ArticleAmerican journal of public health2018
Adolescent Age of Sexual Initiation and Subsequent Adult Health Outcomes.
Article in American journal of public health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.
What it found
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
11 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Identifying causal associations between women's reproductive traits and risk of schizophrenia: a multivariate validated two-sample Mendelian randomization analysis.BMC psychiatry · 2024Pooled it
- Effect of a Randomized Controlled Trial of Housing Vouchers on Adolescent Risky Sexual Behavior Over a 15-Year Period.Archives of sexual behavior · 2024Trial
- The Impact of a High School-Based Positive Youth Development Program on Sexual Health Outcomes: Results from a Randomized Controlled Trial.The Journal of school health · 2022Trial
- A healthy dose of skepticism: The relationship between young adolescents' sexual media exposure and sexual intentions, and the moderating role of media skepticism.Psychology of popular media · 2026Article
- Unraveling the link between early sexual initiation and endometriosis: evidence from population-based analyses and genetic causal inference.Reproductive biology and endocrinology : RB&E · 2026Article
- From early sexual debut to later overweight and obesity: a multilevel analysis of Ghanaian women.Tropical medicine and health · 2025Article
- A prospective study of sexual risk patterns associated with delinquency and justice involvement among child welfare system-involved male adolescents in the United States.Perspectives on sexual and reproductive health · 2024Article
- The association between adverse childhood experiences, neighborhood greenspace, and body mass index: A cross-sectional study.Preventive medicine reports · 2022Article
- Article
- Longitudinal associations of parent-child communication, dating behaviors, decision-making processes, and sex initiation among United States Latina/o adolescents.Frontiers in psychology · 2022Article
- Factors associated with the onset of sexual activity in adolescents: Analytic cross-sectional.Revista CuidarteArticle
Corrections and comments
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Authors and funding
8 authors.
Funding
Abstract
objectivesTo examine the mechanisms of the association between age of sexual initiation and adult health.
methodsData from the Seattle Social Development Project (n = 808), in Seattle, Washington, included outcomes when participants were in their 30s (2005-2014): substance use disorders, depression, poor health, and obesity. Sexual consequence mediators included sexually transmitted infection, adolescent pregnancy, and a high number of sexual partners. We used linear logistic regression to model main effect and mediated associations.
resultsAge of sexual initiation was related to nicotine and marijuana disorders, physical health, and obesity, but not alcohol disorder or depression. Mediated association with nicotine disorder was not significant; association with marijuana disorder was reduced; significant relationships with poor health and obesity remained.
conclusionsThe relationship between age of sexual initiation and substance use was largely explained by consequences of sexual behavior. Earlier sexual initiation was linked to poorer physical health outcomes, though the nature of the association remains unclear. Public Health Implications. Prevention approaches need to address multiple risk factors and emphasize contraceptive methods to avoid sexual consequences. For physical health outcomes, broad prevention approaches, including addressing early sexual initiation, may be effective.
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