title: Cumulative sexual intercourse patterns among middle adolescents: problem behavior precursors and concurrent health risk behaviors.
abstract: OBJECTIVE
  The purpose of this study is to document associations among problem behaviors in childhood and early adolescence and several health risk behaviors in middle adolescence, including a cumulative index of sexual intercourse risk.
  
  
  METHODS
  A nontreatment sample of 1167 10th and 11th grade students was recruited from three homogeneous suburban high schools in western New York. Intercourse activity and number of sexual partners were assessed four times at 6-month intervals over a 2-year period via self-report questionnaires administered in classroom settings.
  
  
  RESULTS
  Sexual intercourse activity, once initiated, was found to be relatively persistent, rather than sporadic, for most adolescents. Repeated intercourse experience with multiple partners over the assessed time periods was associated with higher levels of externalizing childhood behavior problems, earlier onset of antisocial behaviors and substance use, and higher concurrent substance use. An avoidant, withdrawn behavioral style in childhood was associated with lower rates of sexual involvement in adolescence.
  
  
  CONCLUSIONS
  Temporal linkages among childhood precursors and adolescent sexual behaviors were identified as critical to understanding adolescent risk behaviors. These cross-time relationships may identify potential targets for future intervention/prevention efforts among high risk subsamples of children and adolescents.
authors.affiliation: Department of Psychology, Florida International University, Miami, USA.
authors.forename: J G
authors.initials: JG
authors.lastname: Tubman
authors.forename: M
authors.initials: M
authors.lastname: Windle
authors.forename: R C
authors.initials: RC
authors.lastname: Windle
mesh_terms: D000293:Adolescent; D017668:Age of Onset; D000428:Alcohol Drinking; D000704:Analysis of Variance; D002648:Child; D002653:Child Behavior Disorders / Q000150:complications*; D003075:Coitus; D003863:Depression; D005260:Female; D006801:Humans; D007604:Juvenile Delinquency; D016013:Likelihood Functions; D008137:Longitudinal Studies; D008297:Male; D009518:New York / Q000453:epidemiology; D012309:Risk-Taking; D012725:Sexual Behavior / Q000706:statistics & numerical data; D012907:Smoking; D019966:Substance-Related Disorders