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.     

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.     

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.     

The First Sexual Experience Among Adolescent Girls With and Without Disabilities

First sexual intercourse is an important experience in the young adult life course. While previous research has examined racial, gender, and socioeconomic differences in the characteristics of first sexual intercourse, less is known about differences by disability status. Using a racially diverse (27% Black, 20% Hispanic, and 53% non-Hispanic white) sample of 2,729 adolescent girls aged 12–24 at first sexual intercourse from the National Longitudinal Survey of Youth 1997, this article examines the association between disability and type of first sexual relationship, degree of discussion about birth control, and pregnancy wantedness. Regression analyses indicate that girls with mild or learning or emotional disabilities experience first sexual intercourse in different types of relationships than girls without disabilities. Adolescents with learning or emotional conditions have greater levels of discussion about birth control with their first sexual partners than those without disabilities. In addition, among those who do not use birth control at first sexual intercourse, girls with multiple or seriously limiting conditions are more likely to want a pregnancy—versus not want a pregnancy—at first sexual intercourse. Findings indicate that disability status is important to consider when examining adolescent sexuality; however, not all youth with disabilities have equal experiences.     

Parent–Child Interaction During Adolescence,and the Adolescent's Sexual Experience: Control,Closeness, and Conflict

It is often assumed that a good parent–child relationship leads to a later sexual initiation of the adolescent. Using a representative longitudinal sample of 332 (Time One) to 255 (Time Two) mother–adolescent pairs, we sought to reexamine the relations between distal variables (including socioeconomic status, age of mother and child, presence of the father), proximate variables (rearing styles, sexual permissiveness), and the amount of intrafamily conflict and adolescent sexual behavior, by means of structural modeling techniques and logistic regression analysis. Our results did not support the notion of delayed sexual initiation of adolescents as a consequence of positive parent–child relationships. On the contrary, we find that the stronger parental desire to maintain a good relationship with their adolescents, the more likely it is that their sexual initiation will be at a younger age.     

Female adolescents of alcohol misusers 1: Sexual behaviors

Studies show that children of alcoholics constitute an at-risk population. This study attempted to understand the impact of parental alcohol misuse on sexual behaviors of female adolescents, based on a sample of 1134 teenagers from alcohol misusing parents in Minnesota. Index adolescents were more likely to report having sexual intercourse as well as greater frequency of intercourse, history of pregnancy and greater overall pregnancy risk based on current patterns of sexual behavior and contraceptive utilization. Bivariate analysis revealed that gender of the drinking parent was also associated with the above variables. However, in multivariate assessment of protective and risk factors for adolescent pregnancy in the at-risk sample, maternal vs. paternal vs. both parents drinking was no longer salient. Pregnancy avoidance was associated in the index group with two-parent family structure and higher maternal education, while pregnancy history was associated with a history of physical abuse and perception of high levels of vandalism in the school setting.The study reported in this article did not utilize clinically diagnostic indicators of alcoholism. Hence the authors have deliberately avoided using the word alcoholics when referring to parents of study participants. The terms alcohol misusers and alcohol abusers have been substituted and are used interchangeably.Received Ph.D. from University of Minnesota. Research interests include identifying resilience factors in populations that are considered at risk and the usefulness of these factors in planning social welfare programs.Received Ph.D. from University of Minnesota.Received Ph.D. from University of Minnesota. Research interests include children with chronic illness and disabilities, adolescent sexual decision making and international adolescent health care issues.Received Ph.D. from University of Minnesota. Research focuses on adolescent high-risk behaviors and resiliency, and interested in the translation of social research into social action, programs, and policy.     

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.     

Adolescent Sexual Debut and Later Delinquency

Does sexual debut (i.e., experiencing sexual intercourse for the first time) increase the risks of participating in later delinquent behavior? Does this risk increase if adolescents experience early sexual debut relative to the timing experienced by one’s peers? Although many factors have been linked to sexual debut, little research has examined whether sexual initiation is linked to later behavioral outcomes. Using data on adolescents participating in three waves of the National Longitudinal Study of Adolescent Health (N=7,297), we examine the interconnections between sexual debut and later delinquency. In addition, we pay particular attention to the role of timing of sexual debut. We find that experiencing sexual debut is associated with delinquency one year later. In addition, those adolescents who experience early sexual debut relative to their peers are at higher risk of experiencing delinquency compared to those who debut on-time; adolescents who experience late sexual debut are the least likely to participate in delinquency. Moreover, the protective effect of late sexual debut appears to persist for several years. Findings are interpreted by drawing on developmental theory and life course research.     

A Developmental Perspective on Young Adult Romantic Relationships: Examining Family and Individual Factors in Adolescence

The ability to develop and maintain healthy romantic relationships is a key developmental task in young adulthood. The present study investigated how adolescent interpersonal skills (assertiveness, positive engagement) and family processes (family climate, parenting practices) influence the development of young adult romantic relationship functioning. We evaluated cross-lag structural equation models with a sample of 974 early adolescents living in rural and semi-rural communities in Pennsylvania and Iowa, starting in sixth grade (mean age?=?12.4, 62.1% female) and followed into young adulthood (mean age?=?19.5). Findings revealed that adolescents who had experienced a more positive family climate and more competent parenting reported more effective problem-solving skills and less violent behavior in their young adult romantic relationships. Adolescent assertiveness was consistently positively associated with relationship problem-solving skills, and adolescents’ positive engagement with their family was associated with feeling more love in young adult romantic relationships. In addition, family functioning and adolescent interpersonal skills exhibited some reciprocal relations over the adolescent years. In summary, family processes and interpersonal skills are mutually influenced by each other across adolescence, and both have unique predictive implications to specific facets of young adult romantic relationship functioning.     

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.     

Adolescents Values Clarification and Development: A Model for Group Counseling

Youths involved with the juvenile justice and child welfare systems report higher rates of early initiation of sexual intercourse, more sexual partners, and lower rates of condom use compared with the general adolescent population. Such risky behaviors leave system-involved youths with volatile behavioral challenges and negative sexual health outcomes, such as unintended pregnancy. These effects can be attributed to detached support systems and a lack of early interventions, such as group therapy. This dynamic fosters further inquiry into asking, can delinquent teenagers who adopt a values clarification approach and understanding exhibit positive prosocial thoughts and behaviors? The intent of this paper is to discuss an alternative education program for pregnant, delinquent adolescents and young mothers allowed a social worker and his associates to implement a group counseling program. The counseling was intended to emphasize values clarification and values development. The counselors focused on attitudes, social views, and desired behaviors related to values. A unique aspect of the program was the development of a four-phase cognitive process related to values clarification and development. This process includes the discovery and awareness of values, the claiming and reclaiming of values, the acceptance of core values, and the appreciation and advocacy of the values phase. A content analysis methodology was used to analyze a self-report methods so that insights into cultural trends and experiences could be understood. Findings from the adoption of this program suggest a psychoeducation humanistic model can not only buffer teenage pregnancy risk and delinquency but also strengthen values and the moral development of troubled youth.     

Gender Differential Influences of Early Adolescent Risk Factors for the Development of Depressive Affect

Based on a model by Cyranowski, J., et al. (2000), Arch. Gen. Psychiatry 57: 21–27, adolescents at-risk for the development of depressive symptoms were identified. Adolescents were considered at-risk if they had 2 or more of the following early adolescent risk factors: (1) insecure parental attachment, (2) anxious/inhibited temperament, (3) low instrumental coping skills, and (4) early pubertal maturation. Nonrisk adolescents had zero or just one risk factor. Using data from a 10-year longitudinal study on the development of adolescents’ health, with 5 points of data assessment (i.e., 6th, 7th, 8th, 12th, and 12 + 4 follow-up), the impact of the four early adolescent risk factors on the development of emotional tone was investigated. Emotional tone was measured by the Emotional Tone Scale of the SIQYA (Petersen, A. C., et al. (1984), J. Youth Adolesc. 13: 93–111), an indicator for positive emotional tone and low depressed affect. Growth curve modeling was applied to reveal significant gender differences in level and slope for the development of emotional tone over the adolescent years. Latent Growth Curve Models can be seen as a combination consisting of repeated measures analysis of variance and autoregressive analyses to evaluate the latent change of the variables under investigation (Rovine, M. J., and Molenaar, P. C. M. (2000), Multivar. Behav. Res. 35(1): 51–88). At-risk girls revealed poorer levels of emotional tone which stayed almost at the same low level up to young adulthood (i.e., 12 + 4), indicating a long lasting impact of the specified risk factors. In contrast, at-risk boys showed poorer emotional tone in early adolescence, but at the end of adolescence boys at-risk had the same level of emotional tone as nonrisk boys. At-risk girls showed significantly higher levels of depressive symptoms at grade 12 and at 12 + 4.Assistant Professor at the Department of Psychology, University of Erlangen-Nuremberg. He received his master’s degree from the Technical University Berlin in 1989 and his PhD from the Pennsylvania State University in 1993. His research interests encompass developmental psychology and methodology.Senior Vice President for Programs at the W. K. Kellogg Foundation, Battle Creek, Michigan. She received her PhD from the University of Chicago.     

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     

Educational correlates of adolescents' sexual attitudes and behavior

Parents' educational attainment is known to be related to their children's educational aspirations and plans, and these variables have been presumed to be inversely related to early adolescent sexual activity. Relationships between these educational variables and adolescents' sexual attitudes and behavior were analyzed in a sample of 810 high school students from two Western states. Parents' educational background was positively related to adolescents' educational plans and performance, and these educational variables were inversely related to adolescents' premarital sexual attitudes and intercourse experience. It seems most plausible to conclude that parents' educational backgrounds affect children's educational interests and grades, which, in turn, affect adolescent sexuality. However, the observed associations also could be interpreted to suggest that early sexual behavior reduces adolescents' educational plans and lowers their school grades.The data analyzed here were collected as part of a prevention demonstration grant (APH 003-6-01-0) awarded to Terrance D. Olson by the Office of Adolescent Pregnancy Programs. This paper is based on the master's thesis of the second author.Received Ph.D. in Family Sociology from the University of Minnesota. Research interests concern the antecedents and consequences of early adolescent sexual behavior.Received a master's degree from the Department of Family and Human Development at Utah State University. Interested in the problem behaviors of young teenagers.     

Testing a Model of Universal Prevention Effects on Adolescent Relationships and Marijuana Use as Pathways to Young Adult Outcomes

There are several interrelated knowledge gaps in the literature on skills-building interventions for middle schoolers designed to prevent initiation of substance use, all of which concern the limited study of the adolescent pathways of those intervention effects on distal young adult outcomes. Among the most important yet understudied pathways of influence on long-term effects are positive youth relationship outcomes of middle-school interventions. Other influential pathways for long-term effects are reductions in adolescent substance misuse, particularly marijuana use, considering the long-term consequences of early marijuana initiation. To address these knowledge gaps, data from a randomized controlled trial were used to test a longitudinal, developmental model positing pathways of intervention effects on age 21 illicit drug use and positive relationship affect, via earlier effects on adolescent relationships and marijuana use. Sixth-graders and their families enrolled in 22 Iowa schools were randomly assigned to the Iowa Strengthening Families Program or a control group (N?=?446). The average age of students at baseline was 11.3 years (10–13 year age range); 48% were male and 98% were Caucasian, reflective of the demographics in the participating rural Midwest communities. Measures included middle-school relationships (parents, peers, school), high school marijuana use, plus age 21 illicit drug use and relationship affect (parents, work, school), 10 years past intervention implementation. As expected, intervention effects on young adult variables were indirect, through effects on adolescent outcomes, with higher-risk participants showing greater intervention impact. The findings suggest preventive interventions with young adolescents have potential to demonstrate effects into young adulthood.

     

Sexual Activity,Pregnancy, and Deviance in a Representative Urban Sample of African American Girls

The primary goal of this paper is to investigate the interrelationship between sexual activity, pregnancy, and deviance among a cohort of urban African American adolescent girls and compare the risk factors that predict these behaviors. The data are drawn from the Rochester Youth Development Study (RYDS), a multiwave panel study designed to examine the causes and correlates of delinquent behavior and drug use in a representative urban sample. This study relies on data from the 196 African American girls in the panel. Results indicate that girls who engage in early sexual activity and those who become pregnant are more likely to be involved in substance use and status offenses than girls who are not sexually active and who do not become pregnant. Additionally, sexual behavior and pregnancy are both influenced by socioeconomic disadvantage, unlike the other kinds of deviance examined. However, the proximal predictors of early sexual activity and pregnancy differ, with the profile of sexually active girls being more similar to the profile of girls involved in substance use and status offenses.     

Psychological Distress,Substance Use,and HIV/STI Risk Behaviors Among Youth

Psychological distress has been inconsistently associated with sexual risk behavior in youth, suggesting additional factors, such as substance use, may explain this relationship. The mediating or moderating role of substance use on the relationship between psychological distress and sexual risk behaviors was prospectively examined over the four high school years in a sample of urban youth (N = 850; 80% African American; 50% female). Growth curve modeling was used to estimate changes in sexual risk across adolescence and to test its association to psychological distress symptoms and frequency of substance use. Substance use was associated with psychological distress. Greater psychological distress was associated with increased sexual intercourse frequency, decreased condom use, and increased number of partners. Substance use fully mediated the relationship between psychological distress and intercourse frequency and condom use, and partially mediated the relationship between psychological distress and number of partners. We found no differences in mediation by sex or race/ethnicity and no evidence to support moderation of psychological distress and substance use on sexual risk. Findings suggest that psychological distress is associated with sexual risk because youth with greater psychological distress are also more likely to use substances. Practical implications for adolescent HIV/STI prevention are discussed.     

Perceived and Observed Maternal Relationship Quality Predict Sexual Debut by Age 15

Early sexual behaviors during adolescence have the potential to lead to unhealthy outcomes. This study explored the association between specific dimensions of maternal relationship quality and adolescent sexual debut by age 15. We hypothesized that adolescents who have poor maternal relationships are at greater risk of early sexual debut than those who have a more supportive relationship. These hypotheses were examined using both adolescents’ perception of their maternal relationship quality and observed relationship quality. A sample of 268 adolescents (142 girls; 90% European American) were followed longitudinally from age 13 to age 15. The results indicate that adolescents with sexual debut by age 15 report significantly worse relationships with their mothers compared with other adolescents. Furthermore, behavioral observations of lower maternal support and higher observed displays of externalizing affect towards the mother also were related to early sexual debut. The significance of maternal relationship quality remained after controlling for family structure, race, and socioeconomic status. These findings suggest that mothers have a significant role in the timing of their adolescents’ sexual debut.     

Family Financial Stress and Adolescent Sexual Risk-Taking: The Role of Self-Regulation

The ability to control one’s emotions, thoughts, and behaviors is known as self-regulation. Family stress and low adolescent self-regulation have been linked with increased engagement in risky sexual behaviors, which peak in late adolescence and early adulthood. The purpose of this study was to assess whether adolescent self-regulation, measured by parent and adolescent self-report and respiratory sinus arrhythmia, mediates or moderates the relationship between family financial stress and risky sexual behaviors. We assessed these relationships in a 4-year longitudinal sample of 450 adolescents (52 % female; 70 % white) and their parents using structural equation modeling. Results indicated that high family financial stress predicts engagement in risky sexual behaviors as mediated, but not moderated, by adolescent self-regulation. The results suggest that adolescent self-regulatory capacities are a mechanism through which proximal external forces influence adolescent risk-taking. Promoting adolescent self-regulation, especially in the face of external stressors, may be an important method to reduce risk-taking behaviors as adolescents transition to adulthood.     

Internalizing Symptoms: Effects of a Preventive Intervention on Developmental Pathways from Early Adolescence to Young Adulthood

This study examined the mediated and moderated effects of a universal family-focused preventive intervention, delivered during young adolescence, on internalizing symptoms assessed in young adulthood. Sixth grade students (N=446; 52% female; 98% White) and their families from 22 rural Midwestern school districts were randomly assigned to the experimental conditions in 1993. Self-report questionnaires were administered at seven time points (pre-test to young adulthood-age 21) to those receiving the Iowa Strengthening Families Program (ISFP) and to the control group. Results showed that growth factors of adolescent internalizing symptoms (grades 6-12) were predicted by ISFP condition and risk status (defined as early substance initiation). Moderation of the condition effect by risk status was found, with higher-risk adolescents benefitting more from the ISFP. Results also supported the hypothesis that the ISFP's effect on internalizing symptoms in young adulthood was mediated through growth factors of adolescents' internalizing symptoms; risk moderation, however, was only marginally significant in young adulthood. The relative reduction rate on clinical or subclinical levels of young adult internalizing symptoms was 28%, indicating that for every 100 young adults displaying clinical or subclinical levels of internalizing symptoms from school districts not offering an intervention, there could be as few as 72 displaying those levels of symptoms in school districts that offered middle school prevention programming. These findings highlight how the positive effects of family-focused universal interventions can extend to non-targeted outcomes and the related potential public-health impact of scaling up these interventions.