Having Oral Sex increases likelihood of intercourse among teens

Study by researchers at UC Merced and UCSF is the first to track teens’ sexual behavior over time to determine whether oral sex increases the likelihood of having sexual intercourse. Half of teens who have oral sex during the ninth grade will have intercourse by the end of the 11th grade, and most sexually active teenagers will begin engaging in oral sex and sexual intercourse within the same six-month period, according to findings from a new survey conducted by researchers at UCSF and UC Merced. The study is the first to track teens’ sexual behavior over time to determine whether oral sex increases the likelihood of having sexual intercourse or acts as a protective measure delaying the onset of further sexual activity. The data, explain the researchers, yield important information about adolescent sexual development and the need to deliver more comprehensive sex education programs.”Health care providers, health educators and parents need to not be shy about discussing oral sex with teens,” said Bonnie Halpern-Felsher, PhD, senior author of the study and a professor of pediatrics at UCSF. “I see most of the health policies out there and guidelines for preventive services talking about sex generally, but they do not specify oral sex. That is an important distinction because teens don’t consider oral sex to be sex, and many are not aware of the risks involved.” Study results are published online by the Archives of Pediatrics and Adolescent Medicine, available at http://archpedi.ama-assn.org/, and also will appear in the March 2011 print issue of the journal. “Our study demonstrates that through its relationship with

intercourse, oral sex contributes to the total risk associated with sexual activity among teens, including sexually transmitted diseases and pregnancy,” said Anna V. Song, PhD, first author of the study and an assistant professor of psychological sciences at UC Merced. “Understanding teen sexual behavior is so important because incorrect assumptions about how and why teens engage in sex can undermine interventions that aim to curb these negative outcomes.” The researchers followed more than 600 students at two northern California high schools from the ninth grade through the end of 11th grade. All participants received their parents’ consent to participate. From 2002 to 2005, the students completed a survey every six months during class time about their sexual experiences. Responses were consistent across different ethnic groups, socioeconomic levels and genders. Among teens who reported becoming sexually active during the three-year study, most said they had intercourse for the first time after or within the same six-month period of initiating oral sex. According to Halpern-Felsher, this indicates oral sex is influencing the onset of riskier sexual behavior, underscoring the need to encourage open, honest discussion about sexual activity.”We need to make sure teens know that if they do choose to have oral sex, certainly it does involve less risk than intercourse, but it’s not risk-free,” Halpern-Felsher said. “We also have to be sure to ask teens if they have any questions. It sounds simple, but it is a very important step that parents and health care providers should be taking.” Teens who had engaged in oral sex by the end of ninth grade were at the highest risk of having sexual intercourse during high school. They had a 25 percent chance of having intercourse by the end of ninth grade and a 50 percent chance by the end of 11th grade, with most engaging in both oral sex and intercourse during the same six-month period. In comparison, adolescents who delayed oral sex until the end of 11th grade had only a 16 percent chance of having intercourse by the end of that school year. The researchers explain that, based on these findings, the first

two years of high school appear to be a particularly vulnerable period. “We don’t want parents to hear about these findings and say, ‘Thanks for the information. I’m locking up my teen until graduation,'” Song said. “The most effective reaction is to use this knowledge to have an informed conversation with kids that addresses different types of sexual behaviors, including oral sex.” In a previous study of adolescent sexual behavior, Halpern-Felsher found that at least 20 percent of adolescents have oral sex by the end of ninth grade and more than half of teenagers 15 to 19 years old engage in oral sex with members of the opposite sex. The study was funded by grants from the National Institute of Child Health and Human Development, the William T. Grant Foundation and the Asian American Center on Disparities Research. Anna V. Song is an assistant professor of Psychological Sciences in the School of Social Sciences, Humanities, and Arts (SSHA) at the University of California, Merced. Her area of speciality is health psychology and psychological epidemiology. Specifically, her research focuses on psychosocial factors that influence adolescent and young adult risk behavior decision-making. Risk behaviors that are of interest to Dr. Song include a) smoking initiation, progression, and cessation, b) sex initiation, c) gambling, and d) unhealthy eating patterns. She is also interested in adolescents’ and young adults’ beliefs about risks, benefits, and future consequences associated with behaviors, as well as cultural factors that might explain and reduce health disparities. In this regard, she is currently involved in research to help improve methods used to identify and explain health disparities. Research Interests; Dr. Song’s primary research interest is adolescent and young adult decision-making as it pertains to risk behaviors. Her current research involves work on: * Tobacco use initiation, continuation, and cessation * Risk factors for sex initiation * Relationship between perceptions, attitudes, and risk behaviors * Predictors of health-related perceptions and attitudes * Risk communication efficacy * Ethnic differences in risk behaviors * Longitudinal methodology. MEDIA CONTACT  Scott Jason News from: University of California     universityofcalifornia.edu

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