And it wasn't because they were having more abortions. The other is the recommendation from the American Academy of Pediatrics that sexually active teenagers be offered "long-acting reversible contraception" methods such as implants and intrauterine devices, which are highly effective and do not require any additional action, such as remembering to take a daily pill. Data from 29 state YRBSs conducted by state health and education agencies also were included in this report. Second, decreases were seen among 9th and 10th grade students, but not 11th and 12th grade students. But that wasn't because teens were shunning sex. But Lindberg noted that just as for older women, teens should be offered a full choice of contraceptives. Nationwide, the proportion of high school students who had ever had sexual intercourse decreased significantly overall and among 9th and 10th grade students, non-Hispanic black black students in all grades, and Hispanic students in three grades. The majority of adolescents initiate sexual activity during high school, and the proportion of high school students who have ever had sexual intercourse increases by grade; black students are more likely to have ever had sexual intercourse than are white students 3.
Summary What is already known about this topic? Local parental permission procedures were followed before survey administration. For the state YRBSs, prevalence estimates were computed by grade. First, these data apply only to youths who attend school and, therefore, are not representative of all persons in this age group. Early initiation of sexual activity is associated with having more sexual partners, not using condoms, sexually transmitted infection STI , and pregnancy during adolescence 1,2. Among 11th grade students, a significant linear decrease in prevalence was identified only among black students Nationwide, during —, a significant linear decrease in the prevalence of ever having had sexual intercourse among all students in grades 9—12 A similar pattern by grade was observed in nearly half the states 14 , where the prevalence of ever having had sexual intercourse decreased only in 9th grade or only in 9th and 10th grades; nearly all other states saw decreases in some or all grades. This observation, as well as decreases in the prevalence of sexual intercourse among black and Hispanic students, represent positive changes among groups of students who have been determined in previous studies to be at higher risk for negative outcomes associated with early sexual initiation. For each survey, a three-stage cluster sample design was used to produce a nationally representative sample of students in grades 9—12 who attend public and private schools. The increase in contraceptive use dates to the mids, with the use of any contraceptive at the most recent sexual encounter rising from 66 to 86 percent from to Among 12th grade students, a significant linear decrease in prevalence was identified among female One is the Affordable Care Act requirement that boosted insurance coverage for contraception, starting in Most adolescents initiate sexual activity during high school. The decreases in sexual intercourse by grade suggest that fewer students are having sexual intercourse during the earlier years of high school; this finding is especially encouraging. And it wasn't because they were having more abortions. A similar pattern was observed in almost half 14 of the states where the prevalence of ever having had sexual intercourse decreased only in 9th grade or only in 9th and 10th grades, and only two states experienced no decreases by grade. But Lindberg noted that just as for older women, teens should be offered a full choice of contraceptives. Each questionnaire included the following question to ascertain prevalence of ever having had sexual intercourse: What is added by this report? The majority of adolescents initiate sexual activity during high school, and the proportion of high school students who have ever had sexual intercourse increases by grade; black students are more likely to have ever had sexual intercourse than are white students 3. Instead, they found that teens were using contraceptives more often, combining methods more often, and using more effective methods, such as the birth control pill, IUDs and implants. The decreases by grade suggest that fewer students are having sexual intercourse during the earlier years of high school. Across 29 states, a significant linear decrease in the prevalence of ever having had sexual intercourse was identified among only 9th grade students in five states; among only 9th and 10th grade students in nine states; among only 9th, 10th, and 11th grade students in seven states; among 9th, 10th, 11th, and 12th grade students in three states; and among other combinations of grades in three states Figure 2. The proportion of high school students overall who had ever had sexual intercourse did not change significantly during —
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