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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 J+Adolesc+Health
2014 ; 55
(1
): 114-21
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Macro-level age norms for the timing of sexual initiation and adolescents early
sexual initiation in 17 European countries
#MMPMID24508092
Madkour AS
; de Looze M
; Ma P
; Halpern CT
; Farhat T
; Ter Bogt TF
; Ehlinger V
; Nic Gabhainn S
; Currie C
; Godeau E
J Adolesc Health
2014[Jul]; 55
(1
): 114-21
PMID24508092
show ga
PURPOSE: To examine the relationship between country-level age norms for sexual
initiation timing and early sexual initiation (ESI) among adolescent boys and
girls. METHODS: Nationally representative data from 17 countries that
participated in the 2006/2007 European Social Survey (ESS-3, n = 33,092) and the
2005/2006 Health Behaviour in School-Aged Children Study (HBSC, n = 27,702) were
analyzed. Age norms were measured as the average country-level response to an
item asking the age at which ESS respondents believed someone is too young to
have sexual intercourse. HBSC respondents (aged 14-16 years) self-reported age at
sexual initiation, which we defined as early (<15 years) or not early (?15 years
or no initiation). Control variables included age, family affluence, perceived
socioeconomic status, family living arrangement, substance use, school
attachment, and country-level legal age of consent. Multivariable three-level
logistic models with random intercepts were run separately by sex. RESULTS: In
multivariable analyses, higher overall age norms were associated with reduced
likelihood of ESI among girls (AOR .60, 95% CI .45-.79); associations with ESI
were stronger for parent cohort (ages 31-65 years) norms (AOR .37, 95% CI
.23-.58) than for peer cohort (ages 15-20 years) norms (AOR .60, 95% CI .49-.74).
For boys, overall norms were also significantly negatively associated with ESI
(AOR .68, 95% CI .46-.99), as were parent cohort norms (AOR .66, 95% CI .45-.96).
Peer cohort norms were not significantly related to boys' ESI. CONCLUSION:
Macrolevel cultural norms may impact adolescents' sexual initiation timing.
Research exploring the sexual health outcomes of early initiators in countries
with contrasting age norms is warranted.