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THURSDAY, Jan. 4, 2018 -- Fewer U.S. teens are sexually active these days, as many wait until later in high school to try sex for the first time, a new report reveals.
The proportion of high school students who've ever had sex decreased to 41 percent in 2015, continuing a downward trend from 47 percent in 2005 and 53 percent in 1995, according to data from the U.S. Centers for Disease Control and Prevention.
"The significance of these findings are important for today's youth," said Dr. Victor Fornari, director of child and adolescent psychiatry at Zucker Hillside Hospital, in Glen Oaks, N.Y. "This is very positive and promising."
The decrease is mainly driven by a decline in the number of 9th and 10th graders having sex, according to the report by Kathleen Ethier and colleagues at the CDC.
Sexually active 9th graders decreased from 34 percent to 24 percent between 2005 and 2015, while 10th graders having sex declined from 43 percent to 36 percent during the same time period.
By comparison, significant declines in sexual activity were not found among 11th and 12th graders, the researchers added.
Matthew Oransky is director of the psychology training program at the Mount Sinai Adolescent Health Center in New York City. He said, "What seems really promising about this is that the older you get, the better ability you have to make decisions and communicate and plan. The older you are when you initiate sex, the better able you will be to make healthy and responsible decisions."


The percentage of black and Hispanic teens experimenting with sex also went down, contributing to the overall decline in sexually active kids.
About 48 percent of black teens and 42 percent of Hispanic teens said they were sexually active in 2015, down from nearly 68 percent and 51 percent, respectively, in 2005.
On the other hand, sexual activity among white teens did not change significantly, the investigators found.
The decrease in sexual activity involved both boys and girls. Among 9th graders, about 27 percent of boys and 21 percent of girls said they had become sexually active in 2015, down from 39 percent and 29 percent, respectively, in 2005.
Health experts suggested that sex education is the most likely explanation for the trend.
"Much of this decrease can be tied to increased sex education, which includes sexually transmitted disease and contraception information," said Dr. Jennifer Wu. She is an obstetrician/gynecologist with Lenox Hill Hospital in New York City.
"Young people have learned that sexually transmitted infections are serious and are to be prevented," he said.
And, Fornari added, "Young women recognize that unwanted infants during adolescence is not desirable. From my perspective, education about sexually transmitted infections and the challenges of having a baby when a teenager have had an impact on adolescent behavior."


Wu is concerned the trend will not continue if educators aren't allowed to keep spreading the word about the consequences of teen sex.
"Ongoing educational efforts should continue," Wu said. "If funding stops or if there is a decline in sex education, we may then see a resurgence in teenage sexual activity and its accompanying consequences."
Oransky added that a cultural shift also might be at play, where adults are more comfortable having frank discussions with teenagers about sex.
"It's a big focus at our center, recognizing that -- whether or not we like it -- adolescents are making these decisions," Oransky said. "We have to arm them with the knowledge to make the decision that's most comfortable for them and best for their future."
The findings were published in the Jan. 5 issue of the CDC's Morbidity and Mortality Weekly Report.
For more on teenage sexual risk behaviors, visit the U.S. Centers for Disease Control and Prevention.
Copyright © 2018 HealthDay. All rights reserved.

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When it comes to sex, teens may be more responsible than they're often given credit for.
According to new government data, the percentage of American teens having sex is lower than in decades past – and more teens who do have sex are now using contraception.
The report, published by the CDC's National Center for Health Statistics, finds an estimated 55 percent of U.S. teens have had sex at least once by the time they turn 18.
Among adolescent females aged 15 to 19, 42 percent report having sex at least once. For males, that number was 44 percent. The numbers have gradually dropped since 1988, when 51 percent of female and 60 percent of male teens reported having had sex.
For the study, the researchers interviewed more than 4,100 male and female teens aged 15 to 19 from across the U.S. from 2011 through 2015.
The data showed that virtually all of the sexually-experienced female teens (99.4 percent) had at some point used a method of contraception, up from 97.7 percent in 2002.
However, that doesn't mean they used it effectively every time.
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"The teen pregnancy rate in the U.S. is higher than most other developed countries and it often has negative consequences as well individual and societal costs," study author Joyce C. Abma, Ph.D., of the National Center for Health Statistics, told CBS News. "That in addition to sexually transmitted infections, these are public health issues that we need to get a hold on what the causes are. Sexual activity and contraceptive use are the direct mechanisms that drive these trends."
Eighty-one percent of teen girls said they used birth control the first time they had sex, while about 90 percent said they used it during their last sexual encounter within the previous three months.
The most commonly used contraceptive method was the condom, with 97 percent of adolescent girls reporting having used them, followed by withdrawal (60 percent) and oral contraceptive pills (56 percent).
"These trends make sense in light of the reduction over time since the 1990s in the rates of teen pregnancy and childbearing," Abma said. Earlier this year, the CDC reported that the teen birth rate in the U.S. hit a historic low of 24 births per 1,000 women.
However, experts say the number of teens using withdrawal as a form of birth control is concerning.
According to the Guttmacher Institute, even with "perfect use" an estimated 4 percent of couples relying on withdrawal will become pregnant within a year. However, "perfect use" is difficult to attain, and more realistic estimates suggest that with "typical use" about 18 percent of couples will become pregnant within a year.
Experts say the number for inexperienced teens is likely much higher.
"The overall trends [in the CDC report] are positive. We have more kids choosing not to have sex and that's great news," Dr. Ellen Rome, head of Cleveland Clinic Children's Center for Adolescent Medicine, told CBS News. "We have more kids using some form of contraception, but the problem is that lumped into that is the group [using] withdrawal as that method. So we have room for improvement in how we counsel kids on effective contraception."
The withdrawal method also does nothing to prevent the spread of sexually transmitted infections.
According to the CDC, condoms have an 18 percent failure rate, so Rome said teens should be using condoms to reduce the risk of STIs as well as a second contraception method to prevent pregnancy.
The report also showed that 6 percent of female teens reported using long-acting reversible contraceptives (LARC), including intrauterine devices (IUDs) and contraceptive implants, from 2011 to 2015 — up from 4 percent in the preceding five years.
"If kids have access to affordable accessible contraception including LARCs, teen pregnancy rates will definitely go down," Rome said. "We need to help demystify them and help kids figure out they don't have to commit forever to a LARC. They can use it and choose to remove it and that's OK."
The typical failure rate for the IUD is 0.2 to 0.8 percent and the failure rate for the implant is just 0.05 percent.
Finally, the report shows that very few teens had their first experience of sexual intercourse with someone they "just met." Only 2 percent of teen girls and 7 percent of teen boys reported doing so. Instead, nearly three-quarters of girls and 51 percent of boys reported that their first partner was someone that they were "going steady" with.
Rome says the findings reflect the importance of parents speaking to their teens openly and with accurate information about sex and contraception, particularly if they're in a relationship.
"If you talk to your kids about your values and your hopes and dreams for them, that means something. If you combine 'I prefer you not to have sex until you're this age,' or until you're married or until you're out of high school, or whatever you want to fill in the blank with, with 'if you are going to have sex I want you to make it a choice, not an 'oops' and for it to be planned so you have condoms 100 percent of the time plus a second method of contraception so you're not at risk for pregnancy or getting someone pregnant until you plan to,'" she said.
"Talking about sex and responsible sexuality does not make kids suddenly become rabbits and start having more sex," she added. "It makes kids more thoughtful about their decisions."
First published on June 22, 2017 / 5:00 AM
© 2017 CBS Interactive Inc. All Rights Reserved.
Ashley Welch covers health and wellness for CBSNews.com
Copyright © 2021 CBS Interactive Inc. All rights reserved.
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