title: "That's nasty" to curiosity: early adolescent cognitions about sexual abstinence.
abstract: OBJECTIVE
  Effective sex education for early adolescents should make use of age-appropriate cultural models about sexual abstinence. However, little is known about how early adolescents view this topic. We describe developmental differences in cognitions about sexual abstinence among high-risk early adolescents.
  
  
  METHODS
  After institutional review board approval and informed consent, we interviewed 22 11-14-year-olds, using a qualitative, two-stage interview. Participants were first asked a series of open-ended questions about sexual abstinence, and then asked to explain their answers. Interviews were transcribed, organized by age, and read in their entirety. Codes were developed from the literature, field notes, and transcripts. Key concepts were identified and models were developed with a focus on developmental change.
  
  
  RESULTS
  We observed three distinct views of sexual abstinence, "That's Nasty," "Curious," and Normative. All viewed abstinence as a starting point and sex as a transition to adulthood. "That's Nasty" participants identified sex as distasteful, displayed limited understanding of sex, and viewed abstinence as appropriate for kids like themselves. Curious participants expressed a desire for information about sex, and a sense of missing something important. Normative participants viewed the transition from abstinence to sexual experience as part of a normal, albeit challenging, transition to adulthood.
  
  
  CONCLUSIONS
  Participants demonstrated differences in cognitions about sexual abstinence, related to age and development. The transition from viewing sex as distasteful to curiosity appears to be a time of both vulnerability and openness, and may provide an opportunity for intervention.
authors.affiliation: Section of Adolescent Medicine, Department of Pediatrics, Indiana University School of Medicine, 575 North West Drive, Room XE070, Indianapolis, IN 46202, USA. maott@iupui.edu
authors.forename: Mary A
authors.initials: MA
authors.lastname: Ott
authors.forename: Elizabeth J
authors.initials: EJ
authors.lastname: Pfeiffer
mesh_terms: D000293:Adolescent; D000294:Adolescent Behavior; D002648:Child; D003071:Cognition; D005106:Exploratory Behavior; D005260:Female; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D015146:Midwestern United States; D012746:Sexual Abstinence / Q000523:psychology*