Individual Growth Curves of Frequency of Sexual Intercourse Among Urban,Adolescent, African American Youth

Summary

In the current study we examined individual growth curves of frequency of sexual intercourse among a sample of urban, low-income, African American youth at increased risk for subsequent HIV/AIDS exposure. Three waves of longitudinal data from the Collaborative HIV-Prevention AdolescentMental Health (CHAMP) project were utilized. Participant ages ranged from 9 to 12 years (M = 11 years) at the first interview wave and from 15 to 19 years (M = 18 years) at the final interview wave. As such, we were able to map out true developmental trajectories of sexual intercourse over a 10-year period of adolescence (spanning ages 9 to 19 years). Results indicate that the average study participant was sexually abstinent (in terms of intercourse) during the pre-teen years, reported a single episode of sexual intercourse between ages 14 and 15, and by age 19, reported between 3 and 10 episodes of sexual intercourse. Significant variability in the acceleration of growth rates (as captured by a quadratic random effect) was observed, suggesting that some youth accelerated more rapidly (in their sexual intercourse histories) than did others. Participant gender predicted trajectory starting points; boys reported higher rates of sexual intercourse at age 12. Frequency of baseline exposure to sexual possibility situations (i.e., being in mixed-sex company in a private place in the absence of adult supervision) predicted growth curve acceleration, suggesting preteenswith more exposure to sexual possibility situations accelerated more rapidly in their rates of sexual intercourse over time. Developmental implications of these data are discussed.     

Individual Differences in Women's Salivary Testosterone and Estradiol Following Sexual Activity in a Nonlaboratory Setting

Objectives: The current study evaluated women's salivary testosterone and estradiol levels before and after exposure to sexual stimuli in a U.S. sex club. Methods: Behavioral data and salivary samples were collected from 19 women during semistructured interviews. Results: Findings demonstrate substantial individual differences in the magnitude and direction of women's hormonal changes following sexual activity. Conclusions: In an age of individualized medicine, these findings highlight the need to better understand factors shaping variation in physiological responses to sexual activity. Findings contribute to a relatively small and contradictory literature on women's hormonal responses to sexual stimuli.     

Sexual and Reproductive Health Behaviors of California Community College Students

Abstract

Objective: To explore the sexual and reproductive health behaviors of students from 13 community college campuses in California. Participants: Heterosexual college students, ages 18 to 24, who have had sexual intercourse (N = 4,487). Methods: The American College Health Association's National College Health Assessment (ACHA-NCHA) survey was administered in class to randomly selected classrooms at 12 institutions and electronically to randomly selected e-mails of students at 1 institution from March through April 2007. Results: This sample of community college students reported higher rates of risky sexual behaviors, unintended pregnancy, emergency contraception, and sexually transmitted diseases, and lower rates of human immunodeficiency virus (HIV) testing, than the overall ACHA-NCHA reference group. Those who had been tested for HIV reported more sexual partners, and lower rates of condom use. Conclusions: The data provide justification for broader educational programs and access to family planning services, condoms, and HIV testing on community college campuses.     

Teen Sexual Behavior: Applicability of the Theory of Reasoned Action

We examined the utility of the theory of reasoned action for predicting sexual intercourse among teenagers and determined whether it holds for both genders and for those with and without prior sexual experience. The data include 749 students who were in 9th–11th grades when the predictors were measured and in 10th–12th grades when sexual intercourse was assessed. About half (53%) were girls, about half (48%) were non‐Hispanic European Americans. Results showed that prior sexual experience was related to a higher rate of sexual intercourse, but boys and girls did not differ. Tests of the causal model for subgroups (boy and girl virgins, boy and girl nonvirgins) yielded similar results. As predicted, paths from intentions to behavior and from norms and attitudes to intentions were significant, as were paths from outcome and normative beliefs to attitude and norm, respectively.     

Seasonality of Sexual Debut

This study brings together insights from two bodies of scholarship that have heretofore existed as parallel research literatures, namely, research on the social antecedents of sexual debut and scholarship on the seasonality of coital activity. The authors use the National Longitudinal Study of Adolescent Health to discover two seasonal peaks in the reported onset of first intercourse, one in the early summertime months for adolescents in general (the summer effect) and another during December for romantically involved adolescents (the holiday season effect). The authors explore the social contours of these patterns by analyzing the effects of gender, race, and partner relationship context (romantic vs. nonromantic) on each peak. Summertime debuts typically occur between nonromantic partners, and wintertime debuts typically occur between romantic partners.     

Recovery Schools Rise to the Challenge: Shifting Alcohol Norms and Behaviors in Youth and Emerging Adults

Alcohol is a huge challenge for youth and therefore for the field of social work. The confluence of biopsychosocial factors place youth at risk. Early initiation to alcohol use is a serious risk factor for depression, anxiety, and suicide. The focus of this article is on the collaborative use of resources and evidence-based practices and innovative mechanisms for shifting youth mores around alcohol and providing alternative peer groups, especially in abstinence-hostile settings, such as high schools and college campuses. Recovery schools are drawing national attention and becoming a part of the fabric of the advancing recovery movement for youth. This article discusses the Recovery School movement; its impact on youth, families, and communities; and the impact it can have on the Social Work Grand Challenges. It culminates with a case study of a university community that demonstrates how lives and norms around alcohol can shift for youth and young adults.     

Condom Use,Condom Refusal,and Substituted Sexual Behaviors Among Youth at Higher and Lower Risk for HIV Infection

ABSTRACT

The purpose of this study was to describe sexual behaviors that youth substitute for protected intercourse when a partner refuses to use a condom or a condom is not used. Participants included: (a) 120 adolescents (mean age 17.2 years) undergoing substance abuse treatment and (b) 171 university students (mean age 21.3 years). The treatment sample reported significantly higher levels of discrete risk factors for HIV exposure. While only a small proportion of each sample experienced outright refusals by partners to use condoms, the majority of participants in each sample used condoms inconsistently with main partners. The university sample reported more substituted behaviors (lower risk and total) when partners did not want to use condoms. Yet, substantial proportions of participants in each sample engaged in unprotected intercourse. Implications for social work and health promotion efforts directed toward youth at risk for HIV/STD exposures are discussed.     

Residential mobility and the onset of adolescent sexual activity

Data from almost 5,000 adolescent respondents to the National Longitudinal Study of Adolescent Health (Add Health) are used to examine the mechanisms that transmit the facilitative effect of residential mobility on the timing of the transition to first premarital sexual intercourse. Adolescents who have recently moved are approximately one third more likely than nonmobile adolescents to experience first premarital intercourse between the first two waves of Add Health. We find that much of the difference between adolescent movers and stayers in the onset of sexual activity is attributable to the greater propensity for delinquency and the weaker academic performance among members of movers’ school‐based friendship networks. Adolescents’ own delinquent behavior and academic performance also help to mediate the association between residential mobility and the transition to first intercourse.     

The Tempo of Sexual Activity and Later Relationship Quality

Rapid sexual involvement may have adverse long‐term implications for relationship quality. This study examined the tempo of sexual intimacy and subsequent relationship quality in a sample of married and cohabiting men and women. Data come from the Marital and Relationship Survey, which provides information on nearly 600 low‐ to moderate‐income couples living with minor children. Over one third of respondents became sexually involved within the first month of the relationship. Bivariate results suggested that delaying sexual involvement was associated with higher relationship quality across several dimensions. The multivariate results indicated that the speed of entry into sexual relationships was negatively associated with marital quality, but only among women. The association between relationship tempo and relationship quality was largely driven by cohabitation. Cohabiting may result in poorer quality relationship because rapid sexual involvement early in the romantic relationship is associated with entrance into shared living.     

Child Support Enforcement and Sexual Activity of Male Adolescents

Strong child support enforcement requires fathers to take financial responsibility for their children and may also encourage more responsible sexual behavior. Using the 1997 – 2001 waves of the 1997 National Longitudinal Survey of Youth (N = 4,272), this article examines the association between child support enforcement and the sexual activity of male adolescents. Stronger child support enforcement was associated with fewer sexual partners, less frequent sexual intercourse, and a higher likelihood of using contraceptive methods among adolescents who had had sexual intercourse in the 12 months preceding data collection. The effects of child support enforcement were particularly strong for non‐White adolescents and those living in high‐poverty areas. These findings suggest that strengthening child support enforcement may be associated with reductions in some aspects of male adolescents’ sexual activity.     

Effects of School-Based Risk and Protective Factors on Treatment Success Among Youth Adjudicated of a Sexual Crime

Youth with sexually problematic behaviors are impacted by the reciprocal interplay between individual characteristics and the key social and ecological systems in which they are embedded. The paucity of research on protective factors mitigating risks within various socioecological systems is of concern, as the school is one such system that has been overlooked. This study retroactively investigated probation files among youth who were adjudicated of a sexual crime (N = 85) to determine how school-level variables are associated with treatment completion. A sequential logistical regression model revealed reduced odds for school-based risk factors and a greater proportion of variance explained when school-based protective factors were included. Implications and research considerations are discussed.     

Depressed Mood and Sexual Functioning

Abstract

Although some studies have reported substantial correlations between clinical depression and hypoactive sexual desire, thus far only a few studies have addressed the association between depressed mood and different facets of sexuality (such as sexual satisfaction, sexual activity and level of sexual problems) in close relationships. This study sought to fill this gap by examining 198 couples recruited through advertisement. The associations between depressed mood measured by the Beck Depression Inventory (BDI) and sexuality within one person (actor effects) and between partners (partner effects) were analyzed using the Actor-Partner Interdependence Model by Kenny and Cook (1999). Our findings show that actor effects of the BDI score on sexual experiences are somewhat higher than partner effects, and that depressed mood is mainly associated with one's own hyposexual desire, sexual aversion and sexual arousal problems. However, there were no substantial partner effects between depressed mood and sexual arousal problems.     

The Prevalence of Child Sexual Abuse among Slovak Late Adolescents

ABSTRACT

The present study aimed to assess the prevalence and characteristics of child sexual abuse (CSA) in a large-scale sample of Slovak late adolescents. Randomized cluster sampling was used to sample 2186 students in their final school year of secondary school with mean age of 18.6 years (SD = .7 years). The study employed the Child Sexual Abuse Questionnaire consisting of multiple behavior-specific questions. The prevalence of CSA was analyzed separately for three clusters of CSA and gender. The prevalence of non-contact forms of CSA was 40.6% among girls and 17.7% among boys. CSA with physical contact without penetration was reported by 30.2% girls and 11.6% boys. The prevalence of CSA with penetration was 5.6% among girls and 1.3% among boys. More than half of CSA occurred between 16 and 18 years of age. The severity of abuse was positively associated with acquaintance to the perpetrator. Roughly 43–56% disclosed the abuse to another person. The majority of disclosed CSA was revealed to peers and partners. A negligible proportion of CSA instances were reported to the police. Prevention activities should consider a broad spectrum of CSA in order to counteract tendencies to associate CSA only with unwanted sexual intercourse.     

An Empirical Examination of Sexual Relations Between Adolescents and Adults

SUMMARY

The American view that adolescent-adult sexual relations are by definition “child sexual abuse” has spread throughout the Western world and reshaped public policy. This paper, originally presented as a talk, examines the scientific validity of this view. A historical perspective traces the conflation of the adolescent experience with rape, incest, and that of the young, prepubescent child. Biological and cognitive perspectives support the view that adolescents have more in common with adults than children. Sweeping claims that adolescents react as children are said to is critically tested by examining two types of relations-those between heterosexual teenage boys and women and those between gay or bisexual teenage boys and men. Non-clinical empirical data show overwhelmingly that such relations are characterized mostly by positive reactions based on consent if not initiative on the part of the minor, with perceived benefit rather than harm as a correlate. It is concluded that the American view is false, and that public policy that heightens official reaction to such relations, such as that currently proposed by the European Union, are either misinformed or disingenuous in alleging to protect when the motive is to control adolescents.     

Reproductive Attitudes and Behavior Among Latina Adolescents

SUMMARY

This study examines the relationship between acculturation and sexual activity, contraceptive use and attitudes toward self. The sample consisted of 290 Latinas participating in a statewide adolescent pregnancy prevention program funded by the California Department of Health Services. Respondents were divided into three groups for purposes of analysis: those born outside the United States, those born in the United States who spoke primarily Spanish in the home, and those born in the United States who spoke primarily English in the home. Results indicated that less acculturated adolescents were less likely to engage in sexual activity. Place of birth was the most important predictor of differences in reproductive attitudes and behavior; language spoken in the home was not a predictor of sexual activity. There were no significant differences in contraceptive use among the sexually active respondents in the three groups. Respondents born outside of the United States had more negatives attitudes toward self on one measure; respondents born in the United States who spoke primarily Spanish in the home were more likely to plan to attend college, and to delay sexual activity because their parents would be upset, than the other groups. The authors suggest factors that may explain these differences in attitudes and behavior among the three groups.     

U.S. College Students' Sexual Activity: The Unique and Interactive Effects of Emotion Regulation Difficulties and Attachment Style

ABSTACT

Objectives: This study explored the association between emotion regulation difficulties and sexual activity, and whether emotion regulation difficulties moderated the link between attachment and sexual activity. Methods: U.S. college students (N = 373) from two institutions completed self-report measures of sexual activity, emotion regulation difficulties and attachment. Results: Findings indicated that greater emotion regulation difficulties were associated with less frequent exclusive sexual activity. Moreover, emotion regulation difficulties moderated links between attachment avoidance and sexual activity, and associations varied according to relational context and gender. Conclusions: Implications for promoting sexual health and relationship intimacy are discussed.     

Perception vs. Circumstances of the Child Sexual Abuse Event in Relation to Depression and Post-traumatic Stress Symptomatology

The study examined the impact of the circumstances of childhood sexual abuse on post-traumatic stress symptoms and depression among female adult survivors of childhood sexual abuse. The sample consisted of 225 Israeli women divided into two groups according to the identity of the perpetrator (nonfamily perpetrator versus a family member perpetrator). A self-report questionnaire was used consisting of the following scales: demographic variables, the Traumatic Events Questionnaire, Childhood Sexual Experiences Scale, Post-Traumatic Stress Disorder Symptom Scale, and Depression Scale. The findings indicated that the identity of the offender significantly differed between groups only if intercourse had occurred. Women who experienced coerced intercourse scored significantly higher on depression and post-traumatic stress compared to those who experienced other forms of childhood sexual abuse.     

Prevalence of Child Sexual Abuse in the Nordic Countries: A Literature Review

This review examined child sexual abuse in the Nordic countries focusing on prevalence rates and victims’ age and relationship to the perpetrator. The results show a prevalence of child sexual abuse (broadly defined) between 3–23% for boys and 11–36% for girls. The prevalence rates for contact abuse were 1–12% for boys and 6–30% for girls, while 0.3–6.8% of the boys and 1.1–13.5% of the girls reported penetrating abuse. The findings suggest an increased risk of abuse from early adolescence. In adolescence, peers may constitute the largest group of perpetrators. The results highlight the need for preventive efforts also targeting peer abuse. Future research should include cross-national and repeated studies using comparable methodology.     

Child Sexual Abuse: Community Concerns in Urban Tanzania

The aim of this study was to explore community perceptions about child sexual abuse in Tanzania. Thirteen focus group discussions were conducted with adult community members. The core category, children's rights challenged by lack of agency, was supported by eight categories. Aware but distressed portrayed feelings of hopelessness, lack of trust in the healthcare and legal systems reflected perceived malpractice, decreased respect for children's rights referred to poor parental care and substance abuse, myths justifying CSA illustrated cultural beliefs to rationalize child sexual abuse, disclosure threatened by fear of stigma and discriminationaligned the manifestations that prevent disclosure, actions driven by economic circumstances described the economical dependence of victims, urging a change in procedures reflected informants' wish to ally with local governance and pressure groups, and willingness to act indicated the community's role in supporting victims. The study showed how lack of agency calls for efforts to increase children's human rights at all levels.