Document Detail


The association between sequences of sexual initiation and the likelihood of teenage pregnancy.
MedLine Citation:
PMID:  23332489     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
Bianka M Reese; Abigail A Haydon; Amy H Herring; Carolyn T Halpern
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural     Date:  2012-08-03
Journal Detail:
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:
Created Date:  2013-01-21     Completed Date:  2013-07-08     Revised Date:  2014-02-04    
Medline Journal Info:
Nlm Unique ID:  9102136     Medline TA:  J Adolesc Health     Country:  United States    
Other Details:
Languages:  eng     Pagination:  228-33     Citation Subset:  IM    
Copyright Information:
Copyright © 2013 Society for Adolescent Health and Medicine. Published by Elsevier Inc. All rights reserved.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Female
Humans
Logistic Models
Multivariate Analysis
Pregnancy
Pregnancy in Adolescence*
Prospective Studies
Risk Factors
Sexual Behavior*
United States
Grant Support
ID/Acronym/Agency:
3R01HD057046-01A2S1/HD/NICHD NIH HHS; 5 R24 HD050924/HD/NICHD NIH HHS; P01-HD31921/HD/NICHD NIH HHS; R01 HD057046/HD/NICHD NIH HHS; R01-HD57046/HD/NICHD NIH HHS; R24 HD050924/HD/NICHD NIH HHS
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