Factors Associated With Early Sexual Experience Among American Indian and Alaska Native Youth

Markham, C. M.,
Rushing, S. C.,
Jessen, C.,
Lane, T. L.,
Gorman, G.,
Gaston, A.,
Revels, T. K.,
Torres, J.,
Williamson, J.,
Baumler, E. R.,
Addy, R. C.,
Peskin, M. F.,
Shegog, R.
Year Published: 2015
Journal Article
Journal Name: 
Journal of Adolescent Health
Volume: 57

Issue: 3

American Indian and Alaska Native (AI/AN) youth experience disparities associated with sexual and reproductive health, including early age of sexual initiation. Identifying factors that are most proximally related to early sexual intercourse and that are modifiable through health promotion interventions may help to reduce these disparities. Using a multisystem approach, these authors assessed individual, familial, and extrafamilial factors associated with lifetime sexual experience among AI/AN early adolescents living in three geographically dispersed U.S. regions. In the final multilevel logistic regression model, they found that lower next-year intentions to have oral or vaginal sex, avoidance of risky situations, and nonuse of alcohol were associated with lower odds of lifetime sexual intercourse. These findings can help inform the development of age- and culturally appropriate interventions that can help delay sexual initiation among AI/AN early adolescents. Modified Author Abstract.

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