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Adolescent Sexual Health and Sexually Transmitted Infections: A Conceptual and Empirical Demonstration

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The New Public Health and STD/HIV Prevention

Abstract

Adolescents have a disproportionate burden of the negative outcomes of sexual activity, such as sexually transmitted infections (STI), unintended pregnancy, and sexual coercion. These outcomes contribute to short- and long-term poor health, fertility, and economics that may reverberate into adulthood. Traditional public health research appropriately addresses these outcomes of adolescent sexual behavior by focusing on promotion of abstinence, delay of initiation of sexual activity, and consistent use of condoms and contraception [1]. The proposed 2020 health objectives, which emphasize positive youth development, continue this public health focus on isolated adverse outcomes [2]. This isolated focus obscures the larger developmental significance of sexuality and sexual behavior, creating a perspective that adolescent sexual health is an oxymoron in that adolescents cannot be simultaneously sexual and healthy.

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References

  1. U.S. Department of Health & Human Services. Healthy People 2010. 2nd ed. Washington DC: US Government Printing Office; 2000.

    Google Scholar 

  2. National Center for Health Statistics. http://www/cdc.gov/nchs/healthy_people.htm. Accessed 2/11/2011.

    Google Scholar 

  3. O’Sullivan LF, Brooks-Gunn J. The timing of changes in girls’ sexual cognitions and behaviors in early adolescence: a prospective, cohort study. J Adolesc Health. 2005;37:211–9.

    Article  PubMed  Google Scholar 

  4. O’Sullivan LF, Cheng MM, Harris KM, Brooks-Gunn J. I wanna hold your hand: the progression of social, romantic and sexual events in adolescent relationships. Perspect Sex Reprod Health. 2007;39:100–7.

    Article  PubMed  Google Scholar 

  5. Santelli JS, Orr M, Lindberg LD, Diaz DC. Changing behavioral risk for pregnancy among high school students in the United States, 1991–2007. J Adolesc Health. 2009;45:25–32.

    Article  PubMed  Google Scholar 

  6. Koyama A, Corliss HL, Santelli JS. Global lessons on healthy adolescent sexual development. Curr Opin Pediatr. 2009;21:444–9.

    Article  PubMed  Google Scholar 

  7. Bacon JL. Adolescent sexuality and teen pregnancy prevention. J Pediatr Adolesc Gynecol. 1999;12:185–93.

    Article  PubMed  CAS  Google Scholar 

  8. Findholt N, Robrecht LC. Legal and ethical considerations in research with sexually active adolescents: The requirement to report statutory rape. Perspect Sex Reprod Health. 2002;34:259–64.

    Article  PubMed  Google Scholar 

  9. English A. The health of adolescent girls: does the law support it? Curr Womens Health Rep. 2002;2:442–9.

    PubMed  Google Scholar 

  10. Santelli JS. Medical accuracy in sexuality education: ideology and the scientific process. Am J Public Health. 2008;98:1786–92.

    Article  PubMed  Google Scholar 

  11. Halpern CT. Reframing research on adolescent sexuality: Healthy sexual development as part of the life course. Perspect Sex Reprod Health. 2010;42:6–7.

    Article  PubMed  Google Scholar 

  12. Ott MA, Pfeiffer EJ, Fortenberry JD. Perceptions of sexual abstinence among high-risk early and middle adolescents. J Adolesc Health. 2006;39:192–8.

    Article  PubMed  Google Scholar 

  13. Miller BC, Benson B. Romantic and sexual relationship development during adolescence. In: Furman W, Brown BB, Feiring C, editors. The development of romantic relationships in adolescence. New York: Cambridge University Press; 1999. p. 99–121.

    Google Scholar 

  14. Furman W, Wehner EA. Adolescent romantic relationships: a developmental perspective. New Dir Child Dev. 1997;78:21–36.

    Article  PubMed  Google Scholar 

  15. Ehrhardt AA. Our view of adolescent sexuality—a focus on risk behavior without the developmental context. Am J Public Health. 1996;86:1523–5.

    Article  PubMed  CAS  Google Scholar 

  16. Rosenthal SL, Cohen SS, Biro FM. Developmental sophistication among adolescents of negotiation strategies for condom use. Develop Behav Pediatr. 1996;17:94–7.

    CAS  Google Scholar 

  17. Bolton Jr FG, MacEachron AE. Adolescent male sexuality: a developmental perspective. J Adolesc Res. 1988;3:259–73.

    Article  Google Scholar 

  18. Christopher FS, Cate RM. Premarital sexual involvement: a developmental investigation of relational correlates. Adolescence. 1988;23:793–803.

    Google Scholar 

  19. Gfellner BM. Concepts of sexual behavior: construction and validation of a developmental model. J Adolesc Res. 1986;1:327–47.

    Article  Google Scholar 

  20. Dornbusch SM, Carlsmith JM, Gross RT, et al. Sexual development, age, and dating: a comparison of biological and social influences upon one set of behaviors. Child Dev. 1981;52:179–85.

    Article  PubMed  CAS  Google Scholar 

  21. Sayegh MA, Fortenberry JD, Anderson JG, Orr DP. Effects of relationship quality on chlamydia infection among adolescent women. J Adolesc Health. 2005;37:163e161–8.

    Article  Google Scholar 

  22. O’Sullivan LF, Udell W, Patel VL. Young urban adults’ heterosexual risk encounters and perceived risk and safety: a structured diary study. J Sex Res. 2006;43:343–51.

    Article  PubMed  Google Scholar 

  23. O’Sullivan LF, Meyer-Bahlburg HFL, Watkins BX. Social cognitions associated with pubertal development in a sample of urban, low-income, African-American and Latina girls and mothers. J Adolesc Health. 2000;27:227–35.

    Article  PubMed  Google Scholar 

  24. Jessor R, Jessor SL. Problem behavior and psychosocial development: a longitudinal study of youth, vol. 1. New York: Academic; 1977.

    Google Scholar 

  25. Fortenberry JD, Costa FM, Jessor R, Donovan JE. Contraceptive behavior and adolescent lifestyles: a structural modeling approach. J Res Adolesc. 1997;7:307–29.

    Article  PubMed  CAS  Google Scholar 

  26. Hensel DJ, Fortenberry JD, Orr DP. Factors associated with event level anal sex and condom use during anal sex among adolescent women. J Adolesc Health. 2010;46:232–7.

    Article  PubMed  Google Scholar 

  27. Tanner AE, Hensel DJ, Fortenberry JD. A prospective study of the sexual, emotional, and behavioral correlates associated with young women’s first and usual coital events. J Adolesc Health. 2010;47:20–5.

    Article  PubMed  Google Scholar 

  28. Hensel DJ, Fortenberry JD, Orr DP. Variations in coital and noncoital sexual repertoire among adolescent women. J Adolesc Health. 2008;42:170–6.

    Article  PubMed  Google Scholar 

  29. Fortenberry JD, Temkit M, Tu W, Katz BP, Graham CA, Orr DP. Daily mood, partner support, sexual interest and sexual activity among adolescent women. Health Psychol. 2005;24:252–7.

    Article  PubMed  Google Scholar 

  30. Chavance M, Escolano S, Romon M, Basdevant A, de Lauzon-Guillain B, Charles MA. Latent variables and structural equation models for longitudinal relationships: an illustration in nutritional epidemiology. BMC Med Res Methodol. 2010;10:37.

    Article  PubMed  Google Scholar 

  31. Buhrmester D, Furman W. The development of companionship and intimacy. Child Dev. 1987;58:1101–13.

    Article  PubMed  CAS  Google Scholar 

  32. Collins WA, Welsh DP, Furman W. Adolescent romantic relationships. Annu Rev Psychol. 2009;60:631–52.

    Article  PubMed  Google Scholar 

  33. Graber JA, Britto PR, Brooks-Gunn J. What’s love got to do with it? Adolescents’ and young adults’ beliefs about sexual and romantic relationships. In: Furman W, Brown BB, Feiring C, editors. The Development of Romantic Relationships in Adolescence. New York: Cambridge University Press; 1999. p. 364–95.

    Google Scholar 

  34. Fortenberry JD, Brizendine EJ, Katz BP, Orr DP. The role of notification self-efficacy, anticipated consequences and relationship quality in adolescents’ partner notification for sexually transmitted infections. Arch Pediatr Adolesc Med. 2002;156:1133–7.

    PubMed  Google Scholar 

  35. Fortenberry JD, Tu W, Harezlak J, Katz BP, Orr DP. Condom use as a function of time in new and established adolescent sexual relationships. Am J Public Health. 2002;92:211–3.

    Article  PubMed  Google Scholar 

  36. Katz BP, Fortenberry JD, Zimet GD, Blythe MJ, Orr DP. Partner-specific relationship characteristics and condom use among young people with sexually transmitted infections. J Sex Res. 2000;37:69–75.

    Article  Google Scholar 

  37. Byers ES. Evidence for the importance of relationship satisfaction for women’s sexual functioning. Women Ther. 2001;24:23–6.

    Article  Google Scholar 

  38. Sprecher S, Cate RM. Sexual satisfaction and sexual expression as predictors of relationship satisfaction and stability. In: Harvey JH, Wenzel A, Sprecher S, editors. The handbook of sexuality in close relationships. Mahwah, NJ: Lawrence Erlbaum Associates; 2004. p. 235–56.

    Google Scholar 

  39. Auslander BA, Rosenthal SL, Fortenberry JD, Biro FM, Bernstein DI, Zimet GD. Predictors of sexual satisfaction in an adolescent and college population. J Pediatr Adolesc Gynecol. 2007;20:25–8.

    Article  PubMed  Google Scholar 

  40. Higgins JA, Hoffman S, Graham CA, Sanders SA. Relationships between condoms, hormonal methods, and sexual pleasure and satisfaction: an exploratory analysis from the Women’s Well-Being and Sexuality Study. Sex Health. 2008;5:321–30.

    Article  PubMed  Google Scholar 

  41. O’Sullivan LF. Sexual coercion in dating relationships: Conceptual and methodological issues. Sexual Res Soc Policy. 2005;20:3–11.

    Google Scholar 

  42. Auslander BA, Perfect MM, Succop PA, Rosenthal SL. Perceptions of sexual assertiveness among adolescent girls: initiation, refusal, and use of protective behaviors. J Pediatr Adolesc Gynecol. 2007;20:157–62.

    Article  PubMed  Google Scholar 

  43. Tolman DL. Object lessons: Romance, violation and female adolescent sexual desire. J Sex Educ Ther. 2000;25:70–9.

    Google Scholar 

  44. Landry T, Bergeron S. Biopsychosocial factors associated with dyspareunia in a community sample of adolescent girls. Arch Sex Behav. 2010;40(5):877–89.

    Article  PubMed  Google Scholar 

  45. Tripp DA, Nickel JC, Ross S, Mullins C, Stechyson N. Prevalence, symptom impact and predictors of chronic prostatitis-like symptoms in Canadian males aged 16-19 years. BJU Int. 2009;103(8):1080–4.

    Article  PubMed  Google Scholar 

  46. Boardman LA, Stockdale CK. Sexual pain. Clin Obstet Gynecol. 2009;52:682–90.

    Article  PubMed  Google Scholar 

  47. Santelli JS, Melnikas AJ. Teen fertility in transition: recent and historic trends in the United States. Annu Rev Public Health. 2010;31:371–83.

    Article  PubMed  Google Scholar 

  48. Meade CS, Kershaw TS, Ickovics JR. The intergenerational cycle of teenage motherhood: an ecological approach. Health Psychol. 2008;27:419–29.

    Article  PubMed  Google Scholar 

  49. Heavey EJ, Moysich KB, Hyland A, Druschel CM, Sill MW. Female adolescents’ perceptions of male partners’ pregnancy desire. J Midwifery Womens Health. 2008;53:338–44.

    Article  PubMed  Google Scholar 

  50. White E, Rosengard C, Weitzen S, Meers A, Phipps MG. Fear of inability to conceive in pregnant adolescents. Obstet Gynecol. 2006;108:1411–6.

    Article  PubMed  Google Scholar 

  51. Cervone D. Thinking about self-efficacy. Behav Modif. 2000;24:30–56.

    Article  PubMed  CAS  Google Scholar 

  52. O’Leary A. Self-efficacy and health: behavioral and stress-physiological mediation. Cogn Ther Res. 1992;16:229–45.

    Article  Google Scholar 

  53. O’Leary A. Self-efficacy and health. Behav Res Ther. 1985;23:437–51.

    Article  PubMed  Google Scholar 

  54. Bandura A. Self-efficacy: toward a unifying theory of behavioral change. Psychol Rev. 1977;84:191–215.

    Article  PubMed  CAS  Google Scholar 

  55. Barkley Jr TW, Burns JL. Factor analysis of the condom use self-efficacy scale among multicultural college students. Health Educ Res. 2000;15:485–9.

    Article  PubMed  Google Scholar 

  56. Jemmott III JB, Jemmott LS. HIV risk reduction behavioral interventions with heterosexual adolescents. AIDS. 2000;14 Suppl 2:S40–52.

    PubMed  Google Scholar 

  57. Jemmott III JB, Jemmott LS, Fong GT, McCaffree K. Reducing HIV risk-associated sexual behavior among African American adolescents: testing the generality of intervention effects. Am J Community Psychol. 1999;27:161–87.

    Article  PubMed  Google Scholar 

  58. O’Leary A, Ambrose TK, Raffaelli M, et al. Effects of an HIV risk reduction project on sexual risk behavior of low-income STD patients. AIDS Educ Prev. 1998;10:483–92.

    PubMed  Google Scholar 

  59. Bryan AD, Aiken LS, West SG. Young women’s condom use: the influence of acceptance of sexuality, control over the sexual encounter, and perceived susceptibility to common STDs. Health Psychol. 1997;16:468–79.

    Article  PubMed  CAS  Google Scholar 

  60. Fortenberry JD, Schick V, Herbenick D, Sanders SA, Dodge B, Reece M. Sexual behaviors and condom use at last vaginal intercourse: a national sample of adolescents ages 14 to 17 years. J Sex Med. 2010;7 Suppl 5:305–14.

    Article  PubMed  Google Scholar 

  61. Browne MW, Cudeck R. Alternative ways of assessing model fit. In: Bollen KA, Long JS, editors. Testing structural equation models, vol. 1. Newbury Park: Sage Publications; 1993. p. 136–62.

    Google Scholar 

  62. Brandt AM. No magic bullet: a social history of venereal diseases in the United States since 1880, vol. 1. New York: Oxford University Press; 1985.

    Google Scholar 

  63. Ott MA, Santelli JS. Abstinence and abstinence-only education. Curr Opin Obstet Gynecol. 2007;19:446–52.

    Article  PubMed  Google Scholar 

  64. Schalet A. Must we fear adolescent sexuality? Medscape General Med. 2004;6(4):44–4.

    Google Scholar 

  65. Fortenberry JD. Beyond validity and reliability: meaning-in-context of adolescents’ self-reports of sexual behavior. J Adolesc Health. 2009;44:199–200.

    Article  PubMed  Google Scholar 

  66. Philpot A, Knerr W, Maher D. Promoting protection and pleasure: Amplifying the effectiveness of barriers against sexually transmitted infections and pregnancy. Lancet. 2006;368:2028–31.

    Article  Google Scholar 

  67. Swartzendruber A, Zenilman JM. A national strategy to improve sexual health. J Am Med Assoc. 2010;304:1005–6.

    Article  CAS  Google Scholar 

  68. Fenton KA. Time for a change: Rethinking and reframing sexual health in the United States. J Sex Med. 2010;7 suppl 5:250–2.

    Article  PubMed  Google Scholar 

  69. Robert AC, Sonenstein FL. Adolescents’ reports of communication with their parents about sexually transmitted diseases and birth control: 1988, 1995, and 2002. J Adolesc Health. 2010;46:532–7.

    Article  PubMed  Google Scholar 

  70. Ferguson RM, Vanwesenbeeck I, Knijn T. A matter of facts… and more: an exploratory analysis of the content of sexuality education in The Netherlands. Sex Educ: Sex, Soc Learn. 2008;8:93–106.

    Google Scholar 

  71. Brugman M, Caron SL, Rademakers J. Emerging adolescent sexuality: a comparison of American and dutch college women’s experiences. Int J Sex Health. 2010;22:32–46.

    Article  Google Scholar 

  72. Isley MM, Edelman A, Kaneshiro B, Peters D, Nichols MD, Jensen JT. Sex education and contraceptive use at coital debut in the United States: results from Cycle 6 of the National Survey of Family Growth. Contraception. 2010;82:236–42.

    Article  PubMed  Google Scholar 

  73. Hogben M, Chesson H, Aral SO. Sexuality education policies and sexually transmitted disease rates in the United States of America. Int J STD AIDS. 2010;21:293–7.

    Article  PubMed  CAS  Google Scholar 

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Correspondence to J. Dennis Fortenberry M.D. M.S. .

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Fortenberry, J.D., Hensel, D.J. (2013). Adolescent Sexual Health and Sexually Transmitted Infections: A Conceptual and Empirical Demonstration. In: Aral, S., Fenton, K., Lipshutz, J. (eds) The New Public Health and STD/HIV Prevention. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-4526-5_15

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  • DOI: https://doi.org/10.1007/978-1-4614-4526-5_15

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