Abstract Youth who initiate sexual intercourse in early adolescence age 11—14 experience multiple risks, including concurrent adjustment problems and unsafe sexual practices, The current study tested two models describing the links between childhood precursors, early adolescent risk factors, and adolescent sexual activity: a cumulative model and a meditational model, A longitudinal sample of boys and girls from four geographical locations was utilized, with data collected from kindergarten through high school. Structural equation models revealed that, irrespective of gender or race, high rates of aggressive disruptive behaviors and attention problems at school entry increased risk for a constellation of problem behaviors in middle school school maladjustment, antisocial activity, and substance use which, in turn, promoted the early initiation of sexual activity. Implications are discussed for developmental models of early sexual activity and for prevention programming. Early initiation of sexual intercourse i. In addition, girls who initiate intercourse early are at higher risk for unintended pregnancy and sexually transmitted diseases compared with girls who delay intercourse until late adolescence Crockett et al, ; Leitenberg and Saltzman
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