title: Reconceptualizing adolescent sexual behavior: beyond did they or didn't they?
abstract: BACKGROUND
  Adolescent sexual behavior is typically studied as a dichotomy: Adolescents have had sex or they have not. Broadening this view would lead to a greater understanding of teenagers' sexual behavior.
  
  
  METHODS
  Interview data from 907 high school students in Alabama, New York and Puerto Rico were used to examine the relationships between sexual experience and a variety of social, psychological and behavioral variables. Four groups of teenagers are compared: those who did not anticipate initiating sex in the next year (delayers), those who anticipated initiating sex in the next year (anticipators), those who had had one sexual partner (singles) and those who had had two or more partners (multiples).
  
  
  RESULTS
  Compared with delayers, anticipators reported more alcohol use and marijuana use; poorer psychological health; riskier peer behaviors; and looser ties to family school and church. Similarly, multiples reported more alcohol and marijuana use, riskier peer behaviors and looser ties to family and school than singles. Risk behaviors, peer behaviors, family variables, and school and church involvement showed a linear trend across the four categories of sexual behavior.
  
  
  CONCLUSIONS
  The traditional sex-no sex dichotomy obscures differences among sexually inexperienced teenagers and among adolescents who have had sex. Prevention efforts must be tailored to the specific needs of teenagers with differing sexual experiences and expectations, and must address the social and psychological context in which sexual experiences occur.
authors.affiliation: Centers for Disease Control and Prevention, Atlanta, USA.
authors.forename: D J
authors.initials: DJ
authors.lastname: Whitaker
authors.forename: K S
authors.initials: KS
authors.lastname: Miller
authors.forename: L F
authors.initials: LF
authors.lastname: Clark
mesh_terms: D000293:Adolescent; D000294:Adolescent Behavior / Q000523:psychology*; D000407:Alabama; D003430:Cross-Sectional Studies; D005190:Family / Q000523:psychology; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D009518:New York; D010379:Peer Group; D000297:Psychology, Adolescent / Q000706:statistics & numerical data; D011647:Puerto Rico; D012309:Risk-Taking; D012725:Sexual Behavior / Q000523:psychology* / Q000706:statistics & numerical data; D012747:Sexual Partners / Q000523:psychology; D013334:Students / Q000523:psychology; D019966:Substance-Related Disorders / Q000523:psychology; D011795:Surveys and Questionnaires