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Patterns of Vaginal, Oral, and Anal Sexual Intercourse in an Urban Seventh‐Grade Population
Author(s) -
Markham Christine M.,
Fleschler Peskin Melissa,
Addy Robert C.,
Baumler Elizabeth R.,
Tortolero Susan R.
Publication year - 2009
Publication title -
journal of school health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.851
H-Index - 86
eISSN - 1746-1561
pISSN - 0022-4391
DOI - 10.1111/j.1746-1561.2008.00389.x
Subject(s) - sexual intercourse , demography , condom , medicine , anal intercourse , population , ethnic group , public health , gynecology , family medicine , men who have sex with men , environmental health , human immunodeficiency virus (hiv) , syphilis , sociology , nursing , anthropology
Background: This study examines the prevalence of vaginal, oral, and anal intercourse among a population of urban, public middle school students, the characteristics of early sexual initiators, and the sequence of sexual initiation. Such data are limited for early adolescents. Methods: A total of 1279 seventh‐grade students (57.3% female, 43.6% black, and 41.8% Hispanic), mean age 12.5 years (SD = 0.63) from 10 middle schools in a large southeastern US public school district completed a cross‐sectional survey using audio computer‐assisted self‐interviews. Main outcomes included lifetime and past 3‐months’ experience of vaginal, oral, and anal sex; condom use; age of initiation; and number of lifetime partners. Results: Overall, 12.0% of students had engaged in vaginal sex, 7.9% in oral sex, and 6.5% in anal sex. Among students who had initiated intercourse, approximately two thirds were currently sexually active and one quarter reported ≥4 lifetime partners. Six percent had engaged in 1 type of intercourse, 4% in 2 types of intercourse, and 4% in all 3 types of intercourse; vaginal sex was typically initiated at an earlier or at the same age as other types of intercourse. Only 2% had engaged in oral sex without engaging in vaginal sex. Although black students were significantly more likely to have initiated sex compared to other racial/ethnic groups, Hispanic students who had initiated each type of intercourse were more likely to be currently sexually active and to have engaged in recent unprotected sex. Conclusions: A small percentage of early adolescents are engaging in multiple sexual behaviors. These findings have implications for early adolescent school‐based sexual health education.