@article{ref1,
title="Effect of forced sexual intercourse on associations between early sexual debut and other health risk behaviors among US high school students",
journal="Journal of school health",
year="2017",
author="Lowry, Richard and Robin, Leah and Kann, Laura",
volume="87",
number="6",
pages="435-447",
abstract="BACKGROUND: Previous research on associations between early sexual debut and other health risk behaviors has not examined the effect of forced sexual intercourse on those associations. <br><br>METHODS: We analyzed data from a nationally representative sample of 19,240 high school students in the United States, age ≥16 years, to describe the effect of forced sexual intercourse on associations between early sexual debut and other health risk behaviors using adjusted prevalence ratios (APR). <br><br>RESULTS: Early sexual debut and forced sexual intercourse were simultaneously and independently associated with sexual risk-taking, violence-related behaviors, and substance use. For example, even after controlling for forced sexual intercourse and race/ethnicity, students who experienced their first sexual intercourse before age 13 years were more likely than students who initiated sexual intercourse at age ≥16 years to have had ≥4 sexual partners during their lifetime (girls, APR = 4.55; boys, APR = 5.82) and to have not used a condom at last sexual intercourse (girls, APR = 1.74; boys, APR = 1.47). <br><br>CONCLUSIONS: Associations between early sexual debut and other health risk behaviors occur independently of forced sexual intercourse. School-based sexual health education programs might appropriately include strategies that encourage delay of initiation of sexual intercourse, and coordinate with violence and substance use prevention programs.<br><br>Published 2017. This article is a U.S. Government work and is in the public domain in the USA.<p /> <p>Language: en</p>",
language="en",
issn="0022-4391",
doi="10.1111/josh.12512",
url="http://dx.doi.org/10.1111/josh.12512"
}