Objective-To examine correlates of sexual experimentation and risk among urban, early adolescent girls (N = 236, 12.38 ± 1.2 years).Methods-Measures of HIV risk-related attitudes, interpersonal influences, and intentions were compared based on girls' degree of sexual experimentation and risk.Results-Girls in high sexual experimentation and risk groups scored highest on deviant peer norms; endorsements of risky behaviors; and inability to refuse unprotected sex, offset negative partner influences, avoid intercourse, and assert sexual desires. Greater experimentation occurred among girls with older versus same-age or younger partners.
Conclusions-Risk correlates should be considered in designing HIV prevention programs.
Keywords early adolescent females; HIV infection risks; psychosocial influencesOne half of new HIV infections in the United States occur among adolescents, with teenaged girls accounting for 60% of new infections. 1 Heterosexual contact is the primary source of exposure in 79% of these cases. 1 Because most young women contract HIV via sexual transmission, an understanding of HIV risk-related attitudes, interpersonal influences, and intentions associated with adolescent girls' sexual behaviors is essential to the development of responsive HIV prevention programs and services for meeting the needs of this population.Sexual activity is inherently problematic for young girls who are unready for responsible sexual decision making. 2 Young girls are more likely than older girls to engage in impulsive sexual behavior and less likely to practice safer sex. 2 Relative to girls who delay sexual activity, those who initiate sex are at greater risk for HIV due to their potentially greater number of sexual partners and unprotected sexual contacts. 2 Age imbalances that typically attend girls' relationships add to HIV infection risks. Age norms for dating encourage girls to seek out older partners who may hold more power in the relationship due to their maturity and greater life experience. 3 Adolescent girls with older boyfriends have a higher rate of sexual activity and are more likely to have sex under the influence of alcohol or drugs than are girls with similarly aged boyfriends. [4][5][6] Developmental factors may also make early adolescent girls less capable of communicating with their partners
NIH-PA Author ManuscriptNIH-PA Author Manuscript NIH-PA Author Manuscript about prior sexual experiences, discussing abstinence, and negotiating safer sex practices. 4,7,8 Not infrequently, young girls overestimate the type and appropriateness of peer sexual behavior. Early adolescents who perceive that most of their friends are having sex are more likely to intend to initiate intercourse and to engage in it. 9 Early adolescents who do not endorse protective attitudes (ie, personal and peer norms supportive of refraining from sex) initiate intercourse more frequently than do early adolescents who endorse such attitudes. 10,11 Youths who believe that their friends do not use condoms are less likely to use ...