getting a partner drunk or high to encourage sexual involvement. Both sexes reported suggesting interest in developing commitment and a relationship with the intended sex partner to achieve the goal of intercourse. Females mentioned more strategies than males which signaled sexual availability. Relative to adults, the study participants reported fewer strategies and were less focused upon appearance enhancement and the intricacies of dating. PMID:9098732

Eyre, S L; Read, N W; Millstein, S G

1997-04-01

22

Relationship trajectories and psychological well-being among sexual minority youth  

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Dating in adolescence plays an integral part in the development of sexual and social identities. This process is particularly salient for sexual minority youth who face additional obstacles to their identity formation due to their marginalized status. We investigated the influence of participating in a same-sex relationship (SSR) or an opposite-sex relationship (OSR) on sexual minority youths' psychological well-being (i.e., symptoms of depression, anxiety and internalized homophobia, and sel...

Bauermeister, Jose A.; Johns, Michelle Marie; Sandfort, Theo G. M.; Eisenberg, Anna; Grossman, Arnold H.; D Augelli, Anthony R.

2010-01-01

23

Rural Mexican-American Adolescent Sexual Risk Behavior  

Science.gov (United States)

There is a need for community-based, culturally sensitive, cognitive-behavioral interventions to reduce sexual risk behavior among minority adolescents. Studies of adolescent risk and protective behaviors have focused on identifying modifiable psychosocial variables that predict differential outcomes for subsequent intervention efforts. Research…

Champion, Jane Dimmitt; Kelly, Pat; Shain, Rochelle N.; Piper, Jeanna M.

2004-01-01

24

Sexually transmitted infections in adolescents.  

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Sexually transmitted infections (STIs) are very common in teenagers and young adults, with adolescents making up a disproportionate percentage of cases. This article reviews the epidemiology of STIs in North Carolina adolescents and summarizes current recommendations for screening, testing, and treatment. Successful strategies for maintaining confidentiality around screening, notification, billing, and treatment are also discussed. PMID:23530381

Matkins, Preeti Patel

2013-01-01

25

Televised sexual content and parental mediation: Influences on adolescent sexuality  

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Little research has been conducted to examine the influence of exposure to televised sexual content on adolescent sexuality or how parental intervention may reduce negative effects of viewing such content. This study uses self-report data from 1,012 adolescents to investigate the relations among exposure to sexually suggestive programming, parental mediation strategies, and three types of adolescent sexuality outcomes: participation in oral sex and sexual intercourse, future intentions to eng...

2009-01-01

26

Minority Group Adolescents in the United States.  

Science.gov (United States)

This collection of essays on minority group adolescents include works on the respective identity crises of Puerto-Rican teenagers in New York City, urban Mexican Americans in East Los Angeles, Chinese adolescents in San Francisco, Japanese Americans, and the Kiowa-Apache Indian male. Also addressed are the relationship between minority group…

Brody, Eugene B.

27

[Aspects of sexuality in adolescence].  

Science.gov (United States)

The study involved 920 adolescents between 12 and 19 years of age in junior and senior high schools of the region of Santo Eduardo of the city of Embu, São Paulo. The objective was to identify aspects of sexuality of adolescents of both sexes. Data were collected through a structured questionnaire, the results of which established the difference between boys and girls with respect to their quest for specific information about sexuality; 39% of boys and 17% of girls practiced sexual intercourse, and among these, 77% of boys and 84% of girls used preservativos. PMID:21808909

Brêtas, José Roberto da Silva; Ohara, Conceição Vieira da Silva; Jardim, Dulcilene Pereira; Aguiar Junior, Wagner de; Oliveira, José Rodrigo de

2011-07-01

28

Sexual practices among unmarried adolescents in Tanzania  

Directory of Open Access Journals (Sweden)

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.

Masatu Melkiory C

2009-10-01

29

Adolescent's sexual problems in Korea.  

Science.gov (United States)

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

Kang, B S

1990-07-01

30

Using the Information-Motivation Behavioral Model to Predict Sexual Behavior among Underserved Minority Youth  

Science.gov (United States)

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.…

Bazargan, Mohsen; Stein, Judith A.; Bazargan-Hejazi, Shahrzad; Hindman, David W.

2010-01-01

31

Helping Families Deal With Adolescent Sexuality  

Digital Repository Infrastructure Vision for European Research (DRIVER)

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...

Pavilanis, Alan V.

1985-01-01

32

Shanghai, China: Hotline for Sexual Minorities  

Science.gov (United States)

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.

Gu, Steven

2005-01-01

33

Adolescent sexuality and its problems.  

Science.gov (United States)

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

Yang, M

1995-09-01

34

[Medical aspects of adolescent sexuality].  

Science.gov (United States)

The increase of sexual activity among the adolescents has become a danger to their reproductive health. The goal of this study was to explore sexual behaviour of young people, to establish risks that endanger their reproductive health, and to find out the ways to reduce the consequences of adolescent sexuality. The study was conducted in the Mother and Child Health Care Institute of Serbia over a 2-year period. The sexual and reproductive behaviour, attitudes toward sexuality and contraception, as well as the prevalence rates of unintended pregnancy and Chlamydia trachomatis genital infections were analyzed in 300 sexually active adolescent females, aged 19 years. The first sexual intercourse was in 16.9 years, in average. Less than one-third of the total number (31.3%) of these persons had contraceptive protection at the first intercourse; condom was most frequently used (28.3%). Motives for the initiation of sexual activity were: love (45.7%), curiosity (35.7%), physical attraction and passion (8.3%), peer pressure (5.0%), on the boyfriend's insistence (4.7%), need for love (0.3%) and without answer (0.3%). Two-thirds of adolescent females (63.7%) reported more than one partner, 21.7% more than three and 10.2% more than five sexual partners. Almost half of girls (40.7%) experienced sexual intercourse in casual acquaintance, and 10.3% with a 10 or more years older partner. Use of contraceptive methods during each sexual encounter was inconsistent and sporadic. More than half of adolescent females (54.3%) relied on traditional forms of contraception, like withdrawal of the phallus. Condom was the method of contraceptive choice in one-third (34.3%) of girls, "birth-control pill" in 10.7% and spermicides in 0.7% of subjects. With a new sexual partner condom was used regularly by 55.6% of adolescents; and the remaining percentage of girls used condom irregularly (24.7%), or never (19.7%). The time interval between the initiation of sexual activity and the first gynaecological examination was more than 6 months in 56.7% of cases, and from one to three years in 31.0% of tested adolescent females. The reasons for the first gynaecological visit were as follows: fear of getting pregnant (22.0%), suspicion of contracting a sexually transmitted disease (22.0%) and symptoms indicating a pelvic inflammatory disease (18.3%). Only one-third of girls (37.7%) had their first gynaecological examination as a regular control examination or to get some contraceptive advice. During the adolescence unwanted pregnancy was noted in 16.0% of examined girls. One legal abortion had 14.4% of girls, two 1.3% and three 0.3% of adolescent females. Chlamydia trachomatis genital infection was found in 30.3% of girls. In the girls' opinion the improved knowledge about sexuality, reproduction and contraception is the best way of popularizing contraception among youth. This could be done by introduction of sexual education in school programmes (51.0%) or through mass media (33.3%). A successful health care service for young people should include: a gynaecologist who will have enough time and patience for an adolescent patient (91.3%); a female gynaecologist (36.7%); and a kind other health care workers (21.3%). In order to increase the number of adolescents who will use a condom, the following measures are necessary: a better quality of condoms (54.0%), installation of condom machines (15.6%), mass media education programmes on the significance of the condom role in the prevention of sexually transmitted diseases (10.0%), attractive design of condoms (7.0%), free condoms (6.7%), and universal accessibility of condoms (1.0%). The reproductive health of adolescent girls in Belgrade has been endangered by: their sexual behaviour, poor acceptance of healthy life styles, lack of responsibility in sexual relationships and high prevalence rates of unintended pregnancy and sexually transmitted diseases. Improvement of adolescent reproductive health could be achieved by: educational programmes for adolescents about sexuality, reproduction and contraceptio

Sedlecki, K; Markovic, A; Rajic, G

2001-01-01

35

Minority Adolescent Stress and Coping  

Science.gov (United States)

Many of the stressful life events and daily hassles of adolescence are similar for youths despite differences in cultural background or place of residence. However, adolescents from diverse cultural groups often encounter unique challenges that arise from the particular cultural-ecological niches they inhabit by virtue of their ethnic group…

Gonzales, Nancy A.; George, Preethy E.; Fernandez, Aida Cristina; Huerta, Violeta L.

2005-01-01

36

Sexual Minority-Related Victimization as a Mediator of Mental Health Disparities in Sexual Minority Youth: A Longitudinal Analysis  

Science.gov (United States)

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…

Burton, Chad M.; Marshal, Michael P.; Chisolm, Deena J.; Sucato, Gina S.; Friedman, Mark S.

2013-01-01

37

Mental Health Needs of Sexual Minorities in Jamaica  

Digital Repository Infrastructure Vision for European Research (DRIVER)

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 one’s sexual orientation, and greater openness about one’s sexual orientation were independent risk factors for Axis I disorders. Prevention of mental disorders in sexual minorities in Jamaica shou...

White, Yohann R. G.; Barnaby, Loraine; Swaby, Antoneal; Sandfort, Theo

2010-01-01

38

Identity, refugeeness, belonging: experiences of sexual minority refugees in Canada.  

Science.gov (United States)

This article explores the results of a qualitative community-based research project on the intersectional experiences of sexual minority refugees living in Canada. Undertaken between 2008 and 2010, this study examines sexual minority refugees' multifaceted experiences of migration, the refugee determination process, and settlement. Through an analysis of the interrelated themes of identity, refugeeness, and belonging, we hope to further investigate the ways in which Canadian refugee policies, social institutions, and dominant discourses contribute to the sociopolitical construction of sexual minority refugees. We conclude with an exploration of strategies for increasing protection of sexual minority refugees in Canada. PMID:22214042

Lee, Edward Ou Jin; Brotman, Shari

2011-08-01

39

Televised sexual content and parental mediation: Influences on adolescent sexuality.  

Science.gov (United States)

Little research has been conducted to examine the influence of exposure to televised sexual content on adolescent sexuality or how parental intervention may reduce negative effects of viewing such content. This study uses self-report data from 1,012 adolescents to investigate the relations among exposure to sexually suggestive programming, parental mediation strategies, and three types of adolescent sexuality outcomes: participation in oral sex and sexual intercourse, future intentions to engage in these behaviors, and sex expectancies. As predicted, exposure to sexual content was associated with an increased likelihood of engaging in sexual behaviors, increased intentions to do so in the future, and more positive sex expectancies. Often, parental mediation strategies were a significant factor in moderating these potential media influences. PMID:21546986

Fisher, Deborah A; Hill, Douglas L; Grube, Joel W; Bersamin, Melina M; Walker, Samantha; Gruber, Enid L

2009-01-01

40

¿Estudios sobre diversidad sexual, estudios sobre minorías sexuales? / Studying Sexual Diversity or Sexual Minorities?  

Scientific Electronic Library Online (English)

Full Text Available SciELO Venezuela | Language: Spanish Abstract in spanish Como consecuencia, en primer lugar, de la importancia de la sexualidad en los roles públicos y privados de los sujetos y, en segundo lugar, del predominio en las últimas décadas de una perspectiva multi y transdisciplinaria en los estudios sobre la sociedad y la cultura, han surgido áreas académicas [...] que atraviesan las tradicionalmente llamadas Ciencias Sociales y Humanidades como son los estudios sobre diversidad sexual o los estudios sobre minorías sexuales. Tales estudios están todavía en etapa de formación y expansión, muy influidos por el desarrollo del feminismo y por el peso del mundo académico anglosajón, y han empezado a introducirse en América Latina y a aclimatarse en nuestras sociedades tomando en consideración tanto las características particulares de éstas, generalmente marcadas por conflictos y desigualdades graves, como las distintas perspectivas políticas y teóricas que existen sobre tan polémico tema. Se propone entonces que las minorías sexuales por razones políticas, éticas y pragmáticas deben deslindar sus áreas de estudio dentro del amplio espectro de la diversidad sexual con el fin de obtener voz y visibilidad Abstract in english Abstract During recent years, the study of sexual diversity and sexual minorities has emerged as an academic concern which embraces both the Social Sciences and the Humanities as traditionally defined. This is partly a result of the importance of sexuality in both the public and private roles of sub [...] jects; in part it reflects the growing importance of multi- and trans-disciplinary approaches to the study of culture and society. These studies are still embryonic and are clearly influenced by feminism and by the terms of the debate in the Anglo-Saxon world. Nevertheless, they are beginning to develop in Latin America and to take into account the particular problems and perspectives of the continent. The author argues that, for political, ethical and purely pragmatic reasons, the sexual minorities should delimit their study areas within the wider range of issues covered by a preoccupation for sexual diversity and do so in order to gain voice and visibility

Gisela Kozak, Rovero¹.

 
 
 
 
41

Predicting Resilience in Sexually Abused Adolescents  

Science.gov (United States)

This research examined factors that predicted resilience in sexually abused adolescents. Using Bronfenbrenner's Process-Person-Context-Time (PPCT) ecological model, this study considered the proximal and distal factors that would contribute to adolescents' reactions to sexual victimization. This correlational study used hierarchical regression…

Williams, Javonda; Nelson-Gardell, Debra

2012-01-01

42

Unique Aspects of Adolescent Sexual Victimization Experiences  

Digital Repository Infrastructure Vision for European Research (DRIVER)

This study explored females’ adolescent experiences with sexual aggression, using event-level data. A community sample of women, ages 18–30 years (N = 319), were interviewed regarding their most recent unwanted sexual experience. Incidents were categorized as occurring during adolescence (ages 14–17) or adulthood (after age 18). Preliminary statistical comparison of adolescent and adult incidents revealed differences in perpetrators, type of aggression, preceding activities, and locatio...

2007-01-01

43

Sexual Coercion among Adolescents: Victims and Perpetrators  

Science.gov (United States)

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…

Lacasse, Anne; Mendelson, Morton J.

2007-01-01

44

Adolescent Sexuality: Pregnancy, Sexually Transmitted Diseases, and Prevention.  

Science.gov (United States)

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,…

Santelli, John S.; And Others

1992-01-01

45

Challenging the stigma of minority sexual practices  

Digital Repository Infrastructure Vision for European Research (DRIVER)

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...

Maseko, S.

2009-01-01

46

Measuring Love: Sexual Minority Male Youths’ Ideal Romantic Characteristics  

Digital Repository Infrastructure Vision for European Research (DRIVER)

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...

Bauermeister, Jose? A.; Johns, Michelle M.; Pingel, Emily; Eisenberg, Anna; Santana, Matt Leslie; Zimmerman, Marc

2011-01-01

47

Self-Disclosure to the Best Friend: Friendship Quality and Internalized Sexual Stigma in Italian Lesbian and Gay Adolescents  

Science.gov (United States)

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…

Baiocco, Roberto; Laghi, Fiorenzo; Di Pomponio, Ileana; Nigito, Concetta Simona

2012-01-01

48

Predictors of Sexual Intercourse among Korean Adolescents  

Science.gov (United States)

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…

Ryu, Eunjung; Kim, Kyunghee; Kwon, Hyejin

2007-01-01

49

Toward an understanding of the context of anal sex behavior in ethnic minority adolescent women.  

Science.gov (United States)

Understanding the context of anal sex behavior among ethnic minority adolescent women has public health implications for behavioral sexual health promotion and risk reduction interventions. African-American (n = 94) and Mexican-American (n = 465) women (14-18 years of age) enrolled in a clinical trial completed semi-structured interviews to assess psychosocial and situational factors and relationships to sexual risk behavior, substance use, sexually transmitted infection/HIV acquisition, and violence. Bivariate analyses with comparisons by anal sex experiences identified differences by ethnicity and higher self-reported histories of sexual risk behaviors, substance use, violence, and stressful psychosocial and situational factors among adolescent women experiencing anal sex. Predictors of anal sex identified through logistic regression included Mexican-American ethnicity, ecstasy use, methamphetamine use, childhood sexual molestation, oral sex, and sex with friends for benefits. PMID:24963851

Champion, Jane Dimmitt; Roye, Carol F

2014-07-01

50

Factors Influencing Depression and Anxiety among Black Sexual Minority Men  

Digital Repository Infrastructure Vision for European Research (DRIVER)

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...

Graham, Louis F.; Aronson, Robert E.; Tracy Nichols; Stephens, Charles F.; Rhodes, Scott D.

2011-01-01

51

Same-Sex Sexuality and Adolescent Psychological Well-Being: The influence of sexual orientation, early reports of same-sex attraction, and gender  

Digital Repository Infrastructure Vision for European Research (DRIVER)

Emerging research has shown that those of sexual-minority (SM) status (i.e., those exhibiting same-sex sexuality) report lower levels of psychological well-being. This study aimed to assess whether this relation is largely in place by the onset of adolescence, as it is for other social statuses, or whether it continues to emerge over the adolescent years, a period when SM youth face numerous challenges. Moreover, the moderating influence of sexual orientation (identification), early (versus l...

2011-01-01

52

Sexual minorities, human rights and public health strategies in Africa.  

Science.gov (United States)

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

Epprecht, Marc

2012-01-01

53

Minority Stress and Psychological Distress among Asian American Sexual Minority Persons  

Science.gov (United States)

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…

Szymanski, Dawn M.; Sung, Mi Ra

2010-01-01

54

Analysis of sexual behavior in adolescents.  

Science.gov (United States)

The aim of this study was to describe some characteristics of vaginal, anal and oral sexual behavior in Spanish adolescents. It was a cross-sectional descriptive population study conducted using a probabilistic sample survey. The sample was composed of 4,612 male and female adolescents, of whom 1,686 reported having penetrative sexual experience. Sample size was established with a 97% confidence level and a 3% estimation error. Data collection took place in secondary education schools. Mean age of vaginal sex initiation was 15 years. Compared to females, males reported an earlier age of anal and oral sex initiation and a larger number of vaginal and anal sexual partners. Males also reported a higher frequency of penetrative sexual relations under the influence of alcohol or other drugs. A higher percentage of females than males reported not using a condom in their first anal sexual experience. This study provides a current overview of the sexual behavior of adolescents that can be useful for the design of future programs aimed at preventing HIV and sexually transmitted infections (STIs). PMID:24476356

Teva, Inmaculada; Bermudez, M Paz; Ramiro, Maria T; Ramiro-Sanchez, Tamara

2013-10-01

55

Phenomenological Research and Adolescent Female Sexuality: Discoveries and Applications  

Science.gov (United States)

This paper presents research in female first sexual intercourse in Australia. Previous research in adolescent sexual behavior, particularly issues around first sexual intercourse behavior, has mainly utilized quantitative methodology. Our research adopted a qualitative approach to provide unique insight into adolescent sexual behavior, attitudes,…

Morrissey, Gabrielle; Higgs, Joy

2006-01-01

56

Sex education and sexual experience among adolescents.  

Science.gov (United States)

This paper examines the association between sex education and adolescent sexual behavior. Data from the 1981 National Survey of Children show that 15- and 16-year-olds who have been exposed to sex education are less likely to be sexually experienced, and are neither more nor less likely to discuss sex with parents at home. Retrospective or longitudinal data are needed to more directly test the casual link between sex education and experience.

Furstenberg, F F; Moore, K A; Peterson, J L

1985-01-01

57

Alcohol-Related Problems among Sexual Minority Women  

Digital Repository Infrastructure Vision for European Research (DRIVER)

In this article I describe the historical context for research on sexual minority women’s drinking, including the age-old tendency to link homosexuality and alcoholism; I summarize gaps and limitations that characterized much of the research on sexual minority women’s drinking over the past several decades; and I review recent literature to highlight progress in the field—with a particular focus on my own research related to risk and protective factors for heavy drinking and drinking-re...

Hughes, Tonda

2011-01-01

58

Perceptions of campus climate by sexual minorities.  

Science.gov (United States)

Previous research has indicated that students who identify as lesbian, gay, bisexual, or transgender (LGBT) often have negative experiences on university campuses due to their sexual orientation or gender identity. Direct and indirect experiences contribute to an overall perception of the campus climate. This study used an online survey to assess students' perceptions of campus climate, their experiences confronting bias, support of family members and friends, and whether they had considered leaving campus. Multiple regression analysis indicated that perceptions of poorer campus climate were predicted by greater unfair treatment by instructors, more impact from anti-lesbian, gay, bisexual, transgender, or queer (LGBTQ) bias on friends' and families' emotional support, and having hidden one's LGBT identity from other students. Cluster analyses revealed four groups of participants distinguished by openness about their sexual orientation and negative experiences, with one group appearing to be at risk for poor retention. Results are discussed in terms of the needs of LGBTQ students on campus. PMID:23808345

Tetreault, Patricia A; Fette, Ryan; Meidlinger, Peter C; Hope, Debra

2013-07-01

59

Love versus abuse: crossgenerational sexual relations of minors: a gay rights issue?  

Science.gov (United States)

The question discussed is how far crossgenerational sexual relations with or by minors could be considered to be a gay rights issue. The author discusses the issue from the perspective of general principles found in the case-law of the European Court on Human Rights. These principles suggest that the basic right to privacy should be interpreted as providing comprehensive protection of the right of children and adolescents to sexual self-determination, namely both the right to effective protection from (unwanted) sex and abuse on the one hand and the right to (wanted) sex on the other. The analysis is based upon the findings of natural and social science as well as an extensive international survey of national legal provisions and it leads to the conclusion that consensual sexual relations of and with adolescents over 14 (out of relations of authority) should be qualified a gay rights issue; likewise (as the exception to the rule) the possibility of filtering out cases from prosecution where a contact/relation is proven (beyond reasonable doubt) as consensual and harmless even though the minor involved is under 14. The legalization of (objectively consensual) sexual relations with persons under 14 as such, however, should not be considered to be a gay rights issue. PMID:10482330

Graupner, H

1999-01-01

60

Correlates of sexual risk among sexual minority and heterosexual South african youths.  

Science.gov (United States)

We explored psychosocial correlates of sexual risk among heterosexual and sexual minority youths (SMYs) in Johannesburg, South Africa. Young people 16 to 18 years old (n?=?822) were administered surveys assessing demographic characteristics, sexual behaviors, mental health, and parent-child communication. Adjusted multivariate regressions examining correlates of sexual risk revealed that SMYs had more sexual partners than heterosexual youths (B?=?3.90; SE?=?0.95; P sex trading (OR?=?3.11; CI?=?1.12-8.62; P < .05). South African SMYs are at increased risk relative to their heterosexual peers. PMID:24832149

Thurston, Idia B; Dietrich, Janan; Bogart, Laura M; Otwombe, Kennedy N; Sikkema, Kathleen J; Nkala, Busiswe; Gray, Glenda E

2014-07-01

 
 
 
 
61

General characteristics of adolescent sexual behavior: National survey  

Digital Repository Infrastructure Vision for European Research (DRIVER)

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 ...

Stankovi? Miodrag; Miljkovi? Srbobran; Grbeša Grozdanko; Višnji? Aleksandar

2009-01-01

62

Exploring Attitudes of Future Educators about Sexual Minority Youth  

Science.gov (United States)

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…

Dowling, Kristen B.; Rodger, Susan; Cummings, Anne L.

2007-01-01

63

Shattering the Lavender Ceiling: Sexual Minorities in Physics  

Science.gov (United States)

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.

Ramsey-Musolf, Michael

2012-02-01

64

Developmental trajectories of religiosity, sexual conservatism and sexual behavior among female adolescents.  

Science.gov (United States)

Understanding the role of socio-sexual cognitions and religiosity on adolescent sexual behavior could guide adolescent sexual health efforts. The present study utilized longitudinal data from 328 young women to assess the role of religion and socio-sexual cognitions on sexual behavior accrual (measuring both coital and non-coital sexual behavior). In the final triple conditional trajectory structural equation model, religiosity declined over time and then increased to baseline levels. Additionally, religiosity predicted decreased sexual conservatism and decreased sexual conservatism predicted increased sexual behavior. The final models are indicative of young women's increasing accrual of sexual experience, decreasing sexual conservatism and initial decreasing religiosity. The results of this study suggest that decreased religiosity affects the accrual of sexual experience through decreased sexual conservatism. Effective strategies of sexual health promotion should include an understanding of the complex role of socio-sexual attitudes with religiosity. PMID:24215966

Aalsma, Matthew C; Woodrome, Stacy E; Downs, Sarah M; Hensel, Devon J; Zimet, Gregory D; Orr, Don P; Fortenberry, J Dennis

2013-12-01

65

An exploration of sexual minority stress across the lines of gender and sexual identity.  

Science.gov (United States)

Despite growing evidence to suggest that gays, lesbians, and bisexuals experience a range of stressors and consequences related to their sexual minority status, no known studies to date have employed focus group discussion to explore and document their perceptions of sexual minority stress. In this exploratory study, we present focus group data on a range of sexual minority stressors as described by 43 gay men, lesbians, and bisexual men and women. We explore gender and sexual identity differences in the respondents' perceptions of heteronormativity, disclosure issues in different social settings, sources of support, and strategies for coping with stress. Respondents reported that women's same-sex relationships were eroticized and distorted to accommodate heterosexual male desire, while men were negatively depicted as sexually promiscuous and deviant. These differing stereotypes held important consequences for disclosure decisions and affected men's and women's social interactions with heterosexual men. Bisexual respondents reported unique strategies to cope with exclusion and isolation associated with misunderstandings about their sexual identities. Directions for future research on sexual minority stress are discussed. PMID:19319738

Hequembourg, Amy L; Brallier, Sara A

2009-01-01

66

The Relationship between Childhood Sexual Abuse and Sexual Health Practices of Homeless Adolescents  

Science.gov (United States)

This study explored the gender differences in sexual self-concept, personal resources for sexual health, safe sex behaviors, and risky sexual behaviors among homeless adolescents with and without histories of sexual abuse. Data for this secondary analysis were collected in 2003 to 2004 in the first phase of a larger repeated-measures sexual health…

Johnson, Regina Jones; Rew, Lynn; Sternglanz, R. Weylin

2006-01-01

67

Differences between Sexually Victimized and Nonsexually Victimized Male Adolescent Sexual Abusers: Developmental Antecedents and Behavioral Comparisons  

Science.gov (United States)

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…

Burton, David L.; Duty, Kerry Jo; Leibowitz, George S.

2011-01-01

68

Validating an Index of Adolescent Sexual Behavior Using Psychosocial Theory and Social Trait Correlates  

Digital Repository Infrastructure Vision for European Research (DRIVER)

Using a web-based survey of adolescents 14–16 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 rom...

Hennessy, Michael; Bleakley, Amy; Fishbein, Martin; Jordan, Amy

2008-01-01

69

SEXUAL HEALTH BEHAVIORS OF ADOLESCENTS IN POKHARA, NEPAL  

Digital Repository Infrastructure Vision for European Research (DRIVER)

BACKGROUND: Adolescent (10–19 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 15–19 years adolescents studying in grades 11 and 12. Pr...

2012-01-01

70

ESTIMATION OF SEXUAL BEHAVIOUR AND VULNERABILITY OF ADOLESCENT REPRODUCTIVE HEALTH  

Digital Repository Infrastructure Vision for European Research (DRIVER)

Adolescents are reproductive potential of society. Protection of their reproductive health is one of the biggest challenges of modern society. Adolescent reproductive health is endangered by early sexual activities, inadequate protection against unwanted pregnancy and sexually transmitted infections. It is necessary to take measures which would protect and improve adolescent reproductive health.Adoption of knowledge about sexuality, physiology of reproduction, protection against unwanted preg...

2009-01-01

71

The role of genito-urinary medicine in adolescent sexuality.  

Digital Repository Infrastructure Vision for European Research (DRIVER)

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...

Opaneye, A. A.; Willmott, C.

1991-01-01

72

Sexual health challenges of adolescents in Iran: A review article  

Directory of Open Access Journals (Sweden)

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.

N Bahrami

2013-03-01

73

Adolescent brain development and the mature minor doctrine.  

Science.gov (United States)

The medical rights of minors have been questioned, especially due to information on adolescent brain development and studies on adolescent decision-making. This chapter briefly introduces the mature minor doctrine (MMD) and its history, justification, and practice and then presents some of the objections to the MMD. The article then highlights new knowledge about adolescent brain development (ABD) and what this may contribute to this debate and describes "hot cognition" and "cold cognition". It concludes by alerting the reader to the danger of making inappropriate use of the discoveries of brain science and proposing a prudent approach to adolescent consent and confidentiality, one that incorporates the new knowledge on ABD without "turning back the clock" on the medical rights of minors. PMID:22106735

Silber, Tomas J

2011-08-01

74

Sexual and reproductive health care for adolescents: legal rights and policy challenges.  

Science.gov (United States)

Laws developed over the past half century have significantly improved adolescents' access to essential sexual and reproductive health care. These laws allow many adolescent minors to give their own consent, protect confidentiality, and provide financial support for the care. The consent requirements for adolescents to receive health care are contained primarily in state court decisions and in statutes known as "state minor consent laws," which are based on either the minor's status or the services sought. Confidentiality protections for adolescents' health information are contained in these minor consent laws, in the federal medical privacy regulations known as the "HIPAA Privacy Rule," and in state medical privacy laws. Other significant laws include statutes providing for the emancipation of minors, court decisions delineating the mature minor doctrine, regulations protecting adolescents' access to confidential family planning services in publicly funded programs, and court decisions interpreting the constitutional right of privacy. Special considerations apply to consent and confidentiality questions pertaining to family planning, contraception, and pregnancy-related care for minors. In addition to the explicit provisions of state minor consent laws, many of the most important considerations are articulated in court decisions based on the constitutional right of privacy and the confidentiality requirements that are part of the federal Title X Family Planning Program and Medicaid. PMID:18453235

English, Abigail

2007-12-01

75

Sexual differences in the diet of little Penguins Eudyptula minor  

Digital Repository Infrastructure Vision for European Research (DRIVER)

Sexual differences in the diet of Little Penguins Eudyptula minor at four geographically isolated colonies in Victoria, Australia were investigated over 12 breeding seasons, between 1985 and 2005. The weighted relative occurrence of each prey species consumed was calculated and compared at a seasonal, annual as well as locational scale, and differences in prey size were examined. Penguin body masses differed significantly between sexes and locations, with males consistently being the signific...

2009-01-01

76

ESTIMATION OF SEXUAL BEHAVIOUR AND VULNERABILITY OF ADOLESCENT REPRODUCTIVE HEALTH  

Directory of Open Access Journals (Sweden)

Full Text Available Adolescents are reproductive potential of society. Protection of their reproductive health is one of the biggest challenges of modern society. Adolescent reproductive health is endangered by early sexual activities, inadequate protection against unwanted pregnancy and sexually transmitted infections. It is necessary to take measures which would protect and improve adolescent reproductive health.Adoption of knowledge about sexuality, physiology of reproduction, protection against unwanted pregnancy and sexual infections are prerequisites for formation of correct attitudes related to family planning and taking over responsibility for their own sexual behaviour.

Sanja Stanojevi?

2009-10-01

77

Type of Sexual Contact and Precoital Sexual Experience in Spanish Adolescents  

Directory of Open Access Journals (Sweden)

Full Text Available The aim of this study was to examine characterisctics 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 completed a questionnaire about their sexual behaviour. It is a cross-sectional survey study. Differences according to age and gender in characteristics of sexualbehaviour before the onset of sexual intercourse were found. Comparedto 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.

María-Paz Bermúdez

2011-05-01

78

Parent-adolescent Sexual Communication: Associations of Condom Use with Condom Discussions  

Digital Repository Infrastructure Vision for European Research (DRIVER)

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...

Hadley, Wendy; Brown, Larry K.; Lescano, Celia M.; Kell, Harrison; Spalding, Kirsten; Diclemente, Ralph; Donenberg, Geri

2009-01-01

79

Family Sources of Sexual Health Information, Primary Messages, and Sexual Behavior of At-Risk, Urban Adolescents  

Science.gov (United States)

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:…

Rosengard, Cynthia; Tannis, Candace; Dove, David C.; van den Berg, Jacob J.; Lopez, Rosalie; Stein, L. A. R.; Morrow, Kathleen M.

2012-01-01

80

Adolescents' Views regarding Uses of Social Networking Websites and Text Messaging for Adolescent Sexual Health Education  

Science.gov (United States)

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.…

Selkie, Ellen M.; Benson, Meghan; Moreno, Megan

2011-01-01

 
 
 
 
81

The Core Competencies for Adolescent Sexual and Reproductive Health  

Science.gov (United States)

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…

Elfers, John; Carlton, Lidia; Gibson, Paul; Puffer, Maryjane; Smith, Sharla; Todd, Kay

2014-01-01

82

Does Sex Education Affect Adolescent Sexual Behaviors and Health?  

Science.gov (United States)

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…

Sabia, Joseph J.

2006-01-01

83

Factors related to sexual knowledge among Malaysian adolescents  

Directory of Open Access Journals (Sweden)

Full Text Available This influence of gender, race, age and personal belief on adolescent’s sexual knowledge was examined. The respondents for the study were 860 school–going 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 respondent’s 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.

Siti Nor Y

2010-12-01

84

Promoting the successful development of sexual and gender minority youths.  

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Because of societal discomfort with atypical expressions of sexual orientation and gender identity, lesbian, gay, bisexual and transgender (LGBT) youths have experienced enhanced developmental challenges compared with their heterosexual peers. A recent special issue of the American Journal of Public Health delineated how social stigma affecting LGBT youths has resulted in a wide range of health disparities, ranging from increased prevalence of depression and substance use to downstream effects, such as an increased risk for cancer and cardiovascular disease when older. We review the clinical significance of these findings for health care professionals, who need to become informed about these associations to provide better care for their sexual and gender minority youth patients, and to be able to educate their parents and other caregivers. PMID:24825194

Mayer, Kenneth H; Garofalo, Robert; Makadon, Harvey J

2014-06-01

85

Parenting practices and adolescent sexual behavior: A longitudinal study  

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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...

Bersamin, Melina; Todd, Michael; Fisher, Deborah A.; Hill, Douglas L.; Grube, Joel W.; Walker, Samantha

2008-01-01

86

A longitudinal, mixed methods study of sexual position identity, behavior, and fantasies among young sexual minority men.  

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Recent evidence suggests that young sexual minority men's sexual position identities (e.g., "top," "bottom," "versatile") may be governed by dynamic influences. Yet, no study has prospectively examined whether, how, and why this aspect of sexual minority men's sexuality changes over time. Consequently, the present study investigated the extent to which young sexual minority men use sexual position identities consistently over time, typical patterns of position identity change, explanations given for this change, and the correspondence of changing sexual position identities with changing sexual behavior and fantasies. A total of 93 young sexual minority men indicated their sexual position identity, behavior, and fantasies at two assessment points separated by 2 years. Following the second assessment, a subset (n = 28) of participants who represented the various sexual position identity change patterns provided explanations for their change. More than half (n = 48) of participants changed their sexual position identity. Participants showed a significant move away from not using sexual position identities toward using them and a significant move toward using "mostly top." Changes in position identity were reflected, although imperfectly, in changes in sexual behavior and largely not reflected in fantasy changes. Participants offered 11 classes of explanations for their identity changes referencing personal development, practical reasons, changing relationships, and sociocultural influences. Previous investigations of sexual minority men's sexual position identities have not adequately attended to the possibility of the changing use of the sexual position categories "top," "bottom," and "versatile" across young adulthood. Results of the present study suggest the possibility of a more fluid, context-dependent use of these terms than previously documented. PMID:23605572

Pachankis, John E; Buttenwieser, Indiana G; Bernstein, Laura B; Bayles, Damon O

2013-10-01

87

Using the Integrative Model to Explain How Exposure to Sexual Media Content Influences Adolescent Sexual Behavior  

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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…

Bleakley, Amy; Hennessy, Michael; Fishbein, Martin; Jordan, Amy

2011-01-01

88

Validation of the coping with discrimination scale in sexual minorities.  

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The Coping With Discrimination Scale (CDS) shows promise as a self-report measure of strategies for coping with racial discrimination. To assess the psychometric properties of the measure for use with sexual minorities (i.e., gay, lesbian, bisexual, or GLB persons), a nonprobability sample of 371 GLB adults completed the instrument along with several standardized, self-report measures. Confirmatory factor analyses supported the five-factor structure of the original scale with the exclusion of five items. Adequate internal consistency reliability was found. Internalization, drug and alcohol use, and detachment subscales were correlated positively with measures of psychological distress and negatively with a measure of life satisfaction, providing evidence of construct validity. The education/advocacy and resistance subscales were largely unrelated to concurrently administered validation measures, consistent with prior findings. Coping strategy use varied as a function of primary sources of social support. The CDS appears to be a psychometrically sound measure of several discrimination coping strategies for use with sexual minorities. PMID:24325286

Ngamake, Sakkaphat T; Walch, Susan E; Raveepatarakul, Jirapattara

2014-07-01

89

General characteristics of adolescent sexual behavior: National survey  

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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.

Stankovi? Miodrag

2009-01-01

90

How Does Sexual Minority Stigma “Get Under the Skin”? A Psychological Mediation Framework  

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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...

Hatzenbuehler, Mark L.

2009-01-01

91

The effects of school poverty on adolescents' sexual health knowledge  

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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 sexual health knowledge was associated with higher grade point average (GPA) and age. The combination of low GPA and high-levels of school poverty was especially detrimental for students’ sexual health knowledge. There are differences in the sexual health knowledge of adolescents attending low poverty and high poverty schools that can be attributed to the school environment.

Atkins, Robert; Sulik, Michael J.; Hart, Daniel; Ayres, Cynthia; Read, Nichole

2012-01-01

92

Mexican-American Adolescent Sexuality and Sexual Knowledge: An Exploratory Study.  

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Examines sexual knowledge, attitudes and practices of 84 Mexican-American adolescents. Findings show low sexual knowledge for all subgroups. Few sexually active subjects practiced contraception. Majority indicated birth control makes sex seem preplanned. Respondents appeared traditional in sex attitudes, with virginity and birth-control…

Padilla, Amado M.; Baird, Traci L.

1991-01-01

93

Adolescent Sexual Risk Behaviors and School-Based Sexually Transmitted Infection/HIV Prevention  

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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…

Walcott, Christy M.; Meyers, Adena B.; Landau, Steven

2007-01-01

94

The path to intervention: community partnerships and development of a cognitive behavioral intervention for ethnic minority adolescent females.  

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Reproductive health needs for ethnic minority adolescents are a national priority given the population growth of minority adolescents in the United States. United States census reports predict minority adolescents will comprise one-third of all young persons less than 20 years of age early in the twenty-first century. Developing culturally sensitive interventions for minority adolescents includes ecological assessments of cultural priorities, community resources, disease burden, and socioeconomic conditions. These assessments must be accomplished in partnership with the local community. Understanding reproductive health needs necessarily includes an evaluation of the absence of reproductive health, namely, the prevalence of sexually transmitted infection (STI), sexual or physical abuse, unplanned pregnancy, and the risk factors that contribute to such adverse outcomes. This article describes the methodological processes utilized to conduct an ecological assessment of a community including the health, economic, and psychosocial status of, and resources available to, a target population prior to the implementation of a community-based, cognitive behavioral intervention to reduce STI, abuse, and unplanned pregnancy. PMID:20936896

Champion, Jane Dimmitt; Collins, Jennifer L

2010-11-01

95

ADOLESCENT IDENTITIES AND SEXUAL BEHAVIOR: AN EXAMINATION OF ANDERSON’S ‘PLAYER’ HYPOTHESIS  

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We investigate the social and behavioral characteristics of male adolescents who self-identify as players, focusing particularly on Anderson’s claim that this social role is inextricably linked with poverty and minority status. Results indicate that African American respondents, those affiliated with liberal peers and young men who initially report a relatively high number of sexual partners are more likely to resonate with this identity label. Nevertheless, analyses reveal that a number of...

Giordano, Peggy C.; Longmore, Monica A.; Manning, Wendy D.; Northcutt, Miriam J.

2009-01-01

96

Social contagion and adolescent sexual behavior: a developmental EMOSA model.  

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Epidemic Models of the Onset of Social Activities (EMOSA models) describe the spread of adolescent transition behaviors (e.g., sexuality, smoking, and drinking) through an interacting adolescent network. A theory of social contagion is defined to explain how social influence affects sexual development. Contacts within a network can, with some transition rate or probability, result in an increase in level of sexual experience. Five stages of sexual development are posited. One submodel proposes a systematic progression through these stages; a competing submodel treats each as an independent process. These models are represented in sets of dynamically interacting recursive equations, which are fit to empirical prevalence data to estimate parameters. Model adjustments are substantively interpretable and can be used to test for and better understand social interaction processes that affect adolescent sexual behavior. PMID:8356187

Rodgers, J L; Rowe, D C

1993-07-01

97

The role of the judiciary in the protection of sexual minorities in Kenya  

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The debate stirred by the recent appointment of a chief justice and deputy chief justice under the judicial reform process envisaged in Kenya?s new Constitution has, once again, brought to the fore the attitude surrounding sexual minorities. A section of religious organisations and citizens rejected the nominees because they perceived the duo to either belong to or to support sexual minority groups.

Nyarang O, Ivy I. K.

2011-01-01

98

A Different Kind of "Outing": Training Counsellors to Work with Sexual Minority Clients  

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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…

Alderson, Kevin G.

2004-01-01

99

SEXUAL HEALTH BEHAVIORS OF ADOLESCENTS IN POKHARA, NEPAL  

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Full Text Available BACKGROUND: Adolescent (10–19 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 15–19 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.

Shrestha Niranjan

2012-07-01

100

Online or off-line victimisation and psychological well-being: a comparison of sexual-minority and heterosexual youth  

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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 ...

2012-01-01

 
 
 
 
101

Human rights violations among sexual and gender minorities in Kathmandu, Nepal: a qualitative investigation  

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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 ...

Singh Sonal; Pant Sunil; Dhakal Suben; Pokhrel Subash; Mullany Luke C

2012-01-01

102

Does punishment of minor sexual offences deter rapes? Longitudinal evidence from France  

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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...

Vaillant, Nicolas Ge?rard; Wolff, Franc?ois-charles

2009-01-01

103

Gender-Specific Outcomes for Sexually Abused Adolescents.  

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A study of 370 male and 2,681 female adolescents with a history of sexual abuse found that males were at higher risk than females for poor school performance, delinquent activities, extreme use of alcohol and marijuana, and sexual risk taking. Female victims showed higher risk for suicidal ideation and behavior, frequent use of alcohol, and…

Chandy, Joseph M.; And Others

1996-01-01

104

Adolescent sexual and reproductive health in humanitarian settings  

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Full Text Available Particular vulnerabilities for adolescents during times of crisisand emergency are exacerbated by lack of access to sexual andreproductive health services. Greater attention to adolescents’ needs– and the use of innovative approaches to engage them – can helpmitigate often life-threatening impacts.

Brad Kerner

2012-08-01

105

Health workers' attitudes toward sexual and reproductive health services for unmarried adolescents in Ethiopia  

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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.

Tilahun Mesfin

2012-09-01

106

The right of sexual minorities under the African human rights system  

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"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...

Huamusse, Luis Edgar Francisco

2006-01-01

107

The Impact of Depressive Symptomatology on Risky Sexual Behavior and Sexual Communication among African American Female Adolescents  

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Adolescents are at high risk for sexually transmitted infections (STIs), particularly African American adolescents. The association between psychosocial factors and risky sexual behavior has been well established. However, only a small number of studies have examined the relationship between depressive symptomatology among African American female adolescents, specifically over time. The present study examined depressive symptoms as a predictor of risky sexual behavior, sexual communication, a...

Seth, Puja; Patel, Shilpa N.; Sales, Jessica M.; Diclemente, Ralph J.; Wingood, Gina M.; Rose, Eve S.

2011-01-01

108

Contextualising sexual harassment of adolescent girls in Bangladesh.  

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Violence against women is a social mechanism confirming women's subordination in many societies. Sexual violence and harassment have various negative psychological impacts on girls, including a persistent feeling of insecurity and loss of self-esteem. This article aims to contextualize a particular form of sexual harassment, namely "eve teasing", experienced by Bangladeshi adolescent girls (12-18 years) which emerged from a study of adolescent sexual behaviour carried out by young people. The study used qualitative methods and a participatory approach, including focus group discussions, key informant interviews and observation. Despite taboos, unmarried adolescents actively seek information about sex, erotic pleasure and romance. Information was easily available from videos, mobile phone clips and pornographic magazines, but reinforced gender inequality. "Eve teasing" was one outlet for boys' sexual feelings; they gained pleasure from it and could show their masculinity. The girls disliked it and were afraid of being blamed for provoking it. Thus, "eve teasing" is a result of socio-cultural norms relating to sexuality, as well as a lack of access to sexual and reproductive health information and services in Bangladesh. These findings underscore the importance of comprehensive sexuality education that goes beyond a mere health focus and addresses gender norms and helps youth to gain social-sexual interaction skills. PMID:23684190

Nahar, Papreen; van Reeuwijk, Miranda; Reis, Ria

2013-05-01

109

Investing in very young adolescents' sexual and reproductive health.  

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Very young adolescents (VYAs) between the ages of 10 and 14 represent about half of the 1.2 billion adolescents aged 10-19 in the world today. In lower- and middle-income countries, where most unwanted pregnancies, unsafe abortions, maternal deaths and sexually transmitted infections occur, investment in positive youth development to promote sexual and reproductive health (SRH) is increasing. Most interventions, though, focus on older adolescents, overlooking VYAs. Since early adolescence marks a critical transition between childhood and older adolescence and adulthood, setting the stage for future SRH and gendered attitudes and behaviours, targeted investment in VYAs is imperative to lay foundations for healthy future relationships and positive SRH. This article advocates for such investments and identifies roles that policy-makers, donors, programme designers and researchers and evaluators can play to address the disparity. PMID:24824757

Igras, Susan M; Macieira, Marjorie; Murphy, Elaine; Lundgren, Rebecka

2014-05-01

110

Adolescent sexual victimization : a prospective study on risk factors for first time sexual assault  

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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.

Bramsen, Rikke Holm; Lasgaard, Mathias

2012-01-01

111

Immigrant sexual minority latino men in rural north Carolina: an exploration of social context, social behaviors, and sexual outcomes.  

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Immigrant sexual minority Latino men-who may or may not self-identify as gay-constitute a minority within a minority. Often labeled "hidden" and "hard-to-reach," and marginalized along multiple dimensions, it is a subgroup about whom little is known. Informed by a social ecological framework, we sought to describe key social variables for 190 such men in rural North Carolina and to test associations with three sexual outcomes: consistent condom use, number of sex partners, and sexual compulsivity. Participants reported limited English-language use, predominantly Latino close friends, middle levels of social support despite numerous social ties, and frequent experiences of discrimination. There were unique sets of correlates for each sexual outcome. Findings may inform health promotion interventions and guide future research. PMID:24344629

Gilbert, Paul A; Rhodes, Scott D

2014-08-01

112

Sexual behaviour in adolescents and young people attending a sexually transmitted disease clinic, Ile Ife, Nigeria  

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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.

Olasode Olayinka

2007-01-01

113

Sexual Orientation Disparities in BMI among US Adolescents and Young Adults in Three Race/Ethnicity Groups  

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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 I–IV (1995–2009) of the US National Longitudinal Study of Adolescent Health (N = 13,306, ages 11–34 years), we examined associations between sexual orientation and BMI (kg/m2) over time, using longitudinal linear regression models, stratified by gender and race/ethnicity. Data were analyzed in 2013. Among males, heterosexual individuals showed greater one-year BMI gains than gay males across all race/ethnicity groups. Among females, white and Latina bisexual individuals had higher BMI than same-race/ethnicity heterosexual individuals regardless of age; there were no sexual orientation differences in black/African Americans. Sexual orientation disparities in BMI are a public health concern across race/ethnicity groups. Interventions addressing unhealthy weight gain in youth must be relevant for all sexual orientations and race/ethnicities.

Katz-Wise, Sabra L.; Blood, Emily A.; Milliren, Carly E.; Calzo, Jerel P.; Richmond, Tracy K.; Gooding, Holly C.; Austin, S. Bryn

2014-01-01

114

Sexual victimization of boys. Experience at an adolescent medicine clinic.  

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Most information pertaining to male child sexual abuse victims is derived from cases presenting to the criminal-justice system, the mental-health system, hospital emergency rooms, and retrospective studies of college populations, all of which may be biased samples. This paper reports a six-year experience in an adolescent medicine clinic in which all medical interviews of adolescent males included questions about sexual molestation. Forty adolescent males reported sexual victimization during their preadolescent years. This study group of 40 was compared with a randomly selected age-matched group whose responses were negative to the same questions. None of the study group had previously been identified by medical or legal systems as having been molested. Twenty-five percent of the victimized males reported sexual dysfunction compared to 5% of the nonvictimized males, and 60% stated that the sexual abuse had a significant impact on their lives. Consequently, we conclude that questions about sexual molestation should be included as part of routine histories in adolescent clinics. PMID:4044374

Johnson, R L; Shrier, D K

1985-09-01

115

Family Sex Communication and the Sexual Desire, Attitudes, and Behavior of Late Adolescents  

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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…

Zamboni, Brian D.; Silver, Rachel

2009-01-01

116

Comparison of adolescents' reports of sexual behavior on a survey and sexual health history calendar.  

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Assessing sexual risk is critical for human immunodeficiency virus (HIV) and sexually transmitted infection (STI) prevention with adolescents. This article compares sexual risk reports from two self-administered instruments, a standard survey and a sexual health history calendar (SHHC), among racially diverse youth (n = 232) ages 14 to 21 seeking services at a public health clinic. Agreement between methods was assessed using Lin's concordance correlation coefficients (CCC) and Bland-Altman plots. Lin's CCC showed poor to moderate agreement between instruments on reports of sexual partners in the past 3 (0.47), 6 (0.55), and 12 (0.49) months. While individual sexual partner questions were refused a total of 179 times on the survey, youth reported having sexual partners during the same time period on the SHHC in most (77.1%) of these instances. Poor agreement was also found for condom use frequency (CCC = 0.17), with youth's frequency of condom use on the SHHC differing from that reported on the survey for more than half (55.6%) of the months they were sexually active. While lack of objective sexual behavior measures limits conclusions about the accuracy of reports, the ways in which youth's responses varied across instruments may offer insight into the complexity of adolescent sexual risk taking as well as have important implications for development of HIV/STI preventive interventions. PMID:23845014

Fisher, Colleen M; Lee, Michael G

2014-10-01

117

Sexual health of ethnic minority MSM in Britain (MESH project: design and methods  

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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.

Low Nicola

2010-07-01

118

Tipo de contacto sexual y experiencia sexual precoital en adolescentes españoles / Type of sexual contact and precoital sexual experience in spanish adolescents  

Scientific Electronic Library Online (English)

Full Text Available SciELO Colombia | Language: Spanish Abstract in spanish 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.

MARÍA-PAZ, BERMÚDEZ; GUALDERMO, BUELA-CASAL; INMACULADA, TEVA.

119

Legal, political and social change - The case of sexual and gender minorities in Nepal  

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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...

Isaksen, Eirin Winsnes

2011-01-01

120

Rights of Sexual Minorities In Ireland and Europe: Rhetoric Versus Reality  

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Superficially, Irish and European Community law proclaim the rights of sexual minorities - particularly in web sites and printed information designed for public consumption. The reality is different. This article identifies a gap between the public pronouncements on the rights of sexual minorities under Irish and EC law. It employs a hypothetical fact situation to suggest that existing legal protections are anemic, and argues that the potential failure of affected groups to identify these def...

2001-01-01

 
 
 
 
121

Sexual Minority Women and Alcohol: Intersections between drinking, relational contexts, stress and coping  

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Few studies explore sexual minority women’s experiences and perceptions of alcohol. Qualitative interviews were conducted with six sexual minority women who reported having sought help for alcohol problems in the past and six who did not. Themes emerged in two broad areas: stressors that contributed to heavy or problem drinking and factors that enhanced coping and reduced both stress and problem use. Alcohol use across groups was framed in terms of social context (e.g., bar patronage), stre...

Condit, Megan; Kitaji, Kai; Drabble, Laurie; Trocki, Karen

2011-01-01

122

Maternal Influences on Asian American–Pacific Islander Adolescents’ Perceived Maternal Sexual Expectations and Their Sexual Initiation  

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Maternal influences on adolescents’ sexual initiation have been examined over two time points in 433 Asian American–Pacific 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 de...

2010-01-01

123

Sexual behaviour under the influence of alcohol among Spanish adolescents.  

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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

Espada, José P; Morales, Alexandra; Orgilés, Mireia; Piqueras, José A; Carballo, José L

2013-01-01

124

Dating, Sexual Activity, and Well-Being in Italian Adolescents.  

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Associations among dating, sexual activity, gender, and adjustment were investigated in 2,273 Italian adolescents (54% female, ages 14 to 19 years) attending public high schools. After controlling for age and type of school attended, both being in a dating relationship and being male were associated with less alienation, more positive views of the self, and higher general expectations for success. Sexual activity interacted with both gender and dating status in predicting feel...

Miceli, Renato; Ciairano, Silvia

2006-01-01

125

Psychosocial predictors of sexual initiation and high-risk sexual behaviors in early adolescence  

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Full Text Available Abstract Background This longitudinal study examined psychosocial factors associated with risky sexual behavior in early adolescence. Methods Data were collected through a self-report survey, the Social and Health Assessment (SAHA, which was administered in three waves between 2001 and 2003 to a cohort of incoming sixth grade students in the public school system (149 classes at 17 middle and high schools, N = 1,175 of a small northeastern city in the United States. We first examined whether internalizing and externalizing problems in sixth grade, and the rate of change in these factors during middle school, were predictive of sexual initiation two years later, when most of the sample was in eighth grade. We then assessed whether internalizing and externalizing problems in sixth grade, and the rate of change in these factors during middle school, were predictive of engaging in high risk sexual behavior over the subsequent two years. Results Externalizing factors are more predictive of sexual risk in early adolescence than are internalizing factors. Specifically, substance use and violent delinquency over the course of middle school were associated with higher, while anxiety with lower, sexual initiation rates during middle school. Additionally, increased substance use over the course of middle school was associated with greater likelihood of engaging in high risk sexual behavior. Conclusion By identifying particular psychosocial risk factors among young adolescents, the findings of this study have implications for designing multi-dimensional programs aimed at preventing health-compromising sexual behavior among young teens.

Schwab-Stone Mary

2007-11-01

126

Minority Stress and Mental Health among Dutch LGBs: Examination of Differences between Sex and Sexual Orientation  

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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.…

Kuyper, Lisette; Fokkema, Tineke

2011-01-01

127

Estimating the longitudinal association between adolescent sexual behavior and exposure to sexual media content.  

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The purpose of this study is to estimate the association between adolescent sexual behavior and exposure to sexual media content. A three-wave, longitudinal survey sample (N = 506) of 14- to 16-year-olds at baseline is analyzed using growth curves. Growth trajectories are linear for sexual behavior but not for exposure to sexual media content. The signs of the exposure slopes are not uniformly positive: Hispanic and African American respondents show declines of exposure to sexual media content over the age range investigated here. Although changes in exposure to sex content are highly associated with changes in sexual behavior among Whites, there is little or no association between changes in these variables among Blacks. PMID:19382030

Hennessy, Michael; Bleakley, Amy; Fishbein, Martin; Jordan, Amy

2009-01-01

128

Talking Parents, Healthy Teens: A Worksite-based Program for Parents to Promote Adolescent Sexual Health  

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Parents play an important role in the sexual health of their adolescent children. Based on previous research, formative research, and theories of behavioral change, we developed Talking Parents, Healthy Teens, an intervention designed to help parents improve communication with their adolescent children, promote healthy adolescent sexual development, and reduce adolescent sexual risk behaviors. We conduct the parenting program at worksites to facilitate recruitment and retention of participant...

2006-01-01

129

Sexuality, Schooling, and Adolescent Females: The Missing Discourse of Desire.  

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The author combines a literature review with results from her school-based research to argue that the anti-sex rhetoric surrounding sex education and school-based clinics inhibits the development of sexual responsibility and subjectivity in female adolescents. Current practices lead to increased victimization, teenage pregnancy, and dropout rates.…

Fine, Michelle

1988-01-01

130

Dating and Sexual Attitudes in Asian-American Adolescents  

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Dating behaviors and sexual attitudes of Asian-American youth were examined in a cross-sectional, mixed-methods study in the context of adherence to Asian values, measured by the Asian Values Scale (AVS). In all, 31 Asian-American adolescents (age 14-18 years old) from a Houston community center were interviewed regarding dating behaviors and…

Lau, May; Markham, Christine; Lin, Hua; Flores, Glenn; Chacko, Mariam R.

2009-01-01

131

Adolescent Sexuality and the Risk of Marital Dissolution  

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This research investigates whether first sexual intercourse during adolescence is associated with increased risk of first marriage dissolution and tests whether the results are consistent with causal or selection explanations. Drawing on a sample of 3,793 ever-married women from the 2002 National Survey of Family Growth, this study estimated…

Paik, Anthony

2011-01-01

132

Risk behaviors for sexual transmitted disease in male adolescents  

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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.

Agnes Caroline Souza Pinto, Patrícia Neyva da Costa Pinheiro

2010-10-01

133

Prevalence and Social Correlates of Sexual Intercourse among School-Going Adolescents in Thailand  

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Adolescent sexuality is a relevant public health issue, as it affects risk to contract HIV and other sexually transmitted infections. The assessment of prevalence of sexual intercourse among adolescents may guide policies and programmes aimed at reducing the transmission of sexually transmitted infections among this age group. Using data from the Thailand Global School-Based Student Health Survey (GSHS) 2008, we assessed the prevalence of sexual intercourse in the last 12 months and its assoc...

Peltzer, Karl; Pengpid, Supa

2011-01-01

134

Sexual Coercion of Adolescent Girls in Yoruba Land of Nigeria  

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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.

Akanle Florence Foluso

2011-03-01

135

Adolescents' comfort answering questions about sexuality asked by their physicians  

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OBJECTIVE: To evaluate the attitudes of adolescents toward communicating with their doctor about different aspects of their sexuality. METHODS: The present descriptive survey was conducted with the participation of teenagers from four high schools in Sherbrooke, Quebec. In each school, the students of two grade 8 classes (?14 years of age) and two grade 10 classes (?15 years of age) anonymously completed a self-administered questionnaire. Permission from the school board and parental consent for every participant was obtained. RESULTS: A total of 387 adolescents completed the self-administered questionnaire. The response rate for the study was 98%. Only 27% of the respondents remembered being questioned by their doctor about sexuality, and 17% of the respondents had already brought up the topic of sexuality themselves with their doctor. More than one-half (57%) of the adolescents reported they would be moderately comfortable to totally comfortable discussing sexuality with their doctor if they felt the need to. Overall, when asked to evaluate their degree of comfort if questioned on specific questions about their sexuality, 73.8% to 99.5% believed they would be moderately to totally comfortable responding. Nevertheless, there was a statistically significant difference between age groups, with the older age group being more comfortable than the younger age group (P<0.001). There was no difference between the level of comfort among boys and girls answering the same questions. Respondents believed that their treating physician should discuss sexuality with them (73.8%) and, in the majority of cases (78%), that he/she should initiate the conversation. CONCLUSION: Regardless of age or sex, teenagers considered themselves to be at ease discussing sexuality with their doctor and found it an important topic best brought up by their practitioner.

Hebert, Natacha; Beaulieu, Emilie; Tremblay, Marie-Michelle; Laflamme, Sophie

2013-01-01

136

Adolescents' Sexual Self-Disclosure on the Internet: Deindividuation and Impression Management  

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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…

Chiou, Wen-Bin

2006-01-01

137

Iniciação sexual de homens adolescentes / The onset of sexual activity in male adolescents  

Scientific Electronic Library Online (English)

Full Text Available SciELO Brazil | Language: Portuguese Abstract in portuguese Trata-se de pesquisa quantitativa que teve como objetivo investigar a iniciação sexual de adolescentes do sexo masculino em Concórdia, Santa Catarina. Participaram da mesma 340 adolescentes do sexo masculino, com idades entre 14 e 19 anos, que freqüentavam o ensino médio em seis instituições de ensi [...] no do município de Concórdia, que aceitaram participar e que trouxeram o Termo de Consentimento Livre e Esclarecido assinado pelos pais ou responsáveis. Destes, 69,7% afirmaram ter relações sexuais, sendo que a média de idade da primeira relação foi de 14,4 anos, menor que a média nacional de 15 anos. A primeira relação sexual ocorreu com uma ficante para 45,1% e 64,2% afirmaram que o principal motivo para a mesma foi vontade/tesão. A maioria (74,2%) qualificou a experiência como boa ou muito boa. O uso da camisinha foi apontado como método utilizado na primeira relação sexual por 73,8% dos adolescentes e como método usado em todas as relações por 72,5%. Alguns adolescentes relataram não conversar sobre sexualidade, mas a maioria aponta os amigos como principal fonte de informações sobre sexo. Frente ao exposto, fica claro que apesar de terem sua primeira relação sexual cada vez mais precocemente, o diálogo sobre prevenção tem surtido efeito, o que é reforçado pelo uso expressivo do preservativo entre os adolescentes. Abstract in english This quantitative study aimed to investigate the onset of sexual activity in male adolescents from Concordia, Santa Catarina, Brazil. The studied sample consisted of a total of 340 14-19-year-old male adolescents attending secondary school in six local educational institutions, who accepted to answe [...] r the questionnaire and whose parents signed the Free and Informed Consent. From these, 69,7% affirmed that they already had sexual relations; the mean age at the first relation was 14,4, lower than national average of 15 years. The first sexual relation occurred with a date in the case of 45,1% and 64,2% affirmed that the main reason was sexual desire/excitation. Most of adolescents (74,2%) qualified the experience as good or very good. The condom was used in the first sexual relation by 73,8% and in all relations by 72,5%. Some adolescents do not talk about sexuality, but most of them indicate friends as the main source of information about sex. These data show the effectiveness of the dialogue about STD/AIDS prevention and contraception developed over the last decades, expressed by the considerable condom use among the adolescents.

Daniela, Gubert; Valéria Silvana Faganello, Madureira.

138

Iniciação sexual de homens adolescentes / The onset of sexual activity in male adolescents  

Scientific Electronic Library Online (English)

Full Text Available SciELO Public Health | Language: Portuguese Abstract in portuguese Trata-se de pesquisa quantitativa que teve como objetivo investigar a iniciação sexual de adolescentes do sexo masculino em Concórdia, Santa Catarina. Participaram da mesma 340 adolescentes do sexo masculino, com idades entre 14 e 19 anos, que freqüentavam o ensino médio em seis instituições de ensi [...] no do município de Concórdia, que aceitaram participar e que trouxeram o Termo de Consentimento Livre e Esclarecido assinado pelos pais ou responsáveis. Destes, 69,7% afirmaram ter relações sexuais, sendo que a média de idade da primeira relação foi de 14,4 anos, menor que a média nacional de 15 anos. A primeira relação sexual ocorreu com uma ficante para 45,1% e 64,2% afirmaram que o principal motivo para a mesma foi vontade/tesão. A maioria (74,2%) qualificou a experiência como boa ou muito boa. O uso da camisinha foi apontado como método utilizado na primeira relação sexual por 73,8% dos adolescentes e como método usado em todas as relações por 72,5%. Alguns adolescentes relataram não conversar sobre sexualidade, mas a maioria aponta os amigos como principal fonte de informações sobre sexo. Frente ao exposto, fica claro que apesar de terem sua primeira relação sexual cada vez mais precocemente, o diálogo sobre prevenção tem surtido efeito, o que é reforçado pelo uso expressivo do preservativo entre os adolescentes. Abstract in english This quantitative study aimed to investigate the onset of sexual activity in male adolescents from Concordia, Santa Catarina, Brazil. The studied sample consisted of a total of 340 14-19-year-old male adolescents attending secondary school in six local educational institutions, who accepted to answe [...] r the questionnaire and whose parents signed the Free and Informed Consent. From these, 69,7% affirmed that they already had sexual relations; the mean age at the first relation was 14,4, lower than national average of 15 years. The first sexual relation occurred with a date in the case of 45,1% and 64,2% affirmed that the main reason was sexual desire/excitation. Most of adolescents (74,2%) qualified the experience as good or very good. The condom was used in the first sexual relation by 73,8% and in all relations by 72,5%. Some adolescents do not talk about sexuality, but most of them indicate friends as the main source of information about sex. These data show the effectiveness of the dialogue about STD/AIDS prevention and contraception developed over the last decades, expressed by the considerable condom use among the adolescents.

Daniela, Gubert; Valéria Silvana Faganello, Madureira.

139

Iniciação sexual de homens adolescentes The onset of sexual activity in male adolescents  

Directory of Open Access Journals (Sweden)

Full Text Available Trata-se de pesquisa quantitativa que teve como objetivo investigar a iniciação sexual de adolescentes do sexo masculino em Concórdia, Santa Catarina. Participaram da mesma 340 adolescentes do sexo masculino, com idades entre 14 e 19 anos, que freqüentavam o ensino médio em seis instituições de ensino do município de Concórdia, que aceitaram participar e que trouxeram o Termo de Consentimento Livre e Esclarecido assinado pelos pais ou responsáveis. Destes, 69,7% afirmaram ter relações sexuais, sendo que a média de idade da primeira relação foi de 14,4 anos, menor que a média nacional de 15 anos. A primeira relação sexual ocorreu com uma ficante para 45,1% e 64,2% afirmaram que o principal motivo para a mesma foi vontade/tesão. A maioria (74,2% qualificou a experiência como boa ou muito boa. O uso da camisinha foi apontado como método utilizado na primeira relação sexual por 73,8% dos adolescentes e como método usado em todas as relações por 72,5%. Alguns adolescentes relataram não conversar sobre sexualidade, mas a maioria aponta os amigos como principal fonte de informações sobre sexo. Frente ao exposto, fica claro que apesar de terem sua primeira relação sexual cada vez mais precocemente, o diálogo sobre prevenção tem surtido efeito, o que é reforçado pelo uso expressivo do preservativo entre os adolescentes.This quantitative study aimed to investigate the onset of sexual activity in male adolescents from Concordia, Santa Catarina, Brazil. The studied sample consisted of a total of 340 14-19-year-old male adolescents attending secondary school in six local educational institutions, who accepted to answer the questionnaire and whose parents signed the Free and Informed Consent. From these, 69,7% affirmed that they already had sexual relations; the mean age at the first relation was 14,4, lower than national average of 15 years. The first sexual relation occurred with a date in the case of 45,1% and 64,2% affirmed that the main reason was sexual desire/excitation. Most of adolescents (74,2% qualified the experience as good or very good. The condom was used in the first sexual relation by 73,8% and in all relations by 72,5%. Some adolescents do not talk about sexuality, but most of them indicate friends as the main source of information about sex. These data show the effectiveness of the dialogue about STD/AIDS prevention and contraception developed over the last decades, expressed by the considerable condom use among the adolescents.

Daniela Gubert

2008-12-01

140

Condom Use among Sexually Active Rural High School Adolescents: Personal, Environmental, and Behavioral Predictors  

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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…

Haley, Tammy; Puskar, Kathryn; Terhorst, Lauren; Terry, Martha Ann; Charron-Prochownik, Denise

2013-01-01

 
 
 
 
141

Family Influences on Adolescents’ Birth Control and Condom Use, Likelihood of Sexually Transmitted Infections  

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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…

Kao, Tsui-Sui Annie; Manczak, Melissa

2013-01-01

142

Access to contraception by minors in Jamaica: A public health concern  

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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 government’s 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 ...

2009-01-01

143

Latino Adolescent Reproductive and Sexual Health Behaviors and Outcomes: Research Informed Guidance for Agency-based Practitioners  

Science.gov (United States)

Latinos are the largest and fastest growing minority youth group in the United States. Currently, Latino adolescents experience higher rates of teen pregnancy compared to any other racial or ethnic group and have disproportionately high levels of sexually transmitted infections and HIV. Latino teens are also affected by a number of social problems such as school dropout, poverty, depression and limited access to healthcare, which contributes to disparities in reproductive health outcomes for this population. Relatively few intervention research studies and programs have been dedicated to reducing sexual risk among Latino youth, despite their particular vulnerabilities in experiencing negative reproductive health outcomes. We provide recommendations for identifying the unique reproductive health needs of Latino youth and specific applied strategies so that agency-based social workers and other providers can develop family-based interventions that improve adolescent Latino sexual and reproductive health.

Guilamo-Ramos, Vincent; Goldberg, Vincent; Lee, Jane; McCarthy, Katherine; Leavitt, Sarah

2011-01-01

144

Latino Adolescent Reproductive and Sexual Health Behaviors and Outcomes: Research Informed Guidance for Agency-based Practitioners  

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Latinos are the largest and fastest growing minority youth group in the United States. Currently, Latino adolescents experience higher rates of teen pregnancy compared to any other racial or ethnic group and have disproportionately high levels of sexually transmitted infections and HIV. Latino teens are also affected by a number of social problems such as school dropout, poverty, depression and limited access to healthcare, which contributes to disparities in reproductive health outcomes for ...

2012-01-01

145

LGBT community, social network characteristics, and smoking behaviors in young sexual minority women.  

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Smoking rates among young sexual minority women (YSMW) are disproportionately high as compared to heterosexual populations. While this disparity has commonly been attributed to the sexual minority stress process, little empirical work has explored what may protect YSMW from high rates of smoking. Using data (N = 471) from a cross-sectional study designed to investigate YSMW's (age 18-24) smoking behaviors and correlates; we explore the relationship of LGBT community connections, YSMW's social network characteristics, and stress to smoking behaviors (i.e., status, frequency, amount). Through this analysis, we find support for LGBT community connection as well as friendships with other sexual minorities as protective in relation to YSMW's smoking behaviors. We discuss the implications of our results, highlighting the need for future longitudinal research and interventions designed to bolster YSMW's connections to the LGBT community and their social networks. PMID:23783884

Johns, Michelle Marie; Pingel, Emily S; Youatt, Emily J; Soler, Jorge H; McClelland, Sara I; Bauermeister, Jose A

2013-09-01

146

Propensity Scoring and the Relationship between Sexual Media and Adolescent Sexual Behavior: Comment on Steinberg and Monahan (2011)  

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Longitudinal research has demonstrated a link between exposure to sexual content in media and subsequent changes in adolescent sexual behavior, including initiation of intercourse and various noncoital sexual activities. Based on a reanalysis of one of the data sets involved, Steinberg and Monahan (2011) have challenged these findings. However,…

Collins, Rebecca L.; Martino, Steven C.; Elliott, Marc N.

2011-01-01

147

Schools, Sex Education, and Support for Sexual Minorities: Exploring Historic Marginalization and Future Potential  

Science.gov (United States)

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…

McCarty-Caplan, David Milo

2013-01-01

148

Sexual victimization and health-related indicators among sexual minority men  

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This study reports rates of childhood and adult sexual victimization among a community sample of 634 gay and bisexual-identified men, and examines how men with differing sexual victimization histories compare on a number of health-related outcomes. Results indicate that men with histories of childhood and adult sexual victimization are more likely to report substance use, more lifetime STIs, higher sexual compulsivity scores, and greater gay-related stigma scores than men with no histories of...

Hequembourg, Amy L.; Bimbi, David; Parsons, Jeffrey T.

2011-01-01

149

Abuso sexual en niños y adolescentes de ambos sexos Sexual Abuse in Children and Adolescents of Both Sexes  

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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

2002-01-01

150

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  

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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 14–18 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.

De Meyer, Sara; Jaruseviciene, Lina; Zaborskis, Apolinaras; Decat, Peter; Vega, Bernardo; Cordova, Kathya; Temmerman, Marleen; Degomme, Olivier; Michielsen, Kristien

2014-01-01

151

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  

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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 14–18 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.

Sara De Meyer

2014-07-01

152

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.  

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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 14-18 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. PMID:25024066

De Meyer, Sara; Jaruseviciene, Lina; Zaborskis, Apolinaras; Decat, Peter; Vega, Bernardo; Cordova, Kathya; Temmerman, Marleen; Degomme, Olivier; Michielsen, Kristien

2014-01-01

153

Forensic issues in the assessment of sexually assaulted adolescents  

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This article provides a general overview of the principles of conducting a forensic evaluation of adolescents who have been exposed to sexual abuse. This problem is common and is associated with a large burden of suffering. There is a strong likelihood that most paediatricians will be called on to perform such evaluations at some point in time. This overview includes a description of the forensic examination, focuses on such issues as consent and contact with child protection services, and pr...

Niec, Anne

2002-01-01

154

Structural stigma and all-cause mortality in sexual minority populations.  

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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] = 3.03, 95% Confidence Interval [CI] = 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

Hatzenbuehler, Mark L; Bellatorre, Anna; Lee, Yeonjin; Finch, Brian K; Muennig, Peter; Fiscella, Kevin

2014-02-01

155

Sexual Socialization during Early Adolescence: The Menarche.  

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Explored early socialization of beliefs and attitudes toward menarche in 258 adolescents, aged 11 to 14 years, male and female pre- and postmenarcheal, from southern Italy. Results showed a consistent lack of accurate information by a high percentage of subjects, both male and female; negative beliefs were held only by girls, boys tended to ignore…

Amann-Gainotti, Merete

1986-01-01

156

Association between socio-economic status and sexual behavior of adolescents  

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Introduction: Numerous studies have emphasized the importance of contextual factors as determinants of sexual behavior of adolescents. It has been found that lower socioeconomic status is associated with risky sexual behavior. Sexual behavior is individual but develops under strong influence of cultural and other influences. Objective. The aim of this study was to investigate the association of family’s socioeconomic status and risky sexual behavior of adolescents in Belgrade. Method. Self-...

Vukovi? Dejana S.; Bjegovi?-Mikanovi? Vesna M.

2007-01-01

157

A Model of Adolescents’ Seeking of Sexual Content in their Media Choices  

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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...

Bleakley, Amy; Hennessy, Michael; Fishbein, Martin

2011-01-01

158

Measuring Community Connectedness among Diverse Sexual Minority Populations  

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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...

Frost, David M.; Meyer, Ilan H.

2012-01-01

159

Age Differences in STDs, Sexual Behaviors, and Correlates of Risky Sex Among Sexually Experienced Adolescent African-American Females  

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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 (14–20 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 (14–17 years) had significantly higher ...

Sales, Jessica M.; Brown, Jennifer L.; Diclemente, Ralph J.; Davis, Teaniese L.; Kottke, Melissa J.; Rose, Eve S.

2012-01-01

160

Body Image and Eating Disorder Symptoms in Sexual Minority Men: A Test and Extension of Objectification Theory  

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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

2010-01-01

 
 
 
 
161

The Impact of Perceived Discrimination and Social Support on the School Performance of Multiethnic Sexual Minority Youth  

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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 as…

Craig, Shelley L.; Smith, Mark S.

2014-01-01

162

Sexual exploitation and labor during adolescence: A case study  

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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.

Luciana Dutra-Thomé

2011-09-01

163

ADOLESCENT DECISION-MAKING ABOUT SEXUAL AND REPRODUCTIVE ISSUES  

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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 Bogotá 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

Vargas Trujillo, Elvia

2007-06-01

164

Aspectos da sexualidade na adolescência / Aspects of sexuality in adolescence  

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Full Text Available SciELO Brazil | Language: Portuguese Abstract in portuguese O estudo envolveu 920 adolescentes entre 12 e 19 anos de idade em escolas de ensino fundamental e médio da região de Santo Eduardo do município de Embu, São Paulo. Teve por objetivo identificar aspectos da sexualidade de adolescentes de ambos os sexos. Os dados foram obtidos por meio de um questioná [...] rio estruturado, cujos resultados demonstraram a equivalência entre garotas e rapazes com relação à busca de informações específicas sobre sexualidade; 39% dos rapazes e 17% das garotas tinham prática sexual, destes, 77% dos rapazes e 84% das garotas utilizavam preservativo. Abstract in english The study involved 920 adolescents between 12 and 19 years of age in junior and senior high schools of the region of Santo Eduardo of the city of Embu, São Paulo. The objective was to identify aspects of sexuality of adolescents of both sexes. Data were collected through a structured questionnaire, [...] the results of which established the difference between boys and girls with respect to their quest for specific information about sexuality; 39% of boys and 17% of girls practiced sexual intercourse, and among these, 77% of boys and 84% of girls used preservativos.

Brêtas, José Roberto da Silva; Ohara, Conceição Vieira da Silva; Jardim, Dulcilene Pereira; Aguiar Junior, Wagner de; Oliveira, José Rodrigo de.

165

Aspectos da sexualidade na adolescência Aspects of sexuality in adolescence  

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Full Text Available O estudo envolveu 920 adolescentes entre 12 e 19 anos de idade em escolas de ensino fundamental e médio da região de Santo Eduardo do município de Embu, São Paulo. Teve por objetivo identificar aspectos da sexualidade de adolescentes de ambos os sexos. Os dados foram obtidos por meio de um questionário estruturado, cujos resultados demonstraram a equivalência entre garotas e rapazes com relação à busca de informações específicas sobre sexualidade; 39% dos rapazes e 17% das garotas tinham prática sexual, destes, 77% dos rapazes e 84% das garotas utilizavam preservativo.The study involved 920 adolescents between 12 and 19 years of age in junior and senior high schools of the region of Santo Eduardo of the city of Embu, São Paulo. The objective was to identify aspects of sexuality of adolescents of both sexes. Data were collected through a structured questionnaire, the results of which established the difference between boys and girls with respect to their quest for specific information about sexuality; 39% of boys and 17% of girls practiced sexual intercourse, and among these, 77% of boys and 84% of girls used preservativos.

José Roberto da Silva Brêtas

2011-07-01

166

Aspectos da sexualidade na adolescência / Aspects of sexuality in adolescence  

Scientific Electronic Library Online (English)

Full Text Available SciELO Public Health | Language: Portuguese Abstract in portuguese O estudo envolveu 920 adolescentes entre 12 e 19 anos de idade em escolas de ensino fundamental e médio da região de Santo Eduardo do município de Embu, São Paulo. Teve por objetivo identificar aspectos da sexualidade de adolescentes de ambos os sexos. Os dados foram obtidos por meio de um questioná [...] rio estruturado, cujos resultados demonstraram a equivalência entre garotas e rapazes com relação à busca de informações específicas sobre sexualidade; 39% dos rapazes e 17% das garotas tinham prática sexual, destes, 77% dos rapazes e 84% das garotas utilizavam preservativo. Abstract in english The study involved 920 adolescents between 12 and 19 years of age in junior and senior high schools of the region of Santo Eduardo of the city of Embu, São Paulo. The objective was to identify aspects of sexuality of adolescents of both sexes. Data were collected through a structured questionnaire, [...] the results of which established the difference between boys and girls with respect to their quest for specific information about sexuality; 39% of boys and 17% of girls practiced sexual intercourse, and among these, 77% of boys and 84% of girls used preservativos.

Brêtas, José Roberto da Silva; Ohara, Conceição Vieira da Silva; Jardim, Dulcilene Pereira; Aguiar Junior, Wagner de; Oliveira, José Rodrigo de.

167

Sexual-Minority College Women's Experiences with Discrimination: Relations with Identity and Collective Action  

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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…

Friedman, Carly; Leaper, Campbell

2010-01-01

168

Human rights violations among sexual and gender minorities in Kathmandu, Nepal: a qualitative investigation  

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Full Text Available 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 participants in Kathmandu Nepal. The modified Delphi technique was utilized to elicit and rank participant-generated definitions of human rights and their subsequent violations. Data was analyzed independently and cross checked by another investigator. Results Participants (n?=?29 reported experiencing a range of human rights violations at home, work, educational, health care settings and in public places. Lack of adequate legal protection, physical and mental abuse and torture were commonly reported. Access to adequate legal protection and improvements in the family and healthcare environment were ranked as the most important priority areas. Conclusions Sexual and gender minorities in Nepal experienced a range of human rights violations. Future efforts should enroll a larger and more systematic sample of participants to determine frequency, timing, and/or intensity of exposure to rights violations, and estimate the population-based impact of these rights violations on specific health outcomes

Singh Sonal

2012-05-01

169

Trauma, posttraumatic stress disorder, and depression among sexual minority and heterosexual women veterans.  

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This study examined the impact of various traumas across the life span on screening positive for current posttraumatic stress disorder (PTSD) and depression among heterosexual and sexual minority women veterans. Women veterans were recruited over the Internet (N = 706, 37% lesbian or bisexual) to participate in an anonymous, online survey. We assessed childhood trauma; adult sexual assault and adult physical victimization before, during, and after the military; combat exposure; perceived sexist discrimination during military service; sexual minority military stressors; past-year sexist events; and whether participants screened positive for PTSD or depression. Binary logistic regressions were used to generate odds ratios and 95% confidence intervals for PTSD and depression, stratified by sexual orientation and controlling for demographic characteristics. Lesbian and bisexual women reported higher rates of trauma across the life span, although in some instances (e.g., sexual assault during and after military service, combat exposure), they did not differ from their heterosexual counterparts. Childhood trauma and traumas that occurred during military service added the most variance to both PTSD and depression models. Sexual assault during military service appeared to be especially harmful with respect to screening positive for PTSD for both sexual orientation groups. Results revealed a number of other predictors of mental health status for women veterans, some of which differed by sexual orientation. Findings indicate a significant burden of interpersonal trauma for both heterosexual and lesbian/bisexual women veterans and provide information on the distinct association of various traumas with current PTSD and depression by sexual orientation. (PsycINFO Database Record (c) 2014 APA, all rights reserved). PMID:25019543

Lehavot, Keren; Simpson, Tracy L

2014-07-01

170

Psychological Disidentification with the Academic Domain Among Ethnic Minority Adolescents in The Netherlands  

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Background: Among ethnic minority group adolescents, experiences with discrimination and prejudice in school settings are thought to lead to a defensive detachment of the self from the school domain. That is, these adolescents may disengage their self-feelings from their academic performances causing the academic self to become a less important…

Verkuyten, M.; Thijs, J.

2004-01-01

171

Sex, Race/Ethnicity, and Romantic Attractions: Multiple Minority Status Adolescents and Mental Health  

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This study examined the association between multiple minority statuses and reports of suicidal thoughts, depression, and self-esteem among adolescents. Data from the National Longitudinal Study of Adolescent Health were used to examine mental health outcomes across racial/ethnic groups for same-sex-attracted youths and female youths. Hispanic/Latino, African American, and White female adolescents reported more suicidal thoughts, higher depression, and lower self-esteem compared with male adol...

2004-01-01

172

RIESGO SEXUAL EN ADOLESCENTES SEGÚN LA EDAD DE DEBUT SEXUAL / SEXUAL RISK IN ADOLESCENTS DEPENDING ON THE AGE OF SEXUAL DEBUT / RISCO SEXUAL EM ADOLESCENTES DE ACORDO COM A IDADE DE DEBUTE SEXUAL  

Scientific Electronic Library Online (English)

Full Text Available SciELO Colombia | Language: Spanish Abstract in portuguese 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.

JOSÉ P., ESPADA; ALEXANDRA, MORALES; MIREIA, ORGILÉS.

173

Adolescents of the U.S. National Longitudinal Lesbian Family Study: Sexual Orientation, Sexual Behavior, and Sexual Risk Exposure  

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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...

2011-01-01

174

Is sexual behavior healthy for adolescents? A conceptual framework for research on adolescent sexual behavior and physical, mental, and social health.  

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Although research has increasingly emphasized how adolescent sexual behavior may be associated with aspects of health beyond unwanted pregnancy and sexually transmitted infections, no current theoretical or conceptual model fully explains associations between sexual behavior and multiple facets of health. We provide a conceptual model that explicates possible processes of how adolescent sexual behavior may influence physical, mental, and social health. Next, we review the current literature consistent with this conceptual model, demonstrating that although early sexual behavior can be associated with some negative outcomes, sex may be, on average, a positive experience in late adolescence. Finally, we discuss important future directions for research in these areas, including how individuals' attitudes about and perceptions of sexual behavior influence outcomes of sex. © 2014 Wiley Periodicals, Inc. PMID:24962359

Vasilenko, Sara A; Lefkowitz, Eva S; Welsh, Deborah P

2014-06-01

175

Sexual knowledge, attitudes and values among Chinese migrant adolescents in Hong Kong  

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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.  

Man-Yee Emmy Wong

2013-12-01

176

Children and adolescents' commercial sexual exploitation: comparing truck drivers clients and non-clients of sexual  

Directory of Open Access Journals (Sweden)

Full Text Available This study aims at comparing two groups of truck drivers, clients and non-clients of children and adolescents' commercial sexual exploitation (ESCA. Interviews were conducted with 239 truck drivers in different areas of Brazil. The data were analyzed statistically by inferential and descriptive analyses. The comparison between the groups showed that those who said they were clients of ESCA (n = 85 use to have a higher loading time than the ones in the other group (n = 154. Moreover, the clients use to utilize more prostitutes' services and have less knowledge of children's rights. However, the profiles of both groups were very similar, according to demographic and professional data. This study highlighted the circumstantial feature of the relationship between the truck drivers and the children and adolescents' commercial sexual exploitation.

Elder Cerqueira-Santos

2008-01-01

177

Confidentiality and parental involvement in adolescent sexual and reproductive health care : A cross-sectional study of Lithuanian general practitioners  

DEFF Research Database (Denmark)

Aim: We surveyed Lithuanian general practitionersâ?? (GPs) views on the importance of confidentiality for adolescents and on their practices in informing parents about sexual and reproductive health consultations with this age group. Methods: In this cross-sectional study, a 41-item questionnaire was sent to a random sample of 607 Lithuanian GPs. The purpose of this questionnaire was to gain knowledge about current practices of GPs in informing parents on the importance of confidentiality as well as in protecting the privacy of minors. GPsâ?? knowledge of the current legal age limit of confidentiality protection in patient-provider settings was also assessed. Results: Although 67.5% of the responding GPs (response rate 73.5%) stated that they inform the parents or guardians of adolescent patients about the importance of confidentiality, 82.9% of them only did so if the opportunity arose. When consulting on general sexual issues, more than 70% stated that they would guarantee their minor patients confidentiality. However, when cases involved sexually transmitted infections or pregnancy, nearly the same percentage said they would inform the parents. 62.3% of GPs incorrectly believed that the law only protects the right to confidentiality for patients who are 18 or older. Conclusions: Our findings indicate that Lithuanian GPs frequently violate adolescentsâ?? right to confidential health services. The study highlights the need for a comprehensive strategy to strengthen the confidentiality of sexual and reproductive health services for this group in Lithuanian primary care.

Jaruseviciene, Lina; Lazarus, Jeff

2011-01-01

178

The Use of Therapeutic Stories in Counseling Child and Adolescent Sexual Abuse Survivors  

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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…

Kress, Victoria E.; Adamson, Nicole A.; Yensel, Jennifer

2010-01-01

179

Maltreatment and Depression in Adolescent Sexual Offenders with an Autism Spectrum Disorder  

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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…

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

2013-01-01

180

You and Me and Human Sexuality: A Student Booklet Written for Deaf Adolescents.  

Science.gov (United States)

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…

Texas School for the Deaf, Austin.

 
 
 
 
181

A Theater-Based Approach to Primary Prevention of Sexual Behavior for Early Adolescents  

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Early adolescence is a crucial period for preventing teen pregnancy and sexually transmitted infections. This study evaluated STAR LO, a theater-based intervention designed to affect antecedents of sexual activity among urban early adolescents (N = 1,143). Public elementary/middle schools received the intervention or served as a wait-listed…

Lieberman, Lisa D.; Berlin, Cydelle; Palen, Lori-Ann; Ashley, Olivia Silber

2012-01-01

182

Body image disturbance and health behaviors among sexual minority men living with HIV.  

Science.gov (United States)

Objective: Body image disturbance is a common experience for sexual minority men living with HIV, and is associated with poor self-care behaviors. However, to date, no known cohesive theoretical model has been advanced to understand the possible antecedents and outcomes of body image disturbance in this population. Thus, the goal of the current study was to test a biopsychosocial model of body image and self-care behaviors among sexual minority men living with HIV. Method: Participants were 106 gay and bisexual men living with HIV who completed a battery of self-report measures, including assessment of body image disturbance, depression, lipodystrophy, appearance orientation, condom use self-efficacy, antiretroviral therapy (ART) adherence, and HIV sexual transmission risk behaviors. Bayesian estimation was employed to assess model fit and direct and indirect pathways within the model. Results: The data fit the model well, with all theorized pathways being significant. Lipodystrophy severity and appearance orientation were associated with elevated body image disturbance. In turn, body image disturbance was related to poorer ART adherence and increased HIV sexual transmission risk behaviors, through the mechanisms of elevated depressive symptoms and poor condom use self-efficacy. Conclusions: Elevated body image disturbance among sexual minority men living with HIV is associated with important biopsychosocial variables, which in turn are related to poorer ART adherence and increased HIV sexual transmission risk behaviors. Integrative psychosocial interventions addressing co-occurring body image disturbance, depression, and HIV self-care behaviors may be a fruitful area for future clinical practice and research. (PsycINFO Database Record (c) 2014 APA, all rights reserved). PMID:24977311

Blashill, Aaron J; Goshe, Brett M; Robbins, Gregory K; Mayer, Kenneth H; Safren, Steven A

2014-07-01

183

Does recent research on adolescent brain development inform the mature minor doctrine?  

Science.gov (United States)

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

Steinberg, Laurence

2013-06-01

184

On early starters and late bloomers: the development of sexual behavior in adolescence across personality types.  

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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 (M age = 14.5) followed across four measurement waves spanning 18 months. Results from latent class analyses (LCA) identified the three classical personality types: resilients, undercontrollers, and overcontrollers. Controlling for perceived pubertal timing and biological sex, latent growth curve analyses in Mplus showed that, at baseline, undercontrollers were more sexually experienced and engaged in more casual and risky sexual behavior than resilients and overcontrollers. Although initial levels of sexual behavior differed by personality types, over time increases in sexual behavior occurred at a similar rate across the types. Overall, the current study showed that undercontrolling adolescents are early sexual developers who engage in more advanced, casual, and risky sexual behavior than other adolescents. The implications of these findings for longer-term differences in sexual behavior between personality types in later adolescence are discussed. PMID:24007372

Baams, Laura; Overbeek, Geertjan; Dubas, Judith Semon; van Aken, Marcel A G

2014-10-01

185

Adolescents Can Know Best: Using concept mapping to identify factors and pathways driving adolescent sexuality in Lima, Peru  

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The primary objective of this study was to identify and describe individual- and environmental-level factors that Peruvian adolescents perceive to be related to adolescent sexuality. A series of concept mapping sessions were carried out from January-March 2006 with 63 15–17 year olds from a low-income community near Lima in order for adolescents to (1) brainstorm items that they thought were related to sexuality (2) sort, group and rate items to score their importance for sexuality-related ...

Bayer, Angela M.; Cabrera, Lilia Z.; Gilman, Robert H.; Hindin, Michelle J.; Tsui, Amy O.

2010-01-01

186

"Why Can't We Learn about This?" Sexual Minority Students Navigate the Official and Hidden Curricular Spaces of High School  

Science.gov (United States)

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…

Castro, Ingrid E.; Sujak, Mark Conor

2014-01-01

187

The importance of a positive approach to sexuality in sexual health programmes for unmarried adolescents in Bangladesh.  

Science.gov (United States)

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

van Reeuwijk, Miranda; Nahar, Papreen

2013-05-01

188

Exposure to media content and sexual health behaviour among adolescents in Lagos metropolis, Nigeria.  

Science.gov (United States)

The influence of adolescents' exposure to sexual health content of mass media in their sexual health behaviour in Nigeria is still not clear. Data were gathered through a survey conducted among adolescents aged 12-19 years in Lagos metropolis between November 2009 and February 2010. A multistage sampling strategy was adopted in selecting respondents. Logistic regression technique was utilised in the analysis. The results indicate that the respondents were most frequently exposed to TV (male = 92.2; female = 94.9) and radio (male = 88.2; female = 91.7) media. The odds ratios indicate that sexual health content of mass media significantly predicted condom use, multiple sexual relationship, sexual intercourse and self reported occurrence of abortion in the study sample. The findings imply that positive media sexual health content is likely to promote sexual health among adolescents but negative contents can put adolescents' sexual health in danger. In addition, safe sex can be advanced among adolescents if the media provide accurate information on sexuality, emphasising the dangers of risky sexual practices. Finally, this study posits that accurate portrayal of sexuality in the media would contribute immensely to improving public health in the metropolis. PMID:24069761

Wusu, Onipede

2013-06-01

189

Condom use at last sexual relationship among adolescents of Santiago Island, Cape Verde, - West Africa  

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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 13–17 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....

Tavares Carlos; Schor Néia; Valenti Vitor E; Kanikadan Paula Yuri; de Abreu Luiz

2012-01-01

190

Factors associated with self-reported first sexual intercourse in Scottish adolescents  

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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 earl...

2009-01-01

191

Exploring the Link between Caregiver Affect and Adolescent Sexual Behavior: Does Neighborhood Disadvantage Matter?  

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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 neighborho...

Gardner, Margo; Martin, Anne; Brooks-gunn, Jeanne

2012-01-01

192

Childhood Maltreatment, Psychological Dysregulation, and Risky Sexual Behaviors in Female Adolescents  

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Objective?Maltreated female adolescents are at risk for engaging in sexual behaviors consistent with HIV infection and teen pregnancy. The current study applied a model positing the key role of psychological dysregulation in the development of adolescent females’ sexual behavior.?Methods?The sample consisted of adolescent females aged 14–17 years who had experienced substantiated childhood maltreatment (n?=?275) and a demographically matched, non-maltreated comparison group (n?...

2011-01-01

193

Adolescent sexuality in the light of group processes.  

Science.gov (United States)

Shakespeare's Romeo and Juliet is used to illustrate several connected theses regarding the relation of the couple to its surrounding social group: these include a couple's oedipal rebellion, the unconscious longing for and hatred of the idealized couple by the large group, the denial of aggression within the couple and its projection onto the group, the impotence of rationality and the conventionalization of sexuality in the large group, and the pervading dynamics of aggression in group formation. Pertinent psychoanalytic theories are briefly summarized, and this combined analysis is applied to the psychoanalyst's attitude regarding adolescent patients' love life. PMID:7360827

Kernberg, O F

1980-01-01

194

Sexual Behavior in Male Adolescents with Autism and Its Relation to Social-Sexual Skills in the Kingdom of Saudi Arabia  

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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…

Huwaidi, Mohamed A.; Daghustani, Wid H.

2013-01-01

195

Condom use at last sexual relationship among adolescents of Santiago Island, Cape Verde, - West Africa  

Directory of Open Access Journals (Sweden)

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 13–17 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.

Tavares Carlos

2012-11-01

196

A Model of Adolescents' Seeking of Sexual Content in their Media Choices  

Science.gov (United States)

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 aged 13-18 years. Results show that fifty percent 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.

Bleakley, Amy; Hennessy, Michael; Fishbein, Martin

2010-01-01

197

Does Distance Matter? Access to Family Planning Clinics and Adolescent Sexual Behaviors  

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The study examines the relationship between adolescent geographic access (distance, travel time, density) to Family Planning Clinics and adolescent sexual behaviors, including sexual initiation, number of partners and condom use. This cross-sectional study, conducted in 2005 in 10 California counties, utilized data from NICHD-funded study on adolescent sexual behavior (n = 921), geospatial coordinates of publicly-funded FPCs, and neighborhood characteristics. A series of regression models were used to assess the relationship between FPC distance, and density (number of FPCs within 1- and 3- mile radii of each adolescent’s home), and adolescent sexual behaviors. Significant main effects between access measures of FPC and sexual behavior did not emerge. However, among older youth a significant inverse relationship emerged between number of FPCs within a 1-mile radius and initiating sexual intercourse. While not significant at ? = .10, the results also indicate a negative relationship between density of FPCs and sexual partners (b = ?.22, p < .15) among older youth. Access to FPCs was not associated with condom use. Conclusions: Results suggest that increased options for family planning services may lead to less risky sexual behaviors among older youth. This finding has significant implications with regards to making family planning resources more readily available to older adolescents.

Todd, Michael; Remer, Lillian

2010-01-01

198

An Exploration of Counselor Experiences of Adolescents with Sexual Behavior Problems  

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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…

Chassman, Linda; Kottler, Jeffrey; Madison, Jeanne

2010-01-01

199

Sexual Self-Acceptance, Communication with Partner, and Contraceptive Use among Adolescent Females: A Longitudinal Study.  

Science.gov (United States)

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,…

Tschann, Jeanne M.; Adler, Nancy E.

1997-01-01

200

A Replication Study of Reducing the Risk, a Theory-Based Sexuality Curriculum for Adolescents.  

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Examined whether the behavioral effects of a theory-based sexuality education curriculum could be duplicated for Arkansas adolescents. Pretesting and posttesting of intervention and control students indicated that intervention students significantly delayed initiating sexual intercourse, were more likely to protect themselves from sexually…

Hubbard, Betty M.; Giese, Mark L.; Rainey, Jacquie

1998-01-01

 
 
 
 
201

Victimization, Smoking, and Chronic Physical Health Problems Among Sexual Minority Women  

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Background Sexual minority women (SMW) have been shown to be at increased risk for abuse, smoking, and chronic physical health problems compared with heterosexual women. In the general population, abuse and smoking are associated with physical health problems. However, there has been little research on their associations among SMW. Purpose The current study examined a mediational model of abuse, smoking, and self-reported physical health conditions in a national sample of SMW. Methods Participants (N=1,224) were recruited via the Internet and completed measures of childhood trauma, adult sexual assault, smoking, body mass index, and chronic medical conditions. Results Structural equation modeling demonstrated that childhood abuse was associated with adult sexual assault, smoking, and physical health problems, but smoking was not a significant mediator. Conclusions The results highlight the impact of childhood abuse on physical health problems among SMW and the need to examine other health behaviors that may mediate this relation.

Simoni, Jane M.

2014-01-01

202

As relações familiares do adolescente ofensor sexual / Family relations of the sexual offender adolescent / Adolescente ofensor sexual y família  

Scientific Electronic Library Online (English)

Full Text Available SciELO Brazil | Language: Portuguese Abstract in portuguese 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 fora [...] m 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. Abstract in spanish 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 famil [...] iares. 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. Abstract in english 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.

Costa, Liana Fortunato; Junqueira, Eika Lôbo; Meneses, Fernanda Figueiredo Falcomer; Stroher, Lucy Mary Cavalcanti.

203

Internal exposure to pollutants and sexual maturation in Flemish adolescents.  

Science.gov (United States)

Flanders is densely populated with much industry and intensive farming. Sexual maturation of adolescents (aged 14-15 years) was studied in relation to internal exposure to pollutants. Serum levels of pollutants and sex hormones were measured in 1679 participants selected as a random sample of the adolescents residing in the study areas. Data on sexual development were obtained from the medical school examination files. Self-assessment questionnaires provided information on health, use of medication and lifestyle factors. In boys, serum levels of hexachlorobenzene (HCB), p,p'-DDE and polychlorinated biphenyls (sum of marker PCB138, 153 and 180) were significantly and positively associated with pubertal staging (pubic hair and genital development). Higher levels of serum HCB and blood lead were associated with, respectively, a lower and a higher risk of gynecomastia. In girls, significant and negative associations were detected between blood lead and pubic hair development; higher exposure to PCBs was significantly associated with a delay in timing of menarche. Environmental exposures to pollutants at levels actually present in the Flemish population are associated with measurable effects on pubertal development. However, further understanding of toxic mode of action and sensitive windows of exposure is needed to explain the current findings. PMID:20197795

Den Hond, Elly; Dhooge, Willem; Bruckers, Liesbeth; Schoeters, Greet; Nelen, Vera; van de Mieroop, Els; Koppen, Gudrun; Bilau, Maaike; Schroijen, Carmen; Keune, Hans; Baeyens, Willy; van Larebeke, Nicolas

2011-01-01

204

Development of sexual expectancies among adolescents: contributions by parents, peers and the media.  

Science.gov (United States)

To expand the scant research on sexual expectancies development among non-sexually active adolescents, we examined the relationship between adolescents' exposure to four socializing agents--mother/female guardian, father/male guardian, peers, and television programs with high sexual content--and their endorsement of four sexual expectancies: social benefit, pleasure, social risk, and health risk. Data are from Waves 2 and 3 of a three-wave annual longitudinal study conducted among California adolescents, the majority of whom were not sexually active (N = 914, 84%). Structural equation models were conducted to examine cross-sectional and longitudinal associations between the socializing agents and the sexual expectancies. Cross-sectional results indicate associations between peer sexual communication and social benefit, pleasure, and social risk expectancies. A positive association was found between exposure to music videos and social benefit expectancies, and a negative association was found between exposure to music videos and health risk expectancies. Longitudinal results suggest that communication with peers positively predicted pleasure expectancies and negatively predicted social risk expectancies. No other socializing agents were associated with any sexual expectancies. An invariance test found that significant correlations were similar across the different age groups. Results suggest that efforts to support positive sexual decision making among non-sexually active adolescents should target peer sexual communication. PMID:23631710

Ragsdale, Kathleen; Bersamin, Melina M; Schwartz, Seth J; Zamboanga, Byron L; Kerrick, Madeleine R; Grube, Joel W

2014-01-01

205

A prospective study of intraindividual and peer influences on adolescents' heterosexual romantic and sexual behavior.  

Science.gov (United States)

Theories and empirical studies of adolescent sexual behavior have identified the contributions of personal attributes and social experiences; however, it is rare that models have clarified developmental pathways to adolescent sexual behavior that include (1) factors assessed prior to and early in adolescence and (2) dyadic experiences in adolescence that provide the opportunity for sexual behavior (i.e., dating). Using data from a prospective study, structural equation modeling was used to test a model predicting adolescent sexual behavior at age 19, denoted by the number of lifetime sexual partners. Predictors examined were sociability and impulsivity assessed at 30 months of age, physical characteristics and experiences with peers measured at age 12-13, the age of first romantic relationship, and frequency of alcohol use at age 16. The pathway to greater sexual involvement was marked by some desired personal attributes (e.g., sociability) and peer experiences (e.g., higher quality friendships). These associations were mediated, however, by earlier initiation of romantic relationships and more frequent use of alcohol in middle adolescence. Earlier initiation of romantic relationships and more frequent alcohol use were predicted by greater sociability and less impulsivity in childhood, higher quality friendships and greater peer acceptance in early adolescence, and a more mature appearance and physical attractiveness (among females) at age 13. The findings imply a complex pathway that leads to a greater accumulation of sexual partners by age 19. This pathway begins in childhood and includes individual qualities, peer acceptance, romantic relationships, and alcohol use. PMID:15162084

Zimmer-Gembeck, Melanie J; Siebenbruner, Jessica; Collins, W Andrew

2004-08-01

206

Association between socio-economic status and sexual behavior of adolescents  

Directory of Open Access Journals (Sweden)

Full Text Available Introduction: Numerous studies have emphasized the importance of contextual factors as determinants of sexual behavior of adolescents. It has been found that lower socioeconomic status is associated with risky sexual behavior. Sexual behavior is individual but develops under strong influence of cultural and other influences. Objective. The aim of this study was to investigate the association of family’s socioeconomic status and risky sexual behavior of adolescents in Belgrade. Method. Self-administered questionnaire was used in secondary schools in Belgrade, and 1,782 adolescents attending first grade filled the questionnaire. For the analyses of predictors of risky sexual behavior, multiple logistic regression was used. Results. Parents’ occupations did not show significant association with any of analyzed behaviors. Adolescents who received weekly disposable money above average were 2.5 times more likely to ever have had sexual intercourse, and if sexually active were more likely to use contraception. Perceived family’s wealth was a significant predictor of ever having sex (OR=1.9; CI 1.2-2.8 and not using contraception (OR=4.3; CI 1.2-15.0. Conclusion. Socioeconomic status is associated with sexual behaviors of adolescents. Fifteen-year olds who perceive their families as wealthier are more likely to ever have had sex and not use any kind of contraception. Adolescents with higher weekly income are more likely to ever have had sex and use contraception than their counterpats with less weekly disposable money. .

Vukovi? Dejana S.

2007-01-01

207

Influence of social connectedness, communication and monitoring on adolescent sexual activity in Ghana  

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This paper examines connectedness to, communication with and monitoring of unmarried adolescents in Ghana by parents, other adults, friends and key social institutions and the roles these groups play with respect to adolescent sexual activity. The paper draws on 2004 nationally-representative survey data and qualitative evidence from focus group discussions and in-depth interviews with adolescents in 2003. Adolescents show high levels of connectedness to family, adults, friends, school and re...

Kumi-kyereme, Akwasi; Awusabo-asare, Kofi; Biddlecom, Ann; Tanle, Augustine

2007-01-01

208

Sexual and reproductive health needs of adolescents' and programmes response towards these needs in Tanzania  

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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...

Mabuga, L. M.

2008-01-01

209

Prevalence of sexually transmitted infections and mental health needs of female child and adolescent survivors of rape and sexual assault attending a specialist clinic  

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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.

Kawsar, M.; Anfield, A.; Walters, E.; Mccabe, S.; Forster, G.

2004-01-01

210

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  

Science.gov (United States)

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…

Leibowitz, George S.; Burton, David L.; Howard, Alan

2012-01-01

211

Sexual Attitudes and Behavior of Guatemalan Teenagers: Considerations for Prevention of Adolescent Pregnancy.  

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Conducted 2 studies to explore prevalence of adolescence pregnancy in Guatemala and identify level of contraception. In first study found 89 percent of male and 38 percent of female adolescents (N=850) had experienced coitus. In the second study found pregnancy rate of minors (N=551) in a gynecology clinic was highest for adolescents aged 13-14.…

Berganza, Carlos E.; And Others

1989-01-01

212

Dynamics of parent-adolescent communication on sexual health and HIV/AIDS in Tanzania.  

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Communication between parents and their adolescent children has been identified as one of the potential protective factors for adolescent sexual health. Qualitative exploration of sexual health communication with adolescents aged 12-15 (N = 114) and a sub-group of the parents (N = 20) was carried out. Four major themes emerged: reasons for parent-adolescent communications, or lack thereof; the focus of parental messages; the moral of the message; and the barriers to communication between parents and adolescents. Findings revealed similarities and discrepancies in views and perceptions between parents and adolescents. Adolescents and parents suggested that some sexual health communication was happening. Parents were reportedly likely to use fear to ensure that their children do not engage in risky sexual activities, while adolescents reported that conversations with their parents were mostly ambiguous and filled with warnings about the dangers of HIV/AIDS. Several communication barriers were reported by parents and adolescents. Parents of adolescents would benefit from HIV/AIDS specific communication skills. PMID:24101099

Kajula, Lusajo J; Sheon, Nicolas; De Vries, Hein; Kaaya, Sylvia F; Aarø, Leif E

2014-01-01

213

Sexual coercion among in-school adolescents in Rwanda: prevalence and correlates of victimization and normative acceptance  

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Adolescents are particularly vulnerable to sexual coercion, as victim as well as perpetrator. This paper aims to adapt sexual and reproductive health interventions to the reality of young people’s sexuality and relationships. This study assesses the prevalence of forced sex, characteristics of victims and norms regarding sexual coercion among Rwandan adolescents. A survey was completed by 285 senior secondary school students and four focus groups were conducted. Of sexually active responden...

2012-01-01

214

Communication between VA providers and sexual and gender minority veterans: A pilot study.  

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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. (PsycINFO Database Record (c) 2014 APA, all rights reserved). PMID:24588107

Sherman, Michelle D; Kauth, Michael R; Shipherd, Jillian C; Street, Richard L

2014-05-01

215

Ectopic Fat Deposition in Prediabetic Overweight and Obese Minority Adolescents  

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Context: Optimizing effective prevention and treatment of type 2 diabetes in youth is limited by incomplete understanding of its pathophysiology and how this varies across ethnicities with high risk. Objective: The aim of this study was to examine the contribution of visceral adipose tissue (VAT), hepatic fat fraction (HFF), and pancreatic fat fraction (PFF) to prediabetes in overweight/obese African American (AA) and Latino youth. Design and Setting: We conducted a cross-sectional study in an academic pediatric care facility. Subjects: A total of 148 healthy, overweight/obese adolescents (56 AA, 92 Latino; 72 males, 76 females; age, 15.5 ± 1.2 y; BMI z-score, 2.1 ± 0.5) participated in the study. They were normal glucose tolerant (n = 106) and prediabetic (n = 42), based on fasting glucose of 100–125 mg/dL and/or 2-hour glucose of 140–199 mg/dL, and/or hemoglobin A1C 6.0–6.4%. Main Outcome Measures: We measured sc abdominal adipose tissue, VAT, HFF, and PFF by 3-Tesla magnetic resonance imaging and measured total body fat by dual-energy x-ray absorptiometry. Results: Adolescents with prediabetes had 30% higher HFF (P = .001) and 31% higher PFF (P = .042), compared to those with normal glucose tolerance after controlling for age, sex, pubertal stage, ethnicity, total percentage body fat, and VAT. Logistic regression showed that PFF predicted prediabetes in AAs and HFF predicted prediabetes in Latinos, with the odds of having prediabetes increased by 66% for every 1% increase in PFF in African Americans, and increased by 22% for every 1% increase in HFF in Latinos. Conclusion: These data demonstrate that ectopic fat phenotypes associated with prediabetes are established by adolescence. Ethnic differences in the deposition of ectopic fat in adolescents with prediabetes may differ, with pancreatic fat in AAs, vs hepatic fat in Latino adolescents, being associated with diabetes risk.

Toledo-Corral, Claudia M.; Alderete, Tanya L.; Hu, Houchun H.; Nayak, Krishna; Esplana, Sherryl; Liu, Ting; Goran, Michael I.

2013-01-01

216

Sexual Health Behavior Interventions for U.S. Latino Adolescents: A Systematic Review of the Literature  

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Study Objective To identify sexual health behavior interventions targeting U.S. Latino adolescents. Design A systematic literature review. Setting Peer-reviewed articles published between 1993 and 2011, conducted in any type of setting. Participants Male and female Latino adolescents ages 11–21 years. Interventions Interventions promoting sexual abstinence, pregnancy prevention, sexually transmitted infection (STI) prevention, and/or HIV/AIDS prevention. Main Outcome Measures Changes in knowledge, attitudes, engagement in risky sexual behaviors, rates of STIs, and/or pregnancy. Results Sixty-eight articles were identified. Fifteen were included in this review that specifically addressed Latino adolescent sexual health behavior. Among the reviewed interventions, most aimed to prevent or reduce STI and HIV/AIDS incidence by focusing on behavior change at two levels of the social ecological model: individual and interpersonal. Major strengths of the articles included addressing the most critical issues of sexual health; using social ecological approaches; employing different strategies to deliver sexual health messages; and employing different intervention designs in diverse geographical locations with the largest population of Latino communities. Most of the interventions targeted female adolescents, stressing the need for additional interventions that target Latino adolescent males. Conclusions Latino adolescent sexual health is a new research field with gaps that need to be addressed in reducing negative sexual health outcomes among this population. More research is needed to produce new or validate existing, age-specific, and culturally-sensitive sexual health interventions for Latino male and female adolescents. Further, this research should also be conducted in areas of the U.S. with the newest Latino migration (e.g., North Carolina).

Cardoza, Vicky J.; Documet, Patricia I.; Fryer, Craig S.; Gold, Melanie A.; Butler, James

2012-01-01

217

Forensic and medical evaluation of sexual abuse at adolescence, multidisciplinary approach  

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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

?evki

2011-03-01

218

Stress, Self-Esteem, Hope, Optimism, and Well-Being in Urban, Ethnic Minority Adolescents  

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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…

Vacek, Kimberly R.; Coyle, Laura D.; Vera, Elizabeth M.

2010-01-01

219

Risky Sexual Behavior among Rural Female Adolescents in Malaysia: A Limited Role of Protective Factors  

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Full Text Available Purpose: This paper presents the findings of a cross-sectional survey on the risk and protective factors of premarital sexual behavior among rural female adolescents in Peninsular Malaysia. Methods: We investigated data on 770 female respondents aged 13-17 years in rural areas to identify predictive factors for premarital sexual intercourse. Data were analyzed using bivariate and multivariate regression. Specific socio-demographic factors, psychological and family domains, peer delinquency, and knowledge and attitudes about sexuality were considered in risky sexual behaviors in rural Malay girls. The effects of other covariates for premarital sexual intercourse were controlled by logistic regression model. Results: Of the 770 rural female students, about 3.2% of respondents reported experience of sexual intercourse in the past three months. Out of those sexually active girls, 36% were 17 years old and 20% stated having sexual intercourse with more than one partner, and 72% did not use contraception during the most recent sexual intercourse. Midnight activities, peer-sexual disorder, self-evaluation, and attitude toward sexual health were significant predictors of sexual intercourse in rural girls in Malaysia. Conclusion: The finding highlights the impact of psychological factors and peer group influences on the challenges of premarital sexual behavior among rural girls and the notion of school-based sexual health education for adolescents. This study triggers other researchers take into account a comprehensive view of protective factors operating in adolescents’ risky sexual behaviors in Asian culture seeing that family domain variables, unexpectedly, exerted no predicting influence on sexually active female teens in rural areas in Malaysia.

Maryam Ahmadian

2014-01-01

220

A agressão sexual na adolescência: um destino da hiperatividade? Sexual assault in adolescence: a fate for hyperactivity?  

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Full Text Available O artigo apresenta os resultados de uma pesquisa sobre adolescentes autores de atos de agressão sexual, examinados no âmbito de perícias judiciárias. Esses sujeitos tinham sido crianças instáveis, agitadas ou, ainda, hiperativas. Procura-se, então, explicar de que maneira a hiperatividade infantil, dificuldade de tratar mentalmente as excitações pulsionais, constitui fator de risco de agressão sexual na adolescência. A noção de narcisismo fálico permite esclarecer os impasses identificatórios e a dificuldade de compor com a mutualidade dos desejos.This paper presents the results of a research about adolescents having perpetrated sexual assault, met in the precinct of judiciary expertise. These subjects had been instable children, agitated or yet hyperactive. The author tries then to explain how infantile hyperactivity, the difficulty to mentally deal with drive excitations, can be a risk factor of sexual assault in adolescence. The notion of phallic narcissism allows illuminating the identificatory deadlocks and the trouble to reconcile with the mutuality of desires.

Jean Yves Chagnon

2009-12-01

 
 
 
 
221

It Works Both Ways: The Relationship between Exposure to Sexual Content in the Media and Adolescent Sexual Behavior.  

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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

Bleakley, Amy; Hennessy, Michael; Fishbein, Martin; Jordan, Amy

2008-10-01

222

[The sexual behavior of adolescents in some schools in the city of Embu, São Paulo, Brazil].  

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It is a descriptive, qualitative study aimed at identifying some aspects related to teenagers' sexual behavior. The subjects of the study were 920 adolescents aged 10 to 19, who were attending primary and secondary schools in the region of Santo Eduardo, municipality of Embu, São Paulo, Brazil. The data were collected through a questionnaire with 28 structured questions. The results show that 77% of adolescents liked their bodies, 71% looked for information about sexuality, and 35% thought their parents were the primary source of information; 26% of them said they had an active sexual life, 79% had had the first sexual intercourse at the age of 14 or younger, and 81% used condoms. The results of the study emphasize the importance of providing sexual guidance for adolescents in order to encourage prevention attitudes. PMID:19320345

Brêtas, José Roberto da Silva; Ohara, Conceição Vieira da Silva; Jardim, Dulcilene Pereira

2008-12-01

223

Methamphetamine Use and High-Risk Sexual Behaviors among Incarcerated Female Adolescents with a Diagnosed STD  

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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 12–18 years with an STD diagnosis. Data were obtained from interviews with detainees receiving STD case management services within a C...

Steinberg, Jane K.; Grella, Christine E.; Boudov, Melina R.; Kerndt, Peter R.; Kadrnka, Carmel M.

2011-01-01

224

Identity, Peer Relationships, and Adolescent Girls’ Sexual Behavior: An Exploration of the Contemporary Double Standard  

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The idea of a sexual double standard emphasizes that men have more sexual freedom, while women are subject to social sanctions for the same behaviors. The current research uses a sample of adolescent women to examine the social consequences of reporting a greater number of sex partners. We explore the broader social costs and low self-worth associated with a high number of sex partners, and also focus on characteristics of the adolescents’ close friends. The analyses of quantitative data (n...

2011-01-01

225

Correspondence Between Gonadal Steroid Hormone Concentrations and Secondary Sexual Characteristics Assessed by Clinicians, Adolescents, and Parents  

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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, 12.7±1.3 years) and 52 girls (mean age, 12.0±1.6 years) were seen at baseline, 6, and 12 months. Estradiol and testosterone concentrations were dete...

Huang, Bin; Hillman, Jennifer; Biro, Frank M.; Ding, Lili; Dorn, Lorah D.; Susman, Elizabeth J.

2012-01-01

226

Meeting the sexual and reproductive health needs of married adolescents in northern Nigeria  

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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...

Olunloyo, A. O.

2009-01-01

227

Prevalence of child sexual abuse among adolescents in Geneva: results of a cross sectional survey.  

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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...

1996-01-01

228

Social Factors Associated with History of Sexual Assault Among Ethnically Diverse Adolescents  

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We examine the association of adolescents’ self-reported sexual assault victimization with their living arrangements, parent’s 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 parent’s education was detected. However, adolescents in non-traditional households (li...

Freeman, Daniel H.; Temple, Jeff R.

2010-01-01

229

An exploratory study of Muslim adolescents' views on sexuality: Implications for sex education and prevention  

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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 fut...

2010-01-01

230

It Works Both Ways: The Relationship between Exposure to Sexual Content in the Media and Adolescent Sexual Behavior  

Digital Repository Infrastructure Vision for European Research (DRIVER)

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...

Bleakley, Amy; Hennessy, Michael; Fishbein, Martin; Jordan, Amy

2008-01-01

231

Sexual stigma, sexual behaviors, and abstinence among Vietnamese adolescents: implications for risk and protective behaviors for HIV, sexually transmitted infections, and unwanted pregnancy.  

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As rates of HIV increase in Vietnam, there is a need for data on social relations and sexual risk and protective behaviors among Vietnamese adolescents in a context of rapid social and economic changes. The authors report results from qualitative interviews with 159 Vietnamese adolescents living in Hanoi, Nha Trang City, and Ninh Hoa District and a survey of 886 adolescents in these same three sites. In the qualitative interviews, youths report a strong adherence to ideals and values regarding abstinence outside of marriage. Youths reported low rates of engagement in vaginal, anal, and/or oral sex with a significant difference in reported behaviors between males (29/469, 6.2%) and females (7/416, 1.7%; p = .000). A total of 15 of 32 (46.9%) sexually active youths reported rarely or never using condoms. Females had significantly higher scores for perceived sexual stigma than males (t = -10.22 [95% confidence interval (CI); -3.72 to -2.52; p = .000) whereas males scored significantly lower than females on a scale of perceived self-efficacy for abstinence (t = 5.31 [95% CI; .27 to .59]; p = .000). The stigmatization of sexual relations outside of marriage particularly for young women reinforces abstinence; however, these same values decrease adolescents' ability to obtain accurate information about sexuality and HIV and sexually transmitted infections and engage in safer sex. PMID:17403496

Kaljee, Linda M; Green, Mackenzie; Riel, Rosemary; Lerdboon, Porntip; Tho, Le Huu; Thoa, Le Thi Kim; Minh, Truong Tan

2007-01-01

232

Cervical cancer and risk factors of featured with adolescent sexuality  

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Full Text Available Recently, the importance of cervical cancer one of the women’s 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, its’ 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.

Ayse Sonay Kurt

2013-01-01

233

The Sexual Behaviour of Secondary School Adolescent Students in Tanzania: Patterns and Trends  

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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 Tanzania’s 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.

Madan Mohan Laddunuri

2013-01-01

234

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  

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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.

Elizabeth Velarde-Jurado

2003-01-01

235

Peer Pressure Is the Prime Driver of Risky Sexual Behaviors among School Adolescents in Addis Ababa, Ethiopia  

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Full Text Available Background: Understanding ecological factors that influence risky sexual behavior of adolescents is vital in designing and implementing sexual risk reduction interventions in specific contexts. Interventions undertaken without understanding the critical factors may not produce the desired results. Objective: The objective of this study was to identify the factors associated with adolescent risky sexual behavior among school adolescents in Addis Ababa, Ethiopia. Methods: This cross-sectional study was done among randomly selected school adolescents in Addis Ababa, Ethiopia. Data were collected by an anonymous self administered questionnaire. Risky sexual behavior was assessed by asking question about sexual activity, consistent condom use and faithfulness to a single partner. Logistic regression analysis was done to identify factors related to sexual behavior using the ecological framework. Result: Overall 377(10.6% of the 723 sexually active students were involved in risky sexual practices. Risky sexual behavior was significantly and very strongly associated with perception of peers' involvement in sexual intercourse [AOR = 11.68 (95% CI: 8.76 - 15.58]. Conclusion: This study demonstrated that peer pressure is the most important factor associated with risky sexual behavior among school adolescents in Addis Ababa. Interventions aimed at reducing sexual behavior among school adolescents should target adolescents as a group rather than individually.

Amsale Cherie

2012-09-01

236

Developmental assets and age of first sexual intercourse among adolescent African American males in Mobile, Alabama  

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Full Text Available Background and Aims: Younger age at first sexual intercourse is associated with a variety of adverse health outcomes. We aimed to gain a clearer understanding of a wide range of individual, family and social factors that may influence sexual behavior of children and adolescents. Specifically, we examined the relationships of developmental assets with age of first sexual intercourse among a large sample (n = 1061 of adolescent African American males living in low-income neighborhoods in Mobile, Alabama. Methods: Using the Developmental Asset Model as a theoretical guide, we selected variables from adolescent survey data and conducted logistic regression analysis to determine predictors of early age of first sexual intercourse. Results: Nearly one half (49% of the male survey participants reported that they first had sexual intercourse at the age of 12 or younger. The total number of assets was the strongest predictor of later age (13 years old or later of first sexual intercourse (OR 1.49, 95% CI = 1.09, 2.04, followed by decision-making skills (OR 1.40, 95% CI = 1.04, 1.86, and positive view of the future (OR 1.36, 95% CI = 1.02, 1.74. Conclusion: There are several developmental assets related to the age of first sexual intercourse. This study found support for the Developmental Asset Model as a framework for promoting sexual and overall adolescent health. Recommendations for asset-building among this population are discussed.

Brad Lian

2013-06-01

237

"Adolescents Can't Be Gay": Perceptions on Youth, Sexual Diversity, and the Case of Mexico  

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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…

Alvarez, Paulina Millan

2006-01-01

238

Adolescents' Exposure to Sexy Media Does Not Hasten the Initiation of Sexual Intercourse  

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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…

Steinberg, Laurence; Monahan, Kathryn C.

2011-01-01

239

Exploring the Link between Caregiver Affect and Adolescent Sexual Behavior: Does Neighborhood Disadvantage Matter?  

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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…

Gardner, Margo; Martin, Anne; Brooks-Gunn, Jeanne

2012-01-01

240

Interrelationships between LGBT-based victimization, suicide, and substance use problems in a diverse sample of sexual and gender minorities.  

Science.gov (United States)

Research has documented significant relationships between sexual and gender minority stress and higher rates of suicidality (i.e. suicidal ideation and attempts) and substance use problems. We examined the potential mediating role of substance use problems on the relationship between sexual and gender minority stress (i.e. victimization based on lesbian, gay, bisexual, or transgender identity [LGBT]) and suicidality. A nonprobability sample of LGBT patients from a community health center (N = 1457) ranged in age from 19-70 years. Participants reported history of lifetime suicidal ideation and attempts, substance use problems, as well as experiences of LGBT-based verbal and physical attacks. Substance use problems were a significant partial mediator between LGBT-based victimization and suicidal ideation and between LGBT-based victimization and suicide attempts for sexual and gender minorities. Nuanced gender differences revealed that substance use problems did not significantly mediate the relationship between victimization and suicide attempts for sexual minority men. Substance use problems may be one insidious pathway that partially mediates the risk effects of sexual and gender minority stress on suicidality. Substances might be a temporary and deleterious coping resource in response to LGBT-based victimization, which have serious effects on suicidal ideation and behaviors. PMID:23535038

Mereish, Ethan H; O'Cleirigh, Conall; Bradford, Judith B

2014-01-01

 
 
 
 
241

Predicting School Dropout and Adolescent Sexual Behavior in Offspring of Depressed and Nondepressed Mothers  

Science.gov (United States)

Objective: To examine predictors of school dropout and adolescent sexual behavior in offspring of depressed and nondepressed mothers. Possible moderators of the relation between maternal depression and these outcomes also were explored. Method: Participants were 240 mothers and adolescents assessed annually from 6th through 12th grade. Interviews…

Bohon, Cara; Garber, Judy; Horowitz, Jason L.

2007-01-01

242

Wilderness Therapy within an Adolescent Sexual Offender Treatment Programme: A Qualitative Study  

Science.gov (United States)

Wilderness therapy is a core component of the adolescent sexual offender treatment programme offered by the SAFE Network Inc. However, little is known about how wilderness therapy contributes to the overall outcomes of adolescents completing the programme. This paper presents an exploratory investigation of the function and process of wilderness…

Somervell, Julia; Lambie, Ian

2009-01-01

243

Childhood Physical and Sexual Abuse: Prevalence and Correlates among Adolescents Living in Rural Taiwan  

Science.gov (United States)

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…

Yen, Cheng-Fang; Yang, Mei-Sang; Yang, Ming-Jen; Su, Yi-Ching; Wang, Mei-Hua; Lan, Chu-Mei

2008-01-01

244

KNOWLEDGE, AWARENESS, PRACTICE AMONG ADOLESCENTS REGARDING SEXUALLY TRANSMITTED DISEASES IN URBAN SLUMS  

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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 STD’s. 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. 

Tushar Rai

2011-06-01

245

Age Got to Do With It? Partner Age Difference, Power, Intimate Partner Violence, and Sexual Risk in Urban Adolescents  

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Adolescent girls with older male main partners are at greater risk for adverse sexual health outcomes than other adolescent girls. One explanation for this finding is that low relationship power occurs with partner age difference. Using a cross-sectional, descriptive design, we investigated the effect of partner age difference between an adolescent girl and her male partner on sexual risk behavior through the mediators of sexual relationship power, and physical intimate partner violence (IPV)...

2013-01-01

246

Vulnerabilities, health needs and predictors of high-risk sexual behaviour among female adolescent sex workers in Kunming, China  

Digital Repository Infrastructure Vision for European Research (DRIVER)

Objectives : This study assessed social and behavioural predictors for sexual risk taking and sexually transmitted infections (STIs) including HIV among adolescent female sex workers (FSWs) from Kunming, China. Additionally, health services needs and use were assessed.

Zhang, Xudong; Temmerman, Marleen; Li, Yan; Luo, Wei; Lu?chters, Stanley

2013-01-01

247

Estadísticas y trascendencia de la violencia sexual en menores / Statistics and significance of sexual violence in minors  

Scientific Electronic Library Online (English)

Full Text Available SciELO Spain | Language: Spanish Abstract in spanish Hemos recopilado 58 casos de denuncias por violencia sexual en menores durante 8 años (1993-2001). Nos planteamos estudiar algunas variables, como la frecuencia a lo largo de los años o meses para poder objetivar incrementos del número de incidencias en algún período como los vacacionales o de otro [...] tipo. También estudiamos, entre otras variables, las horas de la exploración, el estado civil de las madres o el origen de la denuncia, observando que es la propia menor la que relata lo sucedido en un 67% de los casos originando la denuncia. El tiempo transcurrido entre los hechos y la denuncia es muy variable, observándose que es más corto cuando el agresor es desconocido o no tiene relación de parentesco con la menor. Cuando es un familiar o el propio progenitor suele tardar años en revelar los hechos, probablemente hasta que la niña descubra que esas actividades son incorrectas e injustas o que pueda defenderse de su agresor. En nuestra investigación el perpetrador es conocido en un 88% de los casos, si bien se piensa que ocurre en todas las estratos sociales, pudiendo comprobar en este estudio una mayor frecuencia en el estatus social bajo, lo que podría interpretarse de muchas formas, bien porque ocurre menos en los niveles económicos altos, o porque en este estatus se denuncie menos. El estudio de nuestras observaciones son indicativos de que la marginalidad y la pobreza son frecuentes en este grupo de menores. Abstract in english We have compiled during eight years 58 cases on sexual violence allegations to minors. We have considered studying some variables like the incidence frequency throughout the years or months in order to assess if there was greater incidence in vacation periods, end-of-month, pay-check days, etc. We h [...] ave also paid attention to other variables such as hours of the exploration; marital status of the mothers; origin of the allegation. For instance we have observed that it is the same minor who relates the allegation in 67% of the cases. The time elapsed between the event and the time a charge is presented varies widely, although it has been observed that it is shorter when the aggressor is not known or is not related to the minor. When it is a relative or the parent, it usually takes years for charges to be brought to justice, probably until the girl discovers that those activities are incorrect and unjust or she can defend herself against her aggressor. In our investigation the offender is known in 88% of the cases. Although sexual abuse can happen in all social classes, in this study we could verify that it is more frequent in deprived, poorer classes. This can be interpreted in many ways. Either it happens less in wealthier classes, or they prefer to keep it quiet in order to avoid public scrutiny. Nevertheless the study shows that social outcast and poverty are frequent in this group of minors.

M. L., Suárez Solá; F. J., González Delgado.

248

Estadísticas y trascendencia de la violencia sexual en menores Statistics and significance of sexual violence in minors  

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Full Text Available Hemos recopilado 58 casos de denuncias por violencia sexual en menores durante 8 años (1993-2001. Nos planteamos estudiar algunas variables, como la frecuencia a lo largo de los años o meses para poder objetivar incrementos del número de incidencias en algún período como los vacacionales o de otro tipo. También estudiamos, entre otras variables, las horas de la exploración, el estado civil de las madres o el origen de la denuncia, observando que es la propia menor la que relata lo sucedido en un 67% de los casos originando la denuncia. El tiempo transcurrido entre los hechos y la denuncia es muy variable, observándose que es más corto cuando el agresor es desconocido o no tiene relación de parentesco con la menor. Cuando es un familiar o el propio progenitor suele tardar años en revelar los hechos, probablemente hasta que la niña descubra que esas actividades son incorrectas e injustas o que pueda defenderse de su agresor. En nuestra investigación el perpetrador es conocido en un 88% de los casos, si bien se piensa que ocurre en todas las estratos sociales, pudiendo comprobar en este estudio una mayor frecuencia en el estatus social bajo, lo que podría interpretarse de muchas formas, bien porque ocurre menos en los niveles económicos altos, o porque en este estatus se denuncie menos. El estudio de nuestras observaciones son indicativos de que la marginalidad y la pobreza son frecuentes en este grupo de menores.We have compiled during eight years 58 cases on sexual violence allegations to minors. We have considered studying some variables like the incidence frequency throughout the years or months in order to assess if there was greater incidence in vacation periods, end-of-month, pay-check days, etc. We have also paid attention to other variables such as hours of the exploration; marital status of the mothers; origin of the allegation. For instance we have observed that it is the same minor who relates the allegation in 67% of the cases. The time elapsed between the event and the time a charge is presented varies widely, although it has been observed that it is shorter when the aggressor is not known or is not related to the minor. When it is a relative or the parent, it usually takes years for charges to be brought to justice, probably until the girl discovers that those activities are incorrect and unjust or she can defend herself against her aggressor. In our investigation the offender is known in 88% of the cases. Although sexual abuse can happen in all social classes, in this study we could verify that it is more frequent in deprived, poorer classes. This can be interpreted in many ways. Either it happens less in wealthier classes, or they prefer to keep it quiet in order to avoid public scrutiny. Nevertheless the study shows that social outcast and poverty are frequent in this group of minors.

M. L. Suárez Solá

2003-04-01

249

African American Adolescent Females' Perceptions of Neighborhood Safety, Familial Strategies, and Sexual Debut  

Digital Repository Infrastructure Vision for European Research (DRIVER)

Sexual debut represents a developmental transition that holds possibility for growth and for risk. Family and neighborhood may impact timing of debut. This qualitative study examined family strategies (e.g., moving, parental monitoring), perceptions of neighborhood, and attitudes about sex and sexual debut among sexually experienced and inexperienced African American adolescent females living in disadvantaged urban neighborhoods. Findings show that more familial strategies were reported by se...

Choby, Alexandra A.; Dolcini, M. Margaret; Catania, Joseph A.; Boyer, Cherrie B.; Harper, Gary W.

2012-01-01

250

Use of Pornography and its Associations with Sexual Experiences, Lifestyles and Health among Adolescents  

Digital Repository Infrastructure Vision for European Research (DRIVER)

The overall aim of this thesis was to investigate pornography consumption and its relation to sexual experiences, lifestyles, health and perceptions of sexuality and pornography. One qualitative study (focus group discussions) and one prospective longitudinal quantitative study (baseline and follow-up questionnaires) are included. The core category emerging from the focus group discussions, among personnel working with adolescents, was “Conflicting messages about sexuality”. The participa...

Mattebo, Magdalena

2014-01-01

251

Sexual behaviour and knowledge of adolescent males in the Molopo region of Bophuthatswana  

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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 adolescent’s sexual behaviour, his attitude towards contraception, contraceptive use and premarital pregnancy. The study revealed that most of the respondents commenced...

Kau, M.

1991-01-01

252

Affairs of the Heart: Qualities of Adolescent Romantic Relationships and Sexual Behavior  

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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...

Giordano, Peggy C.; Manning, Wendy D.; Longmore, Monica A.

2010-01-01

253

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  

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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.

Luísa Saavedra

2010-03-01

254

Pre-marital sexual behaviour among out-of-school adolescents: motives, patterns and meaning attributed to sexual partnership in rural Tanzania.  

Science.gov (United States)

This paper presents data from a qualitative study on pre-marital sexual behaviours among out-of-school adolescents residing in rural communities from farming and lakeshore settings in Magu District, Northwestern Tanzania. The study found that large numbers of out-of-school adolescents are sexually experienced, that the period from acquaintance or dating to sexual relations is typically short, and that sexual encounters are typically risky. The exchange of money and gifts for sex was reported by both female and male adolescents but perception and interpretation differed widely. Males perceived that females engage in sex largely for material gain while the females saw it as a display, or a partner's love or commitment. These findings call for interventions to empower sexual negotiation skills among adolescents, promote condom use, and at the same time redress gender disparities in expectations and interpretations of sexual relationships. PMID:12471939

Nuko, S; Chiduo, B; Mwaluko, G; Urassa, M

2001-12-01

255

Identifying key topics for a description of sexual behavior among Danish adolescents: A qualitative study.  

DEFF Research Database (Denmark)

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 adolescentsâ?? 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 â??no condom useâ?, 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 oneâ??s 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.

Jørgensen, Marianne Johansson; Maindal, Helle Terkildsen

256

Factors associated with self-reported first sexual intercourse in Scottish adolescents  

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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 1.24–1.70 and decreasing enjoyment of school (OR 2.55, 95% CI 2.15–3.03 were associated with reporting previous sexual intercourse. Furthermore, females were more likely to report previous sexual intercourse than males (OR 1.48, 95% CI 1.14–1.91. 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.

van Teijlingen Edwin R

2009-03-01

257

A profile of sexually active male adolescent high school students in Lima, Peru  

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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.

Chirinos Jesús L.

2000-01-01

258

Sexual communication between early adolescents and their dating partners, parents, and best friends.  

Science.gov (United States)

This study assessed early adolescents' sexual communication with dating partners, parents, and best friends about six sexual health topics: condoms, birth control, sexually transmitted diseases (STDs), human immunodeficiency virus/acquired immunodeficiency syndrome (HIV/AIDS), pregnancy, and abstinence/waiting. Using a school-based sample of 603 youth (ages 12 to 15; 57% female; 46% Caucasian), we examined communication differences across demographic and developmental factors, tested whether communication with parents and best friends was associated with greater communication with partners, and examined associations between communication and condom use. More than half of participants had not discussed any sexual topics with their dating partners (54%), and many had not communicated with parents (29%) or best friends (25%). On average, communication was more frequent among adolescents who were female, African American, older, and sexually active, despite some variation in subgroups across partner, parent, and friend communication. Importantly, communication with parents and friends-and the interaction between parent and friend communication-was associated with increased communication with dating partners. Further, among sexually active youth, increased sexual communication with partners was associated with more frequent condom use. Results highlight the importance of understanding the broader family and peer context surrounding adolescent sexual decision making and suggest a possible need to tailor sexual communication interventions. PMID:24354655

Widman, Laura; Choukas-Bradley, Sophia; Helms, Sarah W; Golin, Carol E; Prinstein, Mitchell J

2014-10-01

259

Sexual risk behavior and pregnancy in detained adolescent females: a study in Dutch detention centers  

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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 12–18 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.

Jansen Lucres MC

2007-06-01

260

Urban adolescent sexual and reproductive health in low-income and middle-income countries.  

Science.gov (United States)

One of the most important aspects of adolescent health is sexual and reproductive health (SRH). Currently, sexually transmitted infections (STIs) threaten the health of adolescents more than any other age group, and as many as 2.2 million adolescents are living with HIV. Understanding adolescents' SRH needs and how to invest in improving their health can be best addressed by knowing more about the contexts that increase their vulnerability to poor sexual health outcomes. Recent evidence has highlighted an increasingly marginalised segment of the adolescent population-and that is the urban poor adolescent population in low and middle income countries (LMIC). Using an urban health framework, this paper examines the contextual factors within an urban community that influence the SRH of adolescents in LMIC. Findings show that while there is substantial research that has explored factors within the social environment, there is limited research that has explored factors within the physical environment, as well as research that has specifically explored urban adolescents' use of SRH services and how such services can be best provided to this vulnerable population. This paper highlights the need for further research to understand the relationships between the urban poor environment and the SRH risks that adolescents face while living in such environments. PMID:24596402

Mmari, Kristin; Astone, Nan

2014-08-01

 
 
 
 
261

The female condom, a tool for emprowering sexually active urban adolescent women  

Digital Repository Infrastructure Vision for European Research (DRIVER)

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 ...

Raphan, Gwen; Cohen, Sarah; Boyer, Ann M.

2001-01-01

262

A prospective study of perinatal depression and trauma history in pregnant minority adolescents  

Science.gov (United States)

OBJECTIVE Adolescent pregnancy is common and minority adolescents are at high risk. We sought the following: (1) to prospectively assess prevalence of antenatal depression (AND) and postpartum depression (PPD) in minority adolescents and (2) to examine the association of social support and adjustment, trauma, and stress on depression status. STUDY DESIGN A total of 212 pregnant adolescents were recruited from public prenatal clinics and administered a prospective research survey during pregnancy and 6 weeks postpartum. Depression was measured using the Edinburgh Postnatal Depression Scale. Univariate, bivariate, and multivariable analyses were performed using logistic regression to assess predictors of AND and PPD. RESULTS In our cohort, 20% screened positive for AND and 10% for PPD. The strongest predictor of PPD was AND (odds ratio [OR], 4.89; P < .001). Among adolescents with trauma history, there was a 5-fold increase (OR, 5.01) in the odds of AND and a 4-fold increase (OR, 3.76) in the odds of PPD. AND was associated with the adolescent’s poor social adjustment (P < .001), perceived maternal stress (P < .001), less social support (P < .001), and a less positive view of pregnancy (P < .001). PPD was significantly associated with primiparity (P = .002), poor social adjustment (P < .001), less social support and involvement of the baby’s father (P < .001), and less positive view of pregnancy (P < .001). CONCLUSION Significant independent risk factors for PPD include AND, view of pregnancy, and social support. Trauma history was highly prevalent and strongly predicted AND and PPD. Point prevalence decreased postpartum, and this may be due to transient increased social support following the birth, warranting longer follow-up and development of appropriate interventions in future work.

Meltzer-Brody, Samantha; Bledsoe-Mansori, Sarah E.; Johnson, Nell; Killian, Candace; Hamer, Robert M.; Jackson, Christine; Wessel, Julia; Thorp, John

2012-01-01

263

Prevalence of cervical Chlamydia trachomatis infection in sexually active adolescents from Salvador, Brazil  

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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

2012-04-01

264

Prevalence of cervical Chlamydia trachomatis infection in sexually active adolescents from Salvador, Brazil  

Scientific Electronic Library Online (English)

Full Text Available SciELO Brazil | Language: English Abstract in english 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; Bruno Fernando Borges da Costa e, Silva; Igor Logetto Caetité, Gomes; Iuri Usêda, Santana; Maria Fernanda Rios, Grassi.

265

Prevalence of cervical Chlamydia trachomatis infection in sexually active adolescents from Salvador, Brazil.  

Science.gov (United States)

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. PMID:22552464

Machado, Márcia Sacramento Cunha; Costa e Silva, Bruno Fernando Borges da; Gomes, Igor Logetto Caetité; Santana, Iuri Usêda; Grassi, Maria Fernanda Rios

2012-01-01

266

Sexual relationships among adolescents from three private high schools from Santa Marta, Colombia: Associated factors  

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Full Text Available Background: Sexual behavior in adolescents is related to sexuallytransmissible diseases and not planned pregnancies. Sexual intercourse prevalence is unknown among student adolescents fromSanta Marta, Colombia. Objective: To determine the prevalenceand related factors with sexual relationships in adolescent studentsbetween 13 to 17 year-old of three private high schools at SantaMarta. Method: A transversal study was done with the applicationof a self-administrated survey that inquired into sexual behavior andhealth risk behaviors. In order to establish associations and controlling for other variables a logistic regression model was carried out. Results: 767 students participated with an average age was 14.5 (SD 1.2, 50.1% male, and a mean scholastic was 9.6 years (SD 1.1. Lifetime prevalence of sexual relationship was 25.0% (95%CI21.9-28.1. Reporting having sexual relationship was associated withbeing a girl (OR 0.68, 95%CI 0.04-0.11, being younger (OR 0.45,95%CI 0.33-0.62, not lifetime cigarette smoking (OR 0.24, 95%CI0.12-0.48 nor alcohol consumption (OR 0.51, 95%CI 0.33-0.79.Conclusions: A quarter of the adolescents students, aged from 13 to17 years, reports sexual intercourse, this is related to risky behaviors for health such as cigarette and alcohol consumption.

Adalberto Campo-Arias

2005-12-01

267

Communication Skills assessed at OSCE are not affected by Participation in the Adolescent Healthy Sexuality Program  

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Full Text Available 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 Healthy Sexuality program. Adolescent participants, medical student peer participants and medical students assessed communication components on a 7-point Likert scale at the end of the program. At the year-end OSCE, all first year medical students at the University of Western Ontario were assessed at an adolescent counseling station by a standardized patient (SP and a physician examiner. Statistical analysis examined differences between the two groups. Results: Students who participated in the Healthy Sexuality program did not perform better than their colleagues on the year-end OSCE. A statistically significant correlation between physician examiner and SP evaluations was found (r = 0.62. Adolescent participants communication skills assessments in the Healthy Sexuality Program demonstrated no significant correlation with medical student assessments (self or peer. Conclusions:Voluntary intervention with adolescents did not result in improved communication skills at the structured year-end examination. Further investigation will be directed towards delineating differences between SP and physician examiner assessments.

Deborah Penava

2002-12-01

268

[Commercial sexual exploitation of minor girls. A multifocal, exploratory and prospective study in Cameroon].  

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To obtain reliable information on commercial sexual exploitation of minor girls under the age of 21, a multifocal, exploratry and prospective using a questionnaire was undertaken in Cameroon. This investigation was initiated and funded by the Cercle International pour la Promotion de la Création (CIPCRE) and carried out by the Cameroon Society for the Prevention of Child Abuse and Neglect (CASPCAN). The survey was performed during the last quarter of year 2004 in four major cities of Cameroon, i.e. Yaoundé, Douala, Bamenca and Bafoussam. Of the 800 questionnaires that were distributed, 722 were considered as suitable for analysis (90.3%). A total of 291 minor girls were victims of commercial sexual exploitation, i.e., 40% of the population studied. The mean age of the victims was 16.6 years (range, 9-20 years). The main reason given for entering prostitution was poverty. The victims were fairly well educated but the level of instruction was not sufficient to find a job paying an income comparable to prostitution. Many were from large families (mean, 7.1 children). The victims' family was monogamous in 40.2% of cases, polygamous in 24.4%, and monoparental in 35.4%. Eighty percent of the victims already had run away from home at least once due to problems in their families ranging from severe corporal punishment (25.8%) and mistreatment linked to parental alcohol and drug abuse to forced early marriage (27.5%) and intrafamilial sexual abuse. A large proportion of the victims (36.4%) were mothers who could not attend school and could not find work. Many victims were completely neglected by their own parents with 43.4% of parents being aware of the activities of their daughters but only 10.6% being opposed to it. Most (78.5%) had good knowledge of the risk of HIV and used condoms regular. These results confirms the general hypothesis of the authors that commercial exploitation of minor girls is widespread in Cameroon. The authors recommend development of a national program to combat this plight. PMID:19499745

Mbassa Menick, D; Dassa, K S; Kenmogne, J B; Abanda Ngon, G

2009-02-01

269

Prevalence of CMV infection among sexually active adolescents: a matched case-control study  

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Full Text Available Michael K Foxworth II, Isca R Wilms, Richard R Brookman, Stephanie Crewe, Stuart P AdlerDepartment of Pediatrics and Microbiology, Virginia Commonwealth University, Richmond, VA, USABackground: We observed previously that African American adolescents in Richmond reporting infrequent sexual activity had cytomegalovirus (CMV seroprevalence rates one half that of their adult mothers and caregivers. We therefore sought to determine if sexually active African American adolescents have higher rates of CMV infection than sexually inactive African American adolescents.Methods: Cases (aged 13–18 years sought care for a sexually transmitted infection (STI or pregnancy. Controls were sexually inactive and matched to cases for age, race, and gender and enrolled at the same clinic as cases and sought medical treatment unrelated to an STI. Subjects completed a questionnaire, provided saliva for antibody testing, and were interviewed for determination of sexual activity.Results: Two groups of sexually active cases were enrolled. The first group had a diagnosis of an STI. In this group, both cases and matched controls were seropositive at a rate of 32% (7/22 for cases and 7/22 for controls. In the second group, cases self-reported an STI but objective evidence was lacking. In this group, cases were seropositive at a rate of 38% (six of 16 compared with matched controls among whom 6.3% were seropositive (one in 16. The overall rate of seropositivity in all 38 cases was 34% compared with a rate of 21% for all controls (P=0.3, odds ratio 2.0, 95% confidence interval 0.6–7.5.Conclusion: Our results confirm lower rates of CMV infection among the current generation of African American adolescents compared with African American adults in Richmond, and suggest that this is not associated with sexual activity.Keywords: cytomegalovirus, sexually transmitted disease, adolescents, African Americans, seroprevalence

Foxworth II MK

2014-04-01

270

The Complexities of Adolescent Dating and Sexual Relationships: Fluidity, Meaning(s), and Implications for Young Adults' Well-Being.  

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The complexity of adolescents' dating and sexual lives is not easily operationalized with simple indicators of dating or sexual activity. While building on prior work that emphasizes the "risky" nature of adolescents' intimate relationships, we assess whether a variety of indicators reflecting the complexity of adolescents' relationships influence early adult well-being (i.e., depressive symptoms, self-esteem, gainful activity, intimate partner violence, and relationship quality). Our analysis of longitudinal data from the Toledo Adolescent Relationships Study showed that the number of adolescent dating and sexual partners does not uniformly influence indicators of young adult well-being, which is at odds with a risk framework. The number of dating partners with whom the individual was sexually active, and not the number of "casual" sex partners, increased the odds of intimate partner violence during young adulthood. Relationship churning and sexual nonexclusivity during adolescence were associated with lower relationship quality during young adulthood. Sexual nonexclusivity during adolescence influenced self-reports of depressive symptoms and lower self-esteem among young adults. Future research should develop more nuanced conceptualizations of adolescent dating and sexual relationships and integrate adolescent dating and sexual experiences into research on early adult well-being. © 2014 Wiley Periodicals, Inc. PMID:24962362

Manning, Wendy D; Longmore, Monica A; Copp, Jennifer; Giordano, Peggy C

2014-06-01

271

Child Sexual Abuse Severity and Disclosure Predict PTSD Symptoms and Biomarkers in Ethnic Minority Women  

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Objective Adult posttraumatic stress symptoms (PSS) and a biomarker index of current health risk in childhood sexual abuse (CSA) survivors was investigated in relation to CSA severity, disclosure and other peri-and post-trauma factors. Methods A community sample of 94 African American and Latina women CSA survivors was assessed. Results Severe CSA predicted PSS overall, avoidance/numbing symptoms and greater biomarker risk, and was not mediated by post-trauma variables. Moderate CSA severity was mediated by post-trauma disclosure, predicted re-experiencing symptoms but was unrelated to biomarker risk. No overall ethnic differences were found. Conclusions Results suggest targets for interventions to improve the well-being of minority women CSA survivors.

Glover, Dorie A.; Loeb, Tamra Burns; Carmona, Jennifer Vargas; Sciolla, Andres; Zhang, Muyu; Myers, Hector F.; Wyatt, Gail E.

2010-01-01

272

ATTACHMENT STYLE AS A PREDICTOR OF RISKY SEXUAL BEHAVIOR IN ADOLESCENTS  

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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.

Amber Paulk

2013-01-01

273

Characteristics and determinants of sexual behavior among adolescents of migrant workers in Shangai (China  

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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]: 1.01–1.72. In adolescents of migrant workers, factors such as lower family income (OR: 2.22, CI: 1.09–3.05 for low level; OR:1.25, CI: 1.04–1.59 for medium level, younger age at first sexual intercourse (OR: 1.24, CI: 1.09–1.57, lower knowledge on HIV/AIDS (OR: 0.93, CI: 0.90–0.97, and fewer communication on HIV/AIDS related issues (OR: 0.79, CI: 0.90–0.97 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.

Xu Gang

2009-06-01

274

Sexually dimorphic white matter geometry abnormalities in adolescent onset schizophrenia.  

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The normal human brain is characterized by a pattern of gross anatomical asymmetry. This pattern, known as the "torque", is associated with a sexual dimorphism: The male brain tends to be more asymmetric than that of the female. This fact, along with well-known sex differences in brain development (faster in females) and onset of psychosis (earlier with worse outcome in males), has led to the theory that schizophrenia is a disorder in which sex-dependent abnormalities in the development of brain torque, the correlate of the capacity for language, cause alterations in interhemispheric connectivity, which are causally related to psychosis (Crow TJ, Paez P, Chance SE. 2007. Callosal misconnectivity and the sex difference in psychosis. Int Rev Psychiatry. 19(4):449-457.). To provide evidence toward this theory, we analyze the geometry of interhemispheric white matter connections in adolescent-onset schizophrenia, with a particular focus on sex, using a recently introduced framework for white matter geometry computation in diffusion tensor imaging data (Savadjiev P, Kindlmann GL, Bouix S, Shenton ME, Westin CF. 2010. Local white geometry from diffusion tensor gradients. Neuroimage. 49(4):3175-3186.). Our results reveal a pattern of sex-dependent white matter geometry abnormalities that conform to the predictions of Crow's torque theory and correlate with the severity of patients' symptoms. To the best of our knowledge, this is the first study to associate geometrical differences in white matter connectivity with torque in schizophrenia. PMID:23307635

Savadjiev, P; Whitford, T J; Hough, M E; Clemm von Hohenberg, C; Bouix, S; Westin, C-F; Shenton, M E; Crow, T J; James, A C; Kubicki, M

2014-05-01

275

Naturaleza de los abusos sexuales a menores y consecuencias en la salud mental de las víctimas / Characteristics of sexual abuse of minors and its consequences on victims' mental health  

Scientific Electronic Library Online (English)

Full Text Available SciELO Spain | Language: Spanish Abstract in spanish 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.

Cortés Arboleda, Mª Rosario; Cantón Duarte, José; Cantón-Cortés, David.

276

Naturaleza de los abusos sexuales a menores y consecuencias en la salud mental de las víctimas / Characteristics of sexual abuse of minors and its consequences on victims' mental health  

Scientific Electronic Library Online (English)

Full Text Available SciELO Public Health | Language: Spanish Abstract in spanish 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.

Cortés Arboleda, Mª Rosario; Cantón Duarte, José; Cantón-Cortés, David.

277

Naturaleza de los abusos sexuales a menores y consecuencias en la salud mental de las víctimas Characteristics of sexual abuse of minors and its consequences on victims' mental health  

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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 grupo 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.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.

Mª Rosario Cortés Arboleda

2011-04-01

278

Less Socially Engaged? Participation in Friendship and Extracurricular Activities Among Racial/Ethnic Minority and Immigrant Adolescents  

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Background/Context: Prior research has linked social engagement, such as peer interaction and participation in school activities, to a host of positive outcomes for youth and adolescents. However, little research considers patterns of social engagement among racial/ethnic minority and immigrant adolescents, despite prior research suggesting…

Cherng, Hua-Yu Sebastian; Turney, Kristin; Kao, Grace

2014-01-01

279

Schooling Students Placed at Risk: Research, Policy, and Practice in the Education of Poor and Minority Adolescents.  

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This collection of papers examines historical approaches and current research and practice related to the education of adolescents placed at risk of school failure as a result of social and economic conditions. After "Preface: Research, Policy and Practice in the Education of Poor and Minority Adolescents" (Mavis G. Sanders), there are 15 chapters…

Sanders, Mavis G., Ed.

280

Race differences in teenage sexuality, pregnancy, and adolescent childbearing.  

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This article has examined the origin and consequences of racial differences in teen sexuality, pregnancy, and childbearing. Black/white differences in rates of early and out-of-wedlock childbearing have been declining in the past several decades though the incidence of nonmartial fertility among younger teens is still about five times as high for blacks as for whites. Early sexual behavior, irregular use of contraception, and a much lower probability of marrying prior to having a birth all contribute to the racial differential. Evidence suggests that both normative and socioeconomic differences may account for these demographic patterns. Black teens show markedly higher tolerance for childbearing before marriage. They also express much greater reservations about the viability of marriage, especially at an early age, than do whites. These views may affect their willingness to risk early pregnancy and initiate intercourse at an early age. Several types of interventions that might reduce black/white differences in teen childbearing were reviewed. The most promising of these involved simultaneously strengthening the community sanctions that discourage early parenthood while expanding social opportunities. Presently, poor, especially poor minority youth, may feel that they have little to lose by entering parenthood prematurely. Unless we are able to persuade these youth that they have a larger stake in the future, we are unlikely to see a dramatic decline in the incidence of early childbearing among blacks. This does not necessarily mean that racial differences are destined to persist. Increasingly, white youth are subject to many of the same conditions that have produced high rates of early and out-of-wedlock childbearing among blacks. Thus, racial differences may decline not because the situation of blacks is improving but because white youth are less willing to defer sexual activity or less able to marry when pregnancy occurs. This may at least change the perception of early childbearing as a "black" problem. Whatever else it is, teenage childbearing represents the inability of our society to manage the transition to adulthood effectively. This ineptitude appears to be, to a growing extent, colorblind. PMID:3451062

Furstenberg, F F

1987-01-01

 
 
 
 
281

Knowledge of sexual and reproductive health among adolescents attending school in Kelantan, Malaysia.  

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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

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

2011-05-01

282

Sexual and Reproductive Health Information Sources Preferred by Out-of-School Adolescents in Rural Southwest Uganda  

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This paper defines how out-of-school adolescents from Masaka District in rural southwest Uganda currently receive sexual and reproductive health information and how they would prefer to receive that information. Information adolescents feel they lack falls into three broad categories: sexual and reproductive health issues, the negotiation of sex…

Nobelius, Ann-Maree; Kalina, Bessie; Pool, Robert; Whitworth, Jimmy; Chesters, Janice; Power, Robert

2010-01-01

283

Predicting Dropout from a Residential Programme for Adolescent Sexual Abusers Using Pre-Treatment Variables and Implications for Recidivism  

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This study addresses the prediction that dropout from a UK specialized residential treatment program for adolescent sexual abusers can be determined from pre-treatment variables. Participants were 49 adolescents aged 12-16 years, who had sexually abused children, peers/adults or both. Of the variables examined, 25 showed a significant association…

Edwards, Rachel; Beech, Anthony; Bishopp, Daz; Erikson, Matt; Friendship, Caroline; Charlesworth, Lucy

2005-01-01

284

The Role Healthy Sexuality Plays in Modifying Abusive Behaviours of Adolescent Sex Offenders: Practical Considerations for Professionals.  

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Highlights an approach that guides adolescents who have committed sexual offenses to learn healthy/prosocial ways to meet their sexual needs. Article is divided into an overview of literature, review of the sex education component of an intervention program for these adolescents, and discussion of practical considerations for professionals.…

Perry, Garry P.; Ohm, Phyllis

1999-01-01

285

Diabetes in children and adolescents from ethnic minorities: barriers to education, treatment and good metabolic control  

DEFF Research Database (Denmark)

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 poor metabolic control, but whether the risk is represented by the ethnicity and immigration itself or in combination with other factors is unclear. METHODS: The study included data (gender, age, diabetes duration HbA(1c), number of incidents of severe hypoglycaemia and ketoacidosis) from a national register including 919 Danish and 58 children and adolescents from ethnic minorities, questionnaires to all 20 Danish paediatric diabetes centres and questionnaires to 38 families of other ethnic backgrounds completed by professional interpreters. The study was conducted in 2001-2002. RESULTS: HbA(1c) was significantly higher in children and adolescents from ethnic minorities (mean 9.05 +/- 1.4%) compared with Danish patients (mean 8.62 +/- 1.3%; P = 0.018). There was no significant difference in HbA(1c) among the different ethnic groups, nor in the prevalence of severe hypoglycaemia or ketoacidosis. Patients from different ethnic minorities were unevenly distributed throughout the country, and generally the centres provided limited specialized knowledge and support. The questionnaires completed by the parents revealed limited schooling, lack of professional education and a major need for interpreters; these characteristics were especially prevalent among the mothers. CONCLUSIONS: Young patients from ethnic minorities have significantly poorer metabolic control compared with Danish patients, and patients with an immigrant background are seen as a vulnerable group with different needs and probably fewer chances of achieving good control. Special education for health care professionals as well as projects to improve methods, quality and knowledge should be encouraged in order to provide tailored support to members of individual ethnic groups. We recommend that the use of professional interpreters should become the gold standard in health care provision to all immigrant families.

Povlsen, Lene; Olsen, Birthe

2005-01-01

286

Mental Health Pathways from Interpersonal Violence to Health-Related Outcomes in HIV-Positive Sexual Minority Men  

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Objective: We examined mental health pathways between interpersonal violence (IPV) and health-related outcomes in HIV-positive sexual minority men engaged with medical care. Method: HIV-positive gay and bisexual men (N = 178) were recruited for this cross-sectional study from 2 public HIV primary care clinics that treated outpatients in an urban…

Pantalone, David W.; Hessler, Danielle M.; Simoni, Jane M.

2010-01-01

287

"Does that Make Me a Woman?": Breast Cancer, Mastectomy, and Breast Reconstruction Decisions among Sexual Minority Women  

Science.gov (United States)

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…

Rubin, Lisa R.; Tanenbaum, Molly

2011-01-01

288

Preventing adolescent pregnancy: biological, social, cultural, and political influences on age at first sexual intercourse.  

Science.gov (United States)

Age at first sexual intercourse (AFSI) is the initial factor related to adolescents' sexual life that may increase the risk of adolescent pregnancy. We explored the biological, social, cultural, and political predictors of AFSI addressing several gaps that prevent us from generalizing the results of past research to adolescent pregnancy prevention. We also explored the moderating effects of cultural variables on the links between social and political predictors and AFSI. Our sample consisted of 889 Portuguese female adolescents aged 12-19. Earlier age at menarche, non-intact family structure, maternal history of adolescent pregnancy, lower maternal emotional warmth, absence of religious involvement, and living in Portugal's mainland and in a legal context penalizing abortion predicted earlier AFSI. School attendance predicted earlier AFSI among adolescents of European ethnic origin; adolescents of non-European ethnic origin presented the opposite, but non-significant, pattern. These findings suggest that, in addition to isolated characteristics, factors from different ecological contexts should be considered when planning interventions designed to foster healthy and informed transitions to sexual initiation and prevent the related risks of unwanted outcomes. We discuss implications for future research and practice. PMID:24676504

Pires, Raquel; Araújo-Pedrosa, Anabela; Pereira, Joana; Canavarro, Maria Cristina

2014-08-01

289

A sexualidade nas adolescentes com epilepsia Sexuality in adolescents with epilepsy  

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Full Text Available OBJETIVO: Mulheres com epilepsia apresentam com maior freqüência alterações relacionadas à sexualidade. O conhecimento adquirido com as adultas tem sido usado para as adolescentes, pressupondo-se que elas também sofram influência semelhante. Este estudo teve como objetivo avaliar aspectos relacionados à sexualidade nas adolescentes com epilepsia. MÉTODOS: Foram estudadas 35 pacientes do sexo feminino, com epilepsia, com idades entre 10 a 20 anos. Os critérios de exclusão foram: pacientes que ainda não apresentaram a menarca, com doença crônica associada, ou deficiência mental moderada a grave. As informações sobre a função sexual das adolescentes foram avaliadas através de um questionário padrão. RESULTADOS: Não foi observada diferença entre a idade da primeira relação sexual, atividade sexual, libido e orgasmo entre as adolescentes com epilepsia e o grupo controle. Observaram-se índices de gravidez superiores entre as adolescentes com epilepsia. CONCLUSÃO: Adolescentes com epilepsia têm vida sexualmente ativa, não apresentando as mesmas disfunções que a mulher adulta. Nesta série, nós observamos freqüência elevada de gestação, sugerindo a falta de aconselhamento adequado. Os aspectos relacionados à sexualidade requerem atenção especial por parte dos profissionais de saúde que atendem adolescentes com epilepsia.OBJECTIVES: Women with epilepsy have higher rates of sexual dysfunction. However, knowledge acquired with adult populations has been extrapolated to teenagers, by surmising that these patients are submitted to similar factors. This study aims to evaluate aspects related to sexuality in female adolescents with epilepsy. METHODS: We studied 35 female adolescents, with epilepsy, ages from 10 to 20 years. The criteria of exclusion were: patients that had not yet presented a first period, patients with previous endocrine or clinical chronic disorders, and patients with moderate to severe mental deficiency. Information on sexual behavior of adolescents with epilepsy was evaluated by use of a standard questionnaire. RESULTS: No differences were observed between age at first sexual intercourse, sexual activity, libido and orgasm of adolescents with epilepsy when compared to controls. Higher rates of pregnancy occurred in adolescents with epilepsy when compared to controls. CONCLUSION: Adolescents with epilepsy have an active sexual life, without the dysfunctions presented by adults. In this series, we observed high rates of pregnancy suggesting lack of proper counseling. Therefore, aspects related to sexuality require special attention by health professionals when attending to adolescents with epilepsy.

Sílvia de Vincentiis

2007-09-01

290

Abuso sexual em crianças e adolescentes: revisão de 100 anos de literatura Sexual abuse in children and adolescents: review of 100 years of literature  

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Full Text Available Maus tratos contra crianças e adolescentes, descritos por Ambroise Tardieu há cerca de um século, tornaram-se objeto de estudo nos últimos quarenta anos. O abuso sexual, uma das formas mais danosas, é conhecido desde a Antiguidade, porém, pouco se avançou no sentido de prevenir e amenizar suas conseqüências. Diferenças culturais, legais e de procedimentos dos profissionais envolvidos talvez expliquem a dificuldade em se estabelecer políticas públicas de prevenção e enfrentamento do problema no mundo inteiro. O presente estudo realizou uma revisão de publicações sobre abuso sexual contra menores em medicina legal e psiquiatria nos últimos cinco anos. A pesquisa, além dos artigos obtidos nas bases Medline/PubMed e Scielo, utilizou capítulos de livros e textos disponíveis on-line e em bibliotecas. Houve unanimidade entre os autores sobre os malefícios à saúde mental das vítimas e sua adaptação e inserção sociais. É patente a importância do exame médico-legal e dos procedimentos policial e judiciário para o estabelecimento da verdade sobre a ocorrência do abuso sexual. Mais estudos são necessários para conhecer essa realidade: prevalência, incidência, desdobramentos legais e conseqüências futuras.Child and adolescent abuse, as described by Ambroise Tardieu about a century ago, became a subject matter in the last forty years. Sexual abuse, one of the most damaging forms of maltreatment, has been known since Antiquity, but very little has been attained as to the prevention and attenuation of its consequences. Cultural differences, as well as legal questions and those regarding procedures from the involved professionals would perhaps explain the difficult to establish public polices for the world wide prevention and resolution of problem. The present study has achieved a literature review of medico-legal and psychiatric publications on the sexual abuse of minors, comprehending the last five years. The search, in addition to scientific papers through the Medline/PubMed and Scielo databases, has employed textbook chapters as well as loose texts, located either in the Web or in libraries. All the sources unanimously agreed as to the noxious effects of maltreatments upon the victims’ mental health, social adaptation and inclusion. The importance of the medico-legal examination and police and judicial procedures stands out in the truthful determination of sexual abuse. More studies are needed to reveal the prevalence, incidence, legal developments and future consequences of sexual abuse.

Naura Liane de Oliveira Aded

2006-01-01

291

Abuso sexual em crianças e adolescentes: revisão de 100 anos de literatura / Sexual abuse in children and adolescents: review of 100 years of literature  

Scientific Electronic Library Online (English)

Full Text Available SciELO Brazil | Language: Portuguese Abstract in portuguese Maus tratos contra crianças e adolescentes, descritos por Ambroise Tardieu há cerca de um século, tornaram-se objeto de estudo nos últimos quarenta anos. O abuso sexual, uma das formas mais danosas, é conhecido desde a Antiguidade, porém, pouco se avançou no sentido de prevenir e amenizar suas conse [...] qüências. Diferenças culturais, legais e de procedimentos dos profissionais envolvidos talvez expliquem a dificuldade em se estabelecer políticas públicas de prevenção e enfrentamento do problema no mundo inteiro. O presente estudo realizou uma revisão de publicações sobre abuso sexual contra menores em medicina legal e psiquiatria nos últimos cinco anos. A pesquisa, além dos artigos obtidos nas bases Medline/PubMed e Scielo, utilizou capítulos de livros e textos disponíveis on-line e em bibliotecas. Houve unanimidade entre os autores sobre os malefícios à saúde mental das vítimas e sua adaptação e inserção sociais. É patente a importância do exame médico-legal e dos procedimentos policial e judiciário para o estabelecimento da verdade sobre a ocorrência do abuso sexual. Mais estudos são necessários para conhecer essa realidade: prevalência, incidência, desdobramentos legais e conseqüências futuras. Abstract in english Child and adolescent abuse, as described by Ambroise Tardieu about a century ago, became a subject matter in the last forty years. Sexual abuse, one of the most damaging forms of maltreatment, has been known since Antiquity, but very little has been attained as to the prevention and attenuation of i [...] ts consequences. Cultural differences, as well as legal questions and those regarding procedures from the involved professionals would perhaps explain the difficult to establish public polices for the world wide prevention and resolution of problem. The present study has achieved a literature review of medico-legal and psychiatric publications on the sexual abuse of minors, comprehending the last five years. The search, in addition to scientific papers through the Medline/PubMed and Scielo databases, has employed textbook chapters as well as loose texts, located either in the Web or in libraries. All the sources unanimously agreed as to the noxious effects of maltreatments upon the victims’ mental health, social adaptation and inclusion. The importance of the medico-legal examination and police and judicial procedures stands out in the truthful determination of sexual abuse. More studies are needed to reveal the prevalence, incidence, legal developments and future consequences of sexual abuse.

Naura Liane de Oliveira, Aded; Bruno Luís Galluzzi da Silva, Dalcin; Talvane Marins de, Moraes; Maria Tavares, Cavalcanti.

292

Testing the Efficacy of a Computer-Based Parent-Adolescent Sexual Communication Intervention for Latino Parents  

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The efficacy of a computer-based intervention to increase parent-adolescent communication among Latino parents and adolescents was tested in a randomized controlled trial. Parents assigned to receive the 2-session intervention reported greater general communication, sexual communication, and comfort with communication at 3 month follow-up than did parents assigned to the wait-list control condition. Adolescents, whose parents received the intervention, reported higher sexual communication tha...

2010-01-01

293

Sexual Communication and Knowledge among Mexican Parents and their Adolescent Children  

Digital Repository Infrastructure Vision for European Research (DRIVER)

This study describes the sexual knowledge and communication of Mexican parents and adolescents. Pre-intervention data was analyzed from 829 high school students (ages 14-17) and one of their parents. Differences were found between parents and adolescents in sexual knowledge (M = 16.16 vs. M = 14.92; t = 7.20; p < 0.001); specifically parents had higher knowledge related to STD’s, HIV/AIDs, and condom use. Parents perceived more general communication (t (787) = 6.33 p < .001), and less disco...

Gallegos, Esther C.; Villarruel, Antonia M.; Go?mez, Marco Vinicio; Onofre, Dora Julia; Zhou, Yan

2007-01-01

294

Sexual Orientation Disparities in Weight Status in Adolescence: Findings From a Prospective Study  

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A growing number of studies among adult women have documented disparities in overweight adversely affecting lesbian and bisexual women, but few studies have examined sexual orientation-related patterns in weight status among men or adolescents. We examined sexual orientation group trends in body mass index (BMI; kg/m2), BMI Z-scores, and overweight using 56,990 observations from 13,785 adolescent females and males in the Growing Up Today Study, a large prospective cohort of U.S. youth. Partic...

Austin, S. Bryn; Ziyadeh, Najat J.; Corliss, Heather L.; Haines, Jess; Rockett, Helaine; Wypij, David; Field, Alison E.

2009-01-01

295

Early sexual initiation and risk factors in Serbian adolescents: Data from the National Health Survey.  

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Abstract Objectives To identify factors associated with sexual initiation before the age of 17 among Serbian adolescents and to assess whether the latter is associated with other risky behaviours, such as tobacco, alcohol and illicit drug use, and fighting. Methods The study was an analysis of data gathered by the 2006 Serbian National Population Health Survey in which information concerning adolescents was obtained by means of questionnaires. Data were analysed using descriptive statistics and a logistic regression model. Results A total of 474 adolescents aged 15 and 16 completed the survey. Multivariate logistic regression analysis showed that male respondents reporting sexual initiation were significantly more likely to smoke daily and to have experienced two or more episodes of drunkenness in the past. Female respondents reporting sexual initiation were significantly more likely to live with both parents, to feel insecure in school, to smoke daily and to drink more than once a week. Conclusions A strong association was found between adolescent sexual initiation and substance abuse. Although a causal relationship is evidently not established, one might contemplate including measures lowering the frequency and intensity of substance abuse in health prevention programmes and interventions aiming at reducing the risks associated with sexual initiation. PMID:24712821

Jeremi?, Vida; Mateji?, Bojana; Soldatovi?, Ivan; Radenovi?, Sandra

2014-06-01

296

Characteristics and determinants of sexual behavior among adolescents of migrant workers in Shangai (China)  

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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 ...

Li Shenghui; Huang Hong; Cai Yong; Xu Gang; Huang Fengrong; Shen Xiaoming

2009-01-01

297

Gender and the influence of peer alcohol consumption on adolescent sexual activity  

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I consider the alcohol consumption of opposite-gender peers as explanatory to adolescent sexual intercourse and demonstrate that female sexual activity is higher where there is higher alcohol consumption among male peers. This relationship is robust to school fixed effects, cannot be explained by broader cohort effects or general anti-social behaviors in male peer groups, and is distinctly different from any influence of the alcohol consumption of female peers which is shown to have no influe...

Waddell, Glen R.

2010-01-01

298

Prevalence of CMV infection among sexually active adolescents: a matched case-control study  

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Background We observed previously that African American adolescents in Richmond reporting infrequent sexual activity had cytomegalovirus (CMV) seroprevalence rates one half that of their adult mothers and caregivers. We therefore sought to determine if sexually active African American adolescents have higher rates of CMV infection than sexually inactive African American adolescents. Methods Cases (aged 13–18 years) sought care for a sexually transmitted infection (STI) or pregnancy. Controls were sexually inactive and matched to cases for age, race, and gender and enrolled at the same clinic as cases and sought medical treatment unrelated to an STI. Subjects completed a questionnaire, provided saliva for antibody testing, and were interviewed for determination of sexual activity. Results Two groups of sexually active cases were enrolled. The first group had a diagnosis of an STI. In this group, both cases and matched controls were seropositive at a rate of 32% (7/22 for cases and 7/22 for controls). In the second group, cases self-reported an STI but objective evidence was lacking. In this group, cases were seropositive at a rate of 38% (six of 16) compared with matched controls among whom 6.3% were seropositive (one in 16). The overall rate of seropositivity in all 38 cases was 34% compared with a rate of 21% for all controls (P=0.3, odds ratio 2.0, 95% confidence interval 0.6–7.5). Conclusion Our results confirm lower rates of CMV infection among the current generation of African American adolescents compared with African American adults in Richmond, and suggest that this is not associated with sexual activity.

Foxworth, Michael K; Wilms, Isca R; Brookman, Richard R; Crewe, Stephanie; Adler, Stuart P

2014-01-01

299

The prevalence of physical, sexual and mental abuse among adolescents and the association with BMI status  

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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 ad...

2012-01-01

300

Oral Sexual Experience among Young Adolescents Receiving General Health Examinations.  

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Surveyed young adolescents receiving general health examinations regarding oral sex occurrence. Overall, 18 percent reported having oral sex, and of that 18 percent, 25 percent reported no vaginal sex. Few adolescents used barrier protection during oral sex. Most adolescents thought that penile-anal sex could transmit HIV, but only 68 percent…

Boekeloo, Bradley O.; Howard, Donna E.

2002-01-01

 
 
 
 
301

Traumagenic Dynamics in Adult Women Survivors of Childhood Sexual Abuse vs. Adolescent Male Sex Offenders with Similar Histories.  

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Female childhood sexual abuse survivors and adolescent male sexual offenders with a history of childhood sexual abuse were assessed using the Trauma-Related Beliefs Questionnaire. Results suggested that male sex offenders hold high levels of traumagenic beliefs common in females, especially related to trust and betrayal. (Author)

Edwards, Carla; Hendrix, Rebecca

2001-01-01

302

A sexualidade nas adolescentes com epilepsia / Sexuality in adolescents with epilepsy  

Scientific Electronic Library Online (English)

Full Text Available SciELO Brazil | Language: Portuguese Abstract in portuguese OBJETIVO: Mulheres com epilepsia apresentam com maior freqüência alterações relacionadas à sexualidade. O conhecimento adquirido com as adultas tem sido usado para as adolescentes, pressupondo-se que elas também sofram influência semelhante. Este estudo teve como objetivo avaliar aspectos relacionad [...] os à sexualidade nas adolescentes com epilepsia. MÉTODOS: Foram estudadas 35 pacientes do sexo feminino, com epilepsia, com idades entre 10 a 20 anos. Os critérios de exclusão foram: pacientes que ainda não apresentaram a menarca, com doença crônica associada, ou deficiência mental moderada a grave. As informações sobre a função sexual das adolescentes foram avaliadas através de um questionário padrão. RESULTADOS: Não foi observada diferença entre a idade da primeira relação sexual, atividade sexual, libido e orgasmo entre as adolescentes com epilepsia e o grupo controle. Observaram-se índices de gravidez superiores entre as adolescentes com epilepsia. CONCLUSÃO: Adolescentes com epilepsia têm vida sexualmente ativa, não apresentando as mesmas disfunções que a mulher adulta. Nesta série, nós observamos freqüência elevada de gestação, sugerindo a falta de aconselhamento adequado. Os aspectos relacionados à sexualidade requerem atenção especial por parte dos profissionais de saúde que atendem adolescentes com epilepsia. Abstract in english OBJECTIVES: Women with epilepsy have higher rates of sexual dysfunction. However, knowledge acquired with adult populations has been extrapolated to teenagers, by surmising that these patients are submitted to similar factors. This study aims to evaluate aspects related to sexuality in female adoles [...] cents with epilepsy. METHODS: We studied 35 female adolescents, with epilepsy, ages from 10 to 20 years. The criteria of exclusion were: patients that had not yet presented a first period, patients with previous endocrine or clinical chronic disorders, and patients with moderate to severe mental deficiency. Information on sexual behavior of adolescents with epilepsy was evaluated by use of a standard questionnaire. RESULTS: No differences were observed between age at first sexual intercourse, sexual activity, libido and orgasm of adolescents with epilepsy when compared to controls. Higher rates of pregnancy occurred in adolescents with epilepsy when compared to controls. CONCLUSION: Adolescents with epilepsy have an active sexual life, without the dysfunctions presented by adults. In this series, we observed high rates of pregnancy suggesting lack of proper counseling. Therefore, aspects related to sexuality require special attention by health professionals when attending to adolescents with epilepsy.

Sílvia de, Vincentiis; Marília Vieira, Febrônio; Clóvis Artur Almeida da, Silva; Maria Ignez, Saito; Albertina Duarte, Takiuti; Kette Dualibi Ramos, Valente.

303

Factores familiares asociados al inicio sexual temprano en adolescentes consultantes en un centro de salud sexual y reproductiva en Santiago de Chile / Factors associated with early sexual activity among Chilean adolescents  

Scientific Electronic Library Online (English)

Full Text Available SciELO Chile | Language: Spanish Abstract in spanish [...] Abstract in english Background: Nowadays, adolescent population begins sexual activity earlier, a behavior with negativepsychological ana social consequences. Aim: To determine the association between family factors and early sexual activity in adolescents oflow and middle socioeconomic level. Material and Methods: A s [...] ample of 3,210 adolescents, who confidentially requested care in a sexual and reproductive health university center, between 2000 and 2007, was analyzed. Adolescents who started sexual activity before 15years ofage, and those who started sexual activity after 15years ofage, were compared. Data was collectedfrom structured interviews conducted at the adolescente firstvisit. Logistic regression was used to identify family factors associated with early sexual initiatingin both, men and women. Results: Family factors associated with early sexual activity startwere not being raised by both parents, apoor parent-child relationship, a poor family communication, mothers with a history of adolescent motherhood, mothers employed outside the home and family dysfunction. Among women, the variables associated with a higher risk of early sexual debut were not married parents and history of adolescent fatherhood record among parents. Among men, these variables were permissions without restriction during the week and punishment when family rules were broken. Conclusions: Family factors must be considered in the design ofstrategies to prevent early sexual activity.

Electra, González A; Temístocles, Molina G; Adela, Montero V; Vania, Martínez N.

304

Adolescents with anorectal malformation: physical outcome, sexual health and quality of life.  

Science.gov (United States)

Abstract Background: The necessity of referring adolescents with anorectal malformation (ARM) from pediatric units to adult care is unclear. The issue requires knowledge about the health of the adolescent. Objective: To examine the physical outcome, sexual health and quality of life (QoL) in adolescents with ARM. Methods: At medical counseling, 24 adolescents with ARM, 15-21 years of age, answered questionnaires about physical outcome according to the Krickenbeck follow-up and QoL according to SF 36 and gastrointestinal quality of life (Giqli). Matched control groups were used; 15 adolescents participated in deep interviews about sexual health and body imaging. Results: Fecal soiling, constipation and gas incontinence were much higher for ARM patients compared with controls (p<0.05). QoL regarding large bowel function was lower for both genders compared with controls (p<0.05). Females scored lower in physically related QoL (p<0.05). Social and sexual adaption to the symptoms was obvious in the deep interviews. Conclusion: Adolescents with ARM have considerable intestinal symptoms, which influence QoL and require adaption in intimate situations. A referral to adult care seems to be important, and continuous cooperation between the pediatric surgeon and adult care is suggested. PMID:23633464

Stenström, Pernilla; Kockum, Christina Clementson; Benér, Despina Katsianikou; Ivarsson, Camilla; Arnbjörnsson, Einar

2014-01-01

305

Entrevista clínica com crianças e adolescentes vítimas de abuso sexual Clinic interview with children and adolescents sexually abused  

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Full Text Available O abuso sexual contra crianças e adolescentes é atualmente um problema de saúde pública. A complexidade do fenômeno requer a capacitação dos profissionais que atuam na avaliação e intervenção clínica das vítimas. O presente artigo tem como objetivo fornecer subsídios teóricos e práticos sobre a entrevista clínica com crianças e adolescentes vítimas de abuso sexual, visando à obtenção do relato sobre a experiência abusiva. Aspectos como as possíveis conseqüências do abuso sexual, o setting da entrevista, a postura dos entrevistadores e as características da revelação pela criança estão apresentadas, bem como um roteiro de entrevista.The sexual abuse against children and adolescents is an actual public health concern. The complexity of phenomenon requires special training of professionals who work in the clinic evaluation of victims and intervention. This study aims to provide theoretical and practical information about the clinic interview with victims of child sexual abuse, aiming at the attainment of the abusive experience report. An interview protocol is presented and the aspects discussed include: sexual abuse potential outcomes, the interview setting, the professional attitude, and children's disclosure.

Luísa Fernanda Habigzang

2008-12-01

306

Factorial validation of the Attitudes toward Women Scale for Adolescents (AWSA) in assessing sexual behaviour patterns in Bolivian and Ecuadorian adolescents  

Science.gov (United States)

Background Adolescents’ health is greatly influenced by social determinants, including gender norms. Although research has shown that there is an association between gender attitudes and adolescents’ sexual behaviour, few studies have assessed this relationship carefully. The Attitudes toward Women Scale for Adolescents (AWSA) is widely used to assess gender attitudes among adolescents; however, to our knowledge it has not been applied in Latin America. Objective To apply AWSA in Latin America for the first time, to perform a factorial validation of this scale and to assess the relationship of gender attitudes and sexual behaviour in Bolivian and Ecuadorian adolescents. Design This cross-sectional study was carried out in 2011 among 14–18 year olds in 20 high schools in Cochabamba (Bolivia) and six in Cuenca (Ecuador) as a part of a larger project. Schools were purposively selected. A Spanish version of the 12-item AWSA was employed for this study. The assessed aspects of adolescent sexual behaviour were: reported sexual intercourse, reported positive experience during last sexual intercourse and reported current use of contraception. The psychometric properties of AWSA were investigated, and both explanatory and confirmatory factorial analyses were performed. Results The number of questionnaires included in the analysis was 3,518 in Bolivia and 2,401 in Ecuador. A factorial analysis of AWSA resulted in three factors: power dimension (PD), equality dimension (ED) and behavioural dimension (BD). ED showed the highest correlates with adolescent sexual behaviour. Higher scores of this dimension were associated with a more positive experience of sexual relationships, a higher current use of modern contraception and greater sexual activity among girls. Conclusions This study revealed a three-factorial structure of AWSA and demonstrated that by employing factors, the sensitivity of AWSA increases as compared to using the scale as a whole to assess sexual behaviour. This could have important implications for future research on gender and the sexual experiences of adolescents.

Jaruseviciene, Lina; De Meyer, Sara; Decat, Peter; Zaborskis, Apolinaras; Degomme, Olivier; Rojas, Mildrett; Hagens, Salazar Arnold; Auquilla, Nancy; Vega, Bernardo; Gorter, Anna C.; Orozco, Miguel; Lazarus, Jeffrey V.

2014-01-01

307

Factorial validation of the Attitudes toward Women Scale for Adolescents (AWSA in assessing sexual behaviour patterns in Bolivian and Ecuadorian adolescents  

Directory of Open Access Journals (Sweden)

Full Text Available Background: Adolescents’ health is greatly influenced by social determinants, including gender norms. Although research has shown that there is an association between gender attitudes and adolescents’ sexual behaviour, few studies have assessed this relationship carefully. The Attitudes toward Women Scale for Adolescents (AWSA is widely used to assess gender attitudes among adolescents; however, to our knowledge it has not been applied in Latin America. Objective: To apply AWSA in Latin America for the first time, to perform a factorial validation of this scale and to assess the relationship of gender attitudes and sexual behaviour in Bolivian and Ecuadorian adolescents. Design: This cross-sectional study was carried out in 2011 among 14–18 year olds in 20 high schools in Cochabamba (Bolivia and six in Cuenca (Ecuador as a part of a larger project. Schools were purposively selected. A Spanish version of the 12-item AWSA was employed for this study. The assessed aspects of adolescent sexual behaviour were: reported sexual intercourse, reported positive experience during last sexual intercourse and reported current use of contraception. The psychometric properties of AWSA were investigated, and both explanatory and confirmatory factorial analyses were performed. Results: The number of questionnaires included in the analysis was 3,518 in Bolivia and 2,401 in Ecuador. A factorial analysis of AWSA resulted in three factors: power dimension (PD, equality dimension (ED and behavioural dimension (BD. ED showed the highest correlates with adolescent sexual behaviour. Higher scores of this dimension were associated with a more positive experience of sexual relationships, a higher current use of modern contraception and greater sexual activity among girls. Conclusions: This study revealed a three-factorial structure of AWSA and demonstrated that by employing factors, the sensitivity of AWSA increases as compared to using the scale as a whole to assess sexual behaviour. This could have important implications for future research on gender and the sexual experiences of adolescents.

Lina Jaruseviciene

2014-01-01

308

Concordance Between Two Methods to Investigate the Sexual Orientation Among Adolescents in Santa Marta, Colombia  

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Full Text Available Since sexual minorities are victims of discrimination, it is possible thatteenagers do not accurately report their sexual orientation. There are differencesin the frequency of non-heterosexual behavior according to theway it is investigated; however, concordance between these ways has notbeen explored yet. The objective was to establish the concordance betweentwo ways of researching sexual orientation among students at Santa Marta,Colombia. In this survey, 3575 students participated, 57% were girls, with amean age of 13.6 (SD=1.9, and mean scholarship, of 8.2 years (SD=1.6.Sexual orientation was established by means of direct and indirect questions.Cohen´s kappa showed concordance beyond chance. Observed concordancereached 76.8%, and Cohen’s kappa, 0.368 (95% CI 0.337-0.399.Concordance between the two ways of asking about sexual orientation wasfound to be low. Investigation of sexual orientation should include researchobjectives and result implications as criteria.

Adalberto Campo-Arias

2009-06-01

309

Adolescent pregnancies in the Amazon Basin of Ecuador: a rights and gender approach to adolescents’ sexual and reproductive health  

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Full Text Available In the Andean region of Latin America over one million adolescent girls get pregnant every year. Adolescent pregnancy (AP has been associated with adverse health and social outcomes, but it has also been favorably viewed as a pathway to adulthood. AP can also be conceptualized as a marker of inequity, since it disproportionately affects girls from the poorest households and those who have not been able to attend school. Using results from a study carried out in the Amazon Basin of Ecuador, this paper explores APs and adolescents’ sexual and reproductive health from a rights and gender approach. The paper points out the main features of a rights and gender approach, and how it can be applied to explore Aps. Afterward it describes the methodologies (quantitative and qualitative and main results of the study, framing the findings within the rights and gender approach. Finally, some implications that could be generalizable to global reserach on APs are highlighted. The application of the rights and gender framework to explore APs contributes to a more integral view of the issue. The rights and gender framework stresses the importance of the interaction between rights-holders and duty-bearers on the realization of sexual and reproductive rights, and acknowledges the importance of gender–power relations on sexual and reproductive decisions. A rights and gender approach could lead to more integral and constructive interventions, and it could also be useful when exploring other sexual and reproductive health matters.

Isabel Goicolea

2010-06-01

310

A agressão sexual na adolescência: um destino da hiperatividade? / Sexual assault in adolescence: a fate for hyperactivity?  

Scientific Electronic Library Online (English)

Full Text Available SciELO Brazil | Language: Portuguese Abstract in portuguese O artigo apresenta os resultados de uma pesquisa sobre adolescentes autores de atos de agressão sexual, examinados no âmbito de perícias judiciárias. Esses sujeitos tinham sido crianças instáveis, agitadas ou, ainda, hiperativas. Procura-se, então, explicar de que maneira a hiperatividade infantil, [...] dificuldade de tratar mentalmente as excitações pulsionais, constitui fator de risco de agressão sexual na adolescência. A noção de narcisismo fálico permite esclarecer os impasses identificatórios e a dificuldade de compor com a mutualidade dos desejos. Abstract in english This paper presents the results of a research about adolescents having perpetrated sexual assault, met in the precinct of judiciary expertise. These subjects had been instable children, agitated or yet hyperactive. The author tries then to explain how infantile hyperactivity, the difficulty to menta [...] lly deal with drive excitations, can be a risk factor of sexual assault in adolescence. The notion of phallic narcissism allows illuminating the identificatory deadlocks and the trouble to reconcile with the mutuality of desires.

Chagnon, Jean Yves.

311

Personal and interpersonal characteristics related to resilient developmental pathways of sexually abused adolescents.  

Science.gov (United States)

Childhood sexual abuse is a prevalent and important social problem. In this article the authors' main objective is the exploration of resilience among sexually abused adolescents under child protection services care in Quebec, Canada. The introduction provides an overview of the impact of childhood sexual abuse and conceptualizations of trauma, resilience, recovery, and factors linked to resilience profiles. The remainder of the article discusses a study of resilience and factors predicting resilience over a 5-month period for a sample of 86 teenage girls under child protection services care. PMID:17349516

Daigneault, Isabelle; Hébert, Martine; Tourigny, Marc

2007-04-01

312

Screening for nonviral sexually transmitted infections in adolescents and young adults.  

Science.gov (United States)

Prevalence rates of many sexually transmitted infections (STIs) are highest among adolescents. If nonviral STIs are detected early, they can be treated, transmission to others can be eliminated, and sequelae can be averted. The US Preventive Services Task Force and the Centers for Disease Control and Prevention have published chlamydia, gonorrhea, and syphilis screening guidelines that recommend screening those at risk on the basis of epidemiologic and clinical outcomes data. This policy statement specifically focuses on these curable, nonviral STIs and reviews the evidence for nonviral STI screening in adolescents, communicates the value of screening, and outlines recommendations for routine nonviral STI screening of adolescents. PMID:24982099

2014-07-01

313

Sexuality and sex education of adolescents with intellectual disability: mothers' attitudes, experiences, and support needs.  

Science.gov (United States)

Few studies have considered families' views about adolescents' sexual development. The authors compared attitudes and behaviors of mothers of young people with (n = 30) and without intellectual disability (n = 30). Both groups placed similar importance on dealing with their children's developing sexuality and were similarly confident in doing so. Mothers of young people with intellectual disability held more cautious attitudes about contraception, readiness to learn about sex, and decisions about intimate relationships. Mothers expressed concerns about their children with intellectual disability and sexual vulnerability. They had also spoken about fewer sexual topics with their children and began these discussions when their children were older. The findings can inform more sensitive supports and materials to help families deal with the sexual development of their offspring. PMID:22642968

Pownall, Jaycee Dawn; Jahoda, Andrew; Hastings, Richard Patrick

2012-04-01

314

The prevalence of risk factors for general recidivism in female adolescent sexual offenders: a comparison of three subgroups.  

Science.gov (United States)

To our knowledge, there are no former studies in which subgroups of female adolescent sexual offenders are studied. Therefore, we examined differences in risk factors for general recidivism between female adolescents who have committed a felony sexual offense against a younger child (CSO, n=25), female adolescents who have committed a felony sexual offense with a peer victim (PSO, n=15) and female adolescents who have committed a misdemeanor sexual offenses (MSO, n=31). Results showed that CSOs had considerably fewer problems in the domains of school (truancy, behavior problems, dropping out of school), family (e.g., parental alcohol problems, parental mental health problems, poor authority and control, out of home placements and run away from home) and friends (antisocial friends) than MSOs and/or PSOs. No differences were found in the prevalence of mental health problems, physical abuse, sexual abuse and neglect. Implications for theory and practice are discussed. PMID:23830779

van der Put, Claudia E

2013-09-01

315

Homens adolescentes e vida sexual: heterogeneidades nas motivações que cercam a iniciação sexual / Adolescent males and sex life: heterogeneous motivations related to sexual debut  

Scientific Electronic Library Online (English)

Full Text Available SciELO Brazil | Language: Portuguese Abstract in portuguese Buscou-se descrever a trajetória afetivo-amorosa e razões para o início ou adiamento da vida sexual de adolescentes do sexo masculino, por meio de entrevistas com 184 homens de 15 a 19 anos de idade, residentes no Município de São Paulo, Brasil, em 2002. O início da vida sexual ocorreu, entre outros [...] , por conta da atração física, da curiosidade e do desejo de perder a virgindade, sugerindo um caráter mais próximo do papel social masculino. Por outro lado, a maior parte dos adolescentes virgens justificou sua opção por questões de ordem romântica, como não ter encontrado a pessoa certa ou porque gostaria de casar-se virgem. Os resultados revelaram um duplo padrão social em que há a valorização do sentimento de amor e entrega à pessoa amada simultaneamente à premência física e instintiva para o sexo. Padrões tradicionais de masculinidade, como a dissociação entre sexo e amor, parecem estar sendo transpostos no tocante à iniciação sexual, revelando diversidade nos modos de viver a sexualidade na adolescência que, por sua vez, estão relacionados à saúde sexual e reprodutiva dos homens e suas parcerias. Abstract in english This article describes male adolescents' affective history and reasons for initiating or postponing sexual activity, using interviews with 184 males ages 15 to 19 and residing in the city of São Paulo, Brazil, in 2002. Factors for sexual debut included physical attraction, curiosity, and the desire [...] to lose their virginity, suggesting a profile similar to the male social role. Most of the virgin adolescent males justified their choice based on issues of a romantic order, such as not having found the right person or because they preferred to remain virgin until marrying. The results showed a dual social pattern, valuing the feeling of love and deliverance to the loved one, simultaneously with the pressing physical and instinctive desire for sex. Traditional patterns of masculinity, like the dissociation between sex and love, appear to be transposed to sexual debut, revealing a diversity in the ways of experiencing sexuality during adolescence, related in turn to the sexual and reproductive health of men and their partners.

Borges, Ana Luiza Vilela; Schor, Néia.

316

Homens adolescentes e vida sexual: heterogeneidades nas motivações que cercam a iniciação sexual Adolescent males and sex life: heterogeneous motivations related to sexual debut  

Directory of Open Access Journals (Sweden)

Full Text Available Buscou-se descrever a trajetória afetivo-amorosa e razões para o início ou adiamento da vida sexual de adolescentes do sexo masculino, por meio de entrevistas com 184 homens de 15 a 19 anos de idade, residentes no Município de São Paulo, Brasil, em 2002. O início da vida sexual ocorreu, entre outros, por conta da atração física, da curiosidade e do desejo de perder a virgindade, sugerindo um caráter mais próximo do papel social masculino. Por outro lado, a maior parte dos adolescentes virgens justificou sua opção por questões de ordem romântica, como não ter encontrado a pessoa certa ou porque gostaria de casar-se virgem. Os resultados revelaram um duplo padrão social em que há a valorização do sentimento de amor e entrega à pessoa amada simultaneamente à premência física e instintiva para o sexo. Padrões tradicionais de masculinidade, como a dissociação entre sexo e amor, parecem estar sendo transpostos no tocante à iniciação sexual, revelando diversidade nos modos de viver a sexualidade na adolescência que, por sua vez, estão relacionados à saúde sexual e reprodutiva dos homens e suas parcerias.This article describes male adolescents' affective history and reasons for initiating or postponing sexual activity, using interviews with 184 males ages 15 to 19 and residing in the city of São Paulo, Brazil, in 2002. Factors for sexual debut included physical attraction, curiosity, and the desire to lose their virginity, suggesting a profile similar to the male social role. Most of the virgin adolescent males justified their choice based on issues of a romantic order, such as not having found the right person or because they preferred to remain virgin until marrying. The results showed a dual social pattern, valuing the feeling of love and deliverance to the loved one, simultaneously with the pressing physical and instinctive desire for sex. Traditional patterns of masculinity, like the dissociation between sex and love, appear to be transposed to sexual debut, revealing a diversity in the ways of experiencing sexuality during adolescence, related in turn to the sexual and reproductive health of men and their partners.

Ana Luiza Vilela Borges

2007-01-01

317

Homens adolescentes e vida sexual: heterogeneidades nas motivações que cercam a iniciação sexual / Adolescent males and sex life: heterogeneous motivations related to sexual debut  

Scientific Electronic Library Online (English)

Full Text Available SciELO Public Health | Language: Portuguese Abstract in portuguese Buscou-se descrever a trajetória afetivo-amorosa e razões para o início ou adiamento da vida sexual de adolescentes do sexo masculino, por meio de entrevistas com 184 homens de 15 a 19 anos de idade, residentes no Município de São Paulo, Brasil, em 2002. O início da vida sexual ocorreu, entre outros [...] , por conta da atração física, da curiosidade e do desejo de perder a virgindade, sugerindo um caráter mais próximo do papel social masculino. Por outro lado, a maior parte dos adolescentes virgens justificou sua opção por questões de ordem romântica, como não ter encontrado a pessoa certa ou porque gostaria de casar-se virgem. Os resultados revelaram um duplo padrão social em que há a valorização do sentimento de amor e entrega à pessoa amada simultaneamente à premência física e instintiva para o sexo. Padrões tradicionais de masculinidade, como a dissociação entre sexo e amor, parecem estar sendo transpostos no tocante à iniciação sexual, revelando diversidade nos modos de viver a sexualidade na adolescência que, por sua vez, estão relacionados à saúde sexual e reprodutiva dos homens e suas parcerias. Abstract in english This article describes male adolescents' affective history and reasons for initiating or postponing sexual activity, using interviews with 184 males ages 15 to 19 and residing in the city of São Paulo, Brazil, in 2002. Factors for sexual debut included physical attraction, curiosity, and the desire [...] to lose their virginity, suggesting a profile similar to the male social role. Most of the virgin adolescent males justified their choice based on issues of a romantic order, such as not having found the right person or because they preferred to remain virgin until marrying. The results showed a dual social pattern, valuing the feeling of love and deliverance to the loved one, simultaneously with the pressing physical and instinctive desire for sex. Traditional patterns of masculinity, like the dissociation between sex and love, appear to be transposed to sexual debut, revealing a diversity in the ways of experiencing sexuality during adolescence, related in turn to the sexual and reproductive health of men and their partners.

Borges, Ana Luiza Vilela; Schor, Néia.

318

Attributions and Coping in Sexually Abused Adolescents Referred for Group Treatment  

Science.gov (United States)

This study aims to assess the predictive value of two sets of variables, self-attributions, and coping behaviors, on sexually abused (SA) teenagers' functioning, while controlling for abuse-related and family variables. A total of 103 female adolescents completed self-report measures to assess their psychological functioning in terms of anxiety,…

Daigneault, Isabelle; Hebert, Martine; Tourigny, Marc

2006-01-01

319

Effects of Youth Assets on Adolescent Alcohol, Tobacco, Marijuana Use, and Sexual Behavior  

Science.gov (United States)

Background: Alcohol, tobacco, marijuana use, and sexual behaviors are consistently reported by high school students in the United States and can contribute to reduced quality of life. Empirical research finds that many assets may act as a protective factor for adolescent risk behaviors. As such, the purpose of this study was to examine the…

Dunn, Michael S.; Kitts, Cathy; Lewis, Sandy; Goodrow, Bruce; Scherzer, Gary D.

2011-01-01

320

Early Adolescent Sexual Initiation and Physical/Psychological Symptoms: A Comparative Analysis of Five Nations  

Science.gov (United States)

Although most people in developed countries experience sexual initiation during adolescence, little is known about inter-country variability in the psychosocial correlates of early initiation. Population-based samples of 15-year-olds (n = 6,111, 52% female) who participated in the Health Behaviors in School-Aged Children Study (Finland, Scotland,…

Madkour, Aubrey Spriggs; Farhat, Tilda; Halpern, Carolyn Tucker; Godeau, Emmanuelle; Nic Gabhainn, Saoirse

2010-01-01

 
 
 
 
321

Roles of Counsellors in Promoting Sexuality Education for In-School Adolescents in Nigeria  

Science.gov (United States)

Research was embarked upon to investigate the role of counselors in promoting sexuality education for in-school adolescents in Nigeria. The respondents were made up of 120 practicing guidance counselors in Enugu State situated in South-East geopolitical zone of Nigeria. They were drawn from both professional and teacher counselors practicing in…

Omeje, Joachim C.; Michael, Eskay; Obiageli, Modebelu Josephine

2012-01-01

322

Integrating the Perspective of Vulnerable Heterosexual Male Adolescents to Prevent Premature Paternity and Sexually Transmitted Infection  

Science.gov (United States)

This study presents the perspective of vulnerable Canadian (Quebecker) adolescents defined as such on account of their numerous experiences with potential or actual fatherhood or exposure to sexually transmitted infection. The interviews allowed youth to talk about their experiences with paternity, their sex lives and their views on sex education.…

Manseau, Helene; Blais, Martin; Engler, Kim; Bosse, Marie-Andre

2008-01-01

323

Hispanic and Black American Adolescents' Beliefs Relating to Sexuality and Contraception.  

Science.gov (United States)

Explored the level of scientific knowledge regarding sexuality and contraception of Black and Hispanic inner-city adolescents. Results indicated that Hispanic males were the most knowledgeable, Hispanic females the least, and Black males and females were intermediate. A cultural basis for this difference is considered, and the need to design…

Scott, Clarissa S.; And Others

1988-01-01

324

Experience of Sexual Abuse in Childhood and Abortion in Adolescence and Early Adulthood  

Science.gov (United States)

Objective: The present study examined the associations between the experience of sexual abuse in childhood (CSA) and the number of abortions in adolescence and early adulthood. Method: A 25-year prospective longitudinal study of the health, development, and adjustment of a birth cohort of 1,265 New Zealand children (630 females). Measures included…

Boden, Joseph M.; Fergusson, David M.; Horwood, L. John

2009-01-01

325

Comment on "Social Contagion, Adolescent Sexual Behavior, and Pregnancy: A Nonlinear Dynamic EMOSA Model."  

Science.gov (United States)

Examines the Rodgers, Rowe, and Buster (1998) epidemic model of the onset of social activities for adolescent sexuality. Maintains that its strengths include its theoretical potential to generate new hypotheses for further testing at the individual level. Asserts that its limitations include the lack of a well-developed statistical framework and…

Stoolmiller, Mike

1998-01-01

326

Thyroid Hormone Levels and Psychological Symptoms in Sexually Abused Adolescent Girls  

Science.gov (United States)

Objective: To explore the relationships between psychological symptoms and thyroid hormone levels in adolescent girls who had experienced the traumatic stress of sexual abuse. Method: The study design was cross-sectional/correlational. Subjects ("N"=22; age range=12-18 years) had their blood drawn, and they completed 2 psychological tests…

Haviland, Mark G.; Sonne, Janet L.; Anderson, Donald L.; Nelson, Jerald C.; Sheridan-Matney, Clare; Nichols, Joy G.; Carlton, Esther I.; Murdoch, William G. C.

2006-01-01

327

Violência e atividade sexual desprotegida em adolescentes menores de 15 anos Violence and unsafe sexual activity of adolescents under 15 years of age  

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Full Text Available OBJETIVO: Identificar fatores associados à atividade sexual desprotegida em adolescentes femininas menores de 15 anos. MÉTODOS: Estudo observacional de corte transversal com adolescentes femininas menores de 15 anos e sexualmente ativas, atendidas em um ambulatório público de ginecologia. Os instrumentos de coleta de dados foram: entrevista semiestruturada para dados pessoais e de sexualidade, e exame clínico-laboratorial para diagnóstico de doenças sexualmente transmissíveis. Os dados foram analisados por meio de testes de frequência, de associação de variáveis com p OBJECTIVE: To identify factors associated with unprotected sexual activity in female adolescents younger than 15 years. METHODS: Observational cross-sectional trial with female teenagers less than 15 years-old and sexually active, attended at a public gynecology clinic. Instruments for data collection were: semi-structured interviews for personal data and about sexuality as well as clinical examination and laboratory tests for diagnosis of sexually transmitted diseases. Data were analyzed by testing of frequency, association of variables with p <0.05 and multiple correspondence analysis. RESULTS: One hundred adolescents between 11 and 14 years of age sexually active were interviewed and examined, 71% declared themselves black, one-third were behind in school, 80% began sexual activity before 13 years of age , 58% reported having been victims of violence in the intrafamily environment and 13% had suffered sexual abuse, 77% did not use condoms regularly and 22% had STDs. Unprotected sexual activity occurred more frequently with the first sexual intercourse before 13 years of age, commercial sexual exploitaion, multiple sexual partners, intrafamily violence and school delay, in addition to be black, to unexpected pregnancy and have STDs. CONCLUSION: The multiple violence suffered by teenagers, including structural, intrafamily and sexual, contribute to increase their vulnerabilities, early and unprotected sexual activity, as well as STDs and unexpected pregnancies. The synergy between poverty, poor education and low self-esteem reduces the chances of adolescents building self-protection mechanisms and exposes them to be victimized again outside the family environment.

Sérgio Araujo Martins Teixeira

2010-01-01

328

Lack of utility of risk score and gynecological examination for screening for sexually transmitted infections in sexually active adolescents  

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Full Text Available 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 gynecological examination. Methods A cross-sectional community-based sample of 914 15- to 19-year-old female teenagers was randomly selected and referred to the local Family Health Program. Of these, 472 (51.6% were sexually active and gynecological examinations were carried out for 427. Endocervical samples were collected to perform the polymerase chain reaction for C. trachomatis and N. gonorrhoeae. Performance of risk score, the presence of mucopurulent discharge, friability, ectopia and pain during cervical maneuver were compared with the presence of C. trachomatis or N. gonorrhoeae or both. Results The prevalence of C. trachomatis and N. gonorrhoeae was 14.5% and 2.1%, respectively. The risk score had a specificity of 31.9% (95% confidence interval, 21.2 to 44.2 and a positive predictive value of 20.8% (95% confidence interval, 13.5 to 29.7. Friability was the component of the gynecological examination that presented the best performance with a sensitivity of 43.5%, specificity of 81.0%, and 30.6% of positive predictive value. Conclusion The prevalence of infection by C. trachomatis and N. gonorrhoeae was high among these sexually active adolescents. The syndromic approach is clearly inadequate for screening and treating these infections in this population. Therefore, the implantation of other strategies to control these infections among adolescents is urgently required.

Côrtes Rejane LM

2009-03-01

329

[Adolescent males and sex life: Heterogeneous motivations related to sexual debut].  

Science.gov (United States)

This article describes male adolescents' affective history and reasons for initiating or postponing sexual activity, using interviews with 184 males ages 15 to 19 and residing in the city of São Paulo, Brazil, in 2002. Factors for sexual debut included physical attraction, curiosity, and the desire to lose their virginity, suggesting a profile similar to the male social role. Most of the virgin adolescent males justified their choice based on issues of a romantic order, such as not having found the right person or because they preferred to remain virgin until marrying. The results showed a dual social pattern, valuing the feeling of love and deliverance to the loved one, simultaneously with the pressing physical and instinctive desire for sex. Traditional patterns of masculinity, like the dissociation between sex and love, appear to be transposed to sexual debut, revealing a diversity in the ways of experiencing sexuality during adolescence, related in turn to the sexual and reproductive health of men and their partners. PMID:17187121

Borges, Ana Luiza Vilela; Schor, Néia

2007-01-01

330

Identity, peer relationships, and adolescent girls' sexual behavior: an exploration of the contemporary double standard.  

Science.gov (United States)

The idea of a sexual double standard emphasizes that men have more sexual freedom, whereas women are subject to social sanctions for the same behaviors. This research uses a sample of adolescent women to examine the social consequences of reporting a greater number of sex partners. The research explores whether there are broader social costs and feelings of low self-worth associated with a high number of sex partners, and also focuses on characteristics of the adolescents' close friends. The analyses of quantitative data (n = 600) provide support for the emphasis on the adolescents' immediate network of friends: Friends' attitudes and behaviors were significant predictors of respondents' own sexual experiences, while those reporting a higher number of sex partners did not report a lack of popularity, desire for more friends, or lower self-esteem. In-depth relationship history narratives collected from a subset of respondents (n = 46) provide additional context. Women often recognized the existence of a double standard on a societal or school level, but support or acceptance provided by the more immediate network of similarly situated friends serves as a buffer against such negative attributions. The findings suggest that programs targeting sexual behaviors should focus on how peer norms influence girls' sexual choices. PMID:20818574

Lyons, Heidi; Giordano, Peggy C; Manning, Wendy D; Longmore, Monica A

2011-09-01

331

Associated aspects to the age at sexual initiation among adolescents: a quantitative study  

Directory of Open Access Journals (Sweden)

Full Text Available

using survival analysis, we analyzed data from 363 both female and male 15 to 19 year-old adolescents enrolled in a family health unit in the east area of são paulo city. they filled a self-administered structured questionnaire at home in may 2007. results showed an statistical difference in the age of sexual initiation between women and men (15,2 and 14,3 years of age, respectively. sexual life onset showed to be an event that does not occur in a linear way during adolescence, but a gradual phenomenon that takes place from a specific age. multiple cox regression showed that variables associated to the age at sexual initiation among women were working as well as relating a non-rigid mother concerning to dating. variable associated to the age at sexual initiation among men was agreeing to the sentence “man can have sex no matter what because can’t become pregnant”. It was concluded that cultural, relational and demographical aspects can influence sexual initiation among adolescents.     

Ana Luiza Vilela Borges

2008-11-01

332

Associated aspects to the age at sexual initiation among adolescents: a quantitative study  

Directory of Open Access Journals (Sweden)

Full Text Available using survival analysis, we analyzed data from 363 both female and male 15 to 19 year-old adolescents enrolled in a family health unit in the east area of são paulo city. they filled a self-administered structured questionnaire at home in may 2007. results showed an statistical difference in the age of sexual initiation between women and men (15,2 and 14,3 years of age, respectively. sexual life onset showed to be an event that does not occur in a linear way during adolescence, but a gradual phenomenon that takes place from a specific age. multiple cox regression showed that variables associated to the age at sexual initiation among women were working as well as relating a non-rigid mother concerning to dating. variable associated to the age at sexual initiation among men was agreeing to the sentence “man can have sex no matter what because can’t become pregnant”. It was concluded that cultural, relational and demographical aspects can influence sexual initiation among adolescents.

Ana Luiza Vilela Borges

2008-09-01

333

Visão atual do abuso sexual na infância e adolescência Current view of sexual abuse in childhood and adolescence  

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Full Text Available OBJETIVO: Revisar os aspectos peculiares que envolvem o abuso sexual na infância e na adolescência, oferecendo subsídios para o diagnóstico e conduta corretos, salientando suas conseqüências a curto e longo prazo. FONTES DE DADOS: Revisão da literatura nacional e internacional através do MEDLINE e LILACS, utilizando como palavras-chave "abuso" e "violência sexual" (1988 a 2005, aliada à experiência clínica dos autores. SÍNTESE DOS DADOS: O abuso sexual tem um impacto muito grande na saúde física e mental da criança e do adolescente, deixando marcas em seu desenvolvimento, com danos que podem persistir por toda vida. Sua detecção precoce possibilita o tratamento e acompanhamento adequados, com a minimização das seqüelas. O envolvimento familiar deve ser levado em conta. Todas as distorções de relacionamento necessitam ser avaliadas e tratadas, para que se interrompa sua continuidade, que se dará no abuso intergeracional e na possibilidade de revitimização. A identificação da violência doméstica e dos sinais de alerta físicos e psicológicos para o abuso sexual fazem parte da avaliação. CONCLUSÕES: Todo pediatra precisa estar apto a decodificar os sinais e sintomas que a criança e o adolescente vítimas de abuso sexual trazem consigo. Necessita ser proficiente na escuta, no exame clínico e no tratamento. Deve estar capacitado para o manejo psicológico da situação de violência e ter conhecimento da legislação e meios de proteção legais e sociais existentes em sua comunidade, sempre necessários na assistência às vitimas de abuso sexual.OBJECTIVE: To review single aspects, which involve sexual abuse in childhood and adolescence, giving subsidies for accurate diagnosis and management, emphasizing the short and long-term consequences. SOURCES OF DATA: National and international literature review of the MEDLINE and LILACS databases, using abuse and sexual violence as keywords (1988 to 2005, in addition to the authors' theoretical and practical experiences. SUMMARY OF THE FINDINGS: Sexual abuse has a great impact on child and adolescent physical and mental health, affecting development and causing lifelong damage. Its early detection allows for adequate treatment and follow-up, with minimum consequences. Family involvement must be taken into consideration, and any kind of improper relationship should be evaluated and treated, so that it can be discouraged and eliminated; otherwise, intergenerational abuse will result and probably recur. The identification of domestic violence and of physical and psychological warning signs concerning sexual abuse is part of the general evaluation. CONCLUSIONS: Pediatricians should be able to identify the signs and symptoms sexually abused children and adolescents carry with them. They have to listen carefully to the patients, perform the necessary clinical examination and establish the proper treatment. They should also be able to deal with psychological aspects and have enough knowledge about the laws and about legal and social protection measures, which are always very useful in assisting victims of sexual violence.

Luci Pfeiffer

2005-11-01

334

Visão atual do abuso sexual na infância e adolescência / Current view of sexual abuse in childhood and adolescence  

Scientific Electronic Library Online (English)

Full Text Available SciELO Brazil | Language: Portuguese Abstract in portuguese OBJETIVO: Revisar os aspectos peculiares que envolvem o abuso sexual na infância e na adolescência, oferecendo subsídios para o diagnóstico e conduta corretos, salientando suas conseqüências a curto e longo prazo. FONTES DE DADOS: Revisão da literatura nacional e internacional através do MEDLINE e L [...] ILACS, utilizando como palavras-chave "abuso" e "violência sexual" (1988 a 2005), aliada à experiência clínica dos autores. SÍNTESE DOS DADOS: O abuso sexual tem um impacto muito grande na saúde física e mental da criança e do adolescente, deixando marcas em seu desenvolvimento, com danos que podem persistir por toda vida. Sua detecção precoce possibilita o tratamento e acompanhamento adequados, com a minimização das seqüelas. O envolvimento familiar deve ser levado em conta. Todas as distorções de relacionamento necessitam ser avaliadas e tratadas, para que se interrompa sua continuidade, que se dará no abuso intergeracional e na possibilidade de revitimização. A identificação da violência doméstica e dos sinais de alerta físicos e psicológicos para o abuso sexual fazem parte da avaliação. CONCLUSÕES: Todo pediatra precisa estar apto a decodificar os sinais e sintomas que a criança e o adolescente vítimas de abuso sexual trazem consigo. Necessita ser proficiente na escuta, no exame clínico e no tratamento. Deve estar capacitado para o manejo psicológico da situação de violência e ter conhecimento da legislação e meios de proteção legais e sociais existentes em sua comunidade, sempre necessários na assistência às vitimas de abuso sexual. Abstract in english OBJECTIVE: To review single aspects, which involve sexual abuse in childhood and adolescence, giving subsidies for accurate diagnosis and management, emphasizing the short and long-term consequences. SOURCES OF DATA: National and international literature review of the MEDLINE and LILACS databases, u [...] sing abuse and sexual violence as keywords (1988 to 2005), in addition to the authors' theoretical and practical experiences. SUMMARY OF THE FINDINGS: Sexual abuse has a great impact on child and adolescent physical and mental health, affecting development and causing lifelong damage. Its early detection allows for adequate treatment and follow-up, with minimum consequences. Family involvement must be taken into consideration, and any kind of improper relationship should be evaluated and treated, so that it can be discouraged and eliminated; otherwise, intergenerational abuse will result and probably recur. The identification of domestic violence and of physical and psychological warning signs concerning sexual abuse is part of the general evaluation. CONCLUSIONS: Pediatricians should be able to identify the signs and symptoms sexually abused children and adolescents carry with them. They have to listen carefully to the patients, perform the necessary clinical examination and establish the proper treatment. They should also be able to deal with psychological aspects and have enough knowledge about the laws and about legal and social protection measures, which are always very useful in assisting victims of sexual violence.

Luci, Pfeiffer; Edila Pizzato, Salvagni.

335

Sexual Stigma, Sexual Behaviors, and Abstinence Among Vietnamese Adolescents: Implications for Risk and Protective Behaviors for HIV, STIs, and Unwanted Pregnancy  

Digital Repository Infrastructure Vision for European Research (DRIVER)

As rates of HIV increase in Viet Nam, there is a need for data on social relations and sexual risk and protective behaviors among Vietnamese adolescents in a context of rapid social and economic changes. We report findings from our qualitative interviews with 159 Vietnamese adolescents living in Ha Noi, Nha Trang City and Ninh Hoa District and survey of 886 adolescents in these same three sites. In the qualitative interviews, youth report a strong adherence to ideals and values regarding abst...

Kaljee, Linda M.; Green, Mackenzie; Riel, Rosemary; Lerdboon, Porntip; Tho, Le Huu; Thoa, Le Thi Kim; Minh, Truong Tan

2007-01-01

336

TOMA DE DECISIONES SEXUALES Y REPRODUCTIVAS EN LA ADOLESCENCIA / ADOLESCENT DECISION-MAKING ABOUT SEXUAL AND REPRODUCTIVE ISSUES  

Scientific Electronic Library Online (English)

Full Text Available SciELO Colombia | Language: Spanish Abstract in spanish A partir de las narraciones que se obtuvieron a través de entrevistas en profundidad con 48 mujeres adolescentes y 24 hombres en Bogotá y Cali, se identificaron las cogniciones -conocimientos, normas, creencias, actitudes, valoraciones, expectativas, metas y significados construidas en el contexto s [...] ociocultural, que guían las decisiones de los y las jóvenes acerca de establecer relaciones románticas, tener relaciones sexuales, usar métodos de planificación familiar, unirse o casarse, embarazarse o abortar. Además, se establecieron los estilos de toma de decisiones de las adolescentes y sus parejas. Los resultados permitieron derivar recomendaciones para el desarrollo de programas de educación sexual que incluyan a los distintos agentes de socialización. Abstract in english 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 Bogotá 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.

VARGAS TRUJILLO, ELVIA; HENAO, JUANITA; GONZÁLEZ, CONSTANZA.

337

Association of pulmonary function with adiposity and metabolic abnormalities in urban minority adolescents.  

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Rationale: Childhood obesity is a known risk factor for pulmonary diseases, likely due to obesity-mediated alteration of pulmonary function. Inflammation and mechanical fat load are two proposed causative mechanisms for altered pulmonary function among obese children; however, the association of metabolic abnormalities with pulmonary function among children is poorly understood. Objectives: We investigated the independent association of truncal and general adiposity and metabolic abnormalities with pulmonary function in a sample of urban minority adolescents. Methods: Spirometry and lung volume indices were compared between adolescents with general (body mass index [BMI] > 95th percentile) or truncal adiposity (waist circumference > 90th percentile) and normal-weight (BMI < 85th percentile or waist circumference ? 90th percentile) and between those with metabolic abnormalities (homeostatic model assessment of insulin resistance [HOMA-IR] in the top quartile or high-density lipoprotein [HDL] < 40 mg/dl) and those with a normal metabolic profile. Measurements and Main Results: Obese adolescents had lower lung volumes, including residual volume (RV), RV/TLC ratio, expiratory reserve volume (ERV), and FRC, and higher inspiratory capacity (IC) than normal-weight adolescents, but did not differ in measures of lower airway obstruction, FEV1/FVC ratio, and mid-expiratory flow rate. Adolescents with high HOMA-IR had lower FEV1/FVC ratio, RV, RV/TLC ratio, ERV, and FRC and higher IC, whereas those with low HDL had lower FEV1/FVC and RV/TLC ratios. After adjusting for adiposity, HOMA-IR remained a predictor of ERV (? = -1.4; P = 0.02) and FEV1/FVC ratio (? = -0.5; P = 0.03), and HDL remained a predictor of FEV1/FVC ratio (? = 0.1; P = 0.01). General adiposity was a predictor of FRC (? = -0.5; P < 0.001), IC (? = 0.3; P < 0.001), RV (? = -0.8; P < 0.0001), and RV/TLC ratio (? = -0.2; P < 0.0001), and truncal adiposity was a predictor of RV (? = -20.3; P = 0.03) and FRC (? = -13.8; P = 0.004). Thus, adiposity and metabolic abnormalities were independent predictors of ERV, but only metabolic abnormalities independently predicted FEV1/FVC ratio. Although general adiposity predicted RV and RV/TLC ratio, truncal adiposity was predictive of RV and FRC, conferring additional risk above general adiposity. Conclusions: These results suggest that metabolic abnormalities and adiposity are independently associated with pulmonary function deficits among urban adolescents. Metabolic assessment of obese adolescents may identify those at risk of developing obesity-associated pulmonary morbidity. PMID:24785169

Rastogi, Deepa; Bhalani, Kshitij; Hall, Charles B; Isasi, Carmen R

2014-06-01

338

Predicting sexual assault kit submission among adolescent rape cases treated in forensic nurse examiner programs.  

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Following a sexual assault, victims are usually advised to have a medical forensic exam and sexual assault forensic exam kit (SAK). Once completed, the SAK is to be transported by law enforcement to the crime lab for analysis. However, many kits are never transported to the crime lab, thereby preventing forensic evidence obtained in the kit to be used during the prosecutorial process. The current study examined rates of SAK submission for 393 adolescent sexual assault cases in two Midwestern communities and explored what factors predicted law enforcement officers' submission of SAKs to the crime lab for analysis. Findings reveal that more than 40% of the adolescent cases did not have their SAK submitted, and several factors, including the age and race of the victim, the number of perpetrators in the assault, and the number of assaultive acts, predicted SAK submission. Implications for SAK community protocols are discussed. PMID:24097906

Shaw, Jessica; Campbell, Rebecca

2013-12-01

339

Using edutainment to reach sexual minority people : HIV and rights awareness for the LGBT community in South Africa  

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This publication discusses using edutainment to reach sexual minority people. Organizations working for and within the LGBT community are responding with increasingly creative and innovative strategies. The Gay and Lesbian Archives of South Africa (GALA) and Community Media for Development/CMFD Productions, both based in Johannesburg, have recently initiated two multidisciplinary communications projects that are raising awareness and discussion around LGBT rights, health and HIV/AIDS.

Graham, T.

2006-01-01

340

Negotiating the Confluence: Middle-Eastern, Immigrant, Sexual-Minority Men and Concerns for Learning and Identity  

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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 analyzed by the authors using qualitative case analysis. The data highlights the unmet expectations for life as a new immigrant, as well as the...

Eichler, Matthew A.; Mizzi, Robert C.

2013-01-01

 
 
 
 
341

Sexual Relationship Power, Intimate Partner Violence, and Condom Use among Minority Urban Girls  

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This study examined the association between sexual relationship power, intimate partner violence, and condom use among African American and Hispanic urban girls. In this sample of 56 sexually active girls, 50% did not use condoms consistently and therefore were at higher risk for acquiring HIV or sexually transmitted diseases (STDs). Teens who…

Teitelman, Anne M.; Ratcliffe, Sarah J.; Morales-Aleman, Mercedes M.; Sullivan, Cris M.

2008-01-01

342

Pathways to Sexual Risk Taking among Female Adolescent Detainees  

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Sexual risk taking among female delinquents represents a significant public health problem. Research is needed to understand the pathways leading to sexual risk taking among this population. This study sought to address this issue by identifying and testing two pathways from child maltreatment to non-condom use among 329 White and 484 African…

Lopez, Vera; Kopak, Albert; Robillard, Alyssa; Gillmore, Mary Rogers; Holliday, Rhonda C.; Braithwaite, Ronald L.

2011-01-01

343

Adolescent Cognitive Abilities and Implications for Sexual Decision-Making.  

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Recently there has been concern about the apparent explosion of sexual activity among unmarried teenagers. Social policy planners have usually recommended sex education, often offered through the schools, as a means for reducing teenage pregnancy, sexually transmitted diseases, and abortion. Unfortunately there is continuing evidence that…

Franz, Wanda

344

The Influence of Contraception on Adolescent Sexual Behavior.  

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Effective birth control is needed to combat adolescent pregnancy which is a major health and social problem, the adverse consequences of which have been well-documented along a variety of dimensions. A significant obstacle to the provision of birth control services to teenagers is the belief that such services will encourage adolescent coital…

Reichelt, Paul A.

345

A profile of sexually active male adolescent high school students in Lima, Peru Perfil de los adolescentes varones sexualmente activos en colegios secundarios de Lima, Peru  

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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...

2000-01-01

346

Pre-marital sexual debut and its associated factors among in-school adolescents in eastern Ethiopia  

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Full Text Available Abstract Background More adolescents in Ethiopia are in school today than ever, but few studies have assessed the sexual behaviour of these learners. Thus, this study tried to assess pre-marital sexual debut and factors associated with it among in-school adolescents in Eastern Ethiopia. Methods A cross-sectional school-based study was conducted using a facilitator guided selfadministered questionnaire. Respondents were students attending regular school classes in fourteen high schools. The proportion of adolescents involved in pre-marital sexual debut and the mean age at sexual debut was computed. Factors associated with pre-marital sexual debut were assessed using bivariate and multivariable logistic regression. Results About one in four, 686 (24.8% never married in-school adolescent respondents reported pre-marital sexual debut of these 28.8% were males and 14.7% were females (p? Conclusion A significant proportion of in-school adolescents were engaged in sexual relationship. Thus, public health interventions should consider the broader determinants of premarital sexual debut, including the ecological factors in which the behavior occurs.

Oljira Lemessa

2012-05-01

347

We Need Health Information Too: A Systematic Review of Studies Examining the Health Information Seeking and Communication Practices of Sexual Minority Youth  

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Objective: To systematically review literature focused on the health information seeking practices of sexual minority youth (SMY), those youth who identify as lesbian, gay or bisexual. The aims of this systematic

Rose, India D.; Friedman, Daniela B.

2013-01-01

348

Comparison of Sexual problems in Intellectually Disabled and Normal Adolescent Girls in the Puberty Period  

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Full Text Available Introdution: People with intellectual disability are similar to normal people with regards to their sexual needs. The aim of the present research was to compare sexual problems in mentally retarded and normal adolescents girls aged between 12– 15 years in Tehran. Methods: This analaytical and cross- sectional research included 90 cases of EMR and 90 cases of normal girls who were chosen by the cluster random sampling method. The statistical tests included Independent t-test, Chi-square,Spearman and Pearson coefficient tests. Results: The result of the present research indicated that the sexual problems in the EMR Girls was more than normal girls and there was no correlation between the sexual problems and variable demography. Conclusion: EMR girls with low IQ and adjustment behavior disorder have more problems as compared to normal girls and these can lead to additional problems for themselves and their family.

L Akrami

2011-03-01

349

From intervention to invitation: reshaping adolescent sexual health through story telling and games.  

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The University of Chicago and the University of Ibadan in Nigeria have partnered to exchange innovative insights into the sexual and reproductive health of disadvantaged populations in Chicago and Nigeria. Youth in both Chicago and Nigeria face disproportionately high rates of mortality and morbidity due to poor sexual and reproductive health. Traditional models have fallen short of the needs of these youth, so the University of Chicago is seeking to reframe and retool adolescent sexual health education. Game Changer Chicago is an initiative that incorporates digital storytelling, new media, and game design to conduct workshops with youth around issues of sexuality and emotional health. Based on the success of storytelling and digital media programs in Nigeria and the success of Game Changer Chicago, we believe this model holds promise for implementation in Nigeria and other sub-Saharan countries PMID:22916551

Gilliam, Melissa; Orzalli, Sarah; Heathcock, Stephen; Sutherland, Elisabeth; Jagoda, Patrick; Menendez, Alicia; Ojengbede, Oladosu

2012-06-01

350

The Effects of Neighborhood Proportion of Single-Parent Families and Mother-Adolescent Relationships on Adolescents' Number of Sexual Partners.  

Science.gov (United States)

Using both individual-level and census-level data, this study predicts the number of sexual partners reported by male and female adolescents from the quality of their mother relationship and neighborhood proportion of single-parent families. Both predictors were associated with number of sexual partners for both males and females in OLS analyses.…

Cleveland, H. Harrington; Gilson, Michael

2004-01-01

351

Primary healthcare providers' views on improving sexual and reproductive healthcare for adolescents in Bolivia, Ecuador, and Nicaragua  

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Objectives: To elicit the views of primary healthcare providers from Bolivia, Ecuador, and Nicaragua on how adolescent sexual and reproductive health (ASRH) care in their communities can be improved.

2013-01-01

352

/ Sexual exploitation and labor during adolescence: A case study / Exploração sexual e trabalho na adolescência: Um estudo de caso  

Scientific Electronic Library Online (English)

Full Text Available SciELO Colombia | Language: Spanish Abstract in portuguese O presente artigo teve como foco a exploração sexual percebida como trabalho, com delineamento de estudo de caso único. O objetivo foi investigar o caso de uma menina de 14 anos, em situação de exploração sexual comercial, que informava em uma entrevista semi-estruturada, ser esta a sua atividade la [...] boral. Foram levantadas categorias relacionadas aos fatores de risco e de proteção na vida da jovem, especialmente relacionados ao trabalho. Constatou-se que a jovem percebia a atividade como um trabalho que lhe proporcionava autonomia, subsistência e sobrevivência. No entanto, os efeitos negativos da exploração sexual e de sua percepção desta como atividade laboral eram evidentes sobre sua saúde e seu desenvolvimento. O trabalho juvenil pode ser considerado um fator de risco, como no presente estudo de caso, principalmente quando as condições laborais não se dão de forma adequada e protegida. Abstract in spanish [...] Abstract in english 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.

LUCIANA, DUTRA-THOMÉ; ELDER, CERQUEIRA SANTOS; SILVIA HELENA, KOLLER.

353

Clinical features and risk factors related with suicide attempts in sexually abused children and adolescents  

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Full Text Available 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 abused cases, 83.4 % were girls and 16.6 % were boys. The psychiatric diagnosis rate at the time of admission to hospital was 87.9%. Post-traumatic stress disorder (PTSD (36.9 % was the most common psychiatric diagnosis among the victims. 22 patients (14 % had attempted suicide after the sexual abuse. Forced vaginal-anal or oral penetration, depressive disorder, and PTSD significantly increased the risk of suicide attempts. (in order OR: 3.24, 4.05, 6.78, p= 0.045, 0.03, 0.004 respectively.Conclusion: Most of the sexual abused children had psychiatric disorders. The most common disorder was PTSD. Thus, the risks of suicide must be handled and interventions should be planned on this basis.

Sebla GÖKÇE ?MREN

2013-01-01

354

Conocimientos y prácticas en salud sexual y reproductiva de adolescentes escolares en un municipio colombiano / Adolescents’ sexual and reproductive health knowledge and Practice in a provincial Colombian town  

Scientific Electronic Library Online (English)

Full Text Available SciELO Public Health | Language: Spanish Abstract in spanish Objetivo: Identificar los conocimientos y prácticas en salud sexual y reproductiva de adolescentes del municipio de Miranda - Cauca en Colombia. Métodos: Se realizó un estudio observacional descriptivo de corte transversal. La muestra fue de 406 adolescentes. Se exploraron variables en tres áreas o [...] categorías: sociodemográficas, de conocimiento y de prácticas. Resultados: Se presentaron conocimientos en niveles altos y muy alto, donde 90,5 % de adolescentes habían recibido información sobre sexo y embarazo. La mayor fuente de información proviene de parte de los padres (67,5 %). Para el 26,7 % (107) de los adolescentes el sexo seguro significa solo usar preservativo. En cuanto a las practicas en sexualidad: 42 % expresaron haber tenido relaciones sexuales, con edad de inicio promedio de 13 años. El condón se presenta como el mecanismo de protección más utilizado. El uso de sustancias psicoactivas o licor para intensificar las experiencias sexuales fue afirmativo en 12,5 % . 87,7 % afirman que en caso de tener una infección de transmisión sexual (ITS) buscarían consejo o tratamiento en el hospital o centro de salud sin acudir a sus padres. Conclusiones: Los adolescentes presentan conocimientos en niveles altos, más éste conocimiento no es suficiente para impedir que inicien su vida sexual tempranamente y/o aumenten la probabilidad de usar condón o anticonceptivos cuando empiezan sus relaciones sexuales. Abstract in english Objective: Identifying the sexual and reproductive health knowledge and practice of adolescents living in the town of Miranda in the Cauca department of Colombia. Methods: Across-sectional, descriptive, observational study was made. The sample involved 406 adolescents. Sociodemographic, knowledge-re [...] lated and practice-based variables were explored. Results: The adolescents had high and very high levels of knowledge; 90.5 % of the adolescents had received information about sex and pregnancy; the main source of information came from their parents (67.5 %). Safe sex for 26.7 % of the adolescents meant just using a condom. Regarding their sexuality (practice), 42 % stated that they had had sexual relationships, beginning on average when around13-years-old. Condom use was the most used protection mechanism. 12.5 % stated that they had used psychoactive substances or alcohol to intensify sexual experience; 87.7 % stated that they would seek counselling or treatment in a hospital or health centre without telling their parents if they contracted a sexually- transmitted infection (STI). Conclusions: The adolescents involved in this study had high levels of knowledge; however, such knowledge is not enough to stop them beginning their sexual life early and/or increasing the probability of using a condom or contraceptive when beginning their sexual relationships.

Herney A., Rengifo-Reina; Alexandra, Córdoba-Espinal; Mayerlin, Serrano-Rodriguez.

355

Changing patterns of adolescent sexual behavior: consequences for health and development.  

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Sexuality is a fundamental quality of human life, important for health, happiness, individual development, and indeed for the preservation of the human race. During the dynamic period of adolescence in which the passage from childhood to maturity takes place, sexuality takes on new dimensions; feelings become more intense, relationships become more complex, and the consequences of sexual behavior are radically altered. This not only affects the behavior of young people but also of those who interact with them, their families and peers, and those who work in the health, education, youth, social welfare, and other sectors. In the contemporary world the conditions of life for many young people have also changed, and with it patterns of sexual behavior. In general, earlier puberty, later marriage, a decline in the family leading to less control and more autonomy, and intense exposure to sexual stimuli via the mass media and travel across cultural boundaries have made pre-marital adolescent sexual activity more common. This has added to traditional problems of early marriage, newer problems of early pregnancy, childbirth, and induced abortion outside of marriage, sexually transmitted diseases, and human immunodeficiency syndrome infection leading to acquired immunodeficiency syndrome. But the work of the World Health Organization (WHO), along with many others in the field, strongly suggests that given appropriate information and services, trust and equity between the sexes, young people will behave responsibly and well. In this paper some of the findings from methods developed by WHO for research, training, advocacy, and evaluation, and findings in relation to patterns and determinants of sexual and reproductive health and development will be described, and future directions suggested. PMID:1390784

Friedman, H L

1992-07-01

356

Reasons for delaying or engaging in early sexual initiation among adolescents in Nigeria  

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Background Annually, over 1 million births in Nigeria are to teenage mothers. Many of these pregnancies are unwanted and these mothers are also exposed to the risk of human immunodeficiency virus (HIV) infection. Sexual abstinence is a critical preventative health strategy. Several quantitative studies in Nigeria have identified the correlates and determinants of early sex, yet few have explored in depth the underlying reasons for early sex. This paper explores both the key factors that motivate some unmarried young people to engage in early sex and reasons why some delay. Methods This qualitative study was based on data from 30 focus group discussions held with unmarried 14- to 19-year-olds in four geographically and culturally dispersed Nigerian states. Focus groups were stratified by sexual experience to capture variations among different subgroups. Results Several reasons for early premarital sex were identified. The “push” factors included situations where parents exposed young female adolescents to street trading. “Pull” factors, particularly for males, included the pervasive viewing of locally produced movies, peer pressure and, for females, transactional sex (where adolescent girls exchange sex for gifts, cash, or other favors). Also noted were overtly coercive factors, including rape. There were also myths and misconceptions that “justified” early sexual initiation. Reasons cited for delay included religious injunction against premarital sex; disease prevention (especially HIV/acquired immunodeficiency syndrome); fear of pregnancy, and linked to this, the fear of dropping out of school; and, for females, the fear of bringing shame to the family, which could lead to their inability to get a “good” husband in the future. Conclusion The differences observed between sexually active and abstinent adolescents were that the latter were more confident, had greater determination, and, most important, deployed refusal skills to delay first sex. Health promoters need to focus attention on educating adolescents in the skills needed to delay sexual debut.

Ankomah, Augustine; Mamman-Daura, Fatima; Omoregie, Godpower; Anyanti, Jennifer

2011-01-01

357

Using the Primary Socialization Theory to Predict Substance Use and Sexual Risk Behaviors Between Black and White Adolescents  

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Using the Primary Socialization Theory (PST), we examined substance use and sexual risk-taking behaviors between Black (N = 1,464) and White (N = 3,946) adolescents in the National Longitudinal Study of Adolescent Health, Wave 1, public use (Add Health). Self-reported substance use and sexual risk-taking behaviors, PST constructs, and covariates were assessed using regression modeling techniques. Black youth were more likely to initiate sex, while White youth were more likely to report lifeti...

Francis, Shelley A.; Thorpe, Roland J.

2010-01-01

358

Sexual Relationship Power, Intimate Partner Violence, and Condom Use Among Minority Urban Girls  

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This study examined the association between sexual relationship power, intimate partner violence, and condom use among African American and Hispanic urban girls. In this sample of 56 sexually active girls, 50% did not use condoms consistently and therefore were at higher risk for acquiring HIV or sexually transmitted diseases (STDs). Teens who experienced more intimate partner violence had a significantly higher likelihood of inconsistent condom use and therefore a greater risk for HIV/STDs. ...

2008-01-01

359

Social norms of sexual initiation among adolescents and gender relations Normas sociales de iniciación sexual entre adolescentes y relaciones de género Normas sociais de iniciação sexual entre adolescentes e relações de gênero  

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This study aimed to identify standards and expectations regarding sexual initiation of 14 to 18 year-old adolescents in Sao Paulo, SP, Brazil, using data from four focal groups conducted in 2006. Results revealed that gender issues are clearly present in participants' reports and showed to be essential in their choices about the moment, partners and contraceptive practices in the first sexual relation. Adolescents are subordinated to gender roles, traditionally attributed to male and female g...

Ana Luiza Vilela Borges; Eunice Nakamura

2009-01-01

360

Psychogenic Amnesia for Childhood Sexual Abuse and Risk for Sexual Revictimisation in Both Adolescence and Adulthood  

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This study was an investigation of the additional risk conferred by the experience of psychogenic amnesia for memories of childhood sexual abuse (CSA) on the likelihood of becoming a victim of sexual assault in later life. A total of 210 community respondents completed a retrospective web-based trauma survey. The majority of respondents were…

Wager, Nadia

2012-01-01

 
 
 
 
361

The prevalence of physical, sexual and mental abuse among adolescents and the association with BMI status  

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Full Text Available 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 examined the association of these abuse subtypes with BMI status. Methods In total, data of 51,856 secondary school students aged 13–16 who had completed a questionnaire on health, well-being and lifestyle were used. BMI was classified into four categories, underweight, normal weight, overweight and obesity. Adolescents reported if they had ever been physically, sexually or mentally abused. Crude and adjusted General Estimation Equation (GEE analyses were performed to investigate the association between abuse subtypes and BMI status. Analyses were adjusted for ethnicity and parental communication, and stratified for gender and educational level. Results Eighteen percent of the adolescents reported mental abuse, 7% reported sexual abuse, and 6% reported physical abuse. For underweight, overweight and obese adolescents these percentages were 17%, 25%, and 44%; 7%, 8%, and 16%; and 6%, 8%, 18% respectively. For the entire population, all these subtypes of abuse were associated with being overweight and obese (OR=3.67, 1.79 and 1.50 and all but sexual abuse were associated with underweight (OR=1.21 and 1.12. Stratified analyses showed that physical and sexual abuse were significantly associated with obesity among boys (OR=1.77 and 2.49 and among vocational school students (OR=1.60 and 1.69, and with underweight among girls (OR=1.26 and 0.83. Conclusion Mental abuse was reported by almost half of the obese adolescents and associated with underweight, overweight and obesity. Longitudinal analyses are recommended to explore the causality of and the mechanisms explaining this association between abuse and overweight.

Veldwijk Jorien

2012-10-01

362

The adolescent sexual world and AIDS prevention: a democratic approach to programme design in Zimbabwe.  

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The main aim of this study was to redress the under-representation of adolescent attitudes in AIDS prevention programme design and to discuss the implications of a democratic sexuality education approach within a health promotion context. The study surveyed the attitudes of adolescents (average age 16 years) on sex-related topics such as culture, marriage, sexual behaviour and sex education, identified similarities and differences in attitudes according to gender and socio-economic environments, and examined sources of students' knowledge of selected sex-related topics. Questionnaires were completed by 3429 secondary school students from different backgrounds. Findings showed significant differences in attitude related to gender and socio-economic settings and also in sources of information. The study drew on a democratic sexuality education approach. Using this approach, adolescents review ideological perspectives and decide which are most appropriate for them as guides in making decisions about their own lives. This type of education is fully consistent with the principles of democratic living and gives guidance to teenagers who are trying to decide how to live a healthy life. Study results suggest that programmers would be well advised to collect information from the adolescents' psycho-social-economic environment and link it with good governance and civil society strategies in developing AIDS prevention programmes that involve the adolescent in making lifestyle decisions. To achieve a more supportive environment for AIDS prevention, this approach can link adolescent attitudes and health promotion action to advocate for public policy reform, gender equality, multi-dimensional partnerships and social marketing. PMID:11356751

Schatz, P; Dzvimbo, K P

2001-06-01

363

Enhancing School Engagement in At-Risk, Urban Minority Adolescents through a School-Based, Adult Mentoring Intervention  

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The current study investigated whether a 5-month, adult mentoring intervention delivered by school personnel could enhance the school engagement of ninth grade urban minority adolescents. Compared to 20 at-risk students who did not receive an intervention, 20 at-risk students who were randomly assigned to mentoring exhibited significantly less…

Holt, Laura J.; Bry, Brenna H.; Johnson, Valerie L.

2008-01-01

364

Gender nonconformity, perceived stigmatization, and psychological well-being in Dutch sexual minority youth and young adults: a mediation analysis.  

Science.gov (United States)

Dutch sexual minority youth and young adults (106 females and 86 males, 16-24 years old) were assessed to establish whether there was a relation between gender nonconformity and psychological well-being and whether this relation was mediated by perceived experiences of stigmatization due to perceived or actual sexual orientation and moderated by biological sex. The participants were recruited via announcements on Dutch LGBTQ-oriented community websites and then linked to a protected online questionnaire. The questionnaire was used to measure gender nonconformity, perceived experiences of stigmatization, and psychological well-being. Gender nonconformity was found to predict lower levels of psychological well-being and the mediation analysis confirmed that lower levels of psychological well-being were related to the perceived experiences of stigmatization. This mediation was not moderated by biological sex. These findings show that both research and interventions should pay more attention to gender nonconformity among young people in order to create a more positive climate for young sexual minority members. PMID:23358856

Baams, Laura; Beek, Titia; Hille, Helene; Zevenbergen, Felice C; Bos, Henny M W

2013-07-01

365

Relações de gênero e iniciação sexual de mulheres adolescentes Relaciones de genero e iniciación sexual de mujeres adolescentes Gender relations and sexual initiation among adolescent women  

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Full Text Available Trata-se de estudo transversal conduzido com 222 adolescentes mulheres, entre 15 e 19 anos de idade, moradoras da área de uma unidade de saúde da família na zona leste da cidade de São Paulo, cujo objetivo foi descrever as motivações para iniciar ou não a vida sexual e os fatores associados a tal evento. As adolescentes que já haviam iniciado a vida sexual eram mais velhas, não coabitavam com os pais, estavam ausentes do sistema educacional, habitavam domicílios ocupados e namoravam em maior proporção do que as sem experiência sexual. Observou-se também que, na opinião das entrevistadas, a iniciação sexual, independente do matrimônio, pareceu ser aceita, mas foi largamente relatado o desejo da existência de vínculo afetivo-amoroso com o parceiro da primeira prática sexual, reforçando que o tradicional papel atribuído à sexualidade feminina, pelas relações de gênero, ainda forma a base do comportamento sexual dessas garotas.Se trata de un estudio transversal conducido con 222 adolescentes mujeres, entre 15 e 19 años de edad, moradoras del área de una unidad de salud de la familia en la zona leste de la ciudad de São Paulo, cuyo objetivo fue describir las motivaciones para iniciar o no la vida sexual y los factores asociados a tal evento. Las adolescentes que ya habían iniciado la vida sexual eran mayores, no cohabitaban con los padres, estaban ausentes del sistema educacional, habitaban domicilios ocupados y enamoraban en mayor proporción de lo que las sin experiencia sexual. Se observó también que, en la opinión de las entrevistadas, la iniciación sexual, independiente del matrimonio, pareció ser acepta, pero fue largamente relatado el deseo de la existencia del vínculo afectivo-amoroso con la pareja de la primera práctica sexual, reforzando que el tradicional papel atribuido a la sexualidad femenina, por las relaciones de genero, aún forma la base del comportamiento sexual de esas chicas.This is a cross-sectional study con-ducted with 222 15 to 19 year-old female adolescents who lived in the area of a family health unit in the East part of the city of São Paulo. The aim was to describe their motivation for starting sexual life or remaining virgin, as well as the associated factors to the onset of sexual life. The girls that had already initiated their sexual life were older, did not cohabitate with both parents, were out of school, lived in illegally-occupied houses and were dating in a higher proportion than the virgin ones. It was also observed a decrease in the value of virginity, but the first intercourse independently of marriage seemed to be acceptable only when there was a romantic relationship with the partner, showing that traditional gender relations continue to be the basis for those girls' sexual behavior.

Ana Luiza Vilela Borges

2007-12-01

366

Relações de gênero e iniciação sexual de mulheres adolescentes / Gender relations and sexual initiation among adolescent women / Relaciones de genero e iniciación sexual de mujeres adolescentes  

Scientific Electronic Library Online (English)

Full Text Available SciELO Brazil | Language: Portuguese Abstract in portuguese Trata-se de estudo transversal conduzido com 222 adolescentes mulheres, entre 15 e 19 anos de idade, moradoras da área de uma unidade de saúde da família na zona leste da cidade de São Paulo, cujo objetivo foi descrever as motivações para iniciar ou não a vida sexual e os fatores associados a tal ev [...] ento. As adolescentes que já haviam iniciado a vida sexual eram mais velhas, não coabitavam com os pais, estavam ausentes do sistema educacional, habitavam domicílios ocupados e namoravam em maior proporção do que as sem experiência sexual. Observou-se também que, na opinião das entrevistadas, a iniciação sexual, independente do matrimônio, pareceu ser aceita, mas foi largamente relatado o desejo da existência de vínculo afetivo-amoroso com o parceiro da primeira prática sexual, reforçando que o tradicional papel atribuído à sexualidade feminina, pelas relações de gênero, ainda forma a base do comportamento sexual dessas garotas. Abstract in spanish Se trata de un estudio transversal conducido con 222 adolescentes mujeres, entre 15 e 19 años de edad, moradoras del área de una unidad de salud de la familia en la zona leste de la ciudad de São Paulo, cuyo objetivo fue describir las motivaciones para iniciar o no la vida sexual y los factores asoc [...] iados a tal evento. Las adolescentes que ya habían iniciado la vida sexual eran mayores, no cohabitaban con los padres, estaban ausentes del sistema educacional, habitaban domicilios ocupados y enamoraban en mayor proporción de lo que las sin experiencia sexual. Se observó también que, en la opinión de las entrevistadas, la iniciación sexual, independiente del matrimonio, pareció ser acepta, pero fue largamente relatado el deseo de la existencia del vínculo afectivo-amoroso con la pareja de la primera práctica sexual, reforzando que el tradicional papel atribuido a la sexualidad femenina, por las relaciones de genero, aún forma la base del comportamiento sexual de esas chicas. Abstract in english This is a cross-sectional study con-ducted with 222 15 to 19 year-old female adolescents who lived in the area of a family health unit in the East part of the city of São Paulo. The aim was to describe their motivation for starting sexual life or remaining virgin, as well as the associated factors t [...] o the onset of sexual life. The girls that had already initiated their sexual life were older, did not cohabitate with both parents, were out of school, lived in illegally-occupied houses and were dating in a higher proportion than the virgin ones. It was also observed a decrease in the value of virginity, but the first intercourse independently of marriage seemed to be acceptable only when there was a romantic relationship with the partner, showing that traditional gender relations continue to be the basis for those girls' sexual behavior.

Borges, Ana Luiza Vilela.

367

Testing a Model of Minority Identity Achievement, Identity Affirmation and Psychological Well-Being among Ethnic Minority and Sexual Minority Individuals  

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How is social identity related to psychological well-being among minority individuals? Drawing on developmental models of identity formation (e.g., Erikson, 1968) and on Social Identity Theory (Tajfel & Turner, 1979), we tested a conceptual model examining links between two key aspects of social identity and psychological well-being. We proposed that the association between identity achievement (exploring and understanding the meaning of one’s identity) and psychological well-being is media...

2011-01-01

368

Prior Victimization and Sexual and Contraceptive Self-Efficacy among Adolescent Females under Child Protective Services Care  

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Adolescent females under Child Protective Services care in Quebec, Canada (n = 328) completed a questionnaire designed to explore associations between prior victimization (childhood sexual abuse and four forms of dating violence) and four dimensions of sexual and contraceptive self-efficacy. Five MANCOVAs were performed. In each model, a…

Hovsepian, S. Lory; Blais, Martin; Manseau, Helene; Otis, Joanne; Girard, Marie-Eve

2010-01-01

369

Adolescents' Experiences of Sexual Assault by Peers: Prevalence and Nature of Victimization Occurring within and outside of School  

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This study examined adolescent peer-on-peer sexual assault victimization occurring within and outside school. The sample consisted of 1,086 7th through 12th grade students, with a mean age of 15. Most of the respondents were White (54%) or Black (45%), and approximately half of respondents were female (54%). A modified version of the Sexual…

Young, Amy M.; Grey, Melissa; Boyd, Carol J.

2009-01-01

370

The Education of Eros: A History of Education and the Problem of Adolescent Sexuality. Studies in Curriculum Theory Series  

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"The Education of Eros: is the first and only comprehensive history of sexuality education and the "problem" of adolescent sexuality from the mid-20th century to the beginning of the 21st. It explores how professional health educators, policy makers, and social and religious conservatives differed in their approaches, and battled over what gets…

Carlson, Dennis L.

2012-01-01

371

Sex Differences in Associations of School Connectedness with Adolescent Sexual Risk-Taking in Nova Scotia, Canada  

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Background: Associations of lower school connectedness have been seen with adolescent sexual risk behaviors, but little is known about gender differences with respect to these relationships. Understanding any such differences could contribute to better supporting the school environment to promote youth sexual health. Methods: We used provincially…

Langille, Donald B.; Asbridge, Mark; Azagba, Sunday; Flowerdew, Gordon; Rasic, Daniel; Cragg, Amber

2014-01-01

372

Child Sexual Abuse and Its Relationship with Health Risk Behaviors among Rural Children and Adolescents in Hunan, China  

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Objective: The current study was designed to explore the prevalence of child sexual abuse (CSA) and its association with health risk behaviors (i.e., smoking, alcohol use, binge drinking, suicidal ideation, and suicide attempt) among rural children and adolescents in China. Methods: A sample of 683 rural children and adolescents (8 to 18 years of…

Lin, Danhua; Li, Xiaoming; Fan, Xinghua; Fang, Xiaoyi

2011-01-01

373

The GIG: An Innovative Intervention To Prevent Adolescent Pregnancy and Sexually Transmitted Infection in a Latino Community.  

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In Los Angeles County, the GIG intervention offers education to adolescents about pregnancy and sexually transmitted infections at a social event geared to the youth culture. Pre- and posttests completed by 609 Latino adolescents indicated an increase in knowledge and attitude changes. Use of peer educators was an important component of program…

de Anda, Diane

2002-01-01

374

Factors That Influence Communication about Sexuality between Parents and Adolescents in the Cultural Context of Mexican Families  

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Sexually transmitted infections and unplanned pregnancy among adolescents are important public health issues that can be tackled through the implementation of effective education strategies. Previous studies have documented the importance and effectiveness of parents as primary educators for their adolescents. A qualitative study based on grounded…

Rouvier, Mariel; Campero, Lourdes; Walker, Dilys; Caballero, Marta

2011-01-01

375

Health and Human Services Funding for Abstinence Education, Education for Teen Pregnancy and HIV/STD Prevention, and Other Programs that Address Adolescent Sexual Activity.  

Science.gov (United States)

Over the past few decades, policymakers as well as the general public have become increasingly concerned about the prevalence of sexual intercourse among adolescents and the associated rates of teenage pregnancy and sexually transmitted diseases (STDs) am...

2009-01-01

376

Developmental Relations and Patterns of Change Between Alcohol Use and Number of Sexual Partners From Adolescence Through Adulthood  

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This study explored two unanswered questions regarding the role of alcohol use in sexual behavior. The first concerns whether alcohol use temporally precedes and predicts changes in sexual behavior assessed as the number of sexual partners, whether the reverse pattern holds, or whether the association reflects a common, external cause. Second, this study assessed whether associations between these behaviors change as adolescents transition to adulthood. These questions were addressed using a ...

Dogan, Shannon J.; Stockdale, Gary D.; Widaman, Keith F.; Conger, Rand D.

2010-01-01

377

“Group sex” parties and other risk patterns: A qualitative study about the perceptions of sexual behaviors and attitudes of adolescents in Soweto, South Africa  

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This study explored perceptions about sexual behaviors and attitudes of adolescents living in Soweto, Johannesburg, South Africa, from the perspective of parents, counselors and adolescents. A qualitative methodology was applied. Nine focus group discussions (FGDs) were held; three with parents of adolescents, two with counselors who work with adolescents, two with female adolescents aged 16-18 years and two with male adolescents aged 16-18 years. In total, 80 participants were recruited from...

Dietrich, Janan; Khunwane, Mamakiri; Laher, Fatima; Bruyn, Guy; Sikkema, Kathleen J.; Gray, Glenda

2011-01-01

378

Predictors of parent-adolescent communication in post-apartheid South Africa: a protective factor in adolescent sexual and reproductive health.  

Science.gov (United States)

In the HIV context, risky sexual behaviours can be reduced through effective parent-adolescent communication. This study used the Parent Adolescent Communication Scale to determine parent-adolescent communication by ethnicity and identify predictors of high parent-adolescent communication amongst South African adolescents post-apartheid. A cross-sectional interviewer-administered survey was administered to 822 adolescents from Johannesburg, South Africa. Backward stepwise multivariate regressions were performed. The sample was predominantly Black African (62%, n = 506) and female (57%, n = 469). Of the participants, 57% (n = 471) reported high parent-adolescent communication. Multivariate regression showed that gender was a significant predictor of high parent-adolescent communication (Black African OR:1.47, CI: 1.0-2.17, Indian OR: 2.67, CI: 1.05-6.77, White OR: 2.96, CI: 1.21-7.18). Female-headed households were predictors of high parent-adolescent communication amongst Black Africans (OR:1.49, CI: 1.01-2.20), but of low parent-adolescent communication amongst Whites (OR:0.36, CI: 0.15-0.89). Overall levels of parent-adolescent communication in South Africa are low. HIV prevention programmes for South African adolescents should include information and skills regarding effective parent-adolescent communication. PMID:24636691

Coetzee, Jenny; Dietrich, Janan; Otwombe, Kennedy; Nkala, Busi; Khunwane, Mamakiri; van der Watt, Martin; Sikkema, Kathleen J; Gray, Glenda E

2014-04-01

379

Adolescentes urbanos: conocimientos sobre la atención de salud sexual y reproductiva / Urban adolescents: knowledge about sexual and reproductive health care  

Scientific Electronic Library Online (English)

Full Text Available SciELO Chile | Language: Spanish Abstract in spanish Objetivo: Identificar entre adolescentes estudiantes beneficiarios del sistema público de salud, conocimientos sobre la atención de salud sexual y reproductiva (SSR). Paciente y Método: Muestra estratificada, 368 adolescentes de comunas de bajos ingresos y elevados nacimientos en adolescentes, en Sa [...] ntiago-Chile. Encuesta autoaplicada, anónima y confidencial, preguntó conocimientos, uso de servicios y características de la atención amigable. Resultados: 52,9% de los encuestados sabía de la atención de SSR y, de ellos, 22,1% había consultado. Variables predictivas para utilización de los servicios fueron: ser mujer, haber estado saliendo con un novio/a, haber recibido educación sexual en la familia y no vivir con los padres. La mayoría de los consultantes evaluó positivamente la atención de SSR. Razones porque no solicitaron atención de SSR fueron: no tener necesidad, vergûenza de consultar y falta de información sobre disponibilidad de este tipo de atención. Conclusiones: Escaso porcentaje de adolescentes escolares demanda atención de SSR. La atención recibida en el sistema público es bien evaluada. Adolescentes que demandan atención profesional para resolver necesidades de SSR son: mujeres, aquellos que están en relación de pareja y los que han recibido educación sexual en la familia. No necesitarla, vergûenza y falta de información, son factores que afectan la consulta. Abstract in english Objective: To identify the knowledge about sexual and reproductive health (SRH) care among adolescent participants of the public health care system. subjects and Methods: Stratified sample of 368 adolescents from low-income and high teenager's pregñancy rate communities in Santiago, Chile. A self-ad [...] ministered, anonymous and confidential survey asked about knowledge, use of services and friendly care characteristics. results: 52.9% of respondents knew of SRH care and from these, 22.1% had used it. Predictors for service use were: being female, been dating a boyfriend/girlfriend, having received sex education at home and not living with parents. Most participants positively evaluated the sRH service. Reasons for not seeking sHR care were: no need it, embarrassment to consult and lack of information on this type of care availability. Conclusions: Low percentage of school adolescents demand sRH attention. The care provided in the public system is well evaluated. Teens who demand professional attention to solve sHR needs are: women, who are in a relationship and those who have received sex education at home. Furthermore, no need for care, embarrasment and lack of information are factors that affect the consultation.

M. Ximena, Luengo CHarath; Teresa, Millán Klüsse; Ana J, Zepeda Ortega; Marcia, Tijero Méndez.

380

Adolescentes urbanos: conocimientos sobre la atención de salud sexual y reproductiva Urban adolescents: knowledge about sexual and reproductive health care  

Directory of Open Access Journals (Sweden)

Full Text Available Objetivo: Identificar entre adolescentes estudiantes beneficiarios del sistema público de salud, conocimientos sobre la atención de salud sexual y reproductiva (SSR. Paciente y Método: Muestra estratificada, 368 adolescentes de comunas de bajos ingresos y elevados nacimientos en adolescentes, en Santiago-Chile. Encuesta autoaplicada, anónima y confidencial, preguntó conocimientos, uso de servicios y características de la atención amigable. Resultados: 52,9% de los encuestados sabía de la atención de SSR y, de ellos, 22,1% había consultado. Variables predictivas para utilización de los servicios fueron: ser mujer, haber estado saliendo con un novio/a, haber recibido educación sexual en la familia y no vivir con los padres. La mayoría de los consultantes evaluó positivamente la atención de SSR. Razones porque no solicitaron atención de SSR fueron: no tener necesidad, vergûenza de consultar y falta de información sobre disponibilidad de este tipo de atención. Conclusiones: Escaso porcentaje de adolescentes escolares demanda atención de SSR. La atención recibida en el sistema público es bien evaluada. Adolescentes que demandan atención profesional para resolver necesidades de SSR son: mujeres, aquellos que están en relación de pareja y los que han recibido educación sexual en la familia. No necesitarla, vergûenza y falta de información, son factores que afectan la consulta.Objective: To identify the knowledge about sexual and reproductive health (SRH care among adolescent participants of the public health care system. subjects and Methods: Stratified sample of 368 adolescents from low-income and high teenager's pregñancy rate communities in Santiago, Chile. A self-administered, anonymous and confidential survey asked about knowledge, use of services and friendly care characteristics. results: 52.9% of respondents knew of SRH care and from these, 22.1% had used it. Predictors for service use were: being female, been dating a boyfriend/girlfriend, having received sex education at home and not living with parents. Most participants positively evaluated the sRH service. Reasons for not seeking sHR care were: no need it, embarrassment to consult and lack of information on this type of care availability. Conclusions: Low percentage of school adolescents demand sRH attention. The care provided in the public system is well evaluated. Teens who demand professional attention to solve sHR needs are: women, who are in a relationship and those who have received sex education at home. Furthermore, no need for care, embarrasment and lack of information are factors that affect the consultation.

M. Ximena Luengo CHarath

2012-12-01

 
 
 
 
381

A PARENT–ADOLESCENT INTERVENTION TO INCREASE SEXUAL RISK COMMUNICATION: RESULTS OF A RANDOMIZED CONTROLLED TRIAL  

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This article reports results of a randomized controlled trial designed to test an intervention to increase parent–adolescent sexual risk communication among Mexican parents. Data were analyzed from parents (n = 791) randomly assigned to an HTV risk reduction or health promotion intervention. Measures were administered at pretest, posttest, and 6– and 12–month follow–ups. Generalized estimation equation (GEE) analysis indicates parents in the HIV risk reduction intervention reported si...

2008-01-01

382

Harmful lifestyles' clustering among sexually active in-school adolescents in Zambia  

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Abstract Background HIV is a leading cause of morbidity and mortality in Zambia. Like many other African nations with high HIV burden, heterosexual intercourse is the commonest mode of HIV spread. The estimation of prevalence and factors associated with sexual intercourse among in-school adolescents has potential to inform public health interventions aimed at reducing the burden of sex-related diseases in Zambia. Methods We carried out secondary analysis of the ...

2008-01-01

383

Girls’ schooling and the perceived threat of adolescent sexual activity in rural Malawi  

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Despite its relative infrequency, pregnancy is perceived by parents in rural Malawi as a leading cause of school dropout among female students. This paper explores parents’ beliefs about adolescent sexual activity and schoolgirl pregnancy, and how these perceptions frame parents’ aspirations and expectations about girls’ schooling. In-depth interviews were collected in rural Malawi from 60 adults aged 25–50 who were the parent of at least one school-aged child. Four themes emerged fro...

Grant, Monica J.

2012-01-01

384

The focus group method: insights from focus group interviews on sexual health with adolescents  

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This article concerns the manner in which group interaction during focus groups impacted upon the data generated in a study of adolescent sexual health. Twenty-nine group interviews were conducted with secondary school pupils in Ireland, and data were subjected to a qualitative analysis. In exploring the relationship between method and theory generation, we begin by focusing on the ethnographic potential within group interviews. We propose that at times during the interviews, episodes of acti...

Hyde, Abbey; Howlett, Etaoine; Brady, Dympna; Drennan, Jonathan

2005-01-01