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The transition of adolescent males to first sexual intercourse: anticipated or delayed? (Articles).


The initiation of sexual activity is important in the transition from adolescence adolescence, time of life from onset of puberty to full adulthood. The exact period of adolescence, which varies from person to person, falls approximately between the ages 12 and 20 and encompasses both physiological and psychological changes.  to adulthood. (1) Early initiation of intercourse INTERCOURSE. Communication; commerce; connexion by reciprocal dealings between persons or nations, as by interchange of commodities, treaties, contracts, or letters. , however, increases the risk of premarital pregnancy and sexually transmitted disease sexually transmitted disease (STD) or venereal disease, term for infections acquired mainly through sexual contact. Five diseases were traditionally known as venereal diseases: gonorrhea, syphilis, and the less common granuloma inguinale,  (STD (Subscriber Trunk Dialing) Long distance dialing outside of the U.S. that does not require operator intervention. STD prefix codes are required and billing is based on call units, which are a fixed amount of money in the currency of that country. ) among teenagers. To reduce the risk of these outcomes, school sexuality education and public health programs have attempted to delay the transition to intercourse among adolescents and to promote contraceptive contraceptive /con·tra·cep·tive/ (-sep´tiv)
1. diminishing the likelihood of or preventing conception.

2. an agent that so acts.
 use and responsible behavior among those who are sexually active. Although such efforts have resulted in some declines in risky sexual practices among adolescents, males continue to initiate intercourse at younger ages and engage in more risky sexual behaviors sexual behavior A person's sexual practices–ie, whether he/she engages in heterosexual or homosexual activity. See Sex life, Sexual life. , such as having multiple partners, than do females. (2) Thus, the health consequences of adolescent ad·o·les·cent
adj.
Of, relating to, or undergoing adolescence.

n.
A young person who has undergone puberty but who has not reached full maturity; a teenager.
 sexual behavior--particularly high-risk behaviors high-risk behavior Public health A lifestyle activity that places a person at ↑ risk of suffering a particular condition. See Safe sex practices.  among adolescent males--continue to be of public concern.

An understanding of the various social, psychological and behavioral behavioral

pertaining to behavior.


behavioral disorders
see vice.

behavioral seizure
see psychomotor seizure.
 factors that influence adolescent sexual activity will aid in the planning of prevention and intervention A procedure used in a lawsuit by which the court allows a third person who was not originally a party to the suit to become a party, by joining with either the plaintiff or the defendant.  programs. These factors include parental and family background, association with institutions such as schools and churches, attitudes and participation in risky behavior. Demographic factors, such as race and ethnicity ethnicity Vox populi Racial status–ie, African American, Asian, Caucasian, Hispanic , can also influence the age at first intercourse: For example, black youth initiate sexual activity before puberty puberty (py`bərtē), period during which the onset of sexual maturity occurs.  more commonly than white youth. (3)

Family structure and socioeconomic so·ci·o·ec·o·nom·ic  
adj.
Of or involving both social and economic factors.


socioeconomic
Adjective

of or involving economic and social factors

Adj. 1.
 background are associated with teenage sexual activity: Youth living with one parent have higher rates of first sex than those living with both biological parents, (4) and young people in low-income low-in·come
adj.
Of or relating to individuals or households supported by an income that is below average.
 households have higher rates of sexual activity than those in higher-income households. (5) In addition, maternal MATERNAL. That which belongs to, or comes from the mother: as, maternal authority, maternal relation, maternal estate, maternal line. Vide Line.  education and employment levels are predictive of age at sexual initiation: The lower the mother's educational level or the more hours she works, the younger a teenager Teenager
See also Adolescence.

Ah, Wilderness!

high-school senior has problems with girls and his father. [Am. Drama: O’Neill Ah, Wilderness! in Sobel, 15]

Aldrich, Henry

teenaged film character of the 1940s. [Am.
 is likely to be when he or she initiates intercourse. (6)

Involvement in activities outside the family, such as church and school attendance, can also influence adolescent sexual behavior

Main articles: Human sexual behavior, Adolescence, and Adolescent sexuality
Adolescent sexual behavior refers to the sexual behavior of adolescents.
. For example, young men who attend religious services regularly are less likely than those who do not attend to engage in premarital intercourse. (7) And the lower a teenager's school grades are, the more likely he or she is to be sexually experienced. (8)

A number of psychological factors affect youths' sexual behavior. Teenagers with low self-esteem self-esteem

Sense of personal worth and ability that is fundamental to an individual's identity. Family relationships during childhood are believed to play a crucial role in its development.
 are more likely. than those with high self-esteem to engage in sexual activity, (9) and youth have an increased likelihood of early transition to first intercourse if they lack a sense of being in control of their lives (10) or are accepting of premarital sex. (11) Furthermore, traditional attitudes toward gender roles among adolescent males predict high-risk high-risk adjective Referring to an ↑ risk of suffering from a particular condition Infectious disease Referring to an ↑ risk for exposure to blood-borne pathogens, which occurs with blood bank technicians, dental professionals, dialysis unit  sexual behavior. (12)

Substance use can impede im·pede  
tr.v. im·ped·ed, im·ped·ing, im·pedes
To retard or obstruct the progress of. See Synonyms at hinder1.



[Latin imped
 a youth's decision-making decision-making,
n the process of coming to a conclusion or making a judgment.

decision-making, evidence-based,
n a type of informal decision-making that combines clinical expertise, patient concerns, and evidence gathered from
 ability, thereby making sexual activity more likely. Graves and Leigh Leigh (lē), town (1991 pop. 42,627), Wigan metropolitan district, NW England, in the Greater Manchester metropolitan area. Industries include cotton and rayon mills, metalworks, and machinery and electrical goods plants.  (13) found that males aged 18-30 who smoked cigarettes or marijuana marijuana or marihuana, drug obtained from the flowering tops, stems, and leaves of the hemp plant, Cannabis sativa (see hemp) or C. indica; the latter species can withstand colder climates.  and those who drank alcohol excessively were more likely than males who did not use these substances to be sexually active. By the same token, sexual activity can predict delinquent delinquent 1) adj. not paid in full amount or on time. 2) n. short for an underage violator of the law as in juvenile delinquent.


DELINQUENT, civil law. He who has been guilty of some crime, offence or failure of duty.
 behavior: Sexually active 15-17-year-olds are more likely than their sexually inexperienced in·ex·pe·ri·ence  
n.
1. Lack of experience.

2. Lack of the knowledge gained from experience.



in
 peers to have been suspended sus·pend  
v. sus·pend·ed, sus·pend·ing, sus·pends

v.tr.
1. To bar for a period from a privilege, office, or position, usually as a punishment: suspend a student from school.
 from school. (14)

A limitation of past research about teenage sexual experience is that studies have generally examined the transition to first intercourse as a dichotomous di·chot·o·mous  
adj.
1. Divided or dividing into two parts or classifications.

2. Characterized by dichotomy.



di·chot
 outcome. Whitaker Whitaker is a surname and may refer to:
  • Alexander Whitaker (1585–1616), American religious leader
  • Benjamin Whitaker, British Labour Party politician
  • Brian Whitaker, British journalist
 and colleagues, (15) however, argue for a broadening of this narrow definition to expand our understanding of adolescent sexual behavior, so that prevention and intervention programs can become more effective. Inspired by the earlier typology typology /ty·pol·o·gy/ (ti-pol´ah-je) the study of types; the science of classifying, as bacteria according to type.

typology

the study of types; the science of classifying, as bacteria according to type.
 of Miller and colleagues, (16) they separate sexually inexperienced teenagers into two groups: delayers, who have not had sex and do not expect to do so in the next year, and anticipators, who have not had sex but anticipate doing so in the next year.

Compared with delayers, anticipators in the study by Whitaker and colleagues reported more risky behaviors, such as smoking, using alcohol and drugs, and carrying a weapon; they also were more likely to have friends who engaged in risky behaviors, but they were less likely to report parental monitoring. Anticipators indicated lower levels of self-esteem and a higher sense of hopelessness hopelessness Psychology Bleak expectations, usually about oneself or one's future. See Depression. , and they were less likely to be influenced by a role model or to see themselves as a role model. Furthermore, anticipators reported less involvement in religion and lower school achievement than delayers. The researchers suggest that anticipators, relative to delayers, are in a high-risk context that is consistent with their expectation to initiate intercourse. However, they acknowledge various study limitations--in particular, the use of cross-sectional data Cross-sectional data in statistics and econometrics is a type of one-dimensional data set. Cross-sectional data refers to data collected by observing many subjects (such as individuals, firms or countries/regions) at the same point of time, or without regard to differences in time. : They note the need for longitudinal lon·gi·tu·di·nal
adj.
Running in the direction of the long axis of the body or any of its parts.
 data to determine the influence of various factors on the transition to first sexual intercourse sexual intercourse
 or coitus or copulation

Act in which the male reproductive organ enters the female reproductive tract (see reproductive system).
. In addition, the young people they studied were not a random sample of adolescents; instead, participants were recruited at three sites. (17)

We aimed to further characterize the factors affecting transition to first intercourse among delayers and anticipators by analyzing longitudinal data from a randomly selected, national sample. Because risk-taking behavior is more common among teenage males than females, we limited our focus to male adolescents.

METHODS

Sample Selection

The data were selected from the 1988 and 1990-1991 waves of the National Survey of Adolescent Males. The 1988 survey provided information on patterns of sexual activity among 1,880 never-married U.S. males aged 15-19. Of these males, 1,689 (90%) replied to the 1990-1991 follow-up follow-up,
n the process of monitoring the progress of a patient after a period of active treatment.


follow-up

subsequent.


follow-up plan
 survey, which asked for the date of first intercourse. Longitudinal sample weights were used to adjust the original sample for cases lost in the follow-up survey and for over-sampling of blacks and Hispanics. Data were collected in face-to-face (jargon, chat) face-to-face - (F2F, IRL) Used to describe personal interaction in real life as opposed to via some digital or electronic communications medium.  interviews, as well as anonymously through self-administered questionnaires. These data allowed us to assess the effects of social, psychological and behavioral measures reported in 1988 on the likelihood of initiating penile-vaginal intercourse within one year.

We limited our sample to the 612 young men who indicated in the 1988 survey that they had not had sexual intercourse with a woman. Of this group, 98 indicated in the second survey that they had had sex before 1988; some of these respondents In the context of marketing research, a representative sample drawn from a larger population of people from whom information is collected and used to develop or confirm marketing strategy.  reported that they had been sexually abused or forced to have sex or that they had engaged in oral sex before 1988. Furthermore, 60 males did not participate in the second survey, and another two reported that they were gay. All of these respondents were excluded from the analyses, leaving a sample of 452 heterosexual heterosexual /het·ero·sex·u·al/ (-sek´shoo-al)
1. pertaining to, characteristic of, or directed toward the opposite sex.

2. one who is sexually attracted to persons of the opposite sex.
 young men aged 15-19 who had never had vaginal vag·i·nal
adj.
1. Of or relating to the vagina.

2. Relating to or resembling a sheath.



vaginal

pertaining to the vagina, the tunica vaginalis testis, or to any sheath.
 intercourse or oral sex by 1988.

We note that these young men represent the middle to upper distribution of age at first intercourse: The mean age at first intercourse of all respondents who experienced first sex between the first and second surveys was 16.9 years (standard deviation In statistics, the average amount a number varies from the average number in a series of numbers.

(statistics) standard deviation - (SD) A measure of the range of values in a set of numbers.
, 1.7). In contrast, the mean age at first sex of the earliest initiators who were excluded from the sample was 14.9 years (standard deviation, 2.0). Thus, we excluded the youngest, highest-risk males.

Model Specifications

Respondents who had not yet had sex in 1988 were asked to indicate why not (by choosing from a given list of reasons) and to report how likely they thought they were to have sex in the next year. Those who reported little or no chance were classified as delayers, and those reporting a 50% or greater chance were categorized cat·e·go·rize  
tr.v. cat·e·go·rized, cat·e·go·riz·ing, cat·e·go·riz·es
To put into a category or categories; classify.



cat
 as anticipators. In our analysis of the transition to first sex, the dependent variable indicated whether sexual initiation had occurred within the next year. Thus, it was coded one if the respondent In Equity practice, the party who answers a bill or other proceeding in equity. The party against whom an appeal or motion, an application for a court order, is instituted and who is required to answer in order to protect his or her interests.  had experienced first sex within one year of the 1988 survey, and zero if he had not.

The independent variables included social, psychological and behavioral measures. Involvement in risky activities was a summary measure that indicated whether the respondent had ever been suspended from school, had smoked cigarettes or drunk alcohol during the past 12 months or had ever been arrested. A score of zero indicated that the respondent had not been involved in any of these behaviors, and a score of four indicated that he had been involved in all four. A summary measure indicating precoital sexual experience was created by summing across 10 dummy variables This article is not about "dummy variables" as that term is usually understood in mathematics. See free variables and bound variables.

In regression analysis, a dummy variable
 that ranged from ever having gone out alone with a girl to having kissed a girl, to having touched her breasts or genitals gen·i·tals
pl.n.
Genitalia.
. Scores ranged from zero (the respondent had never engaged in any of these activities) to 10 (he had had all of these experiences).

In an effort to consider variables similar to those examined by Whitaker and colleagues, (18) we initially included psychological measures that indicated the respondent's sense of control over his life and level of self-esteem. No difference was found between delayers and anticipators in terms of self-control self-control
n.
Control of one's emotions, desires, or actions by one's own will.
 or self-esteem, and neither factor contributed significantly to models that predicted the transition to first intercourse. To simplify the analysis, we excluded these measures.

Other psychological factors studied were respondents' attitudes toward premarital sex and male gender roles, and whether they had peer or parental role models. Attitudes toward premarital sex were measured on a scale ranging from one ("sexual intercourse before marriage is never okay") to four (it "is okay if both people agree to it"). Attitudes toward male gender roles were assessed by averaging responses of agreement to the following five statements: "It is essential for a guy to get respect from others"; "A man always deserves the respect of his wife and children"; "I admire a guy who is totally sure of himself"; "A guy will lose respect if he talks about his problems"; and "A young man should be physically tough, even if he's he's  

1. Contraction of he is: He's going to school today.

2. Contraction of he has: He's already been to the museum.
 not big." The scale ranged from one (agree a lot) to four (disagree a lot). As a proxy measure of the existence of role models, we evaluated how frequently respondents felt influenced by peers and by parents, using a scale from one (not at all) to four (very often).

The family-level characteristics that we examined were parental monitoring, family structure, maternal education and household income. We determined the degree of parental monitoring by measuring respondents' perception of family rules at age 14 on a scale from one (no rules) to four (very strict rules). Family structure was assessed through two dichotomous variables, measuring whether a respondent lived with both parents at age 14 and whether his mother gave birth as a teenager. We classified the educational level of each respondent's mother as less than high school, high school only or some college or more. We measured household income in the past year on a scale ranging from one (less than $10,000) to seven ($60,000 or more).

Respondents' involvement with school was measured by two indicators: average grades, ranging from one (well below average) to five (well above average), and a dichotomous measure indicating if the respondent had ever repeated a grade. In initial analyses, an ordinal (mathematics) ordinal - An isomorphism class of well-ordered sets.  measure of expected educational level was included, but this measure did not differ significantly between anticipators and delayers or influence the transition to first sex, so it was excluded from the analysis. Church involvement was assessed in terms of reported church attendance, on a scale from one (never) to four (weekly). An ordinal measure of the importance of religion to the respondent had no effect in initial analyses and was thus excluded.

We also included two demographic controls: race, a dichotomous variable that was coded one if the respondent was black and zero if otherwise, and respondent's age in 1988.

Statistical Analysis

To identify differences in frequency distributions and mean scores between delayers and anticipators, we used two-tailed Two-tailed may refer to:

In entomology:
  • Two-tailed Pasha, butterfly which can be seen only in the Mediterranean regions in August and September
  • Two-tailed Swallowtail, large North American butterfly
In other fields:
 Student t-tests. Because the dependent variable is dichotomous, we analyzed an·a·lyze  
tr.v. an·a·lyzed, an·a·lyz·ing, an·a·lyz·es
1. To examine methodically by separating into parts and studying their interrelations.

2. Chemistry To make a chemical analysis of.

3.
 the transition to first sex using logistic regression In statistics, logistic regression is a regression model for binomially distributed response/dependent variables. It is useful for modeling the probability of an event occurring as a function of other factors.  techniques. The coefficients represent the increase or decrease in the log odds of initiating first sex per unit or category change in an independent variable. We calculated the exponent exponent, in mathematics, a number, letter, or algebraic expression written above and to the right of another number, letter, or expression called the base. In the expressions x2 and xn, the number 2 and the letter n  of the coefficients to convert the results to the relative odds of initiating first sex (versus not); thus, we report odds ratios for ease of interpretation. We used the Wald Wald , George 1906-1997.

American biologist. He shared a 1967 Nobel Prize for research on the role of vitamin A in vision.
 statistic statistic,
n a value or number that describes a series of quantitative observations or measures; a value calculated from a sample.


statistic

a numerical value calculated from a number of observations in order to summarize them.
 to determine the significance level of the coefficients.

We modeled the likelihood of initiating intercourse within one year first for the entire sample and then separately for delayers and anticipators. After analyzing these regression regression, in psychology: see defense mechanism.
regression

In statistics, a process for determining a line or curve that best represents the general trend of a data set.
 models, we examined interaction terms to determine whether effects differed significantly between delayers and anticipators. Each independent variable was interacted with a dichotomous variable (coded one if the respondent was an anticipator and zero if he was a delayer), and the interaction term and the anticipation measure were included in the full model. All analyses were conducted with SPSS A statistical package from SPSS, Inc., Chicago (www.spss.com) that runs on PCs, most mainframes and minis and is used extensively in marketing research. It provides over 50 statistical processes, including regression analysis, correlation and analysis of variance.  version 10.0.

RESULTS

Descriptive Data

Thirty-six percent of the sample reported expecting to initiate intercourse within one year and are thus classified as anticipators; the remainder reported not expecting to initiate intercourse within one year and are categorized as delayers. When asked to choose a reason that best described why they had not yet initiated intercourse, 25% of the young men said they were waiting until marriage, and 22% said they had not yet had an opportunity (Table 1). The next most frequent responses were postponement until an older age (19%) and a fear of contracting an STD or of causing a pregnancy (19%). Reasons were significantly different between delayers and anticipators. The most common response among delayers was a desire to wait until marriage (32%); only 12% of anticipators cited this reason. In contrast, the most common response among anticipators was not yet having had the opportunity (35%), a reason given by only 14% of delayers. Thus, delayers were more likely to report a desire to defer de·fer 1  
v. de·ferred, de·fer·ring, de·fers

v.tr.
1. To put off; postpone.

2. To postpone the induction of (one eligible for the military draft).

v.intr.
 sexual activity, whereas anticipators often only lacked the opportunity to initiate intercourse.

The two groups also differed significantly with respect to some background characteristics (Table 2). Anticipators had engaged in significantly more risky behaviors than delayers (1.5 vs. 1.0), had had more precoital experiences (5.7 vs. 3.5) and scored higher on approval of premarital sex (3.3 vs. 2.3). Attitudes toward gender roles and influence by friends, however, were not significantly different between delayers and anticipators. Although delayers gave higher scores than anticipators to parental influence (3.4 vs. 3.2) and strictness (3.3 vs. 3.1), the family structure was not significantly different between the two groups: Roughly three-quarters Noun 1. three-quarters - three of four equal parts; "three-fourths of a pound"
three-fourths

common fraction, simple fraction - the quotient of two integers

three-quarters npl
 of each group had lived with two parents at age 14, and about one in five reported that their mothers gave birth as teenagers. Delayers reported having better-educated mothers than anticipators, with 52% having attended at least some college, compared with 39% among anticipators. However, there was no significant difference between the two groups in terms of family income. Delayers and anticipators showed similar performance levels rat school, but delayers attended church more frequently than anticipators. In both groups, 6-7% of respondents were black, and the mean age in 1988 was slightly below 17 years.

The different background profiles of anticipators and delayers suggest the presence of two contrasting contexts that influence the transition to first intercourse: Delayers appear to be more invested in deferring intercourse, and may be supported by their ties to parents and church. Anticipators, on the other hand, are not actively delaying sexual initiation, and their more liberal attitudes and behavior may predict a transition to first sex when the opportunity arises. The multivariate The use of multiple variables in a forecasting model.  analyses will further explore the effects of these seemingly seem·ing  
adj.
Apparent; ostensible.

n.
Outward appearance; semblance.



seeming·ly adv.
 distinct contexts.

Initiation of Intercourse: Overall Influences

At the follow-up interview, 28% of young men reported having initiated intercourse within a year of the first survey. In general, involvement in risky behaviors and precoital sexual activity increased the likelihood of first sex (odds ratios, 1.4 and 1.3, respectively--Table 3). The more approving that young men were of premarital sex, the more likely they were to have first sex (1.8), and the more that they disagreed with traditional gender roles, the less likely first sex was to occur (0.4).

Surprisingly, parental influence and family rules increased the odds of initiating intercourse (1.5 for each); these factors were not strongly correlated cor·re·late  
v. cor·re·lat·ed, cor·re·lat·ing, cor·re·lates

v.tr.
1. To put or bring into causal, complementary, parallel, or reciprocal relation.

2.
 with each other (r=.19), so multicollinearity Noun 1. multicollinearity - a case of multiple regression in which the predictor variables are themselves highly correlated
statistics - a branch of applied mathematics concerned with the collection and interpretation of quantitative data and the use of probability
 is not an issue. Increasing family income raised the odds of sexual initiation (1.3). Achieving higher grades in school decreased the odds of first sex (0.6), as did repeating a grade (0.4). The odds of sexual initiation increased with age (1.4), but living with both parents at age 14 reduced the odds (0.4). Having a mother who gave birth as a teenager or who was educated below high school increased the odds of first sex (2.0 and 2.5, respectively). The factors included in the model accounted for 27% of the variation in sexual initiation for the full sample.

Delayers vs. Anticipators

Thirteen percent of delayers and 53% of anticipators initiated intercourse within a year of the 1988 survey (not shown), and the difference was statistically significant (p<.001). Effects of background characteristics varied somewhat between the two groups (Table 3). Each additional risk behavior increased the odds of anticipators' becoming sexually initiated by 54% (odds ratio, 1.5), but this factor had no effect on delayers' transition to first sex; the difference between the groups was statistically significant. Precoital sexual experience predicted first sex within a year among both delayers and anticipators: Each such experience increased the odds by more than 20%. Having approving attitudes toward premarital sex increased the odds of initiating sex by 46% among delayers and 111% among anticipators (a nonsignificant non·sig·nif·i·cant  
adj.
1. Not significant.

2. Having, producing, or being a value obtained from a statistical test that lies within the limits for being of random occurrence.
 difference), whereas having nontraditional attitudes toward gender roles reduced the odds of initiating sexual activity by 71% for both groups.

Among our role model proxies, being influenced by friends had no effect on becoming sexually active. However, being influenced by parents significantly increased the odds of first sex among delayers (2.7) but not anticipators; the difference between the two groups was marginally significant (p=.06-not shown). The finding that parental influence predicts first sex among delayers suggests that delayers have internalized their own set of values regarding sexual activity and thus rely on their parents relatively little for guidance. Parental strictness significantly increased anticipators' odds of having first sex (2.3), but not delayers'. We postulate postulate: see axiom.  that either anticipators initiate intercourse because of rebellion Rebellion
Absalom

conspires to overthrow father, David. [O.T.: II Samuel 15:10–18:33]

Bastille Day

celebration of day Paris mob stormed prison; first outbreak of French Revolution (1789). [Fr. Hist.
 against family rules or their parents form more rules in response to the adolescents' involvement in high-risk behaviors.

Family income increased the likelihood of sexual activity within the year only among delayers (1.5), suggesting that delayers from higher-income families have more leisure time in which to develop intimate relationships An intimate relationship is a particularly close interpersonal relationship. It is a relationship in which the participants know or trust one another very well or are confidants of one another, or a relationship in which there is physical or emotional intimacy. . This result differs from the negative relationship found in past research between income and sexual activity (19)--a difference likely due to the selective nature of our sample.

The odds ratios associated with school grades were similar for delayers (0.6) and anticipators (0.7). Although the effect was not statistically significant in either model, it differed significantly between the two groups, indicating that the negative effect of high grades was somewhat greater among delayers. In contrast, repeating a grade reduced the likelihood of becoming sexually initiated among delayers (0.1), but had no significant effect among anticipators, and the difference between groups was statistically significant. Being put back a year with younger peers may reduce delayers' likelihood of developing potentially intimate relationships. Church attendance elevated the odds of having first sex among anticipators (1.8), perhaps because the church setting provides an opportunity for these males to meet potential partners.

By far the largest difference between delayers and anticipators was in the effect of having a mother who gave birth as a teenager. This factor had no significant effect on delayers' likelihood of initiating intercourse; however, anticipators with mothers who gave birth as a teenager had dramatically higher odds of initiating sex within the year than those with mothers who did not give birth as a teenager (14.5). In addition, maternal education had significant but opposite effects among delayers and anticipators: Having a mother who had at least some college rather than high school education reduced delayers' likelihood of initiating sex within one year (0.2) but increased the likelihood among anticipators (5.2).

Given the selective nature of the sample, race had no effect on sexual initiation among either group of youths, but older age increased the likelihood of transition to first sex among both delayers (1.6) and anticipators (1.4).

Overall, the model was more predictive of the transition to sexual activity among anticipators than delayers. It explained 20% of the transition among delayers and 36% among anticipators.

DISCUSSION

Our findings generally support the conclusions of Whitaker and colleagues (20)--that is, the sexual behavior of anticipators occurs in a higher-risk context than that of delayers. Compared with delayers, anticipators report more risky behaviors, participation in more precoital sexual activities and less involvement in religious institutions. Anticipators are also more likely than delayers to attribute their lack of sexual experience to a lack of opportunity. We found anticipators very likely to initiate sexual activity within the next year (more than 50% of our sample did so); hence, they truly were anticipating becoming sexually active.

In contrast, delayers seem to have made a choice to defer intercourse, and they tend to have attitudinal, educational and maternal factors that encourage that deferment deferment Delaying of an obligation. See Default, Medical student debt. Cf Forbearance. . Plans for marriage may motivate them to defer sexual activity until later in life. Delayers are more disapproving dis·ap·prove  
v. dis·ap·proved, dis·ap·prov·ing, dis·ap·proves

v.tr.
1. To have an unfavorable opinion of; condemn.

2. To refuse to approve; reject.

v.intr.
 of premarital sex than anticipators, and they may have internalized the decision to postpone post·pone  
tr.v. post·poned, post·pon·ing, post·pones
1. To delay until a future time; put off. See Synonyms at defer1.

2. To place after in importance; subordinate.
 first sex as well as a decision not to participate in other risky behaviors.

These findings are important to researchers and health educators, because they underscore The underscore character (_) is often used to make file, field and variable names more readable when blank spaces are not allowed. For example, NOVEL_1A.DOC, FIRST_NAME and Start_Routine.

(character) underscore - _, ASCII 95.
 critical differences obscured by the conventional dichotomy di·chot·o·my  
n. pl. di·chot·o·mies
1. Division into two usually contradictory parts or opinions: "the dichotomy of the one and the many" Louis Auchincloss.
 between sexual experience and inexperience Inexperience
See also Innocence, Naïveté.

Bowes, Major Edward

(1874–1946) originator and master of ceremonies of the Amateur Hour on radio. [Am.
. For preventive preventive /pre·ven·tive/ (pre-vent´iv) prophylactic.

pre·ven·tive or pre·ven·ta·tive
adj.
Preventing or slowing the course of an illness or disease; prophylactic.

n.
 and intervention programs to be effective, health educators need to identify delayers and anticipators, and develop programs specific to their needs and to their distinct social, psychological and behavioral contexts. Whitaker and colleagues (21) recommend that if delayers have chosen to defer sexual activity, programs specific to them might focus on practicing abstinence abstinence: see fasting; temperance movements.  or on peer support groups that reinforce the choice to delay first intercourse. In contrast, anticipators are likely to need instruction regarding the risks and consequences of sexual activity as well as contraceptive use and safer-sex practices. If they are indeed anticipating the initiation of sex, programs should encourage them to be responsible and careful in their sexual behavior.

We found little evidence that parental monitoring, influence of friends, school achievement and church attendance reduce the likelihood of initiating sex among delayers or anticipators. However, involvement in precoital activities and attitudes toward premarital sex are important indicators. Our findings concur CONCUR - ["CONCUR, A Language for Continuous Concurrent Processes", R.M. Salter et al, Comp Langs 5(3):163-189 (1981)].  with those from the National Longitudinal Study of Adolescent Health The National Longitudinal Study of Adolescent Health (also called Add Health) is the first and only nationally-representative study of adolescent sexuality, which has spawned over one thousand peer-reviewed publications on many issues related to adolescent health and  (Add Health)--namely, whether or not adolescents become sexually active is explained more by their sexual history and perceptions about the costs and benefits of initiating intercourse than by factors such as peers and school. (22) Parents, schools and religious institutions could influence adolescents' sexual behavior indirectly by reducing participation in risk behaviors and promoting disapproving attitudes toward premarital sexual activity. Our findings suggest that they may need to focus on reducing the involvement of all youth in precoital activities and the involvement of anticipators in other risky behaviors, as well as on encouraging the deferment of sexual activity among delayers.

The most influential parental factors we found associated with the transition to first intercourse were maternal behaviors. How mothers respond to their own sexual experiences may influence how their children behave: Having a mother who gave birth as a teenager is predictive of anticipators' early sexual initiation. Hence, if a mother is accepting and open about having given birth as a teenager, her role modeling may encourage the initiation of sexual activity during adolescence. We would expect that women who regret having given birth as a teenager and who do not want their child to follow a similar path may encourage deferment of sexual activity. Although the odds ratio for delayers indicated the expected direction of this role modeling effect, the finding was not statistically significant. Past studies document that maternal disapproval of premarital or teenage sex reduces the likelihood that adolescents become sexually active. (23) Our data did not permit us to determine the attitude of the mother toward premarital sex or teenage childbearing child·bear·ing
n.
Pregnancy and parturition.



childbearing adj.
 and whether her approval explains the effects of maternal fertility fertility: see infertility.
fertility

Ability of an individual or couple to reproduce through normal sexual activity. About 80% of healthy, fertile women are able to conceive within one year if they have intercourse regularly without contraception.
 on anticipators.

The findings regarding mothers' education suggest that while women with at least some college education may value their higher education higher education

Study beyond the level of secondary education. Institutions of higher education include not only colleges and universities but also professional schools in such fields as law, theology, medicine, business, music, and art.
 and encourage their teenage children to delay sexual activity in pursuit of higher education, others may have liberal attitudes and accept premarital sexual activity, thereby increasing the likelihood of their adolescents' becoming sexually active. Further research is needed to uncover why maternal education and fertility have such different effects on delayers and anticipators.

Limitations

Our findings are based on longitudinal data that provide insights not found in cross-sectional analyses; however, our data have selection limitations that restrict their generalizability. In particular, because our sample excluded males who initiated intercourse before the 1988 survey, our analyses are not representative of the youngest, highest-risk group--that of early initiators, who are more likely to be from minority ethnic groups and to have a lower socioeconomic background than adolescents who have not yet had sex?

A potential limitation of the data is that the surveys were based on self-reports of sexual behavior and thus may contain inconsistencies, exaggerations or other errors. Data were collected by face-to-face interviews as well as anonymously in a self-administered questionnaire. Reliability reports indicate a high degree of consistency between responses to similar questions from the two approaches, and the reports of sexual activity are consistent with those from other national adolescent surveys. (25)

Despite these limitations, our findings help expand the understanding of adolescent sexual activity beyond earlier cross-sectional reconceptualizations. (26)

CONCLUSION

We are convinced that the dichotomy of sexual experience vs. inexperience, which is used in most research, has limited our understanding of adolescents and their sexual behavior. Delayers and anticipators make their decisions about sexual initiation in very different sexual contexts: Involvement in risky behaviors is important in predicting the transition to sexual activity among anticipators but not delayers, and maternal factors have opposite effects for delayers and anticipators. More research is needed to further delineate the sexual behavior of adolescents beyond the dichotomy of sexual experience vs. inexperience and to better understand the social, psychological and behavioral context within which adolescents experience sexual activity.
TABLE 1. Percentage distribution of 15-19-year-old males
who had not had sexual intercourse, by reason for remaining
sexually inexperienced, according to expectation
regarding sexual initiation, 1988 National Survey of
Adolescent Males

Reason                              Total      Delay     Anticipate
                                   (N=433)    (N=253)     (N=180)

Wait until I'm married              24.6       31.9       12.3 ***
No opportunity/not asked            21.5       13.6       35.0 ***
Wait until I'm older                19.0       20.9       15.8
Fear disease or risk of getting
  someone pregnant                  18.8       17.1       21.7
Religious values oppose it           9.5       11.0        6.9
Not emotionally ready                6.6        5.5        8.4
Total                              100.0      100.0      100.0

*** Difference between delayers and anticipators is statistically
significant at p<.001. Notes: Percentages are weighted; Ns are
unweighted. Teenagers reporting that they did not expect to initiate
intercourse within the next year are classified as delayers; those who
expected to do so sooner, as anticipators. Nineteen males were excluded
because of missing data for this question.
TABLE 2. Mean scores or percentages (and standard deviations)
reflecting respondents' characteristics, by expectation regarding
sexual initiation

Characteristic                                  Total
                                                (N=452)

Means
Risky behaviors (range, 0-4)                     1.21 (0.92)
Precoital sexual experiences (range, 0-10)       4.31 (3.14)
Approval of premarital sex (range, 1-4)          2.62 (1.16)
Disapproval of gender roles (range, 1-4)         2.17 (0.51)
Influenced by friends (range, 1-4)               2.67 (0.73)
Influenced by parents (range, 1-4)               3.33 (0.65)
Strictness of parents at age 14 (range, 1-4)     3.24 (0.63)
Family income in past year (range, 1-7)          4.29 (1.83)
Church attendance (range, 1-4)                   3.20 (1.10)
Grades (range, 1-5)                              3.84 (0.88)
Agein 1988                                      16.74(1.27)

Percentages
Ever repeated a grade                           21 (41)
Lived with both parents at age 14               77 (42)
Mother had teenage birth                        20 (40)
Mother's education
  <high school                                  11 (31)
  High school                                   41 (49)
  [greater than or equal to] some college       48 (50)
Black                                            7 (25)

Characteristic                                  Delay
                                                (N=265)

Means
Risky behaviors (range, 0-4)                     1.03 (0.84)
Precoital sexual experiences (range, 0-10)       3.49 (2.80)
Approval of premarital sex (range, 1-4)          2.25 (1.14)
Disapproval of gender roles (range, 1-4)         2.19 (0.53)
Influenced by friends (range, 1-4)               2.70 (0.76)
Influenced by parents (range, 1-4)               3.40 (0.64)
Strictness of parents at age 14 (range, 1-4)     3.33 (0.60)
Family income in past year (range, 1-7)          4.20 (1.76)
Church attendance (range, 1-4)                   3.36 (1.01)
Grades (range, 1-5)                              3.88 (0.84)
Agein 1988                                      16.72(1.28)

Percentages
Ever repeated a grade                           22 (41)
Lived with both parents at age 14               78 (41)
Mother had teenage birth                        18 (38)
Mother's education
  <high school                                   8 (28)
  High school                                   39 (49)
  [greater than or equal to] some college       52 (50)
Black                                            6 (24)

Characteristic                                  Anticipate
                                                (N=187)

Means
Risky behaviors (range, 0-4)                     1.53 (0.98) ***
Precoital sexual experiences (range, 0-10)       5.73 (3.19) ***
Approval of premarital sex (range, 1-4)          3.28 (0.87) ***
Disapproval of gender roles (range, 1-4)         2.13 (0.47)
Influenced by friends (range, 1-4)               2.61 (0.67)
Influenced by parents (range, 1-4)               3.20 (0.65) ***
Strictness of parents at age 14 (range, 1-4)     3.08 (0.66) ***
Family income in past year (range, 1-7)          4.43 (1.94)
Church attendance (range, 1-4)                   2.91 (1.19) ***
Grades (range, 1-5)                              3.75 (0.93)
Agein 1988                                      16.78(1.25)

Percentages
Ever repeated a grade                           20 (40)
Lived with both parents at age 14               75 (43)
Mother had teenage birth                        23 (42)
Mother's education
  <high school                                  16 (37) *
  High school                                   45 (50)
  [greater than or equal to] some college       39 (49) **
Black                                            7 (26)

* p<.05. ** p<.01. *** p<.001. Notes: Higher scores indicate more risky
behaviors or precoital experiences, greater approval of premarital sex
or disapproval of traditional gender roles, greater influence of
friends and parents, greater parental strictness, higher income, more
frequent church attendance and higher grades. Scores and percentages
are weighted; Ns are unweighted. Teenagers reporting that they did not
expect to initiate intercourse within the next year are classified as
delayers; those who expected to do so sooner, as anticipators.
TABLE 3. Odds ratios from logistic regression analyses assessing the
effects of selected characteristics on the likelihood that respondents
initiated intercourse within one year of the first survey, by
expectation regarding sexual initiation

Characteristic                               Total

Risky behaviors                                1.38 *
Precoital sexual experiences                   1.28 ***
Approval of premarital sex                     1.78 ***
Disapproval of gender roles                    0.41 ***
Influenced by friends                          0.87
Influenced by parents                          1.51 *
Strictness of parents at age 14                1.54 *
Family income in past year                     1.26 **
Grades                                         0.60 ***
Church attendance                              1.08
Age in 1988                                    1.38 ***
Ever repeated a grade                          0.44 **
Lived with both parents at age 14              0.38 ***
Mother had teenage birth                       2.01 *
Mother's education
  <high school                                 2.46 *
  High school (ref)                            1.00
  [greater than or equal to] some college      0.62
Black                                          2.22

-2log-likelihood                             493.4
[chi square] for model(df)                   183.4 (19)
Cox and Snell pseudo [R.sup.2]                  .27

Characteristic                               Delay

Risky behaviors                                0.96
Precoital sexual experiences                   1.22 **
Approval of premarital sex                     1.46 *
Disapproval of gender roles                    0.29 **
Influenced by friends                          0.90
Influenced by parents                          2.66 **
Strictness of parents at age 14                1.99
Family income in past year                     1.45 **
Grades                                         0.64
Church attendance                              1.29
Age in 1988                                    1.60 **
Ever repeated a grade                          0.13 **
Lived with both parents at age 14              0.38
Mother had teenage birth                       0.58
Mother's education
  <high school                                 1.94
  High school (ref)                            1.00
  [greater than or equal to] some college      0.21 **
Black                                          1.41

-2log-likelihood                             199.9
[chi square] for model(df)                    82.9 (19)
Cox and Snell pseudo [R.sup.2]                  .20

Characteristic                               Anticipate

Risky behaviors                                1.54 *
Precoital sexual experiences                   1.24 ***
Approval of premarital sex                     2.11 **
Disapproval of gender roles                    0.29 **
Influenced by friends                          1.24
Influenced by parents                          1.22
Strictness of parents at age 14                2.30 *
Family income in past year                     1.10
Grades                                         0.69
Church attendance                              1.76 **
Age in 1988                                    1.43 *
Ever repeated a grade                          1.79
Lived with both parents at age 14              0.64
Mother had teenage birth                      14.51 ***
Mother's education
  <high school                                 2.20
  High school (ref)                            1.00
  [greater than or equal to] some college      5.21 ***
Black                                          1.38

-2log-likelihood                             195.1
[chi square] for model(df)                    93.0 (19)
Cox and Snell pseudo [R.sup.2]                  .36

Characteristic                               Significance of
                                             difference
                                             between groups ([dagger])

Risky behaviors                              *
Precoital sexual experiences                 ns
Approval of premarital sex                   ns
Disapproval of gender roles                  ns
Influenced by friends                        ns
Influenced by parents                        ns
Strictness of parents at age 14              ns
Family income in past year                   ns
Grades                                       *
Church attendance                            ns
Age in 1988                                  ns
Ever repeated a grade                        **
Lived with both parents at age 14            ns
Mother had teenage birth                     ***
Mother's education
  <high school                               ns
  High school (ref)
  [greater than or equal to] some college    ***
Black                                        ns

-2log-likelihood
[chi square] for model(df)
Cox and Snell pseudo [R.sup.2]

* p [less than or equal to] .05. ** p [less than or equal to ] .01.
*** p [less than or equal to] .001. ([dagger]) Indicates significance
of an interaction term between each factor and the delayer-anticipator
dichotomy. Notes: For scaled items, odds ratios reflect the change in
odds associated with a one-point increase in the scale score; for age,
odds ratios reflect the odds associated with a one-year increase in
age. Teenagers reporting that they did not expect to initiate
intercourse within the next year are classified as delayers; those who
expected to do so sooner, as anticipators, ns=not significant,
ref=reference group.


Acknowledgment acknowledgment, in law, formal declaration or admission by a person who executed an instrument (e.g., a will or a deed) that the instrument is his. The acknowledgment is made before a court, a notary public, or any other authorized person.  

This research was funded by grant 5 RO1 HD35604 from the National Institute Of Child Health and Human Development.

REFERENCES

(1.) Upchurch DM et al., Gender and ethnic differences in the timing of first sexual intercourse, Family Planning family planning

Use of measures designed to regulate the number and spacing of children within a family, largely to curb population growth and ensure each family’s access to limited resources.
 Perspectives, 1998, 30(3):121-127.

(2.) Santelli JS et al., Multiple sexual partners among U.S. adolescents and young adults, Family Planning Perspectives, 1998, 30(6):271-275.

(3.) Moore Moore, city (1990 pop. 40,761), Cleveland co., central Okla., a suburb of Oklahoma City; inc. 1887. Its manufactures include lightning- and surge-protection equipment, packaging for foods, and auto parts.  KA et al., Adolescent Sex, Contraception contraception: see birth control.
contraception

Birth control by prevention of conception or impregnation. The most common method is sterilization. The most effective temporary methods are nearly 99% effective if used consistently and correctly.
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(4.) Upchurch DM et al., 1998, op. cit. (see reference 1); and Newcomer S and Baldwin W, 1992, op. cit. (see reference 3).

(5.) Newcomer S and Baldwin W, 1992, op. cit. (see reference 3).

(6.) Kowaleski-Jones L and Mott FL, Sex, contraception and childbearing among high-risk youth: do different factors influence males and females? Family Planning Perspectives, 1998, 30(4):163-169.

(7.) Thornton AD and Camburn D, Religious participation and adolescent sexual behavior, Journal of Marriage and the Family, 1989, 51(3):641-653.

(8.) Hogan hogan

Dwelling of the Navajo Indians of Arizona and New Mexico. The hogan is roughly circular and constructed usually of logs, which are stepped in gradually to create a domed roof.
 D and Kitagawa E, The impact of social status, family structure, and neighborhood on the fertility of black adolescents, American Journal of Sociology Established in 1895, the American Journal of Sociology (AJS) is the oldest scholarly journal of sociology in the United States. It is published bimonthly by The University of Chicago Press.

AJS is edited by Andrew Abbott of the University of Chicago.
, 1985, 90(4):825-855.

(9.) Kowaleski-Jones L and Mott FL, 1998, op. cit. (see reference 6).

(10.) Day RD, The transition to first intercourse among racially and culturally diverse youth, Journal of Marriage and the Family, 1992, 54(4):749-762.

(11.) Hanson SL, Morrison DR and Ginsburg AL, The antecedents of teenage fatherhood, Demography demography (dĭmŏg`rəfē), science of human population. Demography represents a fundamental approach to the understanding of human society. , 1989, 26(4):579-596.

(12.) Pleck JH, Sonenstein FL and Ku LC, Masculinity masculinity /mas·cu·lin·i·ty/ (mas?ku-lin´i-te) virility; the possession of masculine qualities.

mas·cu·lin·i·ty
n.
1. The quality or condition of being masculine.

2.
 ideology: its impact on adolescent males' heterosexual relationships, Journal of Social Issues, 1993, 49(3): 11-29.

(13.) Graves KL and Leigh BC, The relationship of substance use to sexual activity among young adults in the United States United States, officially United States of America, republic (2005 est. pop. 295,734,000), 3,539,227 sq mi (9,166,598 sq km), North America. The United States is the world's third largest country in population and the fourth largest country in area. , Family Planning Perspectives, 1995, 27(1):18-22 & 33.

(14.) Ketterlinus RM, Adolescent non-sexual and sex-related problem behaviors, Journal of Research on Adolescents, 1992, 7(4):431-456.

(15.) Whitaker DJ, Miller KS and Clark LF, Reconceptualizing adolescent sexual behavior: beyond did they or didn't they? Family Planning Perspectives, 2000, 32(3):111-117.

(16.) Miller KS et al., Adolescent heterosexual experience: a new typology, Journal of Adolescent Health, 1997, 20(3):179-186.

(17.) Whitaker DJ, Miller KS and Clark LF, 2000, op. cit. (see reference 15).

(18.) Ibid.

(19.) Newcomer S and Baldwin W, 1992, op. cit. (see reference 3).

(20.) Whitaker DJ, Miller KS and Clark LF, 2000, op. cit. (see reference 15).

(21.) Ibid.

(22.) Blum RW et al., The effects of race/ethnicity, income, and family structure on adolescent risk behaviors, American Journal of Public Health The American Journal of Public Health (AJPH) is a peer reviewed monthly journal of the American Public Health Association (APHA). The Journal also regularly publishes authoritative editorials and commentaries and serves as a forum for the analysis of health policy. , 2000, 90(12):1879-1884.

(23.) Jaccard J, Dittus PJ and Gordon W, Maternal correlates of adolescent sexual and contraceptive behavior, Family Planning Perspectives, 1996, 28(4):159-165 & 185; and Sieving RE, McNeely CS and Blum RW, Maternal expectations, mother-child connectedness, and adolescent sexual debut, Archives of Pediatrics pediatrics (pēdēă`trĭks), branch of medicine dedicated to the attainment of the best physical, emotional, and social health for infants, children, and young people generally.  and Adolescent Medicine adolescent medicine
n.
The branch of medicine concerned with the treatment of youth between 13 and 21 years of age. Also called ephebiatrics, hebiatrics.
, 2000, 154(8):809-816.

(24.) Warren CW et al., Sexual behavior among U.S. high school students, 1990-1995, Family Planning Perspectives, 1998, 30(4):170-172 & 200.

(25.) Sonenstein FL, Pleck JH and Ku LC, Missing data on the missing male: measuring fertility and paternity The state or condition of a father; the relationship of a father.

English and U.S. Common Law have recognized the importance of establishing the paternity of children.
, paper presented at the annual meeting of the American Statistical Association The American Statistical Association (ASA) is a scientific and educational society in the United States with the stated mission to promote excellence in the application of statistical science across the wealth of human endeavor. , Washington, DC, Aug. 6-10, 1989.

(26.) Whitaker DJ, Miller KS and Clark LF, 2000, op. cit. (see reference 15).

Author contact: renata_forste@byu.edu

Renata Forste is associate professor and David W. Haas is a graduate student, both in the Department of Sociology Noun 1. department of sociology - the academic department responsible for teaching and research in sociology
sociology department

academic department - a division of a school that is responsible for a given subject
, Brigham Young University Brigham Young University, at Provo, Utah; Latter-Day Saints; coeducational; opened as an academy in 1875 and became a university in 1903. It is noted for its law and business schools. , Provo, Utah.
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Author:Haas, David W.
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Date:Jul 1, 2002
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