TY  - JOUR
PY  - 2017//
TI  - Effect of forced sexual intercourse on associations between early sexual debut and other health risk behaviors among US high school students
JO  - Journal of school health
A1  - Lowry, Richard
A1  - Robin, Leah
A1  - Kann, Laura
SP  - 435
EP  - 447
VL  - 87
IS  - 6
N2  - 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>
LA  - en
SN  - 0022-4391
UR  - http://dx.doi.org/10.1111/josh.12512
ID  - ref1
ER  -