| The association between sequences of sexual initiation and the likelihood of teenage pregnancy. | |
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MedLine Citation:
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PMID: 23332489 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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PURPOSE: Few studies have examined the health and developmental consequences, including unintended pregnancy, of different sexual behavior initiation sequences. Some work suggests that engaging in oral-genital sex first may slow the transition to coital activity and lead to more consistent contraception among adolescents. METHODS: Using logistic regression analysis, we investigated the association between sequences of sexual initiation (i.e., initiating oral-genital or vaginal sex first based on reported age of first experience) and the likelihood of subsequent teenage pregnancy among 6,069 female respondents who reported vaginal sex before age 20 years and participated in waves I and IV of the National Longitudinal Study of Adolescent Health. RESULTS: Among female respondents initiating vaginal sex first, 31.4% reported a teen pregnancy. Among female respondents initiating two behaviors at the same age, 20.5% reported a teen pregnancy. Among female respondents initiating oral-genital sex first, 7.9% reported a teen pregnancy. In multivariate models, initiating oral-genital sex first, with a delay of at least 1 year to vaginal sex, and initiating two behaviors within the same year were each associated with a lower likelihood of adolescent pregnancy relative to teens who initiated vaginal sex first (odds ratio = .23, 95% confidence interval: .15-.37; and odds ratio = .78, 95% confidence interval: .60-.92, respectively). CONCLUSIONS: How adolescents begin their sexual lives may be differentially related to positive and negative health outcomes. To develop effective pregnancy prevention efforts for teens and ensure programs are relevant to youths' needs, it is important to consider multiple facets of sexual initiation and their implications for adolescent sexual health and fertility. |
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Authors:
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Bianka M Reese; Abigail A Haydon; Amy H Herring; Carolyn T Halpern |
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Publication Detail:
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Type: Journal Article Date: 2012-08-03 |
Journal Detail:
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Title: The Journal of adolescent health : official publication of the Society for Adolescent Medicine Volume: 52 ISSN: 1879-1972 ISO Abbreviation: J Adolesc Health Publication Date: 2013 Feb |
Date Detail:
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Created Date: 2013-01-21 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9102136 Medline TA: J Adolesc Health Country: United States |
Other Details:
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Languages: eng Pagination: 228-33 Citation Subset: IM |
Copyright Information:
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Copyright © 2013 Society for Adolescent Health and Medicine. Published by Elsevier Inc. All rights reserved. |
Affiliation:
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Carolina Population Center, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina; Department of Health Policy and Management, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina. Electronic address: bmreese@live.unc.edu. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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