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Sexual behavior of adolescents with chronic disease and disability.
J Adolesc Health. 1996 Aug; 19(2):124-31.JA

Abstract

PURPOSE

This study aimed to assess sexual behaviors, sexual orientation, pregnancy, and abuse history among adolescents with and without chronic conditions.

METHODS

Analyses were based on a statewide survey of 36,284 young people in the 7th through 12th grades for analytic purposes; subsets were defined using a specialized cohort design including adolescents with visible and nonvisible conditions plus controls. Principle outcome measures included self report of ever having sexual intercourse, age of sexual debut, reasons for not having intercourse, ever causing or having a pregnancy, ever having a sexually transmitted disease (STD), contraceptive use and reasons for their nonuse, history of sexual abuse, and sexual orientation.

RESULTS

No differences were evident between adolescents with and without chronic conditions in the proportion ever having intercourse, age of sexual debut, pregnancy involvement, patterns of contraceptive use, or sexual orientation. No differences were evident among girls or boys with visible compared with invisible conditions. A significantly greater proportion of girls and boys with invisible conditions than controls reported a history of sexual abuse. More index boys than controls reported ever having an STD, whereas more girls with visible conditions than controls reported this.

CONCLUSIONS

Adolescents with chronic conditions are at least as sexually involved as their peers, and significantly more likely to have been sexually abused. Visibility of chronic conditions does not appear to affect the sexual behaviors of adolescents. The need for comprehensive sexuality education in this population is high, and discussion of sexuality, contraception and abuse must be part of standard psychosocial assessment and anticipatory guidance for all teenagers, including those with chronic conditions.

Authors+Show Affiliations

Unitat d'Adolescents, Institut Universitari Dexeus, Barcelona, Spain.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Clinical Trial
Controlled Clinical Trial
Journal Article
Research Support, U.S. Gov't, P.H.S.

Language

eng

PubMed ID

8863084

Citation

Surís, J C., et al. "Sexual Behavior of Adolescents With Chronic Disease and Disability." The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine, vol. 19, no. 2, 1996, pp. 124-31.
Surís JC, Resnick MD, Cassuto N, et al. Sexual behavior of adolescents with chronic disease and disability. J Adolesc Health. 1996;19(2):124-31.
Surís, J. C., Resnick, M. D., Cassuto, N., & Blum, R. W. (1996). Sexual behavior of adolescents with chronic disease and disability. The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine, 19(2), 124-31.
Surís JC, et al. Sexual Behavior of Adolescents With Chronic Disease and Disability. J Adolesc Health. 1996;19(2):124-31. PubMed PMID: 8863084.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Sexual behavior of adolescents with chronic disease and disability. AU - Surís,J C, AU - Resnick,M D, AU - Cassuto,N, AU - Blum,R W, PY - 1996/8/1/pubmed PY - 1996/8/1/medline PY - 1996/8/1/entrez SP - 124 EP - 31 JF - The Journal of adolescent health : official publication of the Society for Adolescent Medicine JO - J Adolesc Health VL - 19 IS - 2 N2 - PURPOSE: This study aimed to assess sexual behaviors, sexual orientation, pregnancy, and abuse history among adolescents with and without chronic conditions. METHODS: Analyses were based on a statewide survey of 36,284 young people in the 7th through 12th grades for analytic purposes; subsets were defined using a specialized cohort design including adolescents with visible and nonvisible conditions plus controls. Principle outcome measures included self report of ever having sexual intercourse, age of sexual debut, reasons for not having intercourse, ever causing or having a pregnancy, ever having a sexually transmitted disease (STD), contraceptive use and reasons for their nonuse, history of sexual abuse, and sexual orientation. RESULTS: No differences were evident between adolescents with and without chronic conditions in the proportion ever having intercourse, age of sexual debut, pregnancy involvement, patterns of contraceptive use, or sexual orientation. No differences were evident among girls or boys with visible compared with invisible conditions. A significantly greater proportion of girls and boys with invisible conditions than controls reported a history of sexual abuse. More index boys than controls reported ever having an STD, whereas more girls with visible conditions than controls reported this. CONCLUSIONS: Adolescents with chronic conditions are at least as sexually involved as their peers, and significantly more likely to have been sexually abused. Visibility of chronic conditions does not appear to affect the sexual behaviors of adolescents. The need for comprehensive sexuality education in this population is high, and discussion of sexuality, contraception and abuse must be part of standard psychosocial assessment and anticipatory guidance for all teenagers, including those with chronic conditions. SN - 1054-139X UR - https://www.unboundmedicine.com/medline/citation/8863084/Sexual_behavior_of_adolescents_with_chronic_disease_and_disability_ L2 - https://linkinghub.elsevier.com/retrieve/pii/1054-139X(95)00282-W DB - PRIME DP - Unbound Medicine ER -