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Negative feelings about the timing of first sexual intercourse: findings from the Health Behaviour in School-aged Children study

  • Nathalie MoreauEmail author
  • András Költő
  • Honor Young
  • Florence Maillochon
  • Emmanuelle Godeau
Original Article

Abstract

Objectives

This study investigates the association between negative feelings about the first intercourse timing and sociodemographic and contextual factors. We hypothesized that girls and adolescents with an older first sexual partner will be more likely to report negative feelings and that prevalence of those feelings will vary across countries.

Methods

Adolescents (N = 6073, mean age = 15.6 ± 0.34), from Bulgaria, France, Ireland, and Scotland, taking part in the 2013/2014 HBSC study, were asked about sexual initiation, their age and partner’s age at first intercourse, and their feeling about the timing of first intercourse.

Results

One-fifth of the 1321 adolescents who had had sexual intercourse reported negative feelings about the first intercourse timing. Girls, adolescents from low affluent families, and those with an older first partner were more likely to report negative feelings. However, after adjustment for covariates, only girls and those from less affluent families had significantly higher odds of reporting negative feelings.

Conclusions

Sexual education programmes need to explicitly address decision-making around timing of first intercourse in order to reduce negative feelings, with a special attention to gender and social inequalities.

Keywords

Adolescence First sexual intercourse Negative feelings International comparisons HBSC 

Notes

Acknowledgement

The authors thank the schools and students who participated to the 2014 HBSC survey. The HBSC survey is an international study carried out in collaboration with WHO/EURO. The International Coordinator of the 2013/2014 survey was Dr Joanna Inchley (University of St Andrews, Scotland) and the Data Bank Manager was Professor Oddrun Samdal (University of Bergen, HBSC Data Management Centre, Norway). We would also like to thank the following Principal Investigators of national HBSC Teams who gave permission to use national data from the given country: Lidiya Vasileva (Bulgaria), Emmanuelle Godeau (France), Saoirse Nic Gabhainn (Ireland) and Joanna Inchley (Scotland). We gratefully acknowledge HBSC Sexual Health Focus Group, Alina Cosma (CAHRU, University of St Andrews, United-Kingdom), Saoirse Nic Gabhainn (National University of Ireland, Galway, Ireland), Einar B. Thorsteinsson (University of New England, Australia), Marta Reis (University of Lisbon, Portugal), Katia Castetbon (ESP-ULB, Brussels, Belgium), and Virginie Ehlinger (Inserm U1027, Toulouse, France) for their valuable comments on the first version of the manuscript. For details on HBSC, see http://www.hbsc.org.

Compliance with ethical standards

Conflict of interest

The authors declare that they have no Conflict of interest.

Ethical approval

Each country obtained approval from institutional or national ethical boards according to national procedures and guidelines and the study is conducted in accordance with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.

Informed consent

In all countries, parents were informed about the study. Informed consent was sought from students in Bulgaria. Passive parental consent was obtained in France and Scotland. In Ireland active or passive consent was obtained based on the school’s discretion. Young people were informed about the survey and were free to decline participation, leave blank any questions they did not wish to answer and that they could withdraw from participation at any time if they wished.

References

  1. Abma J, Anne Driscoll, Moore K (1998) Young women’s degree of control over first intercourse: an exploratory analysis. Fam Plann Perspect 30(1):12–18CrossRefGoogle Scholar
  2. Bajos N, Bozon M (2008) Enquête sur la sexualité en France: Pratiques, genre et santé. La Découverte, ParisGoogle Scholar
  3. Carstensen LL, Fung HH, Charles ST (2003) Socioemotional selectivity theory and the regulation of emotion in the second half of life. Motiv Emot 27:103–123CrossRefGoogle Scholar
  4. Currie C, Nic Gabhainn S, Godeau E (2009) The health behaviour in school-aged children: WHO Collaborative Cross-National (HBSC) study: origins, concept, history and development 1982–2008. Int J Public Health 54(Suppl 2):131–139.  https://doi.org/10.1007/s00038-009-5404-x CrossRefPubMedGoogle Scholar
  5. Currie C, Inchley J, Molcho M, Lenzi M, Veselska Z, Wild F (eds) (2014) Health behaviour in school-aged children (HBSC), study protocol: background, methodology and mandatory items for the 2013/14 survey. St Andrews, UK: Child and Adolescent Health Research Unit (CAHRU), University of St AndrewsGoogle Scholar
  6. Dickson N, Paul C, Herbison P, Phil Silva (1998) First sexual intercourse: age, coercion, and later regrets reported by a birth cohort. Br Med J 316(7124):29–33CrossRefGoogle Scholar
  7. Dixon-Mueller R (2008) How Young Is “Too Young”? Comparative perspectives on adolescent sexual, marital, and reproductive transitions. Fam Plan 39(4):247–262CrossRefGoogle Scholar
  8. Graupner H (2000) Sexual consent: the criminal law in Europe and overseas. Arch Sex Behav 29:415–461CrossRefGoogle Scholar
  9. Guleria S, Juul KE, Munk C, Hansen BT, Arnheim-Dahlström L, Liaw K-L, Nygård M, Kjaer SK (2017) Contraceptive non-use and emergency contraceptive use at first sexual intercourse among nearly 12 000 Scandinavian women. Acta Obstet Gynecol Scand 96:286–294.  https://doi.org/10.1111/aogs.13088 CrossRefPubMedGoogle Scholar
  10. Haberland N, Rogow D (2015) Sexuality education: emerging trends in evidence and practice. J Adolesc Health 56:S15–S21.  https://doi.org/10.1016/j.jadohealth.2014.08.013 CrossRefPubMedGoogle Scholar
  11. Hawes ZC, Wellings K, Stephenson J (2010) First heterosexual intercourse in the United Kingdom: a review of the literature. J Sex Res 47:137–152.  https://doi.org/10.1080/00224490903509399 CrossRefPubMedGoogle Scholar
  12. Higgins JA, Trussell J, Moore NB, Davidson JK (2010) Virginity lost, satisfaction gained? Physiological and psychological sexual satisfaction at heterosexual debut. J Sex Res 47:384–394.  https://doi.org/10.1080/00224491003774792 CrossRefPubMedPubMedCentralGoogle Scholar
  13. Hird MJ, Jackson S (2001) Where ‘angels’ and ‘wusses’ fear to tread: sexual coercion in adolescent dating relationships. J Sociol 37:27–43CrossRefGoogle Scholar
  14. Inchley J, Currie D, Young T, Samdal O, Torsheim T, Auguston L, Mathison F, Aleman-Diaz A, Molcho M, Weber M, Barnekow V (eds) (2016) Growing up unequal: gender and socioeconomic differences in young people's health and well-being.: Health Behaviour in School-aged Children (HBSC) study: international report from the 2013/2014 survey. Copenhagen, WHO Regional Office for Europe (Health Policy for Children and Adolescents, No7)Google Scholar
  15. Kaestle CE, Morisky DE, Wiley DJ (2002) Sexual intercourse and the age difference between adolescent females and their romantic partners. Perspect Sex Reprod Health 34:304.  https://doi.org/10.2307/3097749 CrossRefPubMedGoogle Scholar
  16. Kreager DA, Staff J (2009) The sexual double standard and adolescent peer acceptance. Soc Psychol Q 72:143–164.  https://doi.org/10.1177/019027250907200205 CrossRefPubMedPubMedCentralGoogle Scholar
  17. Kreager DA, Staff J, Gauthier R, Lefkowitz ES, Feinberg ME (2016) The double standard at sexual debut: gender, sexual behavior and adolescent peer acceptance. Sex Roles 75:377–392.  https://doi.org/10.1007/s11199-016-0618-x CrossRefPubMedPubMedCentralGoogle Scholar
  18. Madkour AS, de Looze M, Ma P, Halpern CT, Farhat T, Ter Bogt TFM, Ehlinger V, Nic Gabhainn S, Currie C, Godeau E (2014) Macro-level age norms for the timing of sexual initiation and adolescents’ early sexual initiation in 17 European countries. J Adolesc Health 55:114–121.  https://doi.org/10.1016/j.jadohealth.2013.12.008 CrossRefPubMedPubMedCentralGoogle Scholar
  19. Manlove J, Terry-Humen E, Ikramullah E (2006) Young teenagers and older sexual partners: correlates and consequences for males and females. Perspect Sex Reprod Health 38:197–207CrossRefGoogle Scholar
  20. Marston C, King E (2006) Factors that shape young people’s sexual behaviour: a systematic review. Lancet 368:1581–1586CrossRefGoogle Scholar
  21. Mercer CH, Wellings K, Macdowall W, Copas AJ, McManus S, Erens B, Fenton KA, Johnson AM (2006) First sexual partnerships–age differences and their significance: empirical evidence from the 2000 British National Survey of Sexual Attitudes and Lifestyles (‘Natsal 2000’). J Adolesc Health 39:87–95.  https://doi.org/10.1016/j.jadohealth.2005.10.007 CrossRefPubMedGoogle Scholar
  22. Morrison-Beedy D, Xia Y, Passmore D (2013) Sexual risk factors for partner age discordance in adolescent girls and their male partners. J Clin Nurs 22:3289–3299.  https://doi.org/10.1111/jocn.12408 CrossRefPubMedPubMedCentralGoogle Scholar
  23. Parent A-S, Teilmann G, Juul A, Skakkebaek NE, Toppari J, Bourguignon J-P (2003) The timing of normal puberty and the age limits of sexual precocity: variations around the world, secular trends, and changes after migration. Endocr Rev 24:668–693.  https://doi.org/10.1210/er.2002-0019 CrossRefPubMedGoogle Scholar
  24. Parker R, Wellings K, Lazarus JV (2009) Sexuality education in Europe: an overview of current policies. Sex Edu 9:227–242.  https://doi.org/10.1080/14681810903059060 CrossRefGoogle Scholar
  25. Pinquart M (2010) Ambivalence in adolescents’ decisions about having their first sexual intercourse. J Sex Res 47:440–450.  https://doi.org/10.1080/00224490903161639 CrossRefPubMedGoogle Scholar
  26. Ramiro L, Windlin B, Reis M, Gabhainn SN, Jovic S, Matos MG, Magnusson J, Godeau E (2015) Gendered trends in early and very early sex and condom use in 20 European countries from 2002 to 2010. Eur J Public Health 25(Suppl 2):65–68.  https://doi.org/10.1093/eurpub/ckv030 CrossRefPubMedGoogle Scholar
  27. Reissing ED, Andruff HL, Wentland JJ (2012) Looking back: the experience of first sexual intercourse and current sexual adjustment in young heterosexual adults. J Sex Res 49:27–35.  https://doi.org/10.1080/00224499.2010.538951 CrossRefPubMedGoogle Scholar
  28. Roberts C, Freeman J, Samdal O, Schnohr CW, de Looze ME, Nic Gabhainn S, Iannotti R, Rasmussen M (2009) The Health Behaviour in School-aged Children (HBSC) study: methodological developments and current tensions. Int J Public Health 54(Suppl 2):140–150.  https://doi.org/10.1007/s00038-009-5405-9 CrossRefPubMedPubMedCentralGoogle Scholar
  29. Senn TE, Carey MP (2011) Age of partner at first adolescent intercourse and adult sexual risk behavior among women. J Womens Health (Larchmt) 20:61–66.  https://doi.org/10.1089/jwh.2010.2089 CrossRefGoogle Scholar
  30. Shoveller JA, Johnson JL, Langille DB, Mitchell T (2004) Socio-cultural influences on young people’s sexual development. Soc Sci Med 59:473–487.  https://doi.org/10.1016/j.socscimed.2003.11.017 CrossRefPubMedGoogle Scholar
  31. Smith CV, Shaffer MJ (2013) Gone but not forgotten: virginity loss and current sexual satisfaction. J Sex Marital Ther 39:96–111.  https://doi.org/10.1080/0092623X.2012.675023 CrossRefPubMedGoogle Scholar
  32. Sprecher S (2014) Evidence of change in men’s versus women’s emotional reactions to first sexual intercourse: a 23-year study in a human sexuality course at a midwestern university. J Sex Res 51:466–472.  https://doi.org/10.1080/00224499.2013.867923 CrossRefPubMedGoogle Scholar
  33. Templeton M, Lohan M, Kelly C, Lundy L (2017) A systematic review and qualitative synthesis of adolescents’ views of sexual readiness. J Adv Nurs 73:1288–1301.  https://doi.org/10.1111/jan.13207 CrossRefPubMedGoogle Scholar
  34. Tolman DL, McClelland SI (2011) Normative sexuality development in adolescence: a decade in review, 2000–2009. J Res Adolesc 21:242–255.  https://doi.org/10.1111/j.1532-7795.2010.00726.x CrossRefGoogle Scholar
  35. Torsheim T, Cavallo F, Levin KA, Schnohr C, Mazur J, Niclasen B, Currie C (2016) Psychometric validation of the revised family affluence scale: a latent variable approach. Child Indic Res 9:771–784.  https://doi.org/10.1007/s12187-015-9339-x CrossRefPubMedGoogle Scholar
  36. Vasilenko SA, Kugler KC, Rice CE (2016) Timing of first sexual intercourse and young adult health outcomes. J Adolesc Health 59:291–297.  https://doi.org/10.1016/j.jadohealth.2016.04.019 CrossRefPubMedPubMedCentralGoogle Scholar
  37. Volpe EM, Hardie TL, Cerulli C, Sommers MS, Morrison-Beedy D (2013) What’s age got to do with it? Partner age difference, power, intimate partner violence, and sexual risk in urban adolescents. J Interpers Violence 28:2068–2087.  https://doi.org/10.1177/0886260512471082 CrossRefPubMedPubMedCentralGoogle Scholar
  38. Wellings K, Nanchahal K, Macdowall W, McManus S, Erens B, Mercer CH, Johnson AM, Copas AJ, Korovessis C, Fenton KA, Field J (2001) Sexual behaviour in Britain: early heterosexual experience. The Lancet 358:1843–1850.  https://doi.org/10.1016/S0140-6736(01)06885-4 CrossRefGoogle Scholar
  39. Widmer ED, Treas J, Newcomb R (1998) Attitudes toward nonmarital sex in 24 countries. J Sex Res 35:349–358CrossRefGoogle Scholar
  40. Wight D, Henderson M, Raab G, Abraham C, Buston K, Scott S, Hart G (2000) Extent of regretted sexual intercourse among young teenagers in Scotland: a cross sectional survey. BMJ 320:1243–1244CrossRefGoogle Scholar
  41. Wight D, Parkes A, Strange V, Allen E, Bonell C, Henderson M (2008) The quality of young people’s heterosexual relationships: a longitudinal analysis of characteristics shaping subjective experience. Perspect Sex Reprod Health 40:226–237.  https://doi.org/10.1363/4022608 CrossRefPubMedGoogle Scholar
  42. Young H, Költő A, Reis M, Saewyc EM, Moreau N, Burke L, Cosma A, Windlin B, Gabhainn SN, Godeau E (2016) Sexual Health questions included in the Health Behaviour in School-aged Children (HBSC) study: an international methodological pilot investigation. BMC Med Res Methodol 16:169.  https://doi.org/10.1186/s12874-016-0270-8 CrossRefPubMedPubMedCentralGoogle Scholar
  43. Young H, Burke L, Nic Gabhainn S (2018) Sexual intercourse, age of initiation and contraception among adolescents in Ireland: findings from the Health Behaviour in School-aged Children (HBSC) Ireland study. BMC Public Health 18:362.  https://doi.org/10.1186/s12889-018-5217-z CrossRefPubMedPubMedCentralGoogle Scholar

Copyright information

© Swiss School of Public Health (SSPH+) 2018

Authors and Affiliations

  1. 1.Service d’Information Promotion Education Santé (SIPES), Centre de Recherche “Epidémiologie, Biostatistiques et recherche clinique”, Ecole de Santé PubliqueUniversité Libre de Bruxelles (ULB)BrusselsBelgium
  2. 2.Health Promotion Research CentreNational University of Ireland GalwayGalwayIreland
  3. 3.Institute of PsychologyELTE Eötvös Loránd UniversityBudapestHungary
  4. 4.Centre for the Development and Evaluation of Complex Interventions for Public Health Improvement (DECIPHer), School of Social SciencesCardiff UniversityCardiffUK
  5. 5.Centre National de la Recherche Scientifique, ENSCentre Maurice Halbwachs (CNRS, ENS, EHESS)ParisFrance
  6. 6.École des hautes études en santé publique (EHESP)RennesFrance
  7. 7.Service Médical du Rectorat de l’académie de Toulouse, UMR 1027 InsermUniversité Paul SabatierToulouseFrance

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