HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text Full Text (PDF) All Versions of this Article: AJPH.2005.068437v1 97/6/1090    most recent Submit a response View Shopping Cart Alert me when this article is cited Alert me when eLetters are posted Alert me if a correction is posted Services Similar articles in this journal Similar articles in Web of Science Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via HighWire Citing Articles via Web of Science (3) Citing Articles via Google Scholar Google Scholar Articles by Shafii, T. Articles by Holmes, K. Search for Related Content PubMed PubMed Citation Articles by Shafii, T. Articles by Holmes, K. Related Collections Adolescent Health Sexual Health Surveys

Taraneh Shafii, MD, MPH, Katherine Stovel, PhD and King Holmes, MD, PhD

Taraneh Shafii is with the Section of Adolescent Medicine, Department of Pediatrics, University of Washington, Seattle, and the University of Washington’s Center for AIDS and STD. Katherine Stovel is with the Department of Sociology, University of Washington, Seattle. King Holmes is with the Division of Allergy and Infectious Diseases, Department of Internal Medicine, and the Center for AIDS and STD, University of Washington, Seattle.

Correspondence: Requests for reprints should be sent to Taraneh Shafii, MD, MPH, 325 9th Ave, Box 359777, Seattle, WA 98104 (e-mail: tshafii{at}u.washington.edu).

Objectives. We compared subsequent sexual behaviors and risk of sexually transmitted infections among adolescents who did and did not use a condom at their sexual debut.

Methods. We derived data from the National Longitudinal Study of Adolescent Health, which followed a sample of 4018 sexually active adolescents between 1994 and 2002. During waves I, II, and III of the study, data on sexual behavior were gathered, and at wave III urine specimens were collected to test for sexually transmitted infections.

Results. Among interviewed adolescents, those who reported condom use at their debut were more likely than those who did not use condoms at their debut to report condom use at their most recent intercourse (on average 6.8 years after sexual debut), and they were only half as likely to test positive for chlamydia or gonorrhea (adjusted odds ratio=0.50; 95% confidence interval=0.26, 0.95). Reported lifetime numbers of sexual partners did not differ between the 2 groups.

Conclusions. Adolescents who use condoms at their sexual debut do not report more sexual partners, are more likely to engage in subsequent protective behaviors, and experience fewer sexually transmitted infections than do adolescents who do not use condoms at their sexual debut.

This article has been cited by other articles:

				B. S. Van Horne, C. M. Wiemann, A. B. Berenson, I. B. Horwitz, and R. J. Volk Multilevel Predictors of Inconsistent Condom Use Among Adolescent Mothers Am J Public Health, October 1, 2009; 99(S2): S417 - S424. [Abstract] [Full Text] [PDF]

				B Zaba, R Isingo, A Wringe, M Marston, E Slaymaker, and M Urassa Influence of timing of sexual debut and first marriage on sexual behaviour in later life: findings from four survey rounds in the Kisesa cohort in northern Tanzania Sex Transm Inf, April 1, 2009; 85(Suppl_1): i20 - i26. [Abstract] [Full Text] [PDF]

				L. Holmes Jr, E. Monjok, D. Ward, O. M. Garrison, E. D. Toney, G. Ogungbade, and E. J. Essien Racial Variance in Rationale for HIV Testing in Community-Based Setting in the United States: Evidence from the National Health Interview Survey J Int Assoc Physicians AIDS Care (Chic Ill), April 1, 2008; 7(2): 61 - 68. [Abstract] [PDF]

				Benefits of Condom Use at Sexual Debut Go Beyond Contraception Journal Watch Women's Health, August 23, 2007; 2007(823): 1 - 1. [Full Text]