Purpose: Delay of sexual debut is an important strategy in reducing the risk of negative adolescent health outcomes. Race and gender are known to be related to sexual behavior and outcomes, but little is known about how these characteristics affect sexual attitudes. This paper examines differences in coital and pregnancy attitudes by gender and race, the influence of attitudes on transition to first coitus for each subgroup, and implications for prevention.Methods: Data are from Waves I and II of the National Longitudinal Study of Adolescent Health, limited to Non-Hispanic White and African American adolescents (N =6,652). We factor analyzed attitude items, and examined effects of race, gender, and their interaction, controlling for sexual debut at Wave I. We regressed sexual debut longitudinally by attitudes for virgins (N=3,281) separately for each subgroup, controlling for covariates.Results: Compared to boys, girls perceived less positive benefits from sex and more shame and guilt with sex, but had fewer negative perceptions about pregnancy. Compared to White boys, African American boys perceived less shame and guilt about sex; girls did not differ by race. Higher perceived benefits of sex increased the likelihood of sexual debut among African American girls. Perceived shame and guilt lowered the likelihood for White boys and girls.
Conclusions:Reinforcing protective attitudes through gender and race-specific programs may delay sexual intercourse, but more research is needed. More research is also needed to determine whether there is an optimal coital age after which negative health outcomes are attenuated, and whether this differs by gender and race. Keywords sexuality; pregnancy; gender; race/ethnicity; perceptions; attitudes Delay of sexual debut is an important strategy in reducing the risk of negative adolescent health outcomes. Earlier sexual debut has been associated with sexually transmitted infections [1,2], unplanned pregnancy [3] and depression [4,5]. Adolescents who initiate sex at earlier ages have more sexual partners [3,6] and more unprotected intercourse [7]. This paper examines Publisher's Disclaimer: This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final citable form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain. whether and how attitudes influence the transition to first sex, differences by race and gender, and implications for prevention.
NIH Public AccessAlthough biological (e.g., pubertal timing), social (e.g., peer norms) and environmental (e.g., parental monitoring) factors influence the transition to first sex [8], individual factors, such as attitudes and beliefs are also important. Studies have concluded that adolescents...