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Journal List HHS Author Manuscripts PMC3439130

Cult Health Sex. Author manuscript; available in PMC 2013 Aug 1.
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
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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 arrangement, maternal education, parental communication and parental involvement; and peer factors such as peer pressure and relationship status ( Mott et al. 1996 ; Sieving, McNeely and Blum 2000 ; Eyre, Davis and Peacock 2001 ; Hawes, Wellings and Stephenson 2010 ). In a U.S. nationally representative study of 15–19 year old men, sexual experience was common (43% report ever having sex), but sexual activity in the last month was less so (14%); contraceptive use was also relatively common (87% reported some type of contraception at first sex, primarily condoms or a combination of another method and condoms) ( Abma, Martinez and Copen 2010 ). Even though these studies describe contributing factors, they are not able to capture immediate context, motivation, and perceptions of early sexual experiences.
Yet available data suggest that these contexts, motivations and perceptions are important to sexual health prevention. Similar to very young women, experiences of coercion, wantedness and regret appear to be salient to young men’s very early sexual experiences. While first sex for U.S. adolescent men was not frequently unwanted (5% reported unwanted sexual behaviours), many had mixed feelings, with 34% reporting that “part of me wanted it to happen at the time and part of me didn’t” ( Abma, Martinez and Copen 2010 ). In a British national survey, only 8% of young men reporting first intercourse between 18 and 24 years of age expressed regret, whereas 42
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https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3439130/
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