Sexual Risk Behaviors among Adolescents

  • Henry D. Anaya
  • Susan M. Cantwell
  • Mary Jane Rotheram-Borus
Part of the Issues in Children’s and Families’ Lives book series (IICL, volume 1)


Patterns of sexual behaviors are complex and culturally specific and the average age of sexual initiation and its consequences vary worldwide (Werdelin, Misfeldt, Melbye, & Olsen, 1995). These cultural and developmental factors relate directly to the negative consequences that occur from unprotected adolescent sex: high rates of teenage pregnancy, STDs, abortion, and HIV infection.


Sexual Behavior Sexual Risk Sexual Intercourse Sexual Risk Behavior Risky Sexual Behavior 


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  1. Alan Guttmacher Institute. (1994). Sex and America’s teenagers. New York: Author.Google Scholar
  2. Anaya, H.D., Swendeman, D., & Rotheram-Borus, M.J. (2001). Differences among abused and non-abused youth living with HIV/AIDS. Manuscript submitted for publication.Google Scholar
  3. Anderson, E. (1989). Sex codes and family life among poor inner-city youths. Annals of the American Academy of Political and Social Sciences, 501, 59–78.CrossRefGoogle Scholar
  4. Anderson, N.L.R., Koniak-Griffin, D., & Keenan, C.K. (1999). Evaluating the outcomes of parent-child family life education. Scholarly Inquiry for Nursing Practice, 13, 211–31.PubMedGoogle Scholar
  5. Baker, D.G., & Mossman, D. (1991). Potential HIV exposure in psychiatrically hospitalized adolescent girls. American Journal of Psychiatry, 148, 528–30.PubMedGoogle Scholar
  6. Berry, El I., Shillington, A.M., Peak, T., & Hohman, M.M. (2000). Multi-ethnic comparison of risk and protective factors for adolescent pregnancy. Child & Adolescent Social Work Journal, 17, 79–96.CrossRefGoogle Scholar
  7. Biglan, A., Metzler, C.W., Wirt, R., Ary, D., Noell, J., Ochs, L., et al. (1990). Social and behavior factors associated with high-risk sexual behavior among adolescents. Journal of Behavioral Medicine, 13, 245–61.PubMedCrossRefGoogle Scholar
  8. Bock, E.W., Beeghley, L., & Mixon, A.J. (1983). Religion, socioeconomic status, and sexual morality: An application of reference group theory. The Sociological Quarterly, 24, 545–59.CrossRefGoogle Scholar
  9. Booth, R.E., Zhang, Y., & Kwiatkowski, C.F. (1999). The challenge of changing drug and sex risk behaviors of runaway and homeless adolescents. Child Abuse & Neglect, 23, 1295 1306.Google Scholar
  10. Boyer, D., & Fine, D. (1992). Sexual abuse as a factor in adolescent pregnancy and child maltreatment. Family Planning Perspectives, 24, 4–11.PubMedCrossRefGoogle Scholar
  11. Brady, M., Baker, C., & Neinstein, L.S. (1988). Asymptomatic chlamydia trachomatis infections in teenage males. Journal of Adolescent Health Care, 9, 72–75.PubMedCrossRefGoogle Scholar
  12. Braverman, P.K., & Strasburger, V.C. (1994). Sexually transmitted diseases. Clinical Pediatrics, 33, 26–37.PubMedCrossRefGoogle Scholar
  13. Breakwell, G.M., Millward, L.J., & Fife-Schaw, C. (1994). Commitment to safer sex as a predictor of condom use among 16–20 year-olds. Journal of Applied Social Psychology, 24, 189–217.CrossRefGoogle Scholar
  14. Breuner, C.C., & Farrow, J.A. (1995). Pregnant teens in prison: Prevalence, management, and consequences. Western Journal of Medicine, 162, 328–30.PubMedGoogle Scholar
  15. Catania, J.A., Kegeles, S.M., & Coates, T.J. (1990). Towards an understanding of risk behavior: An AIDS risk reduction model (ARRM). Health Education Quarterly, 17, 53–72.PubMedGoogle Scholar
  16. Cates, W, Jr. (1990). The epidemiology of sexually transmitted diseases in adolescence. In M. Schvdlower & M.A. Shafer (Eds.), Adolescent medicine: State of the art reviews: AIDS and other sexually transmitted diseases (pp. 409–27 ). Philadelphia: Hanley & Belfus.Google Scholar
  17. Centers for Disease Control & Prevention. (1991). Premarital sexual experience among adolescent women-United States, 1970–1988. Morbidity & Mortality Weekly Reports, 39, 929–32.Google Scholar
  18. Centers for Disease Control & Prevention. (1994). Health risk behaviors among adolescents who do and do not attend school-United States, 1992. Morbidity & Mortality Weekly Report, 43, 129–32.Google Scholar
  19. Centers for Disease Control & Prevention. (1998a). Diagnosis and reporting of HIV and AIDS in states with integrated HIV and AIDS surveillance-United States, January 1994-June 1997. Morbidity & Mortality Weekly Reports, 47, 309–14.Google Scholar
  20. Centers for Disease Control & Prevention. (1998h). Trends in sexual risk behaviors among high school students, United States, 1991–1997. Morbidity & Mortality Weekly Reports, 47, 749–52.Google Scholar
  21. Centers for Disease Control & Prevention. (1999a). CDC Update: Status of perinatal HIV infection. Retrieved October 18, 2001 from: http://u’ Scholar
  22. Centers for Disease Control & Prevention. (1999b). Fact sheet: Sexual behavior. Retrieved October 18, 2001 from: Scholar
  23. Centers for Disease Control & Prevention. (1999c). Fact sheet: Youth risk behavior trends. Retrieved October 18, 2001 from: http://www.cdc.gor’/nccdphp/dash/yrbs/trend.htm.Google Scholar
  24. Centers for Disease Control & Prevention. (1999d). Teen pregnancy. Retrieved October 18, 2001 from: http://wa’ Scholar
  25. Centers for Disease Control & Prevention. (1999e). Young people at risk: HIV/AIDS among America’s youth. Retrieved October 18, 2001 from: youth.htm.Google Scholar
  26. Centers for Disease Control and Prevention. (1999f). Youth Risk Behavior Survey 1999. Atlanta, GA: Author.Google Scholar
  27. Centers for Disease Control & Prevention. (1999g). 1998 Sexually transmitted disease surveillance. Retrieved October 18, 2001 from: Sury_Rpt_main pg.htm.Google Scholar
  28. Centers for Disease Control & Prevention. (2000a). Adolescent and school health: Programs that work. Retrieved October 18, 2001 from: Scholar
  29. Centers for Disease Control & Prevention/National Center for Health Statistics. (20006). Health, United States, 2000 with adolescent health chartbook. Retrieved October 18, 2001 from: Scholar
  30. Centers for Disease Control & Prevention/National Center for Health Statistics. (2000c). Trends in pregnancies and pregnancy rates by outcome: Estimates for the United States. Vital & Health Statistics, 21 (56).Google Scholar
  31. Centers for Disease Control & Prevention. (2000d). Variations in teenage birth rates, 1991–98: National and state trends. National Vital Statistics Reports, 48 (6).Google Scholar
  32. Centers for Disease Control & Prevention. (2000e). Youth risk behavior surveillance—United States, 1999. Morbidity & Mortality Weekly Reports, 49, No. SS-5, 1–104.Google Scholar
  33. Centers for Disease Control & Prevention. (2001). Fact sheet: Need for sustained HIV prevention among men who have sex with men. Retrieved October 18, 2001 from: Scholar
  34. The Center for Health & Health Care in Schools. (2001). 1999–2000 Survey of school-based health center initiatives: Number of centers and state financing. Retrieved October 18, 2001 from: Scholar
  35. Chandy, J.M., Harris, L., Blum, R.W., & Resnick, M.D. (1994). Female daughters of alcohol misusers: Sexual behaviors. Journal of Youth and Adolescence, 23, 695–709.CrossRefGoogle Scholar
  36. Cleland, J., & Ferry, B. (Eds.). (1995). Sexual behaviour and AIDS in the developing world. London: Taylor & Francis.Google Scholar
  37. Cochran, J.K., & Beeghley, L. (1991). The influence of religion on attitudes toward nonmarital sexuality: A preliminary assessment of reference group theory. Journal for the Study of Religion, 30, 45–62.Google Scholar
  38. Crowe, L.C., & George, W.H. (1989). Alcohol and human sexuality: Review and integration. Psychological Bulletin 105, 374–386.PubMedCrossRefGoogle Scholar
  39. Currier, K.D., & Aponte, J.F. (1991). Sexual dysfunction in female adult children of alcoholics. International Journal of the Addictions, 26, 195–201.PubMedGoogle Scholar
  40. DiClemente, R.J., Durbin, M., Siegel, D., Krasnovsky, F., Lazarus, N., & Comacho, T. (1992). Determinants of condom use among junior high school students in a minority, inner-city school district. Pediatrics, 89, 197.PubMedGoogle Scholar
  41. DiClemente, R.J., Lanier, M.M., Horan, P.F., & Lodico, M. (1991). Comparison of AIDS knowledge, attitudes, and behaviors among incarcerated adolescents and a public school sample in San Francisco. American Journal of Public Health, 81, 628–30.PubMedCrossRefGoogle Scholar
  42. DiClemente, R.J., Ponton, L.E., Hartley, D., & McKenna, S. (1989). Prevalence of HIV-related high-risk sexual and drug-related behaviors among psychiatrically hospitalized adolescents: Preliminary results. In J. Woodrull, D. Doherty & A.J. Garrison (Eds.), Troubled adolescents and HIV infection: Issues in prevention and treatment (pp. 70–88 ). Washington, DC: Georgetown University.Google Scholar
  43. Donovan, I.E., lessor, R., & Costa, F.M. (1991). Adolescent health behavior and conventionality-unconventionality: An extension of problem-behavior theory. Health Psychology, 10, 53–61.CrossRefGoogle Scholar
  44. Dunn, L., Ross, B., Caines, T., & Howorth, P. (1998). A school-based HIV/AIDS prevention education program: Outcomes of peer-led versus community health nurse-led interventions. Canadian Journal of Human Sexuality, 7, 339–45.Google Scholar
  45. Elliott, D.S., & Morse, B.J. (1989). Delinquency and drug use as risk factors in teenage sexual activity. Youth and Society, 21, 32–60.CrossRefGoogle Scholar
  46. Fisher, J.D., & Fisher, W.A. (1992). Changing AIDS-risk behavior. Psychological Bulletin, 111, 455–74.PubMedCrossRefGoogle Scholar
  47. Fletcher, A.C., Darling, N., & Steinberg, L. (1994). Parental monitoring and peer influences on adolescent substance use. In J. McCord (Ed.), Coercion and punishment in long-term perspectives (pp. 259–71 ). New York: Cambridge University Press.Google Scholar
  48. French, S.A., Story, M., Remafedi, G., Resnick, M.D., & Blum, R.W. (1996). Sexual orientation and prevalence of body dissatisfaction and eating disordered behaviors: A population-based study of adolescents. International Journal of Eating Disorders, 19, 119–26.PubMedCrossRefGoogle Scholar
  49. Fullilove, R.E., Fullilove, M.T., Bowser, B.P., & Gross, S.A. (1990). Risk of sexually transmitted disease among black adolescent crack users in Oakland and San Francisco, California. Journal of the American Medical Association, 263, 851.PubMedCrossRefGoogle Scholar
  50. Garofalo, R., Wolf, R.C., Kessel, S., Palfrey, J., & DuRant, R.H. (1998). The association between health risk behaviors and sexual orientation among a school-based sample of adolescents. Pediatrics, 101, 895–902.PubMedCrossRefGoogle Scholar
  51. Geasler, M.J., Dannison, L.L., & Edlund, C.J. (1995). Sexuality education of young children: Parental concerns. Family Relations, 44, 184–88.CrossRefGoogle Scholar
  52. Gittes, E.B., & Irwin, C.E. (1993). Sexually transmitted diseases in adolescents. Pediatrics in Review, 14, 180–89.PubMedCrossRefGoogle Scholar
  53. Goldman, R.J., & Goldman, D.G. (1981). Sources of sex information for Australian, English, North American, and Swedish children. Journal of Psychology, 109, 87–92.CrossRefGoogle Scholar
  54. Hatcher, R.A., Guest, F., Stewart, F.H., Steart, G.K., Trussell, J., Cerel, S., et al. (1986). Contraceptive technology, 1986–1987. New York: Irvington.Google Scholar
  55. Hatcher, R.A., Trussell, J., Stewart, F., Stewart, G.K., Kowal, D., Guest, F., et al. (1994). Contraceptive technology (16th ed.). New York: Irvington.Google Scholar
  56. Hayes, C.D. (1987). Risking the future: Adolescent sexuality, pregnancy, and childbearing. Washington, DC: National Academy Press.Google Scholar
  57. Hein, K. (1989). AIDS in adolescence: Exploring the challenge. Journal of Adolescent Health Care, 10,10S–35S.Google Scholar
  58. Hein, K., Dell, R., Futterman, D., Rotheram-Borus, M.J., & Shaffer, N. (1995). Comparison of HIV-4- and HIV- adolescents: Risk factors and psychosocial determinants. Pediatrics, 95, 96–104.PubMedGoogle Scholar
  59. Henshaw, S.K. (1991). The accessibility of abortion services in the United States. Family Planning Perspectives, 23, 246–52.PubMedCrossRefGoogle Scholar
  60. Hingson, R., Strunin, L., Berlin, B., & Heeren, T. (1990). Beliefs about AIDS, use of alcohol and drugs, and unprotected sex among Massachusetts adolescents. American Journal of Public Health, 80, 295–99.PubMedCrossRefGoogle Scholar
  61. Hofferth, S.L., & Hayes, C.D. (1987). Risking the future: Adolescent sexuality, pregnancy, and childbearing, Volume 2. Washington, D.C: National Academy Press.Google Scholar
  62. Hofferth, S.L., & Moore, K.A. (1979). Early child bearing and later economic well-being. American Sociological Review, 44, 784–815.PubMedCrossRefGoogle Scholar
  63. Hogan, D.P., & Kitagawa, E.M. (1983, April). Family factors in the fertility of Black adolescents. Paper presented at the annual meeting of the Population Association of America, Pittsburgh, PA.Google Scholar
  64. Hollander, D. (1996). Nonmarital childbearing in the United States: A government report. Family Planning Perspectives, 28, 29–32 & 41.Google Scholar
  65. Hoyert. L., Kochanek, K.D., & Murphy, S.L. (1999). Deaths: Final data for 1997. National Vital Statistics Reports, 47, 1–104.Google Scholar
  66. Hyche-Williams, H. (1990). School-based clinics: Update 1990. Washington, DC: The Center for Population Options, 12.Google Scholar
  67. Institute of Medicine. (2000). No time to lose: Getting more from HIV prevention. Washington, DC: National Academy Press.Google Scholar
  68. Jemmott, J.B. & Jemmott, L.S. (1993). Alcohol and drug use during sexual activity: Predicting the HIV-risk-relating behaviors of inner city Black male adolescents. Journal of Adolescent Research, 8, 41–57.CrossRefGoogle Scholar
  69. Jemmott, J.B. & Jemmott, L.S. (1996). Strategies to reduce the risk of HIV infection, sexually transmitted diseases, and pregnancy among African American adolescents. In R.J. Resnick & R.H. Rozensky (Eds.), Health psychology through the life span: Practice and research opportunities. (pp. 395–422 ). Washington, DC: American Psychological Assn.CrossRefGoogle Scholar
  70. Jemmott, J.B., & Jemmott, L.S. (2000). HIV behavioral interventions for adolescents in community settings. In J.L. Peterson & R.J. DiClemente (Eds.), Handbook of HIV prevention. (pp. 103–27 ). New York: Kluwer Academic/Plenum.CrossRefGoogle Scholar
  71. Jemmott, J.B., Jemmott, L.S., & Fong, G.T. (1998). Abstinence and safer sex HIV risk-reduction interventions for African American adolescents. Journal of the American Medical Association, 279, 1529–36.PubMedCrossRefGoogle Scholar
  72. lessor, R. (1992). Risk behavior in adolescence: A psychological framework for understanding and action. Developmental Review, 12, 374–90.CrossRefGoogle Scholar
  73. lessor, R., Costa, F., lessor, S.L., & Donovan, J.E. (1983). The time of first intercourse: A prospective study. Journal of Personality and Social Psychology, 44, 608–26.CrossRefGoogle Scholar
  74. lessor, S., & lessor, R. (1977). Problem behavior and psychological development: A longitudinal study of youth. New York: Academic Press.Google Scholar
  75. lessor, R., Van Den Bos, J., Vanderryn, J., Costa, F.M., & Turbin, M.S. (1995). Protective factors in adolescent problem behavior: Moderator effects and developmental change. Developmental Psychology, 31, 923–33.CrossRefGoogle Scholar
  76. Keeling, R.P. (1988). Beyond AIDS 101. Paper presented at the AIDS Education Symposium, Boston, MA. April 1988.Google Scholar
  77. Kegeles, S.M., Hays, R.B., & Coates, T.J. (1996). The Mpowerment Project: A community-level HIV prevention intervention for young gay men. American Journal of Public Health, 86, 1129–36.PubMedCrossRefGoogle Scholar
  78. Keller, S.E., Bartlett, J.A., Schleifer, S.J., Johnson, R.L., Pinner, E., & Delaney, B. (1991). HIV-relevant sexual behavior among a healthy inner-city heterosexual adolescent population in an endemic area of HIV. Journal of Adolescent Health, 12, 44–48.PubMedCrossRefGoogle Scholar
  79. Kerr, D.L., Allensworth, D.D., & Gayle, J.A. (1989). The ASHA national HIV education needs assessment of health and education professionals. Journal of School Health, 59, 301–07.PubMedCrossRefGoogle Scholar
  80. Kim, A.A., McFarland, W., Kellogg, T., & Katz, M.H. (1999). Sentinel surveillance for HIV infection and risk behavior among adolescents entering juvenile detention in San Francisco: 1990–1995.AIDS, 13, 1597–98.PubMedCrossRefGoogle Scholar
  81. Kirby, D. (1999). Sexuality and sex education at home and school. Adolescent Medicine, 10, 195–209.PubMedGoogle Scholar
  82. Kirby, D. (20(X)). School-based interventions to prevent unprotected sex and HIV among adolescents. In I.L. Peterson & R.J. DiClemente (Eds.), Handbook of HIV Prevention (pp. 280287). New York: Kluwer Academic/Plenum.Google Scholar
  83. Kirby, D., Waszak, C., & Ziegler, J. (1991). Six school-based clinics: Their reproductive health services and impact on sexual behavior. Family Planning Perspectives, 23, 6–16.PubMedCrossRefGoogle Scholar
  84. Klanger, B., Tvden, T., & Ruusuvaara, L. (1993). Sexual behaviour among adolescents in Uppsala, Sweden. Journal of Adolescent Health, 14, 468–74.PubMedCrossRefGoogle Scholar
  85. Koniak-Griffin, D., & Brecht, M. (1995). Linkages between sexual risk taking, substance use, and AIDS knowledge among pregnant adolescents and young mothers. Nursing Research, 44, 340–46.PubMedCrossRefGoogle Scholar
  86. Ku, L., Sonenstein, F.L., & Pleck, J.H. (1993). Neighborhood, family, and work: Influences on the premarital behaviors of adolescent males. Social Forces, 72, 479–503.Google Scholar
  87. Levens, J.P., Yzerbyt, V, & Schadron, G. (1994). Stereotypes and social cognition. Thousand Oaks, CA: Sage.Google Scholar
  88. Lightfoot, M. (2002),Interventions for HIV positive adults in medical care settings. Manuscript in preparation.Google Scholar
  89. Martin, C.S., Earlywine, M., Blackson, T.C., Vanyukov, M.M., Moss, H.B., & Tarter, R.E. (1994). Aggressivity, inattention, hyperactivity, and impulsivity in boys at high and low risk for substance abuse. Journal Abnormal Child Psychology, 22, 177–203.CrossRefGoogle Scholar
  90. Maxwell, A., Bastani, R., & Yan, K. (1995). AIDS risk behaviors and correlates in teenagers attending sexually transmitted disease clinics in Los Angeles. Genitourinary Medicine, 71, 82–87.PubMedGoogle Scholar
  91. McQuillan, G.M., Khare, M., Kareon, l.M_, Schable, C.A., & Vlahov, D. (1997). Update on the seroepidemiologv of human immunodeficiency virus in the United States household population: NHANES III,1988–1994. Journal of Acquired Immune Deficiency Syndromes and Human Retrovirology, 14, 355–60.Google Scholar
  92. Melchert, T., & Burnett, K.F. (1990). Attitudes, knowledge, and sexual behavior of high-risk adolescents: Implications for counseling and sexuality education. Journal of Counseling & Development. 68, 293–98.CrossRefGoogle Scholar
  93. Metzler, C.W., Biglan, A., Noell, J., Ary, D.V., & Ochs, L. (2000). A randomized controlled trial of a behavioral intervention to reduce high-risk sexual behavior among adolescents in STD clinics. Behavior Therapy,. 31, 27–54.CrossRefGoogle Scholar
  94. 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, 157–66.Google Scholar
  95. Miller, W., & Brown, J. (1991). Self-regulation as a conceptual basis for the prevention of addictive behaviours. In N. Heather, W. Miller & J. Greeley (Eds.), Self-control and the addictive behaviours (pp. 3–79 ). Sydney, Australia: Maxwell Macmillian.Google Scholar
  96. Moffitt, T.E. (1993). Adolescence-limited and life-course-persistent antisocial behavior: A developmental taxonomy. Psychological Review, 100, 674–701.PubMedCrossRefGoogle Scholar
  97. Moore, K.A., & Waite, L.J. (1981). Marital dissolution, early motherhood and early marriage. Social Forces, 60, 20–40.Google Scholar
  98. Morris, R.E., Baker, C.J. Valentine, M., & Pennisi, A.J. (1998). Variations in HIV risk behaviors of incarcerated juveniles during a four-year period: 1989–1992. Journal of Adolescent Health, 23, 39–48.PubMedCrossRefGoogle Scholar
  99. Mott, F.L. ( 1983, November). Early fertility behavior among American youth: Evidence from the 1982 national longitudinal surveys of labor force behavior of youth. Paper presented at the annual meeting of the American Public Health Association, Dallas, TX.Google Scholar
  100. Mott, F.L., & Haurin, R.J. (1988). Linkages between sexual activity and alcohol and drug use among American adolescents. Family Planning Perspectives, Z0, 128.CrossRefGoogle Scholar
  101. National Center for Education Statistics. (1993). Digest of Education Statistics. Washington, DC: U.S. Department of Education.Google Scholar
  102. National Center for Education Statistics. (1998). Digest of education statistics, 1998. Washington, DC: U.S. Department of Education.Google Scholar
  103. National Center for Health Statistics, Centers for Disease Control and Prevention. (2000). Deaths: Final data for 1998. National Vital Statistics Reports, 48, 1–106.Google Scholar
  104. National Institutes of Mental Health. (1997). The National Institute of Mental Health Consensus Development Conference on Interventions to Prevent HIV Risk Behaviors: Program and Abstracts. Bethesda, MD: NIMH.Google Scholar
  105. National Institute of Mental Health Multisite HIV Prevention Trial Group. (1998). The NIMH Multisite HIV Prevention Trial: Reducing HIV sexual risk behavior. Science, 280, 1889–94.CrossRefGoogle Scholar
  106. Nyamathi, A. (1991). Relationship of resources to emotional distress, somatic complaints, and high-risk behaviors in drug recovery and homeless minority women. Research in Nursing and Health, 14, 269–77.PubMedCrossRefGoogle Scholar
  107. O’Leary, A. (1994). Factors associated with sexual risk of AIDS in women. NIDA Research Monograph, 143: 64–81.PubMedGoogle Scholar
  108. Parsons, J.T., Butler, R., Kocik, S., Norman, L., & Nuss, R. (1998). The role of the family system in HIV risk reduction: Youths with hemophilia and HIV infection and their parents. Journal of Pediatric Psychology, 23, 57–65.PubMedCrossRefGoogle Scholar
  109. Pequegnat, W., & Szapocznik, J. (2000). Working with families in the era of HIV/AIDS. Thousand Oaks, CA: Sage.Google Scholar
  110. Postrado, L., & Nicholson, H. (1992). Effectiveness in delaying initiation of sexual intercourse of girls aged 12–14: Two components of the Girls Incorporated Preventing Adolescent Pregnancy Program. Youth and Society, 23, 356–79.Google Scholar
  111. Pratt, W., Mosher, W., Bachrach, C., & Horn, M. (1984). Understanding U.S. fertility: Findings from the National Survey of Family Growth, Cycle III. Population Bulletin, 39, 1–42.Google Scholar
  112. Reed, L.A., & Meyers, L.S. (1991). A structural analysis of religious orientation and its relation to sexual attitudes. Educational and Psychological Measurement, 51, 943–52.CrossRefGoogle Scholar
  113. Remafedi, G. (1994). Cognitive and behavioral adaptations to HIV/AIDS among gay and bisexual adolescents. Journal of Adolescent Health, 15, 142–48.PubMedCrossRefGoogle Scholar
  114. Rienzo, B.A., Button, J., & Wald, K.D. (1996). The politics of school-based programs which address sexual orientation. journal of School Health, 66, 33–40.PubMedCrossRefGoogle Scholar
  115. Robertson, M.J. ( 1989, April). Homeless youth: An overview of recent literature. Paper presented at the National Conference on Homeless Children and Youth, Washington, DC.Google Scholar
  116. Rodgers, K.B. (1999). Parenting processes related to sexual risk-taking behaviors of adolescent males and females. journal of Marriage & the Family, 61, 99–109.Google Scholar
  117. Romer, D., Stanton, B., Galbraith, J., Feigelman, S., Black, M.M., & Li, X. (1999). Parental influence on adolescent sexual behavior in high-poverty settings. Archives of Pediatric and Adolescent Medicine, 15.3, 1055–62.Google Scholar
  118. Rosario, M., Meyer-Bahlburg, H., Hunter, J., & Gwadz, M. (1999). Sexual risk behaviors of gay, lesbian, and bisexual youths in New York City: Prevalence and correlates. AIDS Education & Prevention, 11, 476–96.Google Scholar
  119. Rosenbaum, E., & Kandel, D.B. (1990). Early onset of adolescent sexual behavior and drug involvement. Journal of Marriage & the Family, 52, 783–98.CrossRefGoogle Scholar
  120. Rossi, A.S. (1997). The impact of family structure and social change on adolescent sexual behavior. Children and Youth Services Review, 19, 369–400.PubMedCrossRefGoogle Scholar
  121. Rotheram-Borus, M.J. (2000). Expanding the range of interventions to reduce HIV among adolescents. AIDS, 14 (Suppl. 1), S33–40.PubMedCrossRefGoogle Scholar
  122. Rotheram-Borus, M.J., & Gwadz, M. (1993). Sexuality among youths at high risk. Psychiatric Clinics of North America, 2, 415–30.Google Scholar
  123. Rotheram-Borus, M.J., & Koopman, C. (1991). Safer sex and adolescence. In R.M. Lerner, A.C. Petersen, & J. Brooks-Gunn (Eds.), Encyclopedia of adolescence (pp. 951–60 ). New York: Garland.Google Scholar
  124. Rotheram-Borus, M.J., Koopman, C., & Bradley, J. (1989). Barriers to successful AIDS prevention programs with runaway youth. In J.O. Woodruff, D. Doherty & J.G. Athey (Eds.), Troubled adolescents and HIV infection: Issues in prevention and treatment (pp. 37–55 ). Washington, DC: Janis.Google Scholar
  125. Rotheram-Borus, M.J., Koopman, C., Haignere, C., & Davies, M. (1991). Reducing HIV sexual risk behaviors among runaway adolescents. Journal of the American Medical Association, 26h, 1237–41.CrossRefGoogle Scholar
  126. Rotheram-Borus, M.J., Mahler, K.A., Koopman, C., & Langabeer, K. (1996). Sexual abuse history and associated multiple risk behavior in adolescent runaways. American Journal of Orthopsychiatrc/, 66, 390–400.CrossRefGoogle Scholar
  127. Rotheram-Borus, M.J., Meyer-Bahlburg, H., Rosario, M., Koopman, C., Haignere, C., Exner, T., et al. (1992). Lifetime sexual behaviors among predominantly minority male runaways and gay/bisexual adolescents in New York City. AIDS Education and Prevention, Fall(Suppl.), 34–42.Google Scholar
  128. Rotheram-Borus, M.J., Murphy, D.A., Coleman, C.L., Kennedy, M., Reid, H.M., Cline, T.R., et al. (1997). Risk acts, health care, and medical adherence among HIV–youths in care over time. AIDS and Behavior, 1, 43–52.CrossRefGoogle Scholar
  129. Rotheram-Borus, M.J., Murphy, D.A., & Miller, S. (1995). Preventing AIDS in female adolescents. In A. O’Leary & L.S. Jemmott (Eds.), Women at risk: Issues in the primary prevention of AIDS (pp. 103–129 ). New York: Plenum.Google Scholar
  130. Rotheram-Borus, M.J., O’Keefe, Z., Kracker, R., & Foo, H.-H. (2000). Prevention of HTV among adolescents. Prevention Science, 1, 15–30.PubMedCrossRefGoogle Scholar
  131. Rotheram-Borus, M.J., Rosario, M., Meyer-Bahlburg, H., Koopman, C., Dopkins, S., & Davies, M. (1994). Sexual and substance use acts among gay and bisexual male adolescents in New York City. The Journal of Sex Research, 31, 47–57.CrossRefGoogle Scholar
  132. Rotheram-Borus, M.J., Song, J., Gwadz, M., Lee, M., Van Rossem, R., & Koopman C. (2001). Reductions in HIV risk among runaway youth. Manuscript in preparation.Google Scholar
  133. Rvdelius, PA. (1981). Children of alcoholic fathers: Their social adjustment and their health status over 20 years. Acta Paediatrica Sc andinaz’ica Supplementum 286, 1–89.Google Scholar
  134. Savin-Williams, R.C. (1994). Verbal and physical abuse as stressors in the lives of lesbian, gay males, and bisexual youth: Associations with school problems, running away, substance abuse, prostitution and suicide. Journal of Consulting & Clinical Psychology, 62, 262–69.Google Scholar
  135. Schwartz, 1. (1993). Affective reactions of American and Swedish women to their first premarital coitus: A cross-cultural comparison. Journal of Sex Research, 30, 18–26.CrossRefGoogle Scholar
  136. Schuster, M.A., Bell, R.M., Petersen, L.P., & Kanouse, D.E. (1996). Communication between adolescents and physicians about sexual behavior and risk prevention. Archives of Pedi-atrics and Adolescent Medicine, 1.50, 906–13.Google Scholar
  137. Shalwitz, J. (1991). The medical health status of incarcerated youth. In P.M. Sheahan (Ed.), Health care of incarcerated youth: Report from the 1991 Tri-regional Workshops. Washington, DC: National Center for Education in Maternal and Child Health.Google Scholar
  138. Sikkema, K.J., Kelly, J.A., Winett, R.A., Solomon, L.J., Cargill, V.A., Roffman, R.A., et al. (2000). Outcomes of a randomized community-level HIV prevention intervention for women living in 18 low-income housing developments. American Journal of Public Health, 90, 57–63.PubMedCrossRefGoogle Scholar
  139. Singh S., & Darroch J.E. (2000). Adolescent pregnancy and childbearing: levels and trends in industrialized countries. Fancily Planning Perspectives, 32, 14–22.CrossRefGoogle Scholar
  140. Slap, G.B., Plotkin, M.S., Khalid, N., Michelman, D.F., & Forke, C.M. (1991). A human immunodeficiency virus peer education program for adolescent females. Journal of Adolescent Health, 12, 434–42.PubMedCrossRefGoogle Scholar
  141. St. Lawrence, J.S., Jefferson, K.W., Alleyne, E., & Brasfield, T.L. (1995). Comparison of education versus behavioral skills training interventions in lowering sexual HIV-risk behavior of substance-dependent adolescents. Journal of Consulting and Clinical Psychology, 63, 154–57.Google Scholar
  142. Stanton, B., Li, X., Black, M., Ricardo, I., Galbraith, J., Kaljee, L., et al. (1994). Sexual practices and intentions among preadolescent and early adolescent low-income urban African-Americans. Pediatrics, 93, 966–73.PubMedGoogle Scholar
  143. Stanton, B.F., Li, X., Galbraith, J., Feigelman, S., & Kaljee, L. (1996). Sexually transmitted diseases, human immunodeficiency virus, and pregnancy prevention. Combined contraceptive practices among urban African-American early adolescents. Archives of Pediatrics and Adolescent Medicine, 150, 17–24.CrossRefGoogle Scholar
  144. Stattin, H., & Magnusson, D. (1990). Pubertal maturation in female development. Hillsdale, NJ: Earlbaum Associates.Google Scholar
  145. Stiffman, A.R., Dore, P., Earls, F., & Cunningham, R. (1992). The influence of mental health problems on AIDS-related risk behaviors in young adults. The Journal of Nervous and Mental Disease, 180, 314–20.PubMedCrossRefGoogle Scholar
  146. Strunin, L., & Hingson, R. (1992). Alcohol, drugs, and adolescent sexual behavior. International Journal of the Addictions, 27, 129–46.PubMedGoogle Scholar
  147. Sussman, T., & Duffy, M. (1996). Are we forgetting about gay male adolescents in AIDS-related research and prevention? Youth & Society, 27, 379–93.CrossRefGoogle Scholar
  148. Sweeney, P., Lindegren, M.L., Buehler, J.W., Onorato, I.M., & Janssen, R.S. (1995). Teenagers at risk of human immunodeficiency virus type l infection. Results from seroprevalence surveys in the United States. Archives of Pediatrics & Adolescent Medicine, 149, 521–28.CrossRefGoogle Scholar
  149. Taylor, H., Kagay, M., & Leichenko, S. (1986). American teens speak: Sex myths, TV, and birth control. New York: Planned Parenthood Federation of America.Google Scholar
  150. Tellijohann, S.K., & Price, J.H. (1993). A qualitative examination of adolescent homosexuals’ life experiences: Ramifications for secondary school personnel. Journal of Homosexuality, 26(1), 41–56.Google Scholar
  151. UNAIDS/ WHO. (1998a). AIDS epidemic update: December 1998. Washington, DC: Author.Google Scholar
  152. UNAIDS/ WHO. (1998b). Report on the global HIV/AIDS epidemic, June 1998. Washington, DC: Author.Google Scholar
  153. UNAIDS/ WHO. (1998c). Statement for the World Conference of Ministers Responsible for Youth. Washington, DC: Author.Google Scholar
  154. UNAIDS. (1999). Sex and youth: Contextual factors affecting risk for HIV/AIDS. A comparative analysis of multi-site studies in developing countries. Part One: Young people and risk-taking in sexual relations. Retrieved on October 11, 2001, from documents/children/children/sexandyouth99.htmlGoogle Scholar
  155. Unks, G. (1994). Thinking about the homosexual adolescent. The High School Journal, 77, 1–6.Google Scholar
  156. Vaglum, S., & Vaglum, P. (1987). Differences between alcoholic and non-alcoholic female psychiatric patients. Acta Psychiatrica Scandanavica, 76, 3(19–16.Google Scholar
  157. Ventura, S.J., Curtin, S.C., & Mathews, M.S. (2000). Variations in teenage birth rates, 1991–98: National and state trends. National Vital Statistics Reports, 48 (6).Google Scholar
  158. Vlahov, D., Brewer, T.F., Castro, K.G., Narkunas, J.P., Salive, M.E., Ullrich, J., et al. (1991). Prevalence of anti-body to HIV among entrants to U.S. correctional facilities. journal of the American Medical Association, 265, 1129–32.PubMedCrossRefGoogle Scholar
  159. Walters, A.S. (1999). HIV prevention in street youth. Journal of Adolescent Health, 25, 187–98.PubMedCrossRefGoogle Scholar
  160. Watson, D., & Clark, L.A. (1992). Affects separable and inseparable: On the hierarchical arrangement of negative affects. Journal of Personality and Social Psychology, 62, 489–505.Google Scholar
  161. Weisfuse, l.B., Greenberg, B.L., Back, S.D., Makki, H.A., Thomas, P., Rooney, W.C., et al. (1991). HIV-1 infection among New York City inmates. AIDS, 5, 1133–38.PubMedCrossRefGoogle Scholar
  162. Welbourne-Moglia, A., & Edwards, S.R. (1986). Sex education must he stopped! SIECUS Reports, 15, 1–3.Google Scholar
  163. Wellings, K., Wadsworth, J., Johnson, A., Field, J., Whitaker, L., & Field, B. (1995). Provision of sex education and early sexual experience: The relation examined. British Medical Journal, 311, 417–20.Google Scholar
  164. Werdelin, L., Misfeldt, J., Melbve, M., & Olsen, J. (1995). An update on knowledge and sexual behaviour among students in Greenland. Scandinavian Journal of Social Medicine, 20, 158–64.Google Scholar
  165. Wilson, WI. (1987). The truly disadvantaged. Chicago, IL: University of Chicago Press.Google Scholar
  166. Woodroof, James T. (1985). Religiosity and reference groups: Towards a model of adoles- cent sexuality (Doctoral dissertation, University of Nebraska, Lincoln, 1985). Dissertation Abstracts International, 45, 9-A, 3002–03.Google Scholar
  167. Yates, G.L., Mackenzie, R.G., Pennhridge, J., & Swofford, A. (1991). A risk profile comparison of homeless youth involved in prostitution and homeless youth not involved. Journal of Adolescent Health, 12, 545–48.PubMedCrossRefGoogle Scholar
  168. Zelnik, M., & Shah, F. (1983). First intercourse among young Americans. Family Planning Perspectives, 15, 64–72PubMedCrossRefGoogle Scholar
  169. Zide, M.R., & Cherry, A.L. (1992). A typology of runaway youths: An empirically based definition. Child & Adolescent Social Work Journal, 9, 155–68.Google Scholar

Copyright information

© Springer Science+Business Media New York 2003

Authors and Affiliations

  • Henry D. Anaya
  • Susan M. Cantwell
  • Mary Jane Rotheram-Borus

There are no affiliations available

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