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First sexual intercourse and subsequent regret in three developing countries.

Alfonso Osorio1, Cristina López-del Burgo, Silvia Carlos

  • 1Institute for Culture and Society, Education of Affectivity and Human Sexuality, University of Navarra, Pamplona, Spain.

The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine
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PubMed
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Many adolescents

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Area of Science:

  • Adolescent Health
  • Sexual Behavior Research
  • Psychology

Background:

  • Adolescent sexual activity can lead to negative physical and psychological outcomes.
  • Understanding motivations for first sexual experiences is crucial for prevention and intervention.

Purpose of the Study:

  • To analyze the primary reasons for first sexual intercourse among adolescents.
  • To investigate the prevalence of regret following first sex.
  • To determine the association between reasons for first sex and subsequent regret.

Main Methods:

  • A cross-sectional survey administered to 8,495 high school students (aged 14-18) in the Philippines, El Salvador, and Peru.
  • Participants reported reasons for their first sexual experience and whether they regretted it.
  • Logistic regression analysis was used to identify associations between reasons and regret.

Main Results:

  • Over one-third of adolescents reported external pressures (e.g., peer or partner influence) as a reason for first sex.
  • Approximately half cited getting carried away by sexual arousal as a contributing factor.
  • Reasons linked to regret included partner insistence, uncontrolled situations, and exposure to sexual imagery, even when love was a factor.

Conclusions:

  • Adolescent first sex is often driven by external pressures and situational factors rather than mature decision-making, increasing the likelihood of regret.
  • Females were more likely to report regret.
  • Empowering adolescents with information and decision-making skills is vital.