Gender Stereotyping and Adolescent Sexual Behavior: A Test of Temporal Order1

Prior to the present study, the proposal by sexual socialization theorists that there is a relationship between gender stereotyping and adolescent sexual behavior had never been empirically tested. The purposes of this paper were (a) to test the relationship between gender stereotyping and adolescent sexual behavior and (b) to determine the direction and temporality of the relationship. Panel data from a probability sample of 1,607 black and white adolescents were used. The findings indicate a relationship between female stereotyping and sexual behavior for female but not for male adolescents. Interaction analyses indicate that the strength, direction, and temporality of the relationship varies by age, race, mother's education, and the number of hours the mother is employed. In general, females with traditional female stereotypes were more likely to begin having sexual intercourse earlier than those with nontraditional stereotypes. These findings are discussed in the context of societal encouragement of traditional female stereotyping.     

亲子性话题沟通风格对青少年性行为和性态度的预测： 依恋的调节效应

采用问卷法探讨了亲子间性话题沟通风格与青少年性行为、性态度的关系,并考查了亲子依恋的调节效应。结果发现：（1）两个关于性别、父母职业和受教育程度的多元方差分析表明：男生与女生在与父亲和母亲的性话题沟通开放性上均没有显著差异,与父亲和母亲性话题沟通的舒适感上有显著差异。男生与父亲的性话题沟通风格好于与母亲的,而女生与母亲的性话题沟通风格好于与父亲的。父母的职业和受教育程度以及青少年性别、父母职业、受教育程度的交互作用不显著;（2）进一步的结构方程模型分析表明：青少年与父母性话题沟通开放性对性行为具有显著的负向预测作用,对不赞同同伴性行为的态度具有显著的正向预测作用;而青少年与父母性话题沟通舒适感对不赞同同伴性行为的态度具有显著的负向预测作用;（3）依恋对性话题沟通和青少年的性行为的关系有显著的调节作用,与完全安全依恋的家庭相比,在与父母依恋都不安全的家庭中,青少年与父母性话题沟通的开放性对青少年的性行为有更强的预测力     

The impact of depressive symptomatology on risky sexual behavior and sexual communication among African American female adolescents

Adolescents, particularly African American adolescents, are at high risk for sexually transmitted infections (STIs). The association between psychosocial factors and risky sexual behavior has been well established. However, only a small number of studies have examined the relationship between depressive symptomatology among African American female adolescents, specifically over time. The present study examined depressive symptoms as a predictor of risky sexual behavior, sexual communication, and STIs longitudinally among African American female adolescents between the ages 15 and 21. Binary generalized estimating equation models were conducted assessing the impact of depressive symptoms at baseline on risky sexual behavior and STIs over six- and 12-months follow-up. Age, intervention group, and baseline outcome measures were entered as covariates. The results indicated that high levels of depressive symptoms predicted no condom use during last sexual encounter and multiple sexual partners over six-months follow-up. Depressive symptoms also predicted having a main partner with concurrent partners, high fear of communication about condoms, and sex while high on alcohol or drugs over six- and 12-months follow-up. These findings could be used to inform HIV/STI prevention intervention programs and clinicians providing regular health care maintenance to African American female adolescents engaging in risky sexual behavior.     

The association between axis I and II psychiatric symptoms and high-risk sexual behavior during adolescence

This study was conducted to investigate the association between psychiatric disorders and high-risk sexual behavior among adolescent primary care patients. Interviews assessing anxiety, conduct, depressive, eating, substance use, and personality disorders (PDs), as well as histories of sexual behavior were administered to 119 male and 284 female adolescent primary care patients. Results indicated that, after co-occurring psychiatric disorders were controlled statistically, adolescents with elevated PD symptom levels were more likely than adolescents without elevated PD symptom levels to report a high number of sexual partners during the past year and during their lifetime. Adolescents with a history of conduct disorder were more likely than adolescents without such a history to report a high number of lifetime unsafe sexual partners. Elevated antisocial, dependent, and paranoid PD symptom levels were associated with high-risk sexual behavior after co-occurring psychiatric disorders were controlled. Further, certain specific antisocial, borderline, dependent, histrionic, narcissistic, obsessive-compulsive, paranoid, and schizotypal PD symptoms were independently associated with high-risk sexual behavior after co-occurring psychiatric disorders and overall PD symptom levels were controlled. The association between overall PD symptom levels and the number of sexual partners was significantly stronger among the females than among the males in the sample. Increased recognition and treatment of PDs, coupled with increased recognition of high-risk sexual behavior may facilitate the prevention of sexually transmitted diseases and teenage pregnancy among adolescents.     

Dying for romance: risk taking as purposive behavior

Many approaches have been utilized to understand adolescent risk taking. The current research frames risk taking as a purposive behavior enacted with a specific goal in mind. Rather than assuming adolescent risk taking to be the result of arrogance or perceived invulnerability, adolescent risk taking is interpreted as a means to an end. Stemming from a Tolmanian framework, an alternative explanation for adolescent risk taking is tested: adolescents are willing to take risks to the extent that the risk is associated with a needed outcome - the greater the need for the outcome, the greater the willingness to take risks. To test the proposed hypothesis, 192 participants completed a survey about their need for a romantic relationship and their willingness to endure harm to obtain a romantic relationship. Data were collected at two time points. A hierarchical regression revealed that need for romance is a significant predictor of willingness to endure harm for romance, even after gender and sensation seeking are statistically controlled. Moreover, need for romance at T1 was shown to be predictive of harm for romance at T2. Results are supportive of taking a purposive - that is, Tolmanian - approach, as a means for interpreting adolescent behavior.     

Personal Control, Self-Efficacy in Sexual Negotiation, and Contraceptive Risk among Adolescents: The Role of Gender

Adolescents’ sexual decision making is shaped by normative ideas about “appropriate” sexual roles for women and men; consequently, the motivation and ability to engage in safer sex may be different for adolescent girls and boys. The aim of this study was to explore how social–psychological resources influence the behavior of girls and boys within the highly gendered and inequitable domain of sexual relationships. I used data from the National Longitudinal Study of Adolescent Health (Add Health) to examine whether personal control and self-efficacy in sexual negotiation are associated with contraceptive risk (engaging in sexual intercourse or not using condoms) among adolescents and whether these associations differ for adolescent boys and girls. Results indicate that personal control and self-efficacy in sexual negotiation are significantly associated with safer sex behavior, and are often more important for girls than for boys in predicting contraceptive risk.     

Identification of adolescent sexual offenders: A rebt model

The adolescent sexual offender is perhaps one of the most misunderstood, misdiagnosed and maltreated clinical populations facing today's mental health practitioner. They are often the adolescents whom no one wishes to have in their family, school, neighborhood and, sometimes, office. Since this clinical population is relatively new and research has yet to establish consistent findings, attempts to categorize these adolescents are often subjective and inaccurate. This article outlines the problems in traditional diagnostic schemes for identifying adolescent sexual offenders, the myths surrounding the predisposing factors for becoming an adolescent sexual offender, the rationale and process based on Rational Emotive Behavior Therapy (Ellis, 1962) for identifying adolescent sexual offenders and how to discriminate this group from adolescents who engage in inappropriate sexual behavior. These two classifications are the two categories for identifying the adolescent sexual offenders for our program at Children's Service Center in Wilkes-Barre, Pennsylvania. The Children's Service Center adolescent sexual offender program currently has a zero recidivism rate for the past four years.     

Suicidal Ideation of Psychiatrically Hospitalized Adolescents has One-Year Predictive Validity for Suicide Attempts in Girls Only

Clinicians commonly incorporate adolescents’ self-reported suicidal ideation into formulations regarding adolescents’ risk for suicide. Data are limited, however, regarding the extent to which adolescent boys’ and girls’ reports of suicidal ideation have clinically significant predictive validity in terms of subsequent suicidal behavior. This study examined psychiatrically hospitalized adolescent boys’ and girls’ self-reported suicidal ideation as a predictor of suicide attempts during the first year following hospitalization. A total of 354 adolescents (97 boys; 257 girls; ages 13–17 years) hospitalized for acute suicide risk were evaluated at the time of hospitalization as well as 3, 6, and 12 months later. Study measures included the Suicidal Ideation Questionnaire-Junior, Multidimensional Anxiety Scale for Children, Children’s Depression Rating Scale-Revised, Beck Hopelessness Scale, Youth Self-Report, and Personal Experiences Screen Questionnaire. The main study outcome was presence and number of suicide attempt(s) in the year after hospitalization, measured by the Diagnostic Interview Schedule for Children. Results indicated a significant interaction between suicidal ideation, assessed during first week of hospitalization, and gender for the prediction of subsequent suicide attempts. Suicidal ideation was a significant predictor of subsequent suicide attempts for girls, but not boys. Baseline history of multiple suicide attempts was a significant predictor of subsequent suicide attempts across genders. Results support the importance of empirically validating suicide risk assessment strategies separately for adolescent boys and girls. Among adolescent boys who have been hospitalized due to acute suicide risk, low levels of self-reported suicidal ideation may not be indicative of low risk for suicidal behavior following hospitalization.     

Risk Reduction Therapy for Adolescents: Targeting Substance Use and HIV/STI-Risk Behaviors

This paper describes a family-based intervention for addressing both substance use and unprotected sexual behavior in adolescents presenting for outpatient substance use treatment. The intervention combines contingency management (CM) for adolescent substance use, which is a behavioral intervention modeled on the Community Reinforcement Approach, with a sexual risk reduction protocol that mirrors aspects of the CM model. As a family-based intervention, caregivers attend every session and actively collaborate with the therapist to address their youth’s behavior problems. The treatment is criterion-based with treatment duration determined by the youth’s achievement of reduced substance use and unprotected sexual behavior goals. A case study describes the implementation of this treatment with an adolescent presenting a history of polysubstance use and unprotected sexual intercourse. Following the adolescent and caregiver’s participation in weekly sessions, the adolescent demonstrated improvements in substance use, unprotected sexual behavior, and other behavior problems. Clinical summary data from two outpatient clinics reveal similar positive outcomes for youth receiving the intervention. This paper illustrates the potential utility of an integrated treatment approach targeting substance use and unprotected sexual behavior in an adolescent population.     

The Longitudinal Impact of a Family-Based Communication Intervention on Observational and Self-Reports of Sexual Communication

Parents can play a vital role in shaping teenagers’ sexual attitudes, behavior, and contraceptive use through communication, however, less is known about how to modify parent–adolescent communication among youth with mental health problems. The impact of a family-based sexual risk prevention intervention on both observational and self-report of parent–adolescent sexual communication was examined at 12 months among adolescents with mental health problems. Of the 721 parent–adolescent dyads recruited for the study, 167 videotapes of sexual discussions between parents and adolescent were coded for the family-based intervention and 191 videotapes for the active comparison. Longitudinal analyses examined differences between conditions (family-based vs. comparison) in self-reported and observed parent–adolescent sexual discussions and also examined the impact of gender on intervention response. More parent I-statements, healthier parent body language, and fewer adolescent Negative Vocalizations were detected for family-based intervention participants 12 months after participating in the brief intervention (11?h of total intervention time) relative to those in the comparison condition. Parents in the family-based intervention also self-reported better sexual communication at 12 months. The current study provides supporting evidence that a relatively brief family-based intervention was successful at addressing parent–adolescent sexual communication among a mental health sample.     

Future Expectations Among Adolescents: A Latent Class Analysis

Future expectations have been important predictors of adolescent development and behavior. Its measurement, however, has largely focused on single dimensions and misses potentially important components. This analysis investigates whether an empirically-driven, multidimensional approach to conceptualizing future expectations can substantively contribute to our understanding of adolescent risk behavior. We use data from the National Longitudinal Survey of Youth 1997 to derive subpopulations of adolescents based on their future expectations with latent class analysis. Multinomial regression then determines which covariates from Bronfenbrenner's ecological systems theory are associated with class membership. After modeling these covariates, we examine whether future expectations is associated with delinquency, substance use, and sexual experience. Our analysis suggests the emergence of four distinct classes labeled the Student Expectations, Student/Drinking Expectations, Victim Expectations, and Drinking/Arrest Expectations classes according to their indicator profiles. These classes differ with respect to covariates associated with membership; furthermore, they are all statistically and differentially associated with at least one adolescent risk behavior. This analysis demonstrates the additional benefit derived from using this multidimensional approach for studying future expectations. Further research is needed to investigate its stability and role in predicting adolescent risk behavior over time.     

Direct and Nondirect Communication of Maternal Beliefs to Adolescents: Adolescent Motivations for Premarital Sexual Activity1

Communication between mothers and adolescents about premarital sexual intercourse was studied in the context of a model of maternal influence on the formation of adolescent beliefs about sexual behavior. Two different forms of maternal influence were explored: (a) direct communication, and (b) indirect transmission of maternal orientations. Respondents were 751 inner-city, African American adolescents (ages 14 to 17) and their mothers. Results indicated that adolescent motivations were related to their sexual behavior, and that maternal beliefs about sex were predictive of those motivations, independent of reports of the amount of communication that had taken place. These data are consistent with a model that underscores multiple mechanisms by which parents influence adolescent sexual behavior over and above direct communication.     

Sex-specific pathways to early puberty, sexual debut, and sexual risk taking: tests of an integrated evolutionary-developmental model

The current study tested sex-specific pathways to early puberty, sexual debut, and sexual risk taking, as specified by an integrated evolutionary-developmental model of adolescent sexual development and behavior. In a prospective study of 238 adolescents (n = 129 girls and n = 109 boys) followed from approximately 12-18 years of age, we tested for longitudinal relations between ecological stressors, family relationships, pubertal maturation, self-perceived mate value, and sexual risk taking in both boys and girls. Consistent with the theory, (a) higher levels of familial and ecological stress predicted earlier sexual debut and greater sexual risk taking; (b) pubertal maturation partially mediated these relations among girls but not among boys; (c) father absence had unique effects on female sexual outcomes but not on male sexual outcomes; (d) higher self-perceived mate value directly predicted earlier sexual debut and, through it, greater sexual risk taking; and (e) relations between pubertal maturation and early sexual debut were partially mediated by higher self-perceived mate value in boys but not in girls. Discussion focuses on the contribution of an integrated evolutionary-developmental theory to the adolescent sexual health literature.     

Why Parents Matter!: The Conceptual Basis for a Community-Based HIV Prevention Program for the Parents of African American Youth

The Parents Matter! Program (PMP) is a community-based family intervention designed to promote positive parenting and effective parent-child communication about sexuality and sexual risk reduction. Its ultimate goal is to reduce sexual risk behavior among adolescents. PMP offers parents instruction and guidance in general parenting skills related to decreased sexual risk behavior among youth (e.g., relationship building, monitoring) and sexual communication skills necessary for parents to effectively convey their values and expectations about sexual behavior—as well as critical HIV, STD, and pregnancy prevention messages—to their children. We briefly review the literature concerning parental influences on adolescent sexual risk behavior and present the conceptual model and theoretical foundation upon which PMP is based.     

Autism and Accuracy in Adolescent Perceptions of Friends' Sexual Attitudes and Behavior

This study uses data from adolescents matched with data from their friends to examine whether reference group effects on adolescent sexuality should be thought of as operating through the sharing of norms or the modeling of behavior. We observe that perception of attitudes has such a trivial reality component and such a strong autistic component that it cannot serve as a mechanism of peer influence. Perception of sexual behavior has a reality component which is as large as its autistic component, and large enough to serve as a route of influence. We reach two conclusions: (1) Reference group effects on adolescent sexual behavior probably work through behavior modeling rather than through normative influence. (2) Studies which infer peer influence on sexual behavior using only perception of peers will arrive at erroneous conclusions.     

Evolutionary perspective on indirect victimization in adolescence: the role of attractiveness, dating and sexual behavior

We studied indirect victimization from an evolutionary perspective by examining links between this type of victimization and several indicators of attractiveness (past sexual behavior, dating frequency and physical appearance). Two thousand three hundred and nineteen (56% female) students (ages 13-18) from a region of southern Ontario, Canada, completed self-report measures of indirect victimization, physical appearance, dating frequency, recent sexual behavior (number of partners in previous month) and past sexual behavior (number of lifetime partners minus number of partners in previous month) as well as indexes of depression, aggression and attachment security, which were used to control for psychosocial maladjustment. Consistent with an evolutionary framework, physical appearance interacted significantly with gender, wherein attractive females were at greater risk for indirect victimization, whereas for males physical attractiveness was a protective factor, reducing risk of victimization. Physical appearance also interacted with grade, being inversely related to indirect victimization for younger adolescents and having a nonsignificant association with victimization for older youth. Finally, recent sexual behavior was associated with increased risk of indirect victimization for older adolescents only, which we discussed with regard to peer perceptions of promiscuity and short-term mating strategies. These findings have important implications for the development of interventions designed to reduce peer victimization, in that victims of indirect aggression may represent a rather broad, heterogeneous group, including attractive individuals with no obvious signs of maladjustment.     

Factors associated with erection in adolescent sex offenders

A majority of adult child molesters report that their deviant interest began prior to the age of 18. This illustrates the need to evaluate adolescents who have molested children. Since self-report of deviant interest is rare in adolescent offenders, psychophysiologic assessment is necessary to help to determine the extent for a deviant interest pattern. The current study was designed to determine what factors are associated with erectile responding to age-inappropriate stimuli in an adolescent sex offender population. Factors studied were (a) admit/deny, (b) history of physical abuse, (c) history of sexual abuse, (d) history of nonsex arrests, and (e) incest/nonincest. The dependent variables were two pedophile indices, a relative measure of deviant to nondeviant arousal. Results indicated that history of sexual abuse was associated with more deviant erectile responding in those adolescents who had molested young boys. The possibility of adolescents modeling their own victimization is discussed.     

Medikamentöse Behandlung von Adoleszenten mit paraphiler Symptomatik und einem Risiko für die Begehung von Sexualstraftaten

The diagnostics and treatment of adolescents who show paraphilic symptoms should be approached with extreme caution. The aim of this paper is to present and discuss the recently published World Federation of Societies of Biological Psychiatry (WFSBP) guidelines for the treatment of adolescents with paraphilic disorders and a risk for committing sexual offences. The basis of therapy is always a thorough diagnostic procedure and an estimation of the risk of behavior harmful to others. The basis of treatment is formed by psychosocial interventions. The indications for pharmacological therapy, in particular for antiandrogens and gonadotropin-releasing hormone (GnRH) agonists are closely controlled (e.g. only one adolescent treated with GnRH agonists was found in a study of German forensic psychiatry hospitals). The indications are guided by a high risk of substantial danger to others and with respect to the stage of puberty reached by the adolescent person. The therapy should only be carried out in collaboration with specialized pediatric endocrinologists. Administration of therapy should be regularly checked at short intervals with a strict control of the risk/benefit ratio. The guidelines also illustrate the contraindications to pharmacological treatment of adolescents with paraphilic symptoms.     

Change in Age-Specific,Psychosocial Correlates of Risky Sexual Behaviors Among Youth: Longitudinal Findings From a Deep South,High-Risk Sample

The current study examined psychosocial predictors of change in intercourse frequency and number of sexual partners among youth within a socio-ecological framework and assessed whether these determinants vary by stage of adolescent development. Longitudinal data were derived from a large, community study of adolescent risky behavior among predominantly high-risk, African American youth. Significant predictors of intercourse frequency for early adolescents included age, gender, self-worth, and familial factors; for older youth, age, gender, self-worth, curfews, and sense of community exerted significant effects. Among early adolescents, age, gender, self-worth, familial factors, and sense of community predicted change in the number of sexual partners in the previous year, while age, gender, self-worth, parental knowledge, curfews, and sense of community were predictive of change in the number of sexual partners in the previous year among older youth. Study implications and future directions are discussed.