Adolescent sexual risk behavior: A multi-system perspective
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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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).”
From Screening and Brief Intervention for Substance Misuse: Does It Reduce Aggression and HIV-Related Risk Behaviours? (2015) · cites this paper as Kotchick 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
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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