Archives of Sexual Behavior

, Volume 39, Issue 3, pp 664–673

Predictors of Sexual Debut at Age 16 or Younger

  • Patricia A. Cavazos-Rehg
  • Edward L. Spitznagel
  • Kathleen K. Bucholz
  • John NurnbergerJr.
  • Howard J. Edenberg
  • John R. Kramer
  • Samuel Kuperman
  • Victor Hesselbrock
  • Laura Jean Bierut
Original Paper

Abstract

The present study examined the extent to which variables within the self system (i.e., symptoms of alcohol dependence and conduct disorder, gender, race, and metropolitan status) and the familial system (i.e., having an alcohol dependent biological parent or second-degree relative, religious background, educational background of parents, and being born to a teenage mother) were associated with sexual debut at 16 years old or earlier. Participants were 1,054 biological relatives, aged 18–25 years, of alcohol dependent probands who participated in the Collaborative Study on the Genetics of Alcoholism project. Comparison participants (N = 234) without alcohol dependent biological parents were also evaluated. Clinical and sociodemographic variables were assessed by structured, personal interviews. Parental history of alcohol dependence was evaluated by direct interview of parents in most cases and family history in uninterviewed parents. In a multivariate survival analysis, increased risk of becoming sexually active at 16 years of age or earlier was significantly associated with 6 of the 10 predictor variables, including race, one or more alcohol dependence symptoms, and/or one or more conduct disorder symptoms. Having an alcohol dependent biological parent or second-degree relative (e.g., aunt, uncle, or grandparent), educational background of mother, and being born to a teenage mother were also significantly associated with increased risk. These results provide evidence that specific variables in the self and familial systems of influence are important in predicting sexual debut at 16 years old or earlier.

Keywords

High risk behaviors Familial alcoholism Sexual debut Conduct disorder 

References

  1. American Academy of Pediatrics Committee on Substance Abuse. (2001). Alcohol use and abuse: A pediatric concern. Pediatrics, 108, 185–189.CrossRefGoogle Scholar
  2. American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (4th ed., text revision). Washington, DC: Author.Google Scholar
  3. Anderson, E., & Quast, W. (1983). Young children in alcoholic families: A mental health needs-assessment intervention/prevention strategy. Journal of Primary Prevention, 3, 174–187.CrossRefGoogle Scholar
  4. Blum, R. W., Beuhring, T., Shew, M. L., Bearinger, L. H., Sieving, R. E., & Resnick, M. D. (2000). The effects of race/ethnicity, income, and family structure on adolescent risk behaviors. American Journal of Public Health, 90, 1879–1884.CrossRefPubMedGoogle Scholar
  5. Booth, R., & Zhang, Y. (1997). Conduct disorder and HIV risk behaviors among runaway and homeless adolescents. Drug and Alcohol Dependence, 48, 69–76.CrossRefPubMedGoogle Scholar
  6. Brooks-Gunn, J., & Furstenberg, F. (1989). Adolescent sexual behavior. American Psychologist, 44, 249–257.CrossRefPubMedGoogle Scholar
  7. Bucholz, K. K., Cadoret, R., Cloninger, C. R., Dinwiddie, S. H., Hesselbrock, V. M., Nurnberger, J. I., et al. (1994). A new, semi-structured psychiatric interview for use in genetic linkage studies: A report on the reliability of the SSAGA. Journal of Studies on Alcohol, 55, 149–158.PubMedGoogle Scholar
  8. Carroll, J. L., & Carroll, L. M. (1995). Alcohol use and risky sex among college students. Psychological Reports, 76, 723–726.PubMedGoogle Scholar
  9. Cates, W. (1990). The epidemiology and control of STDs in adolescence. In M. Schydlower & M. Shafe (Eds.), AIDS and other STDs: Adolescent medicine state of the art reviews (pp. 409–427). Philadelphia: Handley and Belfus.Google Scholar
  10. Cavazos-Rehg, P. A., Spitznagel, E., Bucholz, K. K., Norberg, K., Nurnberger, J., Hesselbrock, V., et al. (2007). The relationship between alcohol problems and dependence, conduct disorder symptoms, and number of sex partners in a sample of young adults. Alcoholism: Clinical and Experimental Research, 12, 2046–2052.CrossRefGoogle Scholar
  11. Centers for Disease Control and Prevention. (2002). Trends in sexual risk behaviors among high school students-United States, 1991–2001. Morbidity and Mortality Weekly Report, 51, 856–859.Google Scholar
  12. Chassin, L., Flora, D. B., & King, K. M. (2004). Trajectories of alcohol and drug use and dependence from adolescence to adulthood: The effects of familial alcoholism and personality. Journal of Abnormal Psychology, 113, 483–498.CrossRefPubMedGoogle Scholar
  13. Cooper, M. L., Peirce, R. S., & Huselid, R. F. (1994). Substance use and sexual risk taking among black and white adolescents. Health Psychology, 13, 251–262.CrossRefPubMedGoogle Scholar
  14. Donenburg, G. R., Emerson, E., Bryant, F. B., Wilson, H., & Weber-Shifrin, E. (2001). Understanding AIDS-risk behavior among adolescents in psychiatric care: Links to psychopathology and peer relationships. Journal of the American Academy of Child and Adolescent Psychiatry, 40, 642–653.CrossRefGoogle Scholar
  15. Duncan, M. E., Tibaux, G., Pelzer, A., Reimann, K., Peutherer, J. F., Simmonds, P., et al. (1990). First coitus before menarche and the risk of sexually transmitted disease. Lancet, 335, 338–340.CrossRefPubMedGoogle Scholar
  16. Edenberg, H. J. (2002). The collaborative study on the genetics of alcoholism: An update. Alcohol Research & Health, 26, 214–217.Google Scholar
  17. Fergusson, D. M., & Lynskey, M. T. (1996). Alcohol misuse and adolescent sexual behaviors and risk taking. Pediatrics, 98, 91–96.PubMedGoogle Scholar
  18. Furstenberg, F. F., Morgan, S. P., Moore, K. A., & Peterson, J. L. (1987). Race differences in the timing of adolescent intercourse. American Sociological Review, 52, 511–518.CrossRefGoogle Scholar
  19. Goodson, P., Evans, A., & Edmundson, E. (1997). Female adolescents and onset of sexual intercourse: A theory-based review of research from 1984 to 1994. Journal of Adolescent Health, 21, 147–156.CrossRefPubMedGoogle Scholar
  20. Graves, K. L., & Leigh, B. C. (1995). The relationship of substance use to sexual activity among young adults in the United States. Family Planning Perspectives, 27, 18–22.CrossRefPubMedGoogle Scholar
  21. Hardt, J., & Rutter, M. (2004). Validity of adult retrospective reports of adverse childhood experiences: Review of the evidence. Journal of Child Psychology and Psychiatry, 45, 260–273.CrossRefPubMedGoogle Scholar
  22. Harvey, S., & Spigner, C. (1995). Factors associated with sexual behavior among adolescents: A mutivariate analysis. Adolescence, 30, 53–64.Google Scholar
  23. Henry, B., Moffit, T. E., Caspi, A., Langley, J., & Silva, P. A. (1994). On the “remembrance of things past”: A longitudinal evaluation of the retrospective method. Psychological Assessment, 6, 92–101.CrossRefGoogle Scholar
  24. Hesselbrock, M., Easton, C., Bucholz, K. K., Schucki, M., & Hesselbrock, V. (1999). A validity study of the SSAGA: A comparison with the SCAN. Addiction, 94, 1361–1370.CrossRefPubMedGoogle Scholar
  25. Huang, C., Liao, H., & Chang, S. (1998). Social desirability and the clinical self-report inventory: Methodological reconsideration. Journal of Clinical Psychology, 54, 517–528.CrossRefPubMedGoogle Scholar
  26. Iacono, W. G., & McGue, M. (2002). Minnesota twin family study. Twin Research, 5, 482–448.CrossRefPubMedGoogle Scholar
  27. Klein, J. D. (2005). Adolescent pregnancy: Current trends and issues. Pediatrics, 116, 281–286.CrossRefPubMedGoogle Scholar
  28. Kotchick, B. A., Shaffer, A., Forehand, R., & Miller, K. S. (2001). Adolescent sexual risk behavior: A multi-system perspective. Clinical Psychology Review, 21, 493–519.CrossRefPubMedGoogle Scholar
  29. Loukas, A., Fitzgerald, H. E., Zucker, R. A., & von Eye, A. (2001). Parental alcohol problems and co-occurring antisocial behavior: Prospective relationships to externalizing behavior problems in their young sons. Journal of Abnormal Child Psychology, 29, 91–106.CrossRefPubMedGoogle Scholar
  30. Mezzich, A. C., Tarter, R. E., Giancola, P. R., Lu, S., Kirisci, L., & Parks, S. (1997). Substance use and risky sexual behavior in female adolescents. Drug and Alcohol Dependence, 44, 157–166.CrossRefGoogle Scholar
  31. Miller, B. C., Benson, B., & Galbraith, K. A. (2001). Family relationships and adolescent pregnancy risk: A research synthesis. Developmental Review, 21, 1–38.CrossRefGoogle Scholar
  32. Miller, B. C., & Moore, K. (1990). Adolescent sexual behavior, pregnancy, and parenting: Research through the 1980s. Journal of Marriage and Family, 52, 1025–1044.CrossRefGoogle Scholar
  33. Moos, R. H., & Billings, A. G. (1982). Children of alcoholics during the recovery process: Alcoholic and matched control families. Addictive Behaviors, 7, 155–163.CrossRefPubMedGoogle Scholar
  34. Moscicki, A. B., Burt, V., Kanowitz, S., Darragh, T., & Shiboski, S. (1999). The significance of squamous metaplasia in the development of low-grade squamous intra-epithelial lesions in young women. Cancer, 85, 1139–1144.CrossRefPubMedGoogle Scholar
  35. Mott, F. L., Fondell, M. M., Hu, P. N., Kowaleski-Jone, L., & Menaghan, E. G. (1996). The determinants of first sex by age 14 in a high-risk adolescent population. Family Planning Perspectives, 28, 13–18.CrossRefPubMedGoogle Scholar
  36. Nord, C., Moore, K., Morrison, D., Brown, B., & Myers, D. (1992). Consequences of teen-age parenting. Journal of School Health, 62, 310–318.CrossRefPubMedGoogle Scholar
  37. Patterson, G. R. (1982). Coercive family process: A social learning approach. Eugene, OR: Castalia.Google Scholar
  38. Patterson, G. R., & Capaldi, D. M. (1991). Antisocial parents: Unskilled and vulnerable. Advances in family research. In P. A. Cowan & E. M. Hetherington (Eds.), Family transitions (pp. 195–218). Hillsdale, NJ: Erlbaum.Google Scholar
  39. Poulson, R. L., Eppler, M. A., Satterwhite, T. N., Wuensch, K. L., & Bass, L. A. (1998). Alcohol consumption, strength of religious beliefs, and risky sexual behavior in college students. Journal of American College Health, 46, 227–232.CrossRefPubMedGoogle Scholar
  40. Prewett, M. J., Spence, R., & Chaknis, M. (1981). Attribution of causality by children with alcoholic parents. International Journal of the Addictions, 16, 367–370.PubMedGoogle Scholar
  41. Raine, T., Minnis, A. M., & Padian, N. S. (2003). Determinants of contraceptive method among young women at risk for unintended pregnancy and sexually transmitted infections. Contraception, 68, 19–25.CrossRefPubMedGoogle Scholar
  42. Roche, K. M., Mekos, D., Alexander, C. S., Astone, N. M., Bandeen-Roche, K., & Ensminger, M. E. (2005). Parenting influences on early sex initiation among adolescents: How neighborhood matters. Journal of Family Issues, 26, 32–54.CrossRefGoogle Scholar
  43. Rogers, W. H. (1993). Regression standard errors in clustered samples. Stata Technical Bulletin, 13, 19–23.Google Scholar
  44. Rosembaum, E., & Kandel, D. (1990). Early onset of adolescent sexual behavior and drug involvement. Journal of Married Families, 52, 783–798.CrossRefGoogle Scholar
  45. Rosenthal, S. L., von Ranson, K. M., Cotton, S., Biro, F. M., Mills, L., & Succop, P. A. (2001). Sexual initiation: Predictors and developmental trends. Sexually Transmitted Diseases, 28, 527–543.CrossRefPubMedGoogle Scholar
  46. Sales, J. M., Milhausen, R. R., & DiClemente, R. J. (2006). A decade in review: Building on the experiences of past adolescent STI/HIV interventions to optimize future prevention efforts. Sexually Transmitted Infections, 82, 431–436.CrossRefPubMedGoogle Scholar
  47. Schuckit, M. A., & Chiles, J. A. (1978). Family history as a diagnostic aid in two samples of adolescents. Journal of Nervous and Mental Disease, 166, 165–176.PubMedCrossRefGoogle Scholar
  48. Seidman, S., & Riede, R. (1994). A review of sexual behavior in the United States. American Journal of Psychiatry, 15, 30–34.Google Scholar
  49. Shew, M. L., Fortenberry, J. D., Miles, P., & Amortegui, A. J. (1994). Interval between menarche and first sexual intercourse related to risk of human papilloma infection. Journal of Pediatrics, 125, 661–666.CrossRefPubMedGoogle Scholar
  50. Upchurch, D. M., Levy-Storms, L., Sucoff, C. A., & Aneshense, C. S. (1998). Gender and ethnic differences in the timing of first sexual intercourse. Family Planning Perspectives, 30, 121–127.CrossRefPubMedGoogle Scholar
  51. Westrom, L., & Eschenbach, D. (1999). Pelvic inflammatory disease. In K. K. Holmes, P. Mardh, & P. F. Sparling (Eds.), Sexually transmitted diseases (pp. 783–810). New York: McGraw Publishers.Google Scholar
  52. Whitmore, E. A., Mikulich, S. K., Ehlers, K. M., & Crowley, T. J. (2000). One-year outcome of adolescent females referred for conduct disorder and substance abuse/dependence. Drug and Alcohol Dependence, 59, 131–141.CrossRefPubMedGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2008

Authors and Affiliations

  • Patricia A. Cavazos-Rehg
    • 1
  • Edward L. Spitznagel
    • 2
  • Kathleen K. Bucholz
    • 1
  • John NurnbergerJr.
    • 3
  • Howard J. Edenberg
    • 4
  • John R. Kramer
    • 5
  • Samuel Kuperman
    • 5
  • Victor Hesselbrock
    • 6
  • Laura Jean Bierut
    • 1
  1. 1.Department of PsychiatryWashington UniversitySt. LouisUSA
  2. 2.Department of MathematicsWashington UniversitySt. LouisUSA
  3. 3.Department of PsychiatryIndiana University School of MedicineIndianapolisUSA
  4. 4.Department of Biochemistry and Molecular BiologyIndiana University School of MedicineIndianapolisUSA
  5. 5.Department of PsychiatryUniversity of Iowa College of MedicineIowa CityUSA
  6. 6.Department of PsychiatryUniversity of Connecticut Health CenterFarmingtonUSA

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