Cited by 671Adolescent Sexual and Reproductive HealthAdolescent Health and BehaviorsSexuality, Behavior, and Technology

Adolescent sexual risk behavior: A multi-system perspective

Kotchick, Beth A, Shaffer, Anne, Miller, Kim S, Forehand, Rex·2001·Clinical Psychology Review

Abstract

Adolescents are at high risk for a number of negative health consequences associated with early and unsafe sexual activity, including infection with human immunodeficiency virus, other sexually transmitted diseases, and unintended pregnancy. As a result, researchers have attempted to identify those factors that influence adolescent sexual risk behavior so that meaningful prevention and intervention programs may be developed. We propose that research efforts so far have been hampered by the adoption of models and perspectives that are narrow and do not adequately capture the complexity associated with the adolescent sexual experience. In this article, we review the recent literature (i.e., 1990-1999) pertaining to the correlates of adolescent sexual risk-taking, and organize the findings into a multisystemic perspective. Factors from the self, family, and extrafamilial systems of influence are discussed. We also consider several methodological problems that limit the literature's current scope, and consider implications of the adoption of a multisystemic framework for future research endeavors. We conclude with a discussion of the implications of the available research for practitioners working to reduce sexual risk behavior among adolescents.

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Crossref · 10.1016/s0272-7358(99)00070-7

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  • Substance misuse is linked to various sexual risk behaviours and to outcomes such as sexually transmitted infections including HIV and unintended pregnancy.

    “substance misuse has been found to be associated with a range of sexual risk behaviours, such as early sexual debut, multiple partners and no or inconsistent condom use, and with the consequences of risk behaviours, such as sexually transmitted infections (including HIV) and unintended pregnancies (Fergusson and Lynskey, 1996;Kotchick et al., 2001;Tapert et al., 2001).”

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Authors
Kotchick, B. A., Shaffer, A., Miller, K. S., & Forehand, R.
Affiliations
University of Georgia (US)
Corresponding author
Forehand, Rex
Venue
Clinical Psychology Review
Publisher
Elsevier BV
Published
2001-06
Volume
21
Issue
4
Pages
493-519
ISSN
0272-7358 (ISSN-L)
OpenAlex
W1977049804
Cited by
671
References
133
Citations by year
2026: 6 · 2025: 5 · 2024: 11 · 2023: 17 · 2022: 20 · 2021: 21 · 2020: 12 · 2019: 29 · 2018: 22 · 2017: 62 · 2016: 32 · 2015: 53 · 2014: 43 · 2013: 44 · 2012: 50
FWCI
2.34
Type
journal article
Language
en
Open access
closed
Locations
  • Clinical Psychology Review (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Health Professions › General Health Professions › Adolescent Sexual and Reproductive Health
  • Health Sciences › Health Professions › General Health Professions › Adolescent Health and Behaviors
  • Social Sciences › Psychology › Clinical Psychology › Sexuality, Behavior, and Technology
Keywords
adolescent sexual risk behavior, early sexual initiation, unprotected sex, HIV infection, sexually transmitted infections, unintended pregnancy, family influence, sexual risk prevention
MeSH terms
Adolescent, Adolescent Behavior, Psychology, Adolescent, Family Relations, Female, Humans, Male, Politics, Pregnancy, Pregnancy in Adolescence, Risk-Taking, Self Concept, Sexual Behavior, Sex Education, Sexually Transmitted Diseases, Socioeconomic Factors, United States, HIV Infections

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