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Sexual Practices During Adolescence.

Emanoela Priscila Toledo Arruda1, Luiz Gustavo Oliveira Brito2, Tatiana Rocha Prandini1

  • 1Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP, Brazil.

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Summary

This study found that most adolescents initiate sexual activity due to romantic feelings, with over half using condoms during first intercourse. However, consistent safe sex practices were reported by only a third of participants.

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Area of Science:

  • Adolescent Health
  • Sexual Health
  • Public Health Research

Background:

  • Adolescence involves significant biological and psychological changes, including increased androgen production, potentially leading to earlier sexual activity.
  • Understanding sexual behaviors, contraceptive use, and age at first intercourse (sexarche) is crucial for adolescent health interventions.

Purpose of the Study:

  • To determine the average age at sexarche, average number of sexual partners, and frequency of contraceptive and condom use among adolescents in Ribeirão Preto, Brazil.
  • To analyze factors influencing early sexual initiation and safe sex practices in a high school population.

Main Methods:

  • A cross-sectional study involving 202 adolescents (69 males, 133 females) from state schools in Ribeirão Preto, Brazil.
  • Data collected via a semistructured questionnaire on sexarche, number of partners, and contraceptive/condom use.
  • Quantitative data analyzed using means and standard deviations; qualitative data using frequencies. Statistical comparisons employed chi-squared and Student t-tests.

Main Results:

  • The age at sexarche ranged from 7 to 18 years for males and 7 to 17 years for females.
  • 66.94% of adolescents reported having had sexual intercourse.
  • 56.25% used a condom during first sexual intercourse, while 36.72% reported consistent safe sex practices. Romantic feelings ('crush') were cited by 83.59% as the reason for first intercourse.

Conclusions:

  • A significant majority of adolescents in this Brazilian cohort engage in sexual activity, with a notable proportion using condoms during first intercourse.
  • Despite condom use during first intercourse, consistent safe sex practices remain a challenge, highlighting the need for ongoing sexual health education.
  • The primary driver for first sexual intercourse appears to be romantic attraction, underscoring the importance of addressing emotional aspects in sexual health guidance.