Sexual Concerns of Adolescents

  • Beth Alexander


Many of the adverse outcomes to adolescents’ health occur in the context of behaviors that do not make sense to adults. Most morbidity and mortality in adolescents is preventable, compared with that of other age groups. The six categories of health risk behaviors among youths commonly identified include those that contribute to unintentional and intentional injuries, tobacco use, alcohol and other drug use, sexual behaviors, dietary habits, and the presence or absence of exercise.1 Many of these behavioral patterns occur in clusters among youths who take risks with their health in multiple ways; thus risk to adolescents’ health related to sexual behavior is often part of a larger pattern of behavior that involves multiple risks to health and should be understood in this context. The physician’s role, when addressing issues related to adolescent sexuality, has become more important as the stakes have become higher. This role includes screening, preventive efforts, acting as an individual health “coach,” and being a community educator and advocate for youths.


Sexual Behavior Sexual Health Sexuality Education Pelvic Inflammatory Disease Genital Herpes 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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  1. 1.
    Youth Risk Behavior Surveillance, United States, 1993. MMWR 1995;44SS:l–2.Google Scholar
  2. 2.
    Edwards M. Insight and information for more realistic media coverage. SIECUS Rep 1996;24:2.Google Scholar
  3. 3.
    Brown JD, Steele MS. Sexuality and the mass media: an overview. SIECUS Rep 1996;24:3.Google Scholar
  4. 4.
    Brown JD, Newcomer SF. Television viewing and adolescents’ sexual behavior. J Homosex 1991;2:77–91.CrossRefGoogle Scholar
  5. 5.
    Neinstein LS, Kaufman FR. Normal physical growth and development. In: Neinstein LS, editor. Adolescent health care: a practical guide. 2nd ed. Baltimore: Urban & Schwarzenberg, 1991:3–37.Google Scholar
  6. 6.
    Alexander B, McGrew MC, Shore W. Adolescent sexuality issues in office practice. Am Fam Physician 1991;44:1273–81.PubMedGoogle Scholar
  7. 7.
    Jessor R. Risk behavior in adolescence: a psychosocial framework for understanding and action. J Adolesc Health 1991;12:602.CrossRefGoogle Scholar
  8. 8.
    Leigh BC, Morrison DM, Trocki K, Temple MT. Sexual behavior of American adolescents: results of a U.S. national survey. J Adolesc Health 1994;15:117–25.PubMedCrossRefGoogle Scholar
  9. 9.
    Hofferth SL, Kahn JR, Baldwin W. Premarital sexual activity among U.S. teenage women over the past three decades. Farn Plann Perspect 1987;19(2):46–53.CrossRefGoogle Scholar
  10. 10.
    Youth Risk Behavior Surveillance. MMWR 1995;44:46–7.Google Scholar
  11. 11.
    Alan Guttmacher Institute. Facts in brief: teenage sexual and reproductive behavior, 7/15/93. New York: Alan Guttmacher Institute, 1993.Google Scholar
  12. 12.
    Roye CF. Abnormal cervical cytology in adolescents: a literature review. J Adolesc Health 1992;13:643–50.PubMedCrossRefGoogle Scholar
  13. 13.
    Cates W. Teenagers and sexual risk taking: the best of times and the worst of times. J Adolesc Health 1991;12:84–94.PubMedCrossRefGoogle Scholar
  14. 14.
    Donovan P. Testing positive: sexually transmitted disease and the public health response. Alan Guttmacher Institute New York 1993;10–17.Google Scholar
  15. 15.
    Centers for Disease Control. Division of STD/HIV Prevention. Annual report, 1990. Atlanta: CDC, 1991.Google Scholar
  16. 16.
    Centers for Disease Control. HIV/AIDS surveillance report. 1995;7:15.Google Scholar
  17. 17.
    Yarber WL, Parrillo AV. Adolescents and sexually transmitted diseases. J Sch Health 1992;62:331–8.PubMedCrossRefGoogle Scholar
  18. 18.
    Projections of the number of persons diagnosed with AIDS and the number of immunosuppressed HIV-infected persons, United States, 1992–94. MMWR 1992;41:18–19.Google Scholar
  19. 19.
    Sell RL, Wells JA, Wypiji D. The prevalence of homosexual behavior and attraction in the United States, the United Kingdom and France: results of national population-based samples. Arch Sex Behav 1995;24:235–48.PubMedCrossRefGoogle Scholar
  20. 20.
    Gibson P. Gay male and lesbian youth suicide. Report of the Secretary’s Task Force on Youth Suicide. Washington, DC: US Department of Health and Human Services, 1989.Google Scholar
  21. 21.
    Survey of street youth. New York: Victim Services, 1990.Google Scholar
  22. 22.
    Luna GC, Rotheram-Boros MJ. Street youth and the AIDS pandemic. AIDS Educ Prevent 1992 Suppl:1–13.Google Scholar

Appendix B: Resources for Sexuality Education for Youth

  1. Bell R. Changing bodies, changing lives. New York: Random House, 1988.Google Scholar
  2. Bingham M, Edmondson J, Stryker S. Challenges: a young man’s journal for self-awareness and personal planning. Santa Barbara, CA: Advocacy Press, 1984 (updated 1990).Google Scholar
  3. Bingham M, Edmondson J, Stryker S. Choices: a teen woman’s journal for self-awareness and personal planning. Santa Barbara, CA: Advocacy Press, 1985 (updated 1990).Google Scholar
  4. Blake J. Risky times: how to be AIDS-smart and stay healthy. New York: Workman Publishing, 1990.Google Scholar
  5. Crosier L. Losing it: the virginity myth. Washington, DC: Avocus Publications, 1993.Google Scholar
  6. Fairchild B, Hayward N. Now that you know, rev ed. New York: Harcourt Brace Jovanovich, 1989.Google Scholar
  7. Fiedler J, Fiedler H. Be smart about sex: facts for young people. Hillsdale, NJ: Enslow Publishers, 1990.Google Scholar
  8. Fricke A. Reflections of a rock lobster: a story about growing up gay. Alyson Publications, Boston, 1981.Google Scholar
  9. Hein K, DiGeronimo TF. Trading fears for facts. Mount Vernon, NY: Consumers Union, 1989.Google Scholar
  10. Heron A. Two teenagers in 20; writings by gay and lesbian youth. Boston: Alyson Publications, 1983.Google Scholar
  11. Kuklin S. What do I do now? Talking about teenage pregnancy. New York: Putnam, 1991.Google Scholar
  12. Madaras L. What’s happening to my body? for girls (for boys). New York: Newmarket Press, 1988.Google Scholar
  13. McCoy K. Changes and choices: a junior high survival guide. New York: Body Press/Perigee, 1989).Google Scholar
  14. McCoy K, Wibbelsman C. The new teenage body book. New York: Body Press/Perigee, 1992.Google Scholar
  15. Thornburg HD. The bubblegum years: sticking with kids from 9 to 13. Tucson, AZ: Help Books, 1978.Google Scholar
  16. Williams CW. Black teenage mothers: pregnancy and child rearing from their perspective. Lexington, MA: Heath, 1991.Google Scholar

Copyright information

© Springer Science+Business Media New York 1998

Authors and Affiliations

  • Beth Alexander

There are no affiliations available

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