Testing a theoretical model of adolescent sexual behavior among rural families in poverty

This was a study of 357 adolescents, aged 13 to 17 years, who resided in a family receiving AFDC in 10 rural counties in Arkansas. The study had a twofold purpose: 1) to examine what elements of social control, social learning, and strain theories predicted 3 measures of sexual behavior; and 2) to test an integrated theoretical model with 2-stage least squares regression to see if it fit the data on the 3 measures of sex. The measures of sexual behavior were frequency of sexual intercourse in the past year, number of sexual partners in the past year, and number of sexual partners in lifetime. Bivariate analyses revealed that the consistent predictors of the 3 measures of sex were age, gender, attachment to mother, beliefs, parental supervision and punishment, family and friend support, frustration, and use of rationalizations. The theoretical model that fit all measures of sex showed that bonding influences sexual behavior through frustration, and that age, gender and rationalizations directly impact behavior.     

Sexual self control as a mediator of high risk sexual behavior in a New York city cohort of HIV+ and HIV‐ gay men

This paper describes the development of the Perceived Sexual Control inventory (PSC) and a study investigating the relationship between an individual's perception of control over sexual behavior and actual sexual risk behavior in a New York City cohort of 108 HIV+ and 48 HIV‐ gay men. Correlational analysis indicated that reported difficulty controlling sexual behavior was associated with having more male sex partners and sex occasions over lifetime and in the 6 months prior to interview, with a greater number of one‐time partners and out‐of‐home partners, with less monogamy, and with being abstinent in the prior 6 months. Those who perceived difficulty with sexual control were significantly more likely to use cocaine or amyl nitrate (poppers) during sex, to do so on more occasions and to use more drugs overall. Additionally, perceptions of sexual control were found to relate to high risk sexual practices. Those lower in perceived sexual control reported more occasions of receiving anal ejaculation than those who reported greater sexual control. Two subscales (Perceived Control Over Sex Drive and Perceived Control Over Risk Behavior), derived via factor analysis from the 20‐item inventory used to assess perceived sexual control, were also examined in relation to the above variables, and differential findings are discussed. The overall pattern of findings supports the construct validity of the PSC.     

Gender and Casual Sexual Activity From Adolescence to Emerging Adulthood: Social and Life Course Correlates

The prevalence of casual sexual activity among teens and emerging adults has led to much public attention. Yet limited research has investigated whether the number of casual sexual partners per year changes as heterosexual men and women transition from adolescence into emerging adulthood. We considered the influence of social context and life course factors on the number of casual sex partners. We examined four waves of interviews from the Toledo Adolescent Relationships Study (TARS) and used negative binomial growth curve models to investigate patterns of change in the number of casual sex partners (N = 1,196) ages 15 to 22. Men and women both reported increases in the number of casual sex partners over time and did not differ from each other in the rate of change over time. In all, 40% of respondents reported a recent casual sex partner at age 22. Number of prior dating relationships, education status, substance use, and perceptions of peer sexual behavior significantly influenced the number of casual sex partners. Emerging adults who did not complete high school, compared to those enrolled in four-year degree programs, reported significantly more partners. The findings contribute to research on intimate relationships and provide insights for programs targeting emerging adults.     

Child abuse, early maladaptive schemas, and risky sexual behavior in college women

Previous research suggests that individuals abused as children are more likely to engage in risky sexual behavior during adulthood. The present study examined early maladaptive schemas as mediators of the child abuse-risky sexual behavior relationship among 653 college women. Self-report surveys assessed three forms of child abuse: Sexual, physical, and emotional, and assessed early maladaptive schemas within two domains: Disconnection/rejection and Other-Directedness. Disconnection/rejection schemas fully mediated the relation between child emotional abuse and number of sexual partners and partially mediated the relationship for sexual and physical abuse. However, when frequency of specific risky sexual acts (e.g., sex without contraception) was examined in the previous six months, only abandonment was a partial mediator. Implications for intervention and future research are discussed.     

Trends in teen sexual behavior

This article examines trends in teen sexual behavior. Data were derived from 5 principal sources, which include: 1) the National Survey of Family Growth; 2) National Survey of Adolescent Males; 3) National Survey of Young Men; 4) Youth Risk Behavior Survey; and 5) National Survey for Men. There really was a sexual revolution, as the foregoing data indicate. An increase in sexual activity was observed among young teens, aged 15 years and below, as well as middle-class and white teenagers. The use of contraceptives also increases probably due to the fear of AIDS and the increasing proportion of teenagers who are having sex. Because more teenagers were using contraceptives, the pregnancy rate per 1000 sexually active teenagers actually declined during the 1980s, even when more teenagers were having sex. Nonetheless, failures of contraceptive usage have led to high levels of abortion, sexually transmitted diseases, and nonmarital births. Society should confront these two concerns. First, for younger teenagers, too early of a sexual experience can be emotionally distressing and inconsistent with healthy development. Second, for disadvantaged teens of all ages, sex always leads to an out-of-wedlock birth and long term welfare dependence. The challenge for school-based programs is to pursue the following goals: 1) lower the level of sexual activity and 2) raise the rate of contraceptive use among sexually active teens.     

The encounter with family violence and risky sexual activity among young adolescent females

In this article, we analyze the relationship between family violence and risky sexual activity for female adolescents (age 14 to 17). We examine two forms of family violence: experience (receiving physical abuse from a parent or parent-figure) and exposure (witnessing interparental physical violence). We hypothesize that either form of violence will predict greater odds of engaging in risky sexual behavior. We define risky sexual activity as any of the following: having multiple partners within the last 12 months or having sex with partners who are themselves engaging in risky behavior (e.g., having multiple partners of either sex, injecting unprescribed drugs, sharing unprescribed needles for injecting drugs). We analyzed data from 710 respondents taken from the National Survey of Family Growth, Cycle V, living with at least one biological parent. Results showed that experiencing violence from a parent greatly increased the likelihood of risky sex, even when controlling for the experience of forced sex, age, mother's age at first birth, race, socioeconomic status, and religiosity. Female adolescents who had experienced forced sex, those who were older (especially 17-year-olds), non-Hispanic Blacks (but not Hispanics), those living in a family with low educational attainment (less than a high school diploma), and those for whom religion was not or only somewhat personally important were more likely to report risky sex compared to others. These effects were not modified by whether the respondents lived in single- or two-parent families. An interaction between the two forms of physical violence suggests that either form is sufficient to increase significantly the odds of risky sex; an analysis in which respondents were differentiated by their experience of either form of violence showed a strong effect of experience on risky sex, net of the control variables.     

Really troubled girls: Gender differences in risky sexual behavior and its correlates in a sample of juvenile offenders

Despite numerous studies on the myriad of psychosocial factors that affect youthful offenders, research on gender differences with respect to risky sexual behavior are limited. Using data on juvenile offenders in a residential facility, we analyzed impact of gender on sexual behavior (N = 227). Girls reported higher likelihood of diagnosis with sexually transmitted diseases, and injecting drug use including heroin and cocaine than boys. Multivariate analysis indicated that number of sexual partners, childhood trauma, and services received from emergency shelter and psychiatric settings were associated with risky sexual behavior. Discouraging, abusive and dysfunctional home environment with little support from parents/caregivers, or teachers, priests/religious leaders appear to dispose youth to a life of risky sex, drugs and delinquency.     

Multiple sex partners among college women and men: Sexual behaviors and sexual satisfaction revisited

The purpose of this investigation was to examine the effects of number of lifetime sex partners on sexual behaviors, sexual attitudes, and sexual satisfaction for never‐married college women and men. An anonymous questionnaire was administered in select classes at a midwestern state university. One‐partner group (one sex partner) women, in comparison to few‐partner (two to five sex partners) and many‐partner (six or more sex partners) group women, were more likely to have been older at first intercourse and to report psychological sexual satisfaction, mastur‐batory guilt, and commitment and love as conditions for sexual intercourse. For men, one‐partner group respondents were also more likely than few‐partner and many‐partner group respondents to report older age at first intercourse, masturbatory guilt, and commitment and love as conditions for sexual intercourse. In an era in which early sexual fulfillment clashes with concerns over unsafe sexual practices, these data provide insights into the influence of multiple partner experience on the sexual behavior patterns of young adults.     

School contextual factors and race differences in adolescent sexual behaviors

Abstract

Although there exist a voluminous number of studies examining predictors of adolescent sexual behavior, few studies have explored the role of the school social context in influencing teen sexual activity generally and specifically, the role that school contextual factors play in helping understand race differences in risky sexual behaviors. Using data from a nationally representative school-based survey of American youth in Grades 7–12, we find support for our core hypothesis that school contextual factors are associated with risky sexual behavior, number of sexual partners, and ever having sex, albeit it nuanced ways and that such factors cannot account for much of the race gap in adolescent sexual behavior. We interpret these findings to be more supportive of a social contagion model (versus a school climate model).     

Experimental avoidance and high-risk sexual behavior in survivors of child sexual abuse

While many long-term correlates of child sexual abuse (CSA) have been identified, theories to explain the development of these correlates have received little empirical validation. The process of experiential avoidance is one theory that has been proposed to account for many of the correlates of CSA. The purpose of the current study was twofold: (1) To attempt to develop a more complex measure of experiential avoidance in women with and without a CSA history, and (2) to explore variables related to two of the long-term correlates of CSA, general psychological distress and high risk sexual behavior. Levels of current distress, high-risk sex, and experiential avoidance were examined in 257 undergraduate females (mean age 20.0) using self-report questionnaires. The results of the current study indicate that CSA survivors report higher levels of experiential avoidance and high-risk sexual behavior with persons other than their primary partners. Implications of these findings for theory development, therapy with CSA survivors, and HIV prevention programs are discussed.     

An examination of sexual strategies used by urban southern and rural Midwestern university women

The purposes of this study were (a) to determine whether women's use of persuasion, non‐physical coercion, and physical force strategies to obtain sex from a man varied between U.S. women from an urban Southern and rural Midwestern university and (b) to determine if sexual behavior history and early courtship behavior affected the use of these strategies (or not using any strategy). Women from the Midwest and the South did not differ in their use of sexual strategies. There were, however, other variables that accounted for differences in women's use of sexual strategies. Women who used persuasion strategies had fewer lifetime sexual partners than women who used any other strategy. Women who used physical force strategies reported a lower age at first intercourse and more early courtship behaviors than all others. Overall, the results indicated that sexual strategies are related to sexual behavior history and early courtship behaviors rather than cultural setting or demographics.     

The role of sexual behavior in the identification process of gay and bisexual males

This study examined the role of same‐sex sexual behavior in the identification and coming‐out process among three cohorts of gay and bisexual males. The sequence through which the males identified their same‐sex attractions was coded as either sex‐centered (labeling of sexual identity after first same‐sex sexual encounter) or identity‐centered (labeling of sexual identity before engaging in sex with males). The project tested whether developmental sequence was a significant predictor of later adjustment to sexual identity and relationship involvement. Findings demonstrate that the proportion of sex‐centered males decreased as a function of age cohort. Moreover, sex‐centered males reported higher levels of homophobia toward other males, more lifetime sexual partners, and more heterosexual sexual and romantic relationships. Thus, the route males take to identify and label their sexual identity is a good predictor of future adjustment and relationship involvement.     

Imbalanced sex ratios, men's sexual behavior, and risk of sexually transmitted infection in China

China has been experiencing pronounced changes in its sex ratio, but little research has explored the consequences of these changes for sexual behavior and health. We merge data from the 1999-2000 Chinese Health and Family Life Survey with community-level data from the 1982, 1990, and 2000 Chinese censuses to examine the relationship between the local sex ratio and several dimensions of men's sexual behavior and sexual health. Multilevel logistic regression models show that, when faced with a relative abundance of age-matched women in their community, Chinese men are slightly less likely to have intercourse with commercial sex workers, but are more likely to engage in premarital noncommercial intercourse and to test positive for a sexually transmitted infection. These findings are consistent with hypotheses derived from demographic-opportunity theory, which suggests that an abundance of opposite-sex partners will increase the risk of early, frequent, and multi-partner sex and, through this, sexually transmitted infection risk.     

Neighborhood structural inequality, collective efficacy, and sexual risk behavior among urban youth

We draw on collective efficacy theory to extend a contextual model of early adolescent sexual behavior. Specifically, we hypothesize that neighborhood structural disadvantage--as measured by levels of concentrated poverty, residential instability, and aspects of immigrant concentration--and diminished collective efficacy have consequences for the prevalence of early adolescent multiple sexual partnering. Findings from random effects multinomial logistic regression models of the number of sexual partners among a sample of youth, age 11 to 16, from the Project on Human Development in Chicago Neighborhoods (N = 768) reveal evidence of neighborhood effects on adolescent higher-risk sexual activity. Collective efficacy is negatively associated with having two or more sexual partners versus one (but not zero versus one) sexual partner. The effect of collective efficacy is dependent upon age: The regulatory effect of collective efficacy increases for older adolescents.     

Linearity and nonlinearity in HIV/STI transmission: implications for the evaluation of sexual risk reduction interventions

A mathematical model of HIV/sexually transmitted infections (STI) transmission was used to examine how linearity or nonlinearity in the relationship between the number of unprotected sex acts (or the number of sex partners) and the risk of acquiring HIV or a highly infectious STI (such as gonorrhea or chlamydia) affects the utility of sexual behavior change measures as indicators of the effectiveness of HIV/STI risk-reduction interventions. Findings indicate that the risk of acquiring HIV through vaginal intercourse is essentially a linear function of the number of unprotected sex acts and is nearly independent of the number of sex partners. Consequently, the number of unprotected sex acts is an excellent marker for the risk of acquiring HIV through vaginal intercourse, whereas the number of sex partners is largely uninformative. In general, the number of unprotected sex acts is not an adequate marker for the risk of acquiring a highly infectious STI due to the highly nonlinear per act transmission dynamics of these STIs. The number of sex partners is a reasonable indicator of STI risk only under highly circumscribed conditions. A theoretical explanation for this pattern of results is provided. The contrasting extent to which HIV and highly infectious STIs deviate from the linearity assumption that underlies sexual behavior outcome measures has important implications for the use of these measures to assess the effectiveness of HIV/STI risk-reduction interventions.     

Sexual Quality of Life and Aging: A Prospective Study of a Nationally Representative Sample

Unlike other life domains, sexual quality of life (SQoL) has a negative relationship with age. This study disentangled the effect of age in this relationship from confounding sociocultural influences (e.g., the period of time in which data were collected, and cohort differences) and aimed to understand the roles of other sexual domains (i.e., frequency, perceived control, thought and effort invested in sex, and number of sexual partners). We analyzed data from the longitudinal Midlife in the United States study (n = 6,278; age range 20–93), which were collected between 1995 and 2013. Repeated measures linear mixed-effects models showed that age was the most robust time-related predictor of declining SQoL. However, after the sexual domains were included in the model, age had a positive relationship with SQoL and older adults’ SQoL was differentially influenced by the quality—not quantity—of sex. When partnership characteristics were included in the model, age was no longer related to SQoL. These findings suggest that aging may be associated with the acquisition of skills and strategies that can buffer age-related declines in SQoL, particularly in the context of a positive relationship. We summarize these findings as sexual wisdom.     

Gender differences in the enactment of sociosexuality: an examination of implicit social motives, sexual fantasies, coercive sexual attitudes, and aggressive sexual behavior

An unrestricted sociosexual orientation (the endorsement of casual sex) has been found to correlate with undesirable behaviors and personality characteristics more so in men than in women. Using a community sample of men and women, we investigated the correlations between sociosexuality and behaviors, motives, attitudes, and fantasies related to sexual aggression. Participants (n = 168; ages 21-45) completed self-report measures of sociosexual orientation, sexual conservatism, rape myth acceptance, adversarial sexual beliefs, attitudes toward women, sexual behaviors, and perpetration of sexual aggression. Participants also wrote five brief stories that were scored for power and affiliation-intimacy motives and two sexual fantasies that were coded for the theme of dominance. For both men and women, an unrestricted sociosexual orientation was correlated with behavioral items indicating earlier life experiences with sex, a greater number of lifetime sex partners, and more frequent sexual activity. For men, an unrestricted sociosexual orientation was linked with higher levels of rape myth acceptance and adversarial sexual beliefs; more conservative attitudes toward women; higher levels of power motivation and lower levels of affiliation-intimacy motivation; and past use of sexual aggression. For women, an unrestricted sociosexual orientation was associated with sexual fantasies of dominance and lower levels of sexual conservatism.     

Gender differences in the enactment of sociosexuality: An examination of implicit social motives,sexual fantasies,coercive sexual attitudes,and aggressive sexual behavior

An unrestricted sociosexual orientation (the endorsement of casual sex) has been found to correlate with undesirable behaviors and personality characteristics more so in men than in women. Using a community sample of men and women, we investigated the correlations between sociosexuality and behaviors, motives, attitudes, and fantasies related to sexual aggression. Participants (n = 168; ages 21–45) completed self‐report measures of sociosexual orientation, sexual conservatism, rape myth acceptance, adversarial sexual beliefs, attitudes toward women, sexual behaviors, and perpetration of sexual aggression. Participants also wrote five brief stories that were scored for power and affiliation‐intimacy motives and two sexual fantasies that were coded for the theme of dominance. For both men and women, an unrestricted sociosexual orientation was correlated with behavioral items indicating earlier life experiences with sex, a greater number of lifetime sex partners, and more frequent sexual activity. For men, an unrestricted sociosexual orientation was linked with higher levels of rape myth acceptance and adversarial sexual beliefs; more conservative attitudes toward women; higher levels of power motivation and lower levels of affiliation‐intimacy motivation; and past use of sexual aggression. For women, an unrestricted sociosexual orientation was associated with sexual fantasies of dominance and lower levels of sexual conservatism.     

Sexual Problems and Distress among Men and Women with Same-Sex and Opposite-Sex Sexual Partners: An Analysis of a Nationally Representative Sample of Adults in Great Britain

Abstract

Objective: This study aimed to examine differences in reporting sexual problems and distress among men and women with same-sex and opposite-sex sexual partners.

Methods: Multinomial regression was undertaken on risk of reporting sexual problems and/or distress using data from the third National Survey of Sexual Attitudes and Lifestyles.

Results: Differences were detected between men of different sexual behavior groups when considering the problems “lack of enjoyment in sex,” “felt anxious during sex,” “felt no excitement or arousal during sex,” “lack of interest in sex,” “did not reach/took a long time to reach climax,” and “getting or keeping an erection.” Fewer differences were detected among women.

Conclusions: Women reporting same sex sexual partners, and to a greater extent men reporting same sex sexual partners , have different sexual health needs and report sexual health problems and distress to a different extent than is the case for individuals who only have opposite-sex sexual partners     

Differences between sexual orientation behavior groups and social background,quality of life,and health behaviors

Within the literature, there is some question as to whether bisexual or homosexual persons practice more unhealthy lifestyles and experience a lower quality of life than heterosexual individuals. This study examined possible differences between sexual orientation behavior groups (homosexual, bisexual, heterosexual, and no sex partners) on demographic and social background variables, quality of life variables, lifestyle and health variables, and mental health or health background variables in a series of seven national probability samples between the years 1988 and 1996. Respondents were asked to report the sex of their sexual partners since they were age 18 and in the last 12 months. Data from a total of 11,543 interviews were collected by the National Opinion Research Center. Although there were some demographic and social background differences among the sexual orientation behavior (SORB) groups, there was little evidence that the behavioral dimension of sexual orientation is either strongly or directly related to quality of life, lifestyle, or health indicators. The report closes with a consideration of future research questions for this issue.