Archives of Sexual Behavior

, Volume 38, Issue 4, pp 591–604

Sexual Milestones and Factors Associated with Coitus Initiation Among Israeli High School Students

  • Ronny A. Shtarkshall
  • Sara Carmel
  • Dena Jaffe-Hirschfield
  • Anna Woloski-Wruble
Original paper

Abstract

In view of the developmental approach to sexual behavior, this article presents the stages of sexual behavior leading to coitus in four grades of high school students in Israel and the sociodemographic factors associated with initiating coitus. Analyses were based on data from the first national study dealing comprehensively with sexuality in 30 years. A self-administered questionnaire was completed by a random sample of 4,609 students of the General Educational (secular) system that included 68% of the Hebrew-speaking sector or 55% of all students in Israel. Our findings indicated a progressive set of stages of sexual behavior forming a Guttman scale, from kissing and petting over the clothes though petting under the clothes and genital touching to coitus. In comparison to results of a 1970 Israeli survey, we found an increase in practice in all Guttman scale stages of sexual behavior, as well as a diminished gap between genders. The gap fully disappeared in the three lower stages. Predictive variables of coitus initiation included gender, religiosity, immigration status, family structure, perceptions of academic achievements, and the proportion of peers practicing coitus. In addition to gender, perception of the proportion of peers that already practiced intercourse was the best predictor followed by grade, perception of academic achievement, and family structure. Marked differences were noticed between genders regarding associations with religiosity and immigration status. The discussion focused on comparisons to findings in other countries, the contribution of the findings to the understanding of Israeli adolescents’ sexual behavior, and practical educational implications.

Keywords

Adolescents Coital debut Gender differences Israel Sexual behavior Stages of sexual behavior 

References

  1. Abma, J. C., Martinez, G. M., Mosher, W. D., & Dawson, B. S. (2004). Teenagers in the United States: Sexual activity, contraceptive use, childbearing, 2002. National Center for Health Statistics. Vital Health Statistics, 23, 1–14.Google Scholar
  2. Abramson, J. H., & Gahlinger, P. M. (2001). Computer programs for epidemiologic studies. Salt Lake City, UT: Sagebrush Press.Google Scholar
  3. Antonovsky, H. F. (1980). Adolescent sexuality. Lexington, MA: Lexington Books.Google Scholar
  4. Antonovsky, H. F., Shoham, I., Kavenaki, S., Lancet, M., & Modan, B. (1980). Gender differences in patterns of adolescent sexual behavior. Journal of Youth and Adolescence, 9, 127–141.PubMedCrossRefGoogle Scholar
  5. Antonovsky, H. F., Shoham, I., Kavenocky, S., Modan, B., & Lancet, M. (1978). Sexual attitude-behavior discrepancy among Israeli adolescent girls. Journal of Sex Research, 14, 260–273.Google Scholar
  6. Argaman, D. (1981). Gishot, amadot ve’hitnahagut beshetach ha’chinuch ha’mini bemosadot Ha’shomer Ha’tsair [Approaches, attitudes and behavior in the field of sex education within the educational institutes of Ha’Shomer Ha’Tzair kibbutz movement]. Unpublished master’s thesis, University of Haifa School of Education, Haifa, Israel.Google Scholar
  7. Birenbaum, M., & Bargai, E. (1988). Hitnahagut ve’amadot shel noar be’shetach ha’chinuch ha’mini [Behavior and attitudes of youth in the area of sex]. Jerusalem, Israel: Ministry of Education and Culture.Google Scholar
  8. Bloch-Piamenta, A. (1983). Otonomia ke’gorem kovea shimush ve’i shimush be’emtzaei meni’a etsel studentiyot lo nesuot be’Yisrael [Autonomy as a determinant of the use and non-use of contraceptives among unmarried Israeli students]. Unpublished master’s thesis, Hebrew University, Jerusalem, Israel.Google Scholar
  9. Blum, R., Beuhring, T., Shew, M., Bearinger, L., Sieving, R., & Resnick, M. (2000). The effects of race/ethnicity, income, and family structure on adolescent risk behaviors. American Journal of Public Health, 90, 1879–1884.PubMedCrossRefGoogle Scholar
  10. Boyce, W., Doherty, M., Fortin, C., & Mackinnon, D. (2003). Canadian youth, sexual health and HIV/AIDS study: Factors influencing knowledge, attitudes and behaviours. Toronto, Ontario: Council of Ministers of Education.Google Scholar
  11. Brook, U. (1993). AIDS-related knowledge and attitudes of high school students in Holon, Israel. Journal of Tropical Pediatrics, 39, 382–384.PubMedGoogle Scholar
  12. Brook, U. (1999). AIDS knowledge and attitudes of pupils attending urban high schools in Israel. Patient Education and Counseling, 36, 271–278.PubMedCrossRefGoogle Scholar
  13. Brooks-Gunn, J., & Furstenberg, F. F. (1990). Coming of age in the era of AIDS: Puberty, sexuality and contraception. The Milbank Quarterly, 68(Suppl. 1), 59–84.PubMedCrossRefGoogle Scholar
  14. Carmel, S., Green, M. S., Slepon, R., Tsur, S., & Vardi, D. (1992). Gender differences in AIDS-related behavioral change among 18–19 year olds in a low incidence country. Health Education Research, 7, 217–228.CrossRefGoogle Scholar
  15. Central Bureau of Statistics. (2002). Statistical abstracts of Israel 2001—Table 8.19. Jerusalem: Government Press.Google Scholar
  16. DiClemente, R. J. (1993). Confronting the challenge of AIDS among adolescents: Directions for future research. Journal of Adolescent Research, 8, 156–163.CrossRefGoogle Scholar
  17. Epstein, L., & Tamir, A. (1984). Health-related behavior of adolescents: Change over time. Journal of Adolescent Health Care, 5, 91–95.PubMedCrossRefGoogle Scholar
  18. Feingold, E. (1995). Adolescent sexual behavior among Aliyat Hanoar high school students, Israel, 1992–93. Unpublished master’s thesis, Hebrew University, Jerusalem, Israel.Google Scholar
  19. Gagnon, J. H. (1988). Sex research and sexual conduct in the era of AIDS. Journal of Acquired Immune Deficiency Syndrome, 1, 593–601.Google Scholar
  20. Harel, Y., Kanny, D., & Rahav, G. (1997). No’ar be’Yesrael: Revacha hevratit, britut, ve’hitnahaguyot sikun bemabat beinleumi [Youth in Israel: Social well being, health and risk behaviors from an international perspective]. Jerusalem: JDC-Brookdale Institute and Bar-Ilan University.Google Scholar
  21. Harel, Y., Kanny, D., & Rahav, G. (2002). No’ar be’Yesrael: Revacha hevratit, britut, ve’hitnahaguyot sikun bemabat beinleumi: mimtsaim mehaseker hasheni [Youth in Israel: Social well being, health and risk behaviors from an international perspective: Findings of the second study]. Jerusalem: JDC-Brookdale Institute and Bar-Ilan University.Google Scholar
  22. Hetsroni, A. (2002). Differences between Jewish-Israeli and Arab-Israeli college students in attitudes toward date selection and sex relations: A research note. Personal Relationships, 9, 507–517.CrossRefGoogle Scholar
  23. Jakobsen, R. (1997). Stages of progression in noncoital sexual interactions among young adolescents: An application of the Mokken scale analysis. International Journal of Behavioral Development, 21, 537–553.CrossRefGoogle Scholar
  24. Jessor, R. (1991). Risk behavior in adolescence: A psychosocial framework for understanding and action. Journal of Adolescent Health, 12, 597–605.PubMedCrossRefGoogle Scholar
  25. Jessor, R., & Jessor, S. L. (1977). Problem behavior and psychosocial development: A longitudinal study of youth. New York: Academic Press.Google Scholar
  26. Jones, E. F. (1986). Teenage pregnancy in industrialized countries: A study sponsored by the Alan Guttmacher Institute. New Haven, CT: Yale University Press.Google Scholar
  27. Kaffman, M. (1978). Hstandartim haminiyim ve’hagitnahagut haminit shel noar bakibutz [The sexual standards and sexual behavior of youth in the kibbutz]. Ha’Chinuch Ha’Meshutaf, 27, 3–10.Google Scholar
  28. Kangas, I. Andersen, B., McGrrigle, C., & Ostergaard, L. (2004). A comparison of sexual behaviour and attitudes of healthy adolescents in a Danish high school in 1982, 1996, and 2001. Population Health Metrics, 2. Available at: http://www.pophealthmetrics.com/content/2/1/5. Accessed 26 Sep 2008.
  29. Keysar, A., Sabatello, E., Ziegler, I., Shtarkshall, R., Kupinsky, S., Zur, R., et al. (1992). Fertility patterns in the Jewish population of Israel. In E. Peritz & M. Baras (Eds.), Studies in the fertility of Israel (pp. 21–57). Jerusalem: Graph-Press.Google Scholar
  30. Kirby, D. (2002). Antecedents of adolescent initiation of sex, contraceptive use, and pregnancy. American Journal of Health Behavior, 26, 473–485.PubMedGoogle Scholar
  31. Lammers, C., Ireland, M., Resnik, M., & Blum, R. (2000). Influences on adolescents’ decision to postpone onset of sexual intercourse: A survival analysis of virginity among youths aged 13 to 18 years. Journal of Adolescent Health, 20, 42–48.CrossRefGoogle Scholar
  32. Lancet, L., Modan, B., Kavenaki, S., Antonovski, H. F., & Shoham, I. (1978). Sexual knowledge, attitudes, and practice of Israeli adolescents. American Journal of Public Health, 68, 1083–1086.PubMedCrossRefGoogle Scholar
  33. Lemish, D. (2000). The whore and the other: Israeli images of female immigrants from the former USSR. Gender and Society, 14, 333–349.CrossRefGoogle Scholar
  34. Levi, H. (2001). Amadot, emunot ve’hitnahaguyot hakshurot le’AIDS etzel yelding ba’ir uba’kibbutz [AIDS-related attitudes, beliefs and behavior among adolescents in town and on the kibbutz]. Unpublished master’s thesis, University of Haifa School of Education, Haifa, Israel.Google Scholar
  35. Meier, A. M. (2003). Adolescents’ transition to first intercourse, religiosity, and attitudes about sex. Social Forces, 81, 1031–1052.CrossRefGoogle Scholar
  36. Meir, M., (1997). Hitnahagut sikunit shel noar mibrit hamo’atsot lesheavar be’Yesrael [Risky behavior of youth from the former USSR in Israel]. Unpublished master’s thesis, The Braun School of Public Health and Community Medicine of the Hebrew University and Hadassah, Jerusalem, Israel.Google Scholar
  37. Meschke, L. L., Zweig, J. M., Barber, B. L., & Eccles, J. S. (2000). Demographic, biological, psychological, and social predictors of the timing of first intercourse. Journal of Research on Adolescence, 10, 315–338.CrossRefGoogle Scholar
  38. Nathan, M., & Schnabel, A. (1975). Shinuy be’amadot shel yaldey kibbutz klapei chaverut ve’yachasey min [Changes in the attitudes of kibbutz children toward friendship and sexual relations]. Iunim Bechinuch, 6, 117–132.Google Scholar
  39. Paikoff, R., McCormick, A., & Sagrestano, L. (2000). Adolescent sexuality. In L. Szuchman & F. Muscarella (Eds.), Psychological perspectives on human sexuality (pp. 416–439). New York: Wiley.Google Scholar
  40. Palti, H., Halevy, A., Epstein, Y., Knishkowy, B., Meir, M., & Adler, B. (1995). Concerns and risk behaviors and the association between them among high-school students in Jerusalem. Journal of Adolescent Health, 17, 51–57.PubMedCrossRefGoogle Scholar
  41. Paul, C., Fitzjohn, J., Herbison, P., & Dickson, N. (2000). The determinants of sexual intercourse before age 16. Journal of Adolescent Health, 27, 136–147.PubMedCrossRefGoogle Scholar
  42. Pedersen, W., Samuelsen, S. O., & Wichstrom, L. (2003). Intercourse debut age: Poor resources, problem behavior, or romantic appeal? A population-based longitudinal study. Journal of Sex Research, 40, 333–345.PubMedGoogle Scholar
  43. Pedlow, C. T., & Carey, M. P. (2004). Developmentally appropriate sexual risk reduction interventions for adolescents: Rationale, review of interventions, and recommendations for research and practice. Annals of Behavioral Medicine, 27, 172–184.PubMedCrossRefGoogle Scholar
  44. Persson, E. (1993). The sexual behavior of young people. British Journal of Obstetrics and Gynecology, 100, 1074–1076.Google Scholar
  45. Pick de Weiss, S., Atkin, L. C., Gribble, J. N., & Andrade-Palos, P. (1991). Sex contraception and pregnancy in Mexico City. Studies in Family Planning, 22, 74–82.PubMedCrossRefGoogle Scholar
  46. Resnick, M., Bearman, P., Blum, R., Bauman, K., Harris, K., Jones, J., et al. (1997). Protecting adolescents from harm: Findings from the National Longitudinal Study on Adolescent Health. Journal of the American Medical Association, 278, 823–832.PubMedCrossRefGoogle Scholar
  47. Rosenthal, D. A., Smith, A. M. A., & De Visser, R. (1999). Personal and social factors influencing age at first sexual intercourse. Archives of Sexual Behavior, 28, 319–333.PubMedCrossRefGoogle Scholar
  48. Saito, M. I. (1998). Sex education in school: Preventing unwanted pregnancy in adolescents. International Journal of Obstetrics and Gynecology, 63(S1), 157–160.CrossRefGoogle Scholar
  49. Satcher, D. (2001). The surgeon general’s call to action to promote sexual health and responsible sexual behavior. Retrieved from http://www.surgeongeneral.gov/library/sexualhealth/call.htm. Accessed 26 Sep 2008.
  50. Schofield, M. (1965). Sexual behavior of young people. Boston: Little Brown & Company.Google Scholar
  51. Schvaneveldt, P. L., Miller, B. C., Berry, E. H., & Lee, T. R. (2001). Academic goals, achievement, and age at first sexual intercourse: Longitudinal, bidirectional influences. Adolescence, 36, 767–787.PubMedGoogle Scholar
  52. Scott, E. S., Reppucci, D., & Woollard, J. L. (1995). Evaluating adolescent decision making in legal contexts. Law and Human Behavior, 19, 221–244.CrossRefGoogle Scholar
  53. Shtarkshall, R. A. (1987). Motherhood as a dominant feature in the self-image of female adolescents of low socio-economic status: Implication for contraceptive behavior. Adolescence, 22, 566–570.Google Scholar
  54. Shtarkshall, R. A. (1990). Formen und Trends im Sexualverhalten israelischer Jugendlischer [Forms and trends in sexual behavior of Israeli youth]. In W. Melzer, W. Ferchhoff, & G. Neubauer (Eds.), Jugend in Israel und in der Bundesrepublik (pp. 162–175). Weinheim un Munchen: Juventa Verlag.Google Scholar
  55. Shtarkshall, R. A., Carmel, S., & Woloski-Wruble, A. (2003). Survey on sexual knowledge attitudes and practices in the general educational system in Israel: A final report submitted to the Chief Scientist Office. Jerusalem: Ministry of Health.Google Scholar
  56. Shtarkshall, R. A., & Feingold, E. (1995). Yeda amadot, kavanot hitnahagutiyot ve’hitnahagut minit shel noar bapnimiyot [Sexual knowledge attitudes behavioral intentions and behavior of youth in boarding schools]. Unpublished research report submitted to Aliyat Hanoar, Jerusalem, Israel.Google Scholar
  57. Shtarkshall, R. A., & Zemach, M. (2004). Israel. In R. T. Francoeur & R. Noonan (Eds.), International encyclopedia of sexuality (pp. 581–619). New York: Continuum.Google Scholar
  58. SIECCAN. (2004). Adolescent sexual and reproductive health in Canada: A report card in 2004. Canadian Journal of Human Sexuality, 13, 67–81.Google Scholar
  59. Sikron, F., Willf-Meyron, R., & Israeli, A. (2003). Herionot shel mitbagrot be’Ysrael: Shitot. lechishuv shiurim venituach shel tchunot u’megamot [Pregnancies among adolescents in Israel: Methodology to calculate rates and analysis of characteristics and trends]. Ha’Refuah, 142, 131–136.Google Scholar
  60. Singh, S., Wulf, D., Samara, R., & Cuca, Y. P. (2000). Gender difference in the timing of first intercourse. International Family Planning Perspectives, 26, 21–28.CrossRefGoogle Scholar
  61. Slicker, E. K., Patton, M., & Fuller, D. K. (2004). Parenting dimensions and adolescent sexual initiation: Using self-esteem, academic aspiration, and substance use as mediators. Journal of Youth Studies, 7, 295–314.CrossRefGoogle Scholar
  62. Slonim-Nevo, V., & Sharaga, Y. (2000). Psychological and social adjustment of Russian-born and Israeli-born Jewish adolescents. Child and Adolescent Social Work Journal, 15, 455–475.CrossRefGoogle Scholar
  63. Smith, L., & Guthrie, B. (2005). Testing a model: A developmental perspective of adolescent male sexuality. Journal for Specialists in Pediatric Nursing, 10, 124–137.PubMedCrossRefGoogle Scholar
  64. Tamir, A., & Epstein, L. (1982). Hitnahaguyot bruit bekerv talmidai batei sefer tichoniyim: Chelek bet: Hitnahagut minit [Health behavior among high school pupils: Part B: Sexual behavior]. Ha’Refuah, 102, 341–344.Google Scholar
  65. Tamir, A., Wolff, H., & Epstein, L. (1982). Health related behavior in Israel adolescents. Journal of Adolescent Health Care, 2, 261–265.PubMedCrossRefGoogle Scholar
  66. Teitler, J. O. (2002). Trends in youth sexual initiation and fertility in developed countries: 1960–1995. Annals of the American Academy of Political and Social Sciences, 580, 134–152.CrossRefGoogle Scholar
  67. Tolman, D., Striepe, M., & Harmon, T. (2003). Gender matters: Constructing a model of adolescent sexual health. Journal of Sex Research, 40, 4–12.PubMedCrossRefGoogle Scholar
  68. Upchurch, D., Aneshensel, C., & Mudgal, J. (2001). Sociocultural contexts of time to first sex among Hispanic adolescents. Journal of Marriage and Family, 63, 1158–1169.CrossRefGoogle Scholar
  69. Valle, A., Torgersen, L., Roysamb, E., Klepp, K., & Thelle, D. (2005). Social class, gender and psychosocial predictors for early sexual debut among 16 year olds in Oslo. European Journal of Public Health, 15, 185–194.PubMedCrossRefGoogle Scholar
  70. Vener, A. M., & Stewart, C. S. (1974). Adolescent sexual behavior in Middle America revisited: 1970–72. Journal of Marriage and the Family, 36, 728–735.CrossRefGoogle Scholar
  71. Weiss, E., Whelan, D., & Gupta, G. R. (1996). Vulnerability and opportunity: Adolescents and HIV/AIDS in the developing world: Findings from the women and AIDS research program. Washington, DC: International Center for Research on Women in Development.Google Scholar
  72. Whitbeck, L. B., Kevin, A., Yoder, K. A., Hoyt, D. R., & Conger, R. D. (1999). Early adolescent sexual activity: A longitudinal study. Journal of Marriage and the Family, 61, 934–946.CrossRefGoogle Scholar
  73. Wilder, E. (2000). Contraceptive use at first intercourse among Jewish women in Israel, 1962–1988. Population Research and Policy Review, 19, 113–141.CrossRefGoogle Scholar
  74. Woodward, L., Fergusson, D., & Horwood, J. (2001). Risk factors and life processes associated with teen pregnancy: Results of a prospective study from birth to 20 years. Journal of Marriage and Family, 63, 1170–1184.CrossRefGoogle Scholar
  75. Zuckerman, M. (1973). Scales for sex experience for males and females. Journal of Consulting and Clinical Psychology, 44, 27–29.CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2008

Authors and Affiliations

  • Ronny A. Shtarkshall
    • 1
    • 2
  • Sara Carmel
    • 3
  • Dena Jaffe-Hirschfield
    • 1
  • Anna Woloski-Wruble
    • 4
  1. 1.The Braun School of Public Health and Community MedicineThe Hebrew University and Hadassah Medical OrganizationJerusalemIsrael
  2. 2.The Sex Therapy Training Program, School of Social WorkBar-Ilan UniversityRamat-GanIsrael
  3. 3.Center for Multidisciplinary Research in Aging and Department of Sociology of Health and Gerontology, Faculty of Health SciencesBen-Gurion University of the NegevBeer-ShevaIsrael
  4. 4.Henrietta Szold Hadassah Hebrew University School of NursingJerusalemIsrael

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