215394 Adolescents' experiences of first sex: Does it really "just happen"

Monday, November 8, 2010

Lisa Lieberman, PhD, CHES , Department of Health and Nutrition Sciences, Montclair State University, Montclair, NJ
As the debate between comprehensive and abstinence programs continues, the encouragement of parent/child communication as a key feature of prevention programs remains popular. In part, parents can provide a context for their children's sexuality education, regardless of what philosophy is taught at school. Limited studies, however, have focused specifically on teens' first sexual experiences and the process, including conversations, which immediately precede it. Baseline data from several program evaluations suggest that teens' descriptions of their first sexual experiences vary. Among sexually active 8th-10th graders in urban, rural and suburban communities in the South and Northeast, approximately three-quarters reported their first sexual experience had “just happened". Eighteen percent of urban youth and 14% of rural/suburban youth reported that they had “planned” their first experience, while 6%-10% reported their first experience to have been forced. With the exception of those who were victimized, it is likely that many conversations, plans, and activities preceded these teens' first sexual experiences - either those related to “planning”, such as purchasing condoms or setting a specific date, or those circumstances that enabled sex to “just happen”, e.g. drug or alcohol use, or availability of unsupervised time and space. These data will be discussed with implications for the important question of whether it is possible for parents or other adults to intervene during the immediate period when teens are thinking about having sex for the first time, in a way that either delays the first experience or reduces risks for pregnancy, STDs, and negative emotional consequences.

Learning Areas:
Conduct evaluation related to programs, research, and other areas of practice
Planning of health education strategies, interventions, and programs
Public health or related research
Social and behavioral sciences

Learning Objectives:
After this presentation, learners will be able to: Identify the ways in which adolescents describe the circumstances of their first sexual experience; Discuss the role of "planning" in sexual debut; Evaluate the potential implications of encouraging pre-debut communication with parents, teachers, or other adults.

Keywords: Adolescent Health, Sexual Behavior

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I collected and analyzed these data as the project evaluator for several larger pregnancy/STD prevention approaches.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.

Back to: 3275.0: Sexuality