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The homo of this homo is most dramatic among the youngest females—for homo, the odds of intercourse among year-old females with a partner six years older are more than six times the homo among year-old females with a same-age homo odds ratio, 6. Our findings also may have homo significance to policymakers with reference to statutory rape laws. We homo this composite homo because of the low homo of N.

The analyses also revealed significant associations between sexual intercourse and both respondent's age and the age difference between partners. However, we found a significant interaction between these two variables, which persisted even after adjustment for the effect of the other covariates. Because of this interaction, Nakee effect of age gap on the odds of intercourse should be considered intercoruse each Naked girls intercourse of female separately. To illustrate more clearly the Nxked of a female's age and giros gap on the odds of intercourse, we calculated intercougse odds of intercourse girlls females with older partners, relative to those among females with a same-age partner, by age gap and for Naied single year of age.

As age difference increased, so did the odds of having engaged in sexual intercourse; this effect was strongest for the youngest females Figure 1. For example, among year-old females, the odds of intercourse with a partner who was six years older were more than six times the odds of intercourse with a same-age partner odds ratio, 6. In contrast, the odds among year-old females with a partner six years their senior were about twice those among year-old females with a same-age partner 2. When we limited our analyses to the respondents who reported that their romantic relationship had ended, the association between age difference and the odds of having had intercourse was stronger than that found in the full model.

For example, year-old females with a partner six years older had odds of intercourse that were nearly 10 times those among year-olds with same-age partners odds ratio, 9. Thus, analysis of the full model, which includes both ended and ongoing relationships, reflects a more conservative estimate of the impact of partner age difference on the likelihood of sex with a romantic partner. Compared with females with same-age partners, those who had older partners had a higher risk of having had sexual intercourse. The magnitude of this association was most dramatic among the youngest adolescent females.

Multivariate Analyses We estimated the homo of age gap on the odds of intercourse among females, using multivariate homo homo to adjust for their age, homo, religion, having a mother figure at home and mother's homo. STIs may also homo the risk of transmission of homo homo virus 19.

It is important to keep in mind, however, that older females were more likely than younger females to have had intercourse. Therefore, both the age of an adolescent female and the age of her older partner have an important influence on whether a romantic relationship includes intercourse. Age differences between partners may influence the progression of a romantic relationship in a variety of ways that would affect sexual activity. Older males may enter a romantic relationship with different expectations from younger males about relationship behaviors, including greater expectations of sexual intercourse. Furthermore, females who become involved with older partners may experience longer relationships because older males may expect or desire longer or more "serious" relationships than same-age males; one result may be a higher likelihood of progression to intercourse.

For this reason, we did not treat the duration of the relationship as a confounder; instead, we treated it as a possible intermediate factor in the pathway. Although we could not directly estimate and control for respondents' socioeconomic status, our analyses may have controlled for some characteristics that are broadly associated with socioeconomic status: The observed associations of race or ethnicity and of mother's educational level with the odds of intercourse are likely driven largely by socioeconomic factors. The results largely agree with the findings of others that indicate an association between age gap and sexual behaviors among adolescent couples.

The data, however, did not allow us to determine whether females with older romantic partners specifically sought these relationships out of a desire for sexual activity or whether the older partner differentially pressured these females into having intercourse. Our findings should be interpreted with caution. Although they support the idea that a romantic relationship between a young adolescent female and an older male is risky, we cannot determine the causal nature of the association. The findings are based on relationships that were identified by the respondents as "romantic," which may have been interpreted differently by respondents of different ages and within a given age-group.

In addition, the romantic partner on whom our analyses are based was the first partner listed by the respondent, but we cannot determine why the respondent listed him first. Finally, these findings should not be extrapolated to relationships in which the male is substantially younger than the female. Our results have important ramifications for public health intervention, especially regarding the risk of early sexual debut among America's youngest adolescent females when they have romantic relationships with older males. Public health programs often focus on changing females' behavior rather than changing the behaviors of older partners or addressing the factors that contribute to each partner's involvement in a relationship.

They also rarely concentrate on the influence that parents might have on a young daughter's romantic associations. Although communication between parents and their daughters is complex, we believe that it can have a positive influence on how females choose partners at an early age. Parents—and teachers, pediatricians, gynecologists, school psychologists, nurses and other practitioners who work with young females—should be encouraged to communicate with young females about the age of their boyfriends. Health education programs for parents of adolescents might focus on improving parenting and communication skills, as well as on parents' knowledge, perceptions and beliefs about characteristics of appropriate romantic partners for their child, no matter the child's age.

For example, parents of male adolescents should be encouraged to communicate with their sons about healthy relationships and partner choices, to help them develop into men who are comfortable with and, consequently, pursue age-appropriate partners. Sexuality and health education programs in schools should be designed with the realization that they may be reaching only half of a couple that is at high risk for sexual activity. New outreach efforts, settings and program structures may be required to reach adult male partners.

Simply educating females about abstinence and safer sexual practices is likely to be insufficient if their romantic partners are significantly older. Educational materials that directly address the issue of dating older males may be helpful, especially for younger adolescent females. Our findings also may have special significance to policymakers with reference to statutory rape laws. For example, the relationship between a year-old female and an older male may be qualitatively different than that between a year-old female and a male of the same age.

Similarly, a relationship between a year-old female and an older male partner is likely quite different from that between a year-old female and an adult male. Statutory rape laws may deter older males from exploiting very young adolescent females. However, many statutory rape laws are written so broadly that full enforcement would involve the prosecution of same-age and slightly older male partners, who make up the majority of young females' sexual partners. Future research activities need to examine the reasons that adolescent females become involved with older partners, and vice versa, as well as the factors that promote same-age relationships between adolescents, which are less likely to be sexual.

Naled is still much to learn Nakwd the timing and the quality and quantity of particular behavior patterns occurring intercpurse romantic relationships across the age spectrum of young teenagers e. Research focusing on how age differences affect the behavior of both adolescent and young adult males is also warranted, and a greater effort should be made to understand older male partners' perceptions, characteristics and behaviors as targets for possible intervention. Furthermore, the full potential of parental involvement and monitoring on promoting age-appropriate partner choices is not known.

We also need to better understand the circumstances under which statutory rape laws are enforced and the long-term effects of enforcement on females and their partners. Finally, health researchers who study sexual behavior in relation to a series of individual characteristics rather than within the context of relationship characteristics may be missing important predictors that are amenable to intervention.

Subsequent questionnaire items asked for characteristics of each partner in turn. Ford K, Sohn W and Lepkowski J, Characteristics of adolescents' interxourse partners and intfrcourse association with use of interckurse and other methods, Family Planning Perspectives,33 3: Leitenberg H and Saltzman H, A statewide survey of age at first intercourse for adolescent females and age of their male partners: Glei DA,Named. Leitenberg H and Saltzman H,op. In Europe, women aged 16—44 years firls family planning Nakrd who reported first having intercourse at age 16 or younger Naekd not have a greater prevalence of Chlamydia trachomatis In contrast, women visiting Planned Parenthood clinics Naked girls intercourse Pennsylvania who reported first having sex intercoruse age Nzked were more likely to self-report having an STI in the past 5 years In the National Survey inetrcourse Family Growth, women who reported earlier first intercourse were also more likely to report a history of bacterial STI Little Naked girls intercourse known about the Najed between age at first sexual intercourse and longitudinal risk of Intercoure by sex, race, or intdrcourse.

These demographic factors have been associated with variation in mean age of first sexual intercourse and with extremely wide variation in STI prevalence 2124 — Early intercojrse intercourse may be more normative in some socioeconomic, racial, ethnic, or sex groups and thus may not be tied to nonnormative risk behaviors or to longitudinal risk of STI 27 — Therefore, the long-term impact of programs aimed at prolonging virginity may vary among groups of young adults and may mitigate or exacerbate current disparities. In this study, our goal was to clarify the long-term sexual health consequences of the timing of first sexual intercourse and to elucidate how such consequences might vary by characteristics of the individual.

We examined the following research questions: Add Health was designed to examine the determinants of health and health-related behaviors of adolescents who were enrolled in the study in grades 7—12 during the — school year. For construction of the original wave 1 sample, which was representative of all US schools with respect to region, urbanicity, school size, school type, and ethnicity, 80 high schools and 52 middle schools were selected using systematic sampling methods and implicit stratification. Wave 1 included an in-home questionnaire that was administered to over 20, adolescent students from the sample schools. In wave 3, conducted from August through April15, of the original wave 1 respondents were reinterviewed.

Add Health respondents ranged in age from 18 years to 26 years at wave 3. Of the 14, respondents with assigned sampling weights in wave 3, 12, reported ever having had intercourse. Of those, 9, had complete data on our variables of interest, with almost all of the missing data being attributable to respondents' lacking results for the biologic STI laboratory tests approximately 8 percent of respondents chose not to provide a specimen; approximately 2 percent were unable to provide a specimen at the time of the interview; 3 percent of specimens could not be processed because of shipping and laboratory problems; and 6 percent of the N.

The 9, persons with complete data made up our study sample. Measures Respondents were asked at wave 3 to provide a urine specimen for STI testing. These specimens were analyzed for the presence of C. A ligase chain reaction assay was used to detect the presence of C. We chose this composite measure because of the low prevalence of N. Furthermore, although the sexual network structures may have differed somewhat between these infections, the sexual behavioral risks were likely to have been similar. This composite measure provided us with a more comprehensive measure of each respondent's sexual health status.

Analyses using chlamydial infection alone as the outcome not shown produced results similar to those for all three STIs combined. During the in-home interviews, a questionnaire containing sensitive questions on sexual activity was administered using computer-assisted self-interviewing technology. Age at first sexual intercourse was used as a continuous variable. Current age was defined as the respondent's age at the time of wave 3 questionnaire administration and was also used as a continuous variable. Other variables included the sex of the respondent male referent vs.

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Latinorace White referent vs. Black or otherand parental education highest level of education attained by either parent, intercoutse as less than high school referentcompletion of high school, some additional training, and college graduation. Data analysis We used Stata software version 7. All estimates were standardized to US Census data on the demographic characteristics of the adolescent population, as recommended by the Add Health research team In preliminary analyses, we examined the frequency distributions of the variables of interest for the entire sample and for persons testing positive for STIs.

We used simple logistic regression to obtain adjusted estimates of the prevalence odds ratios for having an STI at wave 3. Respondent's sex, race, ethnicity, and parental education, which are associated with contracting an STI, were controlled for in multiple logistic regression analyses.

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