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Posted by / 08-Oct-2020 03:26

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Life-course theory proposes that societal expectations exist regarding the appropriate times for important transitions, and there can be consequences if life events do not meet these normative expectations (10–12).

With regard to sexual behavior, adolescents develop elaborate sets of ideas concerning sexuality and their sexual roles well before they actually engage in sexual activity (13).

In this study, our goal was to clarify the long-term sexual health consequences of the timing of first sexual intercourse and to elucidate how such consequences might vary by characteristics of the individual.

We examined the following research questions: 1) is early sexual intercourse associated with increased likelihood of testing positive for an STI among older adolescents and young adults?

Early initiation of sexual intercourse has been linked to increased risk of sexually transmitted infections (STIs) and pregnancy during adolescence (2, 3).

The increased STI risk is due, in part, to a biologic predisposition of the immature cervix to infection if exposed (4–6) and to the increased likelihood of engaging in riskier sexual behaviors among persons who initiate sexual intercourse at younger ages (3, 7–9).

Early sexual intercourse may be more normative in some socioeconomic, racial, ethnic, or sex groups and thus may not be tied to nonnormative risk behaviors or to longitudinal risk of STI (27–29).

Therefore, the long-term impact of programs aimed at prolonging virginity may vary among groups of young adults and may mitigate or exacerbate current disparities.

Most studies that have investigated the link between age at first sexual intercourse and risk of STI among young adults have focused only on females and have used convenience samples, self-reports of STI, or both. In Europe, women aged 16–44 years visiting family planning centers who reported first having intercourse at age 16 or younger did not have a greater prevalence of (22).

Young adults aged 18–24 years report much higher annual rates of STI than older adults and carry a heavy disease burden (15, 21).

If delaying sexual intercourse in adolescence carries a lasting benefit of reduced STIs in young adulthood, this would represent a potentially huge impact for such a strategy in terms of long-term health benefits in the population.

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The authors examined the relation between age at first vaginal intercourse and a positive nucleic acid amplification test for sexually transmitted infection (STI).