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Instead of targeting the act of first intercourse itself, perhaps we should focus on what distinguishes persistently higher-risk persons from others during adolescence. Adolescent sexual behavior, drug use, and violence: Perspectives on the life course. Because many STIs are asymptomatic and self-reports of symptoms correlate poorly with biologic tests for STI, using self-reports probably results in substantial underreporting of STI An update on adult development theory: The gradual decline of the importance of age at first intercourse in predicting STIs is more likely explained by the continued development of the participant as time passes.

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Younger ages at first intercourse were associated with higher odds of STI in comparison with older ages, but the effect diminished with increasing current age.

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When examined in 1-year age increments, the STI prevalence for all current ages was above 5 percent. Add Health respondents ranged in age from 18 years to 26 years at wave 3. While the focus on females in past research may have been driven in part by data availability, it can also lead to the misconception that the timing of first intercourse is less important for males in terms of their sexual risk trajectories. Early initiation of sexual intercourse has been linked to increased risk of sexually transmitted infections STIs and pregnancy during adolescence 23. Am J Prev Med.

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