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PMC3439130

Cult Health Sex. Author manuscript; available in PMC 2013 Aug 1.
a Section of Adolescent Medicine, Department of Pediatrics, Indiana University School of Medicine, Indianapolis, USA
b Department of Pediatrics, College of Physicians and Surgeons, and Mailman School of Public Health, Columbia University, New York, USA
c Department of Global and Community Health, George Mason University, Fairfax, VA, USA
The publisher's final edited version of this article is available at Cult Health Sex
See other articles in PMC that cite the published article.
Keywords: Adolescent, Young men, first sexual intercourse, African American
Abma JC, Martinez GM, Copen CE. Teenagers in the United States: sexual activity, contraceptive use, and childbearing, national survey of family growth 2006–2008. Vital Health Stat. 2010; 23 (30):1–47. [ PubMed ] [ Google Scholar ] Beier SR, Rosenfeld WD, Spitalny KC, Zansky SM, Bontempo AN. The Potential Role of an Adult Mentor in Influencing High-Risk Behaviors in Adolescents. Arch Pediatr Adolesc Med. 2000; 154 (4):327–331. [ PubMed ] [ Google Scholar ] Cooksey EC, Mott FL, Neubauer SA. Friendships and Early Relationships: Links to Sexual Initiation among American Adolescents Born to Young Mothers. Perspectives on Sexual and Reproductive Health. 2002; 34 (3):118–126. [ PubMed ] [ Google Scholar ] Dolcini MM, Harper GW, Boyer CB, Watson SE, Anderson M, Pollack LM, Chang JY. Preliminary Findings on a Brief Friendship-Based HIV/STI Intervention for Urban African American Youth: Project ÒRÉ Journal of Adolescent Health. 2008; 42 (6):629–633. [ PubMed ] [ Google Scholar ] Eyre SL, Auerswald C, Hoffman V, Millstein SG. Fidelity Management. Journal of Health Psychology. 1998a; 3 (3):393–406. [ PubMed ] [ Google Scholar ] Eyre SL, Davis EW, Peacock B. Moral argumentation in adolescents' commentaries about sex. Culture, Health & Sexuality. 2001; 3 (1):1–17. [ Google Scholar ] Eyre SL, Hoffman V, Millstein SG. The Gamesmanship of Sex: A Model Based on African American Adolescent Accounts. Medical Anthropology Quarterly. 1998b; 12 (4):467–489. [ PubMed ] [ Google Scholar ] Floersch J, Longhofer JL, Kranke D, Townsend L. Integrating Thematic, Grounded Theory and Narrative Analysis. Qualitative Social Work. 2010; 9 (3):407–425. [ Google Scholar ] Giordano PC, Longmore MA, Manning WD. Gender and the Meanings of Adolescent Romantic Relationships: A Focus on Boys. American Sociological Review. 2006; 71 (2):260–287. [ Google Scholar ] Giordano PC, Manning WD, Longmore MA. Affairs of the Heart: Qualities of Adolescent Romantic Relationships and Sexual Behavior. Journal of Research on Adolescence. 2010; 20 (4):983–1013. [ PMC free article ] [ PubMed ] [ Google Scholar ] Harper GW, Gannon C, Watson SE, Catania JA, Dolcini MM. The role of close friends in African American adolescents' dating and sexual behavior. Journal of Sex Research. 2004; 41 (4):351–362. [ PubMed ] [ Google Scholar ] Hawes ZC, Wellings K, Stephenson J. First Heterosexual Intercourse in the United Kingdom: A Review of the Literature. Journal of Sex Research. 2010; 47 (2–3):137–152. [ PubMed ] [ Google Scholar ] Hensel D, Newcamp J, Miles J, Fortenberry J. Picturing Sexual Spaces in Everyday Life: Exploring the Construction of Sexuality and Sexual Behavior among Early Adult Women. Sexuality Research and Social Policy. 2011; 8 (4):267–281. [ Google Scholar ] Holland J, Ramazanoglu C, Sharpe S, Thomson R. Deconstructing virginity - young people's accounts of first sex. Sexual and Relationship Therapy. 2000; 15 (3):221–232. [ Google Scholar ] Kerrigan D, Andrinopoulos K, Johnson R, Parham P, Thomas T, Ellen JM. Staying Strong: Gender Ideologies among African-American Adolescents and the Implications for HIV/STI Prevention. Journal of Sex Research. 2007; 44 (2):172–180. [ PubMed ] [ Google Scholar ] Lewin B. The adolescent boy and girl: First and other early experiences with intercourse from a representative sample of swedish school adolescents. Archives of Sexual Behavior. 1982; 11 (5):417–428. [ PubMed ] [ Google Scholar ] McLean KC. Late Adolescent Identity Development: Narrative Meaning Making and Memory Telling. Developmental Psychology. 2005; 41 (4):683–691. [ PubMed ] [ Google Scholar ] Mitchell K, Wellings K. First sexual intercourse: anticipation and communication. Interviews with young people in England. Journal of Adolescence. 1998; 21 (6):717–726. [ PubMed ] [ Google Scholar ] Morgan EM, Zurbriggen EL. Wanting Sex and Wanting to Wait: Young Adults' Accounts of Sexual Messages from First Significant Dating Partners. Feminism & Psychology. 2007; 17 (4):515–541. [ Google Scholar ] Mott FL, Fondell MM, Hu PN, Kowaleski-Jones L, Menaghan EG. The Determinants of First Sex by Age 14 in a High-Risk Adolescent Population. Family Planning Perspectives. 1996; 28 (1):13–18. [ PubMed ] [ Google Scholar ] Ott MA, Pfeiffer EJ. “That's Nasty” to Curiosity: Early Adolescent Cognitions about Sexual Abstinence. Journal of Adolescent Health. 2009; 44 (6):575–581. [ PMC free article ] [ PubMed ] [ Google Scholar ] Ott MA, Pfeiffer EJ, Fortenberry JD. Perceptions of Sexual Abstinence among High-Risk Early and Middle Adolescents. Journal of Adolescent Health. 2006; 39 (2):192–198. [ PubMed ] [ Google Scholar ] Rebello LEFdS, Gomes R. Iniciação sexual, masculinidade e saúde: narrativas de homens jovens universitários. Ciência & Saúde Coletiva. 2009; 14 :653–660. [ PubMed ] [ Google Scholar ] Robinson KL, Price JH, Thompson CL, Schmalzried HD. Rural Junior High School Students' Risk Factors For and Perceptions of Teen-age Parenthood. Journal of School Health. 1998; 68 (8):334–338. [ PubMed ] [ Google Scholar ] Rosenberger JG, Bell DL, McBride KR, Fortenberry JD, Ott MA. Condoms and developmental contexts in younger adolescent boys. Sexually Transmitted Infections. 2010; 86 (5):400–403. [ PMC free article ] [ PubMed ] [ Google Scholar ] Rosenthal D, Peart R. The rules of the game: teenagers communicating about sex. Journal of Adolescence. 1996; 19 (4):321–332. [ PubMed ] [ Google Scholar ] Sieving RE, McNeely CS, Blum RW. Maternal Expectations, Mother-Child Connectedness, and Adolescent Sexual Debut. Arch Pediatr Adolesc Med. 2000; 154 (8):809–816. [ PubMed ] [ Google Scholar ] Singer MC, Erickson PI, Badiane L, Diaz R, Ortiz D, Abraham T, Nicolaysen AM. Syndemics, sex and the city: Understanding sexually transmitted diseases in social and cultural context. Social Science & Medicine. 2006; 63 (8):2010–2021. [ PMC free article ] [ PubMed ] [ Google Scholar ] Strauss ALaC JM. Basics of qualitative research: Techniques and procedures for developing grounded theory. Thousand Oaks: Sage Publications; 1998. [ Google Scholar ] Thompson S. Putting a big thing into a little hole: Teenage girls’ accounts of sexual initiation. Journal of Sex Research. 1990; 27 (3):341–361. [ Google Scholar ] Tolman DL, Striepe MI, Harmon T. Gender matters: Constructing a model of adolescent sexual health. Journal of Sex Research. 2003; 40 (1):4–12. [ PubMed ] [ Google Scholar ] Træen B, Kvalem I. Sexual socialization and motives for intercourse among Norwegian adolescents. Archives of Sexual Behavior. 1996; 25 (3):289–302. [ PubMed ] [ Google Scholar ] Upadhyay UD, Hindin MJ, Gultiano S. Before First Sex: Gender Differences in Emotional Relationships and Physical Behaviors among Adolescents in the Philippines. International Family Planning Perspectives. 2006; 32 (3):110–119. [ PubMed ] [ Google Scholar ] Way N. Adolescent boys: Exploring diverse cultures of boyhood. New York, NY, US: New York University Press; 2004. Intimacy, Desire, and Distrust in the Friendships of Adolescent Boys; pp. 167–196. [ Google Scholar ] Wellings K, Nanchahal K, Macdowall W, McManus S, Erens B, Mercer CH, Johnson AM, Copas AJ, Korovessis C, Fenton KA, et al. Sexual behaviour in Britain: early heterosexual experience. The Lancet. 2001; 358 (9296):1843–1850. [ PubMed ] [ Google Scholar ]
Lewin B. The adolescent boy and girl: First and other early experiences with intercourse from a representative sample of swedish school adolescents. Archives of Sexual Behavior. 1982; 11 (5):417–428. [ PubMed ] [ Google Scholar ] [ Ref list ]
Cooksey EC, Mott FL, Neubauer SA. Friendships and Early Relationships: Links to Sexual Initiation among American Adolescents Born to Young Mothers. Perspectives on Sexual and Reproductive Health. 2002; 34 (3):118–126. [ PubMed ] [ Google Scholar ] [ Ref list ]
Rebello LEFdS, Gomes R. Iniciação sexual, masculinidade e saúde: narrativas de homens jovens universitários. Ciência & Saúde Coletiva. 2009; 14 :653–660. [ PubMed ] [ Google Scholar ] [ Ref list ]
Træen B, Kvalem I. Sexual socialization and motives for intercourse among Norwegian adolescents. Archives of Sexual Behavior. 1996; 25 (3):289–302. [ PubMed ] [ Google Scholar ] [ Ref list ]
Holland J, Ramazanoglu C, Sharpe S, Thomson R. Deconstructing virginity - young people's accounts of first sex. Sexual and Relationship Therapy. 2000; 15 (3):221–232. [ Google Scholar ] [ Ref list ]
Thompson S. Putting a big thing into a little hole: Teenage girls’ accounts of sexual initiation. Journal of Sex Research. 1990; 27 (3):341–361. [ Google Scholar ] [ Ref list ]
Tolman DL, Striepe MI, Harmon T. Gender matters: Constructing a model of adolescent sexual health. Journal of Sex Research. 2003; 40 (1):4–12. [ PubMed ] [ Google Scholar ] [ Ref list ]
Mott FL, Fondell MM, Hu PN, Kowaleski-Jones L, Menaghan EG. The Determinants of First Sex by Age 14 in a High-Risk Adolescent Population. Family Planning Perspectives. 1996; 28 (1):13–18. [ PubMed ] [ Google Scholar ] [ Ref list ]
Sieving RE, McNeely CS, Blum RW. Maternal Expectations, Mother-Child Connectedness, and Adolescent Sexual Debut. Arch Pediatr Adolesc Med. 2000; 154 (8):809–816. [ PubMed ] [ Google Scholar ] [ Ref list ]
Eyre SL, Davis EW, Peacock B. Moral argumentation in adolescents' commentaries about sex. Culture, Health & Sexuality. 2001; 3 (1):1–17. [ Google Scholar ] [ Ref list ]
Hawes ZC, Wellings K, Stephenson J. First Heterosexual Intercourse in the United Kingdom: A Review of the Literature. Journal of Sex Research. 2010; 47 (2–3):137–152. [ PubMed ] [ Google Scholar ] [ Ref list ]
Abma JC, Martinez GM, Copen CE. Teenagers in the United States: sexual activity, contraceptive use, and childbearing, national survey of family growth 2006–2008. Vital Health Stat. 2010; 23 (30):1–47. [ PubMed ] [ Google Scholar ] [ Ref list ]
Wellings K, Nanchahal K, Macdowall W, McManus S, Erens B, Mercer CH, Johnson AM, Copas AJ, Korovessis C, Fenton KA, et al. Sexual behaviour in Britain: early heterosexual experience. The Lancet. 2001; 358 (9296):1843–1850. [ PubMed ] [ Google Scholar ] [ Ref list ]
Giordano PC, Manning WD, Longmore MA. Affairs of the Heart: Qualities of Adolescent Romantic Relationships and Sexual Behavior. Journal of Research on Adolescence. 2010; 20 (4):983–1013. [ PMC free article ] [ PubMed ] [ Google Scholar ] [ Ref list ]
Morgan EM, Zurbriggen EL. Wanting Sex and Wanting to Wait: Young Adults' Accounts of Sexual Messages from First Significant Dating Partners. Feminism & Psychology. 2007; 17 (4):515–541. [ Google Scholar ] [ Ref list ]
Upadhyay UD, Hindin MJ, Gultiano S. Before First Sex: Gender Differences in Emotional Relationships and Physical Behaviors among Adolescents in the Philippines. International Family Planning Perspectives. 2006; 32 (3):110–119. [ PubMed ] [ Google Scholar ] [ Ref list ]
Rosenberger JG, Bell DL, McBride KR, Fortenberry JD, Ott MA. Condoms and developmental contexts in younger adolescent boys. Sexually Transmitted Infections. 2010; 86 (5):400–403. [ PMC free article ] [ PubMed ] [ Google Scholar ] [ Ref list ]
McLean KC. Late Adolescent Identity Development: Narrative Meaning Making and Memory Telling. Developmental Psychology. 2005; 41 (4):683–691. [ PubMed ] [ Google Scholar ] [ Ref list ]
Robinson KL, Price JH, Thompson CL, Schmalzried HD. Rural Junior High School Students' Risk Factors For and Perceptions of Teen-age Parenthood. Journal of School Health. 1998; 68 (8):334–338. [ PubMed ] [ Google Scholar ] [ Ref list ]
Strauss ALaC JM. Basics of qualitative research: Techniques and procedures for developing grounded theory. Thousand Oaks: Sage Publications; 1998. [ Google Scholar ] [ Ref list ]
Floersch J, Longhofer JL, Kranke D, Townsend L. Integrating Thematic, Grounded Theory and Narrative Analysis. Qualitative Social Work. 2010; 9 (3):407–425. [ Google Scholar ] [ Ref list ]
Hensel D, Newcamp J, Miles J, Fortenberry J. Picturing Sexual Spaces in Everyday Life: Exploring the Construction of Sexuality and Sexual Behavior among Early Adult Women. Sexuality Research and Social Policy. 2011; 8 (4):267–281. [ Google Scholar ] [ Ref list ]
Ott MA, Pfeiffer EJ, Fortenberry JD. Perceptions of Sexual Abstinence among High-Risk Early and Middle Adolescents. Journal of Adolescent Health. 2006; 39 (2):192–198. [ PubMed ] [ Google Scholar ] [ Ref list ]
Ott MA, Pfeiffer EJ. “That's Nasty” to Curiosity: Early Adolescent Cognitions about Sexual Abstinence. Journal of Adolescent Health. 2009; 44 (6):575–581. [ PMC free article ] [ PubMed ] [ Google Scholar ] [ Ref list ]
Giordano PC, Longmore MA, Manning WD. Gender and the Meanings of Adolescent Romantic Relationships: A Focus on Boys. American Sociological Review. 2006; 71 (2):260–287. [ Google Scholar ] [ Ref list ]
Mitchell K, Wellings K. First sexual intercourse: anticipation and communication. Interviews with young people in England. Journal of Adolescence. 1998; 21 (6):717–726. [ PubMed ] [ Google Scholar ] [ Ref list ]
Rosenthal D, Peart R. The rules of the game: teenagers communicating about sex. Journal of Adolescence. 1996; 19 (4):321–332. [ PubMed ] [ Google Scholar ] [ Ref list ]
Beier SR, Rosenfeld WD, Spitalny KC, Zansky SM, Bontempo AN. The Potential Role of an Adult Mentor in Influencing High-Risk Behaviors in Adolescents. Arch Pediatr Adolesc Med. 2000; 154 (4):327–331. [ PubMed ] [ Google Scholar ] [ Ref list ]
Kerrigan D, Andrinopoulos K, Johnson R, Parham P, Thomas T, Ellen JM. Staying Strong: Gender Ideologies among African-American Adolescents and the Implications for HIV/STI Prevention. Journal of Sex Research. 2007; 44 (2):172–180. [ PubMed ] [ Google Scholar ] [ Ref list ]
Singer MC, Erickson PI, Badiane L, Diaz R, Ortiz D, Abraham T, Nicolaysen AM. Syndemics, sex and the city: Understanding sexually transmitted diseases in social and cultural context. Social Science & Medicine. 2006; 63 (8):2010–2021. [ PMC free article ] [ PubMed ] [ Google Scholar ] [ Ref list ]
Way N. Adolescent boys: Exploring diverse cultures of boyhood. New York, NY, US: New York University Press; 2004. Intimacy, Desire, and Distrust in the Friendships of Adolescent Boys; pp. 167–196. [ Google Scholar ] [ Ref list ]
Dolcini MM, Harper GW, Boyer CB, Watson SE, Anderson M, Pollack LM, Chang JY. Preliminary Findings on a Brief Friendship-Based HIV/STI Intervention for Urban African American Youth: Project ÒRÉ Journal of Adolescent Health. 2008; 42 (6):629–633. [ PubMed ] [ Google Scholar ] [ Ref list ]

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a Section of Adolescent Medicine, Department of Pediatrics, Indiana University School of Medicine, Indianapolis, USA
a Section of Adolescent Medicine, Department of Pediatrics, Indiana University School of Medicine, Indianapolis, USA
a Section of Adolescent Medicine, Department of Pediatrics, Indiana University School of Medicine, Indianapolis, USA
c Department of Global and Community Health, George Mason University, Fairfax, VA, USA
b Department of Pediatrics, College of Physicians and Surgeons, and Mailman School of Public Health, Columbia University, New York, USA
There are limited contextual data regarding first sexual experiences of younger adolescent men. Yet these data that are needed to inform STI and early fatherhood prevention efforts, particularly in lower income communities. Using qualitative methods, 14 adolescent men (ages 14–16, all low income, most African American) from a mid-sized U.S. city were asked about relationships and sexual experiences in a one hour face-to-face semi-structured interview, with two follow-up interviews at 6–9 month intervals. Story-telling was encouraged. Descriptions of first sex were identified, and then analysed for narrative structure and shared concepts. The dominant narrative of first sex proceeded through three steps: (1) Preparation, which involved identification of a sexualised space, mentoring by an older man, and pre-planning; (2) the event, which involved looking for cues indicating sexual interest and consent from a female partner, feelings of fear/nervousness, and first sex itself; and (3) afterwards, which involved a return to prior activities, minimal verbal exchange and a general positive feeling, sometimes accompanied by later disappointment. Mentorship, initiation by the female, and idealising sex as a romantic experience, played important roles in constructing the context of first sex. These factors should be incorporated in harm-reduction interventions for young men in similar contexts.
First sexual experiences are considered particularly salient by both adolescents and researchers ( Lewin 1982 ; Cooksey, Mott and Neubauer 2002 ; Rebello and Gomes 2009 ) ( Traeen and Kvalem 1996 ) ( Holland et al. 2000 ). While detailed descriptions of young women’s first sexual experiences are available (see, for example, Thompson (1990) or Tolman and colleagues (2003) ) much less is known about adolescent boys.
Existing data provide a demographic portrait of adolescent boys’ early sexual behaviours. Studies have examined individual factors such as ethnicity, school record, career ambition and substance abuse, family factors such as parental living
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