Other-Sex Friendships in Late Adolescence: Risky Associations for Substance Use and Sexual Debut?

Adolescents’ friendships with other-sex peers serve important developmental functions, but they may also facilitate engagement in problem behavior. This study examines the unique contributions of other-sex friendships and friends’ behavior to alcohol use, smoking, and initiation of sexual intercourse among late adolescent girls and boys. A total of 320 adolescents (53% girls; 33% racial/ethnic minorities) provided sociometric nominations of friendships annually in grades 10–12. Friendship networks were derived using social network analysis in each grade. Adolescents and their friends also reported on their alcohol use, smoking, and sexual debut at each assessment. After controlling for demographics, previous problem behavior, and friends’ behavior, other-sex friendships in 10th grade were associated with initiation of smoking among girls over the following year, and other-sex friendships in 11th grade were linked with lower levels of subsequent alcohol use among boys. Additionally, friends’ smoking and sexual experience in 10th grade predicted the same behaviors for all adolescents over the following year. Other-sex friendships thus appear to serve as a risk context for adolescent girls’ smoking and a protective context for adolescent boys’ drinking. Promoting mixed-gender activities and friendships among older high school students may be helpful in reducing males’ alcohol use, but may need to incorporate additional components to prevent increases in females’ smoking.     

Pregnancy in the single adolescent girl: The role of cognitive functions

Interviews were conducted with 211 single adolescent girls, free of known psychiatric disturbance, who had undergone an elective abortion at a metropolitan municipal hospital. Besides providing help for the possible emotional stress connected with their situation, it was learned to what extent they were acquainted with birth control methods and had actually attempted to avoid their pregnancy. Similar data relating to birth control were obtained in interviews with a group of 200 single adolescents pregnant for the first time, and from 50 girls serving as controls who had effectively practiced birth control for at least 6 months. The great majority of the girls came from the same socioeconomic background, close to the subsistence level. The results indicate that about three-fourths of the pregnancies were unintended. Besides the implied external difficulty involved in finding a congenial low-cost birth control clinic, three psychological cognitive mechanisms were uncovered which virtually block the conversion of birth control knowledge into its successful practice. This finding suggests that adolescent out-of-wedlock pregnancies do not exclusively arise from motivational factors.Received M.A. and Ph.D. in sociology from Columbia University, New York. Associated with René A. Spitz, M.D. (Denver), for many years. Collaborated on latter's book,The First Year of Life, International Universities Press, New York, 1965. Current interests are in psychology of adolescence and infancy; prenatal psychological phenomena.     

Depressive Symptoms and Sexual Experiences Among Early Adolescent Girls: Interpersonal Avoidance as Moderator

Building on the growing body of research that supports the relationship between depressive symptoms and sexual activities in adolescence, we examined how individual differences in interpersonal avoidance and anxiety might moderate this association. Data were collected from 71 early adolescent girls (M age 13.45 years; SD = 0.68; 89% Caucasian) concurrently and 1 year later. Results indicated that greater depressive symptoms predicted a greater frequency of sexual intercourse both concurrently and 1-year later, particularly among more interpersonally avoidant girls. However, greater depressive symptoms predicted a greater frequency of non-intercourse activities 1-year later among less avoidant girls. Implications for understanding how individual differences in interpersonal style may serve as risk or protective factors in dysphoric girls’ sexual experiences are discussed.     

Consistency of adolescents' self-report of sexual behavior in a longitudinal study

This study examines three issues relevant to adolescent self-reported sexual behavior: the extent to which adolescents rescind reports of sexual intercourse, changes in reporting of lifetime sexual intercourse, and changes in reported age at first sexual intercourse. Data come from a three-year longitudinal study of health-compromising behaviors among a cohort a 758 rural adolescents. Students completed a self-administered questionnaire on health behaviors annually in eighth, ninth, and tenth grades. Findings show that 88.8% of students in eighth grade and 94.3% in ninth grade who reported having had sexual intercourse gave the same answer in a subsequent year. Approximately 15% of students reported fewer numbers of lifetime sexual intercourse experiences in tenth grade than they did in ninth grade. Age at first sexual intercourse was reported inconsistently by 67% of the students. Inconsistency rates differed by racial-gender groups, question sensitivity, and prior sexual experience.Received Ph.D. from Johns Hopkins University. Research interests include adolescent health and early adolescent development.Received Ph.D. from Johns Hopkins University. Research interests include personality, stress, and coping.Received Ph.D. from University of Chicago. Research interests include adolescent delinquency and substance use.Received Dr. P.H. from Johns Hopkins University. Research interests include rural adolescents and international health issues.Received Ph.D. from Johns Hopkins University. Research interests include adolescent sexuality and contraceptive decision making.     

Risky Sexual Behavior: A Race-specific Social Consequence of Obesity

Scant attention has been given to the consequence of actual weight status for adolescents’ sexual wellbeing. In this article, we investigate the race-specific connection between obesity and risky sexual behavior among adolescent girls. Propensity scores and radius matching are used to analyze a sample of 340 adolescents aged 16–17 who participated in the National Longitudinal Survey of Youth Young Adult Survey in 2000 or 2002. Nearly even numbers of these participants identified as white and black (183 and 157, respectively). We find that compared to their non-obese white peers, obese white adolescent girls exhibit higher rates of multiple sex partners and sex with older partners, and are also less likely to use condoms. None of these factors are significantly related to high BMI within the black sample. These findings indicate that the negative social consequences of obesity extend beyond future economic and marriage outcomes to adolescent white women’s sexual outcomes. They also highlight the importance of context: the implications of being obese during adolescence depend on cultural meanings of obesity.     

Sexual Behavior and Perceived Peer Norms: Comparing Perinatally Hiv-infected and Hiv-affected Youth

A large proportion of perinatally HIV-infected (PHIV) children are becoming adolescents and exploring their sexuality. This study explored the prevalence of sexual behaviors (kissing, touching, engaging in oral sex, or having vaginal/anal intercourse) in a sample of predominantly ethnic minority youths (N = 339; 54.1% Black and 30.4% Latino; 51% female; ages 9–16) perinatally exposed to HIV (61% HIV+). Using logistic regression, we tested the association between sexual behavior and HIV status, demographic characteristics, and peer influences regarding sexual behavior. PHIV youth were less likely to be sexually active. Among sexually active youth, PHIV youth were more likely to engage in touching behavior than HIV-negative youth and were less likely to engage in penetrative sex. Youths reporting that a greater number of their peers believed that sexually active boys were “cool” or “popular” were more likely to report sexual behavior. The association between sexual behavior and peers believing sexually active girls were “cool” or “popular” varied by age, gender, and HIV status. Furthermore, friends’ sexual activity was associated with sexual intercourse. Prevention programs should strengthen messages addressing peer norms regarding sexuality, as well as address specific issues related to adolescent HIV.

Who Gives and Who Gets: Why,When, and with Whom Young People Engage in Oral Sex

Surprisingly little is known about oral sex experiences among emerging adults, including the motives behind their participation in this sexual activity. The current study examined the characteristics of emerging adults’ most recent oral sex experience. A total of 431 young people (M age = 21.7 years; 71.7% female) completed an on-line survey assessing their sexual history, context (partner type, co-occurring sexual behaviors), and motives (physical, emotional, goal attainment, and insecurity) for engaging in their most recent heterosexual oral sex interaction. The majority of oral sex encounters occurred within the context of a committed relationship and during an interaction that also included intercourse. Cunnilingus was rare unless reciprocated with fellatio. Overall, both males’ and females’ reports indicate that they were motivated to engage in oral sex by sexual desire and attraction to their partner, or to enhance an emotional connection with their partner. Insecurity and goal attainment motives were uncommon. Males reported more physical motives than did females, and females reported more emotional and insecurity motives than did males. The findings provide insights into youths’ oral sex experiences, and make clear how essential it is to understand the broader sexual and partnership context in which a given sexual activity occurs. These findings have implications for policies aimed at the development of effective sexual health education programs.     

The Impact of African American Fathers on Adolescent Sexual Behavior

A common finding in past research on adolescent sexual behavior is that initiation of sexual intercourse is more frequent in households where the teen does not live with both biological parents. The present study examined this result in greater depth by examining the impact that father attitudes toward premarital sexual intercourse have on the sexual behavior of the father's adolescent. Approximately 750 inner-city African American youth between the ages of 14 and 17 were interviewed in a survey on parent–teen communication. Results showed that adolescent perceptions of paternal attitudes were predictive of teen sexual behavior independent of adolescent perceptions of maternal attitudes and that the effects of live-in status on sexual behavior were mediated by adolescent perceptions of paternal attitudes. This result was robust across gender and age of the adolescent.     

Adolescent Female Athletes' Sexual Risk-Taking Behaviors

Data from the Centers for Disease Control and Prevention (CDC) 1993 Youth Risk Behavior Surveillance (YRBS) of a sample of U.S. female adolescents (N = 7839) were compared to a cohort of 9th through 12th grade high performance female athletes (N = 141) with regard to risk-taking behavior on eight items related to sexual activity (i.e., ever engaged in sexual intercourse, age of first sexual intercourse, number of lifetime sexual partners, current sexual activity, condom use, use of the birth control pill, contracting a sexually transmitted disease (STD), and incidence of alcohol or drug use prior to last sexual activity). Chi-square analyses (p < .05) showed that with the exception of alcohol or drug use prior to last sexual activity, and use of birth control pills, the six other risk-taking behaviors were significantly different between the U.S. female sample and the female athletes. In all instances, except for contracting an STD, U.S. females reported engaging in sexual risk-taking behaviors more frequently than the high performance athletes, and furthermore, were more likely to be sexually active than the high performance athletes (50% vs. 21%). Among the high performance athletes, only lifetime sexual activity showed significant difference by grade, with sophomores and seniors reporting more frequent involvement in sexual activity. These findings suggest that participation in a high performance sports activity is positively associated with some reduced sexual risk-taking behaviors for adolescent females.     

Adolescents' perceptions of the costs and benefits of engaging in health-compromising behaviors

The present investigation examined the costs and benefits that adolescents perceive for engaging or not engaging in two potentially health-compromising behaviors: underage alcohol use and nonmarital sexual intercourse. A number of hypotheses regarding gender, behavioral status, and grade differences were examined in a sample of over 2400 7th–12th graders. Our hypotheses were more clearly confirmed for perceived costs than for perceived benefits. For both sexual activity and alcohol use, there were strong differences in perceived costs between the two status groups, with nondrinkers and nonsexually active adolescents perceiving significantly more costs to these behaviors. Contrary to our hypotheses, perceived benefits did not discriminate between the two status groups. As was hypothesized, girls generally perceived more costs than did boys for engaging in sexual intercourse and using alcohol; students' perceptions of the costs of alcohol use decreased with increasing grade level. The grade trends concerning the other costs and benefits scales were all complicated by interactions with behavioral status. This study supports the idea that adolescents' perceptions of the costs and benefits of various health-compromising behaviors are related to gender, age, and the behaviors themselves. The findings further indicate that the costs adolescents perceive are more important than the perceived benefits for understanding why some adolescents engage in these behaviors and others do not.An earlier version of this paper was presented at the annual meeting of the National Council on Family Relations, Seattle, Washington, November 1990.Received Ph.D from Cornell University in developmental psychology. Research interests include adolescent risk taking and adolescent-parent relations.Received Ph.D. from the University of Wisconsin-Madison in child and family studies. Research interests include adolescent-parent relations and adolescent and adult development.Research interests include adolescent sexuality and interpersonal violence.     

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

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, France and Poland, 1997/1998) or the National Longitudinal Study of Adolescent Health (United States, 1996) self-reported sexual intercourse experience and physical (headaches, trouble sleeping) or psychological (unhappiness, loneliness, sadness, moodiness) symptoms. Analyses were conducted stratified by gender. Sexual initiation prevalence and symptoms scores varied significantly across nations. In adjusted models, sexual initiation was not related to symptoms among boys in any nation, but significantly positively related to symptoms among girls in Poland and the US. Results support variability by gender and nation in the relationship between adolescents’ sexual initiation and physical/psychological symptoms. Empirically investigating specific features of national contexts that generate these differences should be explored further.     

Therapeutic abortion during adolescence: Psychiatric observations

This study investigates the psychological reactions of adolescent girls undergoing abortion during the first trimester of pregnancy. As far as we know, this is the largest such group heretofore reported in the psychiatric literature. Two major factors distinguish the adolescent emotional responses from those of adult patients. These are (1) the abortion decision is more outer-other directed by parents, peer group, or sexual partner and is therefore more difficult and hazardous; (2) developmental immaturity contributes to ambivalence about the decision, to a distorted perception of the procedure, and to a variety of pathological reactions. Postabortion symptoms of adolescent patients with successful and unsuccessful outcomes suggest the presence of mourning processes. These are in response to the failure to realize an expectation rather than to an object loss. Preabortion dreams are a potential adjuvant to the refinement of psychiatric diagnosis and prognosis for adolescent abortion patients.Received B.A. and M.S.W. from the University of Michigan; prior experience with adolescent delinquents. Main area of interest is social casework with gynecological and obstetrical patients.     

Longitudinal Association Between Parenting Practices and Early Sexual Risk Behaviors among Urban African American Adolescents: The Moderating Role of Gender

A sample of 274 African American families, living in impoverished neighborhoods with high HIV rates, participated in a longitudinal study of adolescent sexual development when children were in the 4th or 5th grade. Self-report and observational measures of parental warmth and parental behavioral control were collected from adolescents and parents at Time 1, and youth reported if they had initiated intercourse at Times 1 and 2. Regression analyses suggested that gender moderated associations between parental behavioral control and engagement in adolescent sexual behaviors. More generally, findings suggested that boys reared in low control/high warmth (i.e., permissive) homes and girls reared in high control/low warmth (i.e., authoritarian) homes were particularly at risk for early sexual behaviors. Clinical implications and directions for the future research are discussed.Doctoral Candidate in Clinical Psychology at Loyola University Chicago. Received her B.S. in Psychology and African & African American Studies from Duke University and her M.A. in Clinical Psychology from Loyola University Chicago. Her major research interests include the role of family and mental health factors in HIV risk exposure among urban African American adolescents.Professor, Department of Psychology, Loyola University Chicago. Received his Ph.D. in 1987 from Virginia Commonwealth University. His major research interests are family relations during adolescence, physical disabilities, pediatric psychology, developmental psychopathology, and statistical applications in psychologyAssociate Professor of Psychology in the Department of Psychiatry, Institute for Juvenile Research, University of Illinois, Chicago. Received her PhD in Child Psychology from the Institute of Child Development at the University of Minnesota in 1987. Her current research interests include developmental transitions during adolescence, as well as from pre-school to middle childhood, among typically developing children as well as children with special needs     

Depressive Symptoms Among Adolescent Girls in Relationships with Older Partners: Causes and Lasting Effects?

Previous research on adolescent girls in relationships with older partners suggests a range of negative outcomes for the adolescent. Using three waves of data from the National Longitudinal Survey of Adolescent Health and a life course perspective, we explore the connection between involvement in age discordant relationships (girls dating males three or more years older) and the course of depressive symptoms among adolescent girls. Our analyses are conducted on the 1,307 girls with data at all three waves who had been in a relationship in the last 18 months. The sample is 55% White, 22% Black, 7% other race and 16% Latina. When comparing early adolescent girls (13–15) and late adolescent girls (16–18), the younger girls are no more likely to have depressive symptoms before entry into the age discordant relationship, yet have greater depressive symptoms shortly after the relationship onset and 5 years later. Older adolescent girls in age discordant relationships, however, have similar levels of depressive symptoms at any time point relative to their peers. These data suggest that a girl’s developmental stage influences whether or not she experiences emotional distress as a result of being in an age discordant relationship.     

Deficits in Emotional Clarity and Vulnerability to Peer Victimization and Internalizing Symptoms Among Early Adolescents

Peer victimization is a significant risk factor for a range of negative outcomes during adolescence, including depression and anxiety. Recent research has evaluated individual characteristics that heighten the risk of experiencing peer victimization. However, the role of emotional clarity, or the ability to understand one’s emotions, in being the target of peer victimization remains unclear. Thus, the present study evaluated whether deficits in emotional clarity increased the risk of experiencing peer victimization, particularly among adolescent girls, which, in turn, contributed to prospective levels of depressive and anxiety symptoms. In the present study, 355 early adolescents (ages 12–13; 53 % female; 51 % African American) who were part of the Adolescent Cognition and Emotion project completed measures of emotional clarity, depressive symptoms, and anxiety symptoms at baseline, and measures of peer victimization, depressive symptoms, and anxiety symptoms at follow-up. Moderation analyses indicated that deficits in emotional clarity predicted greater peer victimization among adolescent girls, but not adolescent boys. Moderated mediation analyses revealed that deficits in emotional clarity contributed to relational peer victimization, which, in turn, predicted prospective levels of depressive and anxiety symptoms among adolescent girls, but not boys. These findings indicate that deficits in emotional clarity represent a significant risk factor for adolescent girls to experience relational peer victimization, which, in turn, contributed to prospective levels of internalizing symptoms. Thus, prevention programs should target deficits in emotional clarity to prevent peer victimization and subsequent internalizing symptoms among adolescent girls.     

Timing of first sexual intercourse: the role of social control,social learning,and problem behavior

Prior research has pointed to several distinct processes that may affect the timing of first intercourse among adolescents. In the present study, the role of six hypothesized processes was assessed in a sample of 289 rural adolescent boys and girls. Results support the importance of family socialization and problem-behavior for both sexes, the role of biological factors for boys, and the role of social control processes for girls. Two other hypothesized influences—social class and poor psychosocial adjustment—were not supported in either gender. These results indicate that multiple processes influence the timing of first intercourse; thus, they underscore the need for eclectic predictive models that incorporate the multiplicity of influences.Received Ph.D. in Human Development from the University of Chicago. Current research interests include adolescent psychosocial development and risk behaviors.Received Ph.D. in Human Development and Family Studies from the Pennsylvania State University. Current research interests include adolescent sexuality and health-related behaviors.Received Ph.D. in Health Education from The Pennsylvania State University. Current research interests include adolescent health.Received Ph.D. in Education from The Pennsylvania State University. Current interests include adolescent substance abuse and pregnancy, as well as community health interventions.     

Family Cohesion and Romantic and Sexual Initiation: A Three Wave Longitudinal Study

Although the relation between family relationships and the timing of sexual debut has been the focus of many studies, research on mediating factors is scarce. This study examines whether low levels of family cohesion result in an earlier onset of romantic and sexual experiences, and whether the link between family cohesion and an early sexual debut is mediated by early romantic initiation. A longitudinal sample of 314 adolescent girls and 222 boys, aged 12–17 at Wave 1, completed questionnaires at three measurement points with three year intervals. The results showed that sexual debut followed romantic initiation for 77% of the participants. For early adolescent females (aged 12–14), high levels of family cohesion resulted in a later sexual debut and this association was fully mediated by a delay of romantic initiation. Among boys and older girls, timing of romantic initiation did not mediate the link between family cohesion and timing of sexual initiation. Early adolescent girls who have negative relationships with their parents turn to romantic relationships for intimacy and support, which subsequently provide the opportunity for an early sexual debut. Low levels of family cohesion thus primarily precipitate romantic initiation and sexual initiation appears to be secondary to this process among girls in this age group.     

Tough-Girl Femininity,Sisterhood and Respectability: Minority Girls’ Perceptions of Sexual Harassment in an Urban Secondary School

ABSTRACT

This study aims to explore how adolescent girls with minority backgrounds experience different forms of sexual harassment in school. The study draws on semi-structured interviews conducted in a lower secondary school located in one of Sweden’s most socially disadvantaged urban areas. The results reveal that the girls repeatedly experienced misogynist comments such as “whore” and “slut” and were subjected to moral judgements connected to their manner of dressing and behaving. The girls’ narratives were also framed as tough-girl femininity, which is related to how they had to show a tough façade against acts of harassment as well as to other students at the school. When the name-calling became personal, the girls stuck together against the harassing boys and fought back verbally. The study contributes important knowledge about how adolescent girls perceive sexual harassment at school; this knowledge is important in efforts to create a safer school environment for all students.     

Parenting,Communication about Sexuality,and the Development of Adolescent Womens’ Sexual Agency: A Longitudinal Assessment

Sexual agency (i.e., the ability to make decisions and assertions related to one’s own sexuality) is associated with sexual health enhancing outcomes. Given that young women are expected to act passively, rather than with agency when it comes to sexual encounters, the present study aimed to explore whether parental support, knowledge, and communication about sexuality during late adolescence contribute to an enhancement of sexual agency in a sample of young women in the long-term. Using a longitudinal design (panel study), 320 female participants who participated in three data collection waves (T1, T2, and T5) were included in the analyses (M_age?=?16.2 years, SD?=?0.50 at baseline). Mediated by the frequency of parents’ communication about sexuality with their daughters, both dimensions of parental support (emotional engagement and support of autonomy) positively predicted adolescent women’s sexual agency two years later. In contrast, parental knowledge of their children’s whereabouts was unrelated to communication and female sexual agency. Specific dimensions of parenting seem to play a crucial role in empowering adolescent girls to act agentic through communicating, emotional support, and encouraging autonomy, which in turn may contribute to healthy sexual behavior in young adulthood.