Showing posts with label First Intercourse. Show all posts
Showing posts with label First Intercourse. Show all posts

Friday, March 11, 2016

Do Reports of Age and Circumstances of First Intercourse Differ in a Birth Cohort When Asked Seventeen Years Apart?

Conclusions about temporal changes in age and circumstances of first intercourse are generally derived from retrospective reports by people of various ages in cross-sectional studies, with an inherent assumption of no bias stemming from time since the event. We examined this assumption through repeated questions on age and circumstances of first heterosexual intercourse (FHI) at ages 21 and 38 in a birth cohort. 

Despite considerable movement in individual reports, there was no bias in reported age of FHI. However, a greater proportion of both men and women stated at the later assessment both partners had been equally willing (versus persuading or persuaded). The distribution of current views of the appropriateness of the timing did not differ markedly between assessments, although there were many individual changes. 

Reports of contraceptive usage were similar at the two assessments for men but differed among women, mainly through more reporting that they could not remember. T

hese findings imply that among cohorts born in the 1970s, there is no bias in reports of age of FHI many years after the event, and views on the appropriateness of timing persist. However, time biases reports in favor of a more mutual willingness.

Purchase full article at:   http://goo.gl/7aE36T

  • 1 Department of Preventive and Social Medicine , University of Otago.
  •  2016 Mar-Apr;53(3):321-30. doi: 10.1080/00224499.2015.1058891. Epub 2015 Oct 12. 



Thursday, January 28, 2016

Young Age at First Intercourse & Subsequent Risk-Taking Behaviour: An Epidemiological Study of More than 20,000 Danish Men from the General Population

AIM:
First intercourse at the age of 14 years or younger is usually considered high-risk behaviour for sexually transmitted infections (STIs). It has been linked to other types of risky behaviour in women, while conflicting results have been obtained for men. The aim of the study was to estimate the prevalence of first intercourse at a young age in various birth cohorts of men and to determine any association with later risky behaviour.

METHODS:
We studied 22,979 randomly selected men aged 18-45 years from the Danish general male population who responded to a self-administered questionnaire. Multiple sexual partners over a lifetime, multiple new sexual partners within the past 6 months, intercourse with a commercial sex worker, having an STI, binge drinking and current smoking were considered risky behaviour.

RESULTS:
First intercourse at the age of 14 years or younger was more prevalent in younger (14%) than in older (10%) birth cohorts and among men with shorter schooling. Young age at sexual debut was associated with a more than twofold increase in the risks for subsequent risky behaviour.

CONCLUSIONS:
More than 10% of Danish men first had sex at an early age, and this was closely related to subsequent risk-taking behaviour.

Purchase full article at:   http://goo.gl/d9QFqO

  • 1Virus, Lifestyle and Genes, Danish Cancer Society Research Center, Copenhagen, Denmark.
  • 2Statistics, Bioinformatics and Registries, Danish Cancer Society Research Center, Copenhagen, Denmark.
  • 3Merck Research Laboratories, North Wales, PA, USA.
  • 4Virus, Lifestyle and Genes, Danish Cancer Society Research Center, Copenhagen, Denmark Department of Gynaecology, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark susanne@cancer.dk. 
  •  2014 Aug;42(6):511-7. doi: 10.1177/1403494814538123. Epub 2014 Jun 6.




Wednesday, November 25, 2015

Premarital First Births: The Influence of the Timing of Sexual Onset Versus Post-Onset Risks in the United States

Motivated by long-standing debates between abstinence proponents and sceptics, we examine how socio-economic factors influence premarital first births via: (i) age at first sexual intercourse and (ii) the risk of a premarital first birth following the onset of sexual activity. Factors associated with an earlier age at first intercourse will imply more premarital first births owing to increased exposure to risk, but many of these same factors will also be associated with higher risks of a premarital first birth following onset. Our analyses confirm previous findings that women from disadvantaged backgrounds are younger at first intercourse and have higher premarital first-birth risks than women from more advantaged backgrounds. However, differences in onset timing have a strikingly smaller influence on premarital first-birth probabilities than do differences in post-onset risks. Our findings thus suggest that premarital first births result primarily from differences in post-onset risk behaviours as opposed to differences in onset timing...

Our empirical results confirm previous findings that women from disadvantaged backgrounds initiate sexual activity earlier and have more premarital first births than those from more advantaged backgrounds. Our hazard regressions reveal strikingly different effects of covariate for the transitions to sexual activity and to a premarital first birth following onset. A standard set of sociodemographic variables have large and statistically significant associations with premarital first birth risks following onset. These same variables have smaller associations with onset risk, and only a subset are statistically significant. These findings provide empirical hints that some aspects of these two processes may be behaviorally distinct. Results from decompositions comparing median onset timing for disadvantaged and advantaged groups show that, net of controls, differences in exposure to risk have only a small influence on the probability of a premarital first birth, but that group differences in post-onset risks have a sizeable influence on the probability of a premarital first birth. This pattern—small effects of differential exposure to risk but sizeable differences in post-onset risks—holds for all the variables we examine.

Why might this be? Some insight can be gleaned by contrasting what is characteristic of sexual onset vs. a premarital first birth. A higher risk of an event usually implies more individuals experiencing the event, and our results show that this holds for premarital first births. Thus, we find that sizeable and statistically significant group differences in post-onset premarital first birth risks imply equally sizeable group differences in the probability of such births. Sexual onset is different. Premarital sexual activity was both close to universal and highly compressed in this birth cohort of women, with estimated group differences in median ages at onset of 0.7 to 9.0 months after conditioning on background controls. Taken together, near universality and compression mean that even sizeable and statistically significant group differences in onset risks imply only modest group differences in onset timing.

These results also speak, in part, to policies such as the abstinence provisions in the 1996 Personal Responsibility and Work Opportunity Reconciliation Act by providing answers to “what if” questions such as “What might be the expected consequence for premarital first births were a policy to delay onset by an amount equal to that for women from intact vs. nonintact families?” Our results suggest that for premarital first births, onset timing plays a quite minor role relative to post-onset risks. This negative finding—that onset timing plays only a minor role—is, we believe, likely to be robust against factors not observed in our data in that the class of unobservables needed to reverse this finding will be far smaller than usual.

Our results thus suggest that policies seeking to influence post-onset behaviors may be far more effective than those seeking to delay sexual onset. But our findings do not distinguish between a variety of post-onset factors, including the frequency of post-onset sexual activity; contraceptive use, knowledge, and consistency; whether pregnancies are planned or unplanned; abortion availability and utilization; and how such options are weighed when individuals confront different sets of circumstances. Our results thus speak to the question of when policies to reduce premarital first births might be most effective, but say little about which post-onset behaviors might be most effectively targeted.

Further caution is warranted in that the outcomes we analyze have been evolving rapidly. In the United States, there have been sharp declines in teen fertility and steady increases in nonmarital fertility, but only modest increases in women’s age at first sexual intercourse, with premarital sexual activity remaining nearly universal. These trends reinforce our belief that our central finding—that for the probability of a premarital first birth, onset timing plays a quite minor role relative to post-onset risks—will likely hold for more recent birth cohorts of women. What has undoubtedly changed are factors influencing post-onset risks—post-onset contraception has improved among sexually active teens and young adults, and there have been sharp increases in births to cohabiting couples. This study thus provides only a first step towards examining these and other proximate determinants, but our findings also suggest that future research on such factors may hold substantial promise for better understanding the behavioral subprocesses underlying nonmarital fertility...

Full article at:  http://goo.gl/Vu9OTZ

By:  Lawrence L. Wu, Steven P. Martin, 




Monday, September 28, 2015

First Vaginal Intercourse & Oral Sex among Australian Adults: The Second Australian Study of Health & Relationships

Background Current information about the characteristics of Australian adults' first vaginal intercourse and contraception or precautions used on that occasion is needed, as well as whether these characteristics have changed between 2001-02 and 2012-13.

Computer-assisted telephone interviews were completed by a representative sample of 20094 men and women aged 16-69 years. The overall participation rate among eligible people was 66.2%. Respondents indicated their age at first vaginal intercourse and first oral sex. Those who reported vaginal intercourse were asked the age of their partner, their relationship to their partner, the duration of this relationship, and what contraception or precautions (if any) were used. 
  • There was a significant decline in the median age of first vaginal intercourse for both men and women among those born between the 1940s and the 1960s, but no further decline since. 
  • There has also been a significant increase in the use of protection at first vaginal intercourse
    • from less than 20% of men and women in the 1950s to over 90% in the 2000s. 
  • For men and women, first vaginal sex before age 16 years was significantly associated with a greater number of lifetime and recent sexual partners, 
  • and a greater likelihood of having had a sexually transmitted infection.

Given the earlier age at first vaginal intercourse, sex education should begin earlier so that all young people have information about contraception and disease prevention before they begin their sexual careers.

Via:  http://ht.ly/SLuay Purchase full article at:  http://ht.ly/SLufw 

  • 1Sydney School of Public Health, Charles Perkins Centre (D17), University of Sydney, Sydney, NSW 2006, Australia.
  • 2Australian Research Centre in Sex, Health and Society, La Trobe University, 215 Franklin Street, Melbourne, Vic. 3000, Australia.
  • 3School of Psychology, Pevensey 1, University of Sussex, Falmer BN1 9QH, UK.
  • 4Sydney School of Public Health, Edward Ford Building (A27), University of Sydney, Sydney, NSW 2006, Australia.
  • 5The Kirby Institute, Wallace Wurth Building, University of New South Wales, Sydney, NSW 2052, Australia. 



Binge Drinking in Young Adulthood: The Influence of Age at First Intercourse and Rate of Sex Partner Accumulation

There has been growing attention to the influence of youths' sexual experiences on alcohol use and other health-risk behaviors. Yet, because of the cross-sectional nature of many studies, as well as the likelihood of alcohol use and sexual behaviors to co-occur, the question of whether initiation of sexual activity tends to precede engagement in other behaviors, like binge drinking, remains largely unanswered.

Using data from 4726 respondents who participated in Waves I through IV of the National Longitudinal Study of Adolescent to Adult Health (Add Health), we examined the association between age at first intercourse and frequent binge drinking during one's mid-twenties and early thirties. We further explored whether this relationship was mediated or moderated by the rate at which individuals accumulated sex partners during the transition to adulthood. 

  • Findings showed for women and men, later ages at first intercourse were associated with lower odds of frequent binge drinking in young adulthood. 
  • While rate of sex partner accumulation partially mediated this association, it did not moderate it. 
  • Furthermore, rate of partner accumulation was positively associated with binge drinking, particularly among women, with a quicker accumulation of sex partners associated with a higher likelihood of engaging in frequent binge drinking. 

Our findings underscore the importance of considering multiple dimensions of a single behavior and their relation to subsequent health-related behaviors.

Via: http://ht.ly/SLpoN Purchase full article at: http://goo.gl/g1upU6

  • 1Population Research Center, The University of Texas at Austin, 305 E. 23rd Street, Stop G1800, Austin, TX, 78712-1699, USA
  • 2Center for Demography and Population Health, Department of Sociology, Florida State University, Tallahassee, FL, 32306, USA.