title: The quality of young people's heterosexual relationships: a longitudinal analysis of characteristics shaping subjective experience.
abstract: BACKGROUND
  Research on young people's sexual relationships often overlooks subjective experiences and enjoyment. Perceived quality of sexual relationships may be related to gender, background characteristics, circumstances of first intercourse and subsequent sexual history.
  
  
  METHODS
  Longitudinal data from 13-16-year-olds who participated in randomized trials of school sex education in either Scotland (N=5,356) or England (N=6,269) were used to examine young people's subjective experiences of heterosexual relationships. Logistic regression models tested for associations between selected variables and pressure and regret at first intercourse, pressure and enjoyment at most recent intercourse, and three measures of relationship quality.
  
  
  RESULTS
  Of the 42% of youth who reported having had sex by follow-up, most assessed their first and most recent sexual relationships positively. Greater proportions of females than of males felt pressure at first sexual intercourse (19% vs. 10%), regretted their first time (38% vs. 20%) and did not enjoy their most recent sex (12% vs. 5%). Younger age at first sex was an important correlate of partner pressure and regret at first intercourse (odds ratios, 2.0 each, for those 13 or younger vs. 15-16-year-olds). Negative experiences were associated with less control (e.g., feeling pressure, being drunk or stoned, and not planning sex) and with less intimacy (e.g., sex with a casual partner and less frequent sex). Background social characteristics had limited influence compared with circumstances of first intercourse and subsequent sexual history.
  
  
  CONCLUSIONS
  Most young people evaluated their early sexual experiences positively. The quality of relationships was enhanced by better communication and greater physical intimacy. For a vulnerable minority, however, early sexual experiences were negative. They could be protected by delaying first intercourse, restricting sexual activity to established relationships and learning skills to improve control in sexual encounters.
authors.affiliation: Sexual and Reproductive Health Programme, Medical Research Council, Social Social and Public Health Sciences Unit, University of Glasgow, Scotland. danny@sphsu.mrc.ac.uk
authors.forename: Daniel
authors.initials: D
authors.lastname: Wight
authors.forename: Alison
authors.initials: A
authors.lastname: Parkes
authors.forename: Vicki
authors.initials: V
authors.lastname: Strange
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Allen
authors.forename: Chris
authors.initials: C
authors.lastname: Bonell
authors.forename: Marion
authors.initials: M
authors.lastname: Henderson
mesh_terms: D000293:Adolescent; D000294:Adolescent Behavior / Q000208:ethnology / Q000523:psychology*; D003075:Coitus / Q000523:psychology*; D003258:Consumer Behavior; D004739:England; D005260:Female; D020010:Heterosexuality / Q000208:ethnology / Q000523:psychology*; D006801:Humans; D007398:Interpersonal Relations; D016015:Logistic Models; D008137:Longitudinal Studies; D008297:Male; D010379:Peer Group; D016032:Randomized Controlled Trials as Topic; D012606:Scotland; D012747:Sexual Partners / Q000523:psychology*