"They Mostly Preached Abstinence Which Didn't Work": Young Adults' Perception of Sex-Related Messages from Caregivers Prior to Initiation of Sex.

Parental communication about sex is an important aspect of sexual socialization. However, research has primarily focused on sexual communication's presence, frequency, or topics, with less research on the specific messages parents communicate. Further, few studies have differentiated between communication received before and after youth initiated sex. Therefore, in this paper, we coded open-ended survey responses to explore the sex-related messages young adults report receiving from their caregiver(s) before they began engaging in sex. As part of a larger study, 381 U.S. young adults (Mage = 21.0 years, SD = 2.0) completed an online survey and responded to an open-ended question about messages their caregiver(s) communicated before they began engaging in sex. Participants identified as cisgender women (62.2%), cisgender men (12.1%), and gender diverse (25.7%), and were primarily lesbian, gay, bisexual, queer, questioning, or otherwise non-heterosexual (LGBQ+; 70.6%) young adults. Through thematic analysis, we identified six themes for caregivers' sex-related messages: sex-restrictive, safety and consequences, no, negative, sex-positive, and informational messages. In addition, we found that messages varied by young adults' gender identity and sexual orientation. Our findings suggest that young adults may not receive proper education about healthy sexual relationships and demonstrate the need for interventions with caregivers, as well as sexual health resources for adolescents and young adults, particularly LGBTQ+ youth.

Religiosity, sexual behaviors, sexual motivations, and gender: A three-year longitudinal study.

Longitudinal data are critical for examining associations of religiosity with sexual behaviors and motivations during college. We use hierarchical linear modeling on five semesters of data from a diverse sample of college students (N = 735) to examine within- and between-person associations between religious service attendance and importance of religion and sexual behaviors and motivations for and against sex and consider gender as a moderator. Between-person religiosity was associated with sexual behaviors and motivations whereas within-person religiosity was not. Students' sexual motivations co-varied across semesters with their religious service attendance and importance of religion. Our results indicated more restrictive associations between religiosity and sexual motivations for women than for men.

Does Sex Improve With Experience?: A Latent Transition Analysis of College Students' Penile-Vaginal Sex-related Consequences.

Sex researchers have primarily focused on first penile-vaginal sex and negative consequences. However, because sexual behaviors and attitudes change with age, sex-related consequences may also change. In this study, 275 college students reported on penile-vaginal sex-related consequences the prior day in 733 daily diaries across two or more semesters. Participants were primarily female (63%) and heterosexual (98%). The sample was racially and ethnically diverse, with 30% identifying as Hispanic and, of the non-Hispanic participants, 35% White, 24% Black/African American, 20% Asian-American/Alaskan Native, 2% American Indian, and 2% Hawaiian/Pacific Islander. During their first semester, participants were, on average, 18.4 years old (SD = 0.4). Latent class analysis identified three classes: High Positive (56%), Intimacy and Satisfaction Only (34%), and Moderate Positive With Health Concerns (10%). Over time, students were likely to transition out of the Moderate Positive With Health Concerns and High Positive classes, and into the Intimacy and Satisfaction Only class. The findings suggest that discussing protection from health concerns and positive aspects of sexuality may lead to better student engagement in safe sex programming.

Positive, Negative, or Mixed Feelings? A Person-Centered Approach to Consequences of First Penile-Vaginal Intercourse in College Students.

Many adolescents and young adults have mixed feelings about their experience of first vaginal intercourse, experiencing both positive consequences like physical satisfaction and love, as well as negative consequences like guilt and anxiety. However, no study has examined the patterns of consequences individuals experience after first vaginal intercourse, which can provide a more nuanced sense of young adults' feelings. We used latent class analysis to examine consequences of first vaginal intercourse in a longitudinal study of college students in the Northeastern United States (N = 191; 45.6% female, 30.9% White/European American, 23.6% Asian American/Pacific Islander, 22.5% Hispanic/Latino, 14.7% Black/African American, 8.4% multiracial). For male college students, classes included Multidimensional Positive (49.4%), Intimacy and Satisfaction (4.39%), and Guilt and Regret (16.22%). For female college students, classes included Intimacy, Satisfaction, and Pain (40.84%), Primarily Negative (31.11%), and Mixed Feelings (20.86%). For male students, age at first vaginal intercourse, first intercourse with a non-relationship partner, religiosity, and non-use of contraceptives were associated with class membership; for female students, first intercourse with a non-relationship partner was associated with being* in classes marked by multiple negative consequences. Findings differ by gender and are partially in line with the sexual double standard, but provide a more nuanced picture, with the majority of both male and female college students likely to report positive consequences, specifically intimacy and physical satisfaction.

Short-Term Consequences of Sex: Contextual Predictors and Change Across College.

Although sexual experiences are normative by young adulthood, individuals continue to explore and develop their sexual behaviors and cognitions across the college years. Thus, perceived consequences of sexual experiences may change. Similarly, characteristics of sexual experiences such as partner type, alcohol use, and sexual behavior type predict perceived consequences, and these associations may change over time. In this study, we addressed links between characteristics of sexual experiences (casual vs. committed partner, heavy alcohol use on sex days, and kissing/touching only vs. oral/penetrative sex) and short-term perceived consequences of sexual experiences (physical satisfaction, emotional intimacy, not satisfied, guilt, not ready), using daily data collected longitudinally across seven college semesters. We also examined whether perceived consequences of sex change across college and whether within-person daily associations between sexual experience characteristics and perceived consequences of sex change across college. An ethnically and racially diverse sample of traditionally aged first year university students (N = 566; 54% female; 98% heterosexual) completed online surveys, yielding 8,838 daily reports about sexual behaviors. Multilevel models indicated that partner type, heavy alcohol use, and sexual behavior type predicted within-person differences in perceived consequences of sex. Interactions between characteristics of sexual experiences and college semester indicated that differences in perceived consequences of sexual experiences with casual versus committed partners lessened over time. The likelihood of reporting physical satisfaction and guilt after only kissing/touching (but not oral/penetrative sex) decreased across college semesters. Findings inform understanding of normative sexual development by demonstrating that perceived consequences and their predictors change across time.

Changes in psychological distress after first vaginal intercourse in late adolescence.

INTRODUCTION: Although early sexual intercourse may be associated with increased depressive symptoms, little research has examined whether first intercourse in late adolescence is associated with changes in mental health. METHODS: This paper uses 3 years of longitudinal data from previously sexually abstinent late adolescent students at a large state university in the northeastern United States (N = 144, 53.5% male, M age = 18.5 years old, 47.2% White, 26.4% Asian/Hawaiian/Pacific Islander, 20.1% Hispanic/Latino, 18.1% Black/African American) to examine whether levels of psychological distress changed after first intercourse. RESULTS: Students' distress decreased after first intercourse, although this effect was only significant two or more semesters after first intercourse. There were no gender differences in these associations. CONCLUSIONS: Findings suggest first intercourse was, on average, associated with decreased psychological distress for both male and female late adolescents.

Fraternity Membership, Traditional Masculinity Ideologies, and Impersonal Sex: Selection and Socialization Effects.

Fraternity culture perpetuates traditional masculinity ideologies, but little research has considered the process by which men internalize these ideologies. Men may select into fraternities based on preexisting ideologies, or fraternities may have a socializing effect on ideologies. We used two longitudinal datasets to explore selection and socialization effects of fraternity membership on masculinity ideologies (gendered beliefs, gendered traits, and sexual double standard beliefs) and impersonal sex (sexual motives and multiple sex partners) among ethnically and racially diverse college men. Using dataset one (n = 166, M = 18.0 years old fall of first year), we explored the selection and socialization effects of fraternity membership on male role norms, masculine traits, and endorsement of the sexual double standard. Men who more strongly endorsed male role norms about status and the sexual double standard were more likely to join fraternities than other men, indicating selection effects. Using dataset two (n = 256, M = 18.5 years old fall of first year), we explored selection and socialization effects of fraternity membership on sex motives and multiple sex partners. We did not find much evidence for selection or socialization effects on sex motives and multiple sex partners. Our findings may inform intervention efforts for men before and during college.

Does Alcohol Use in Large Group Contexts Mediate the Association Between Sex-Related Alcohol Expectancies and Rape?

Women who hold positive beliefs about alcohol's role in sexual experiences may be more likely to drink alcohol in large group contexts such as bars and parties than other women. These contexts may confer risk for rape. In the current article, we examined the association between sex-related alcohol expectancies and rape during college, and whether drinking in large group contexts mediates this association. College women completed surveys for seven consecutive semesters. Contrary to previous cross-sectional research, women with more positive sex-related alcohol expectancies at the start of college and women who drank alcohol more frequently in large groups at the start of college were no more likely to experience rape during college. Longitudinal research is critical to identify risk factors that may be targeted for prevention.

The role of sexual mindfulness in sexual wellbeing, Relational wellbeing, and self-esteem.

In this study we examine the role of sexual mindfulness in individuals' sexual satisfaction, relational satisfaction, and self-esteem. Midlife U.S. men and women (N = 194 married, heterosexual individuals; 50.7% female; 94% Caucasian, age range 35-60 years) completed an online survey. More sexually mindful individuals tended to have better self-esteem, be more satisfied with their relationships and, particularly for women, be more satisfied with their sex lives. Some of these associations occurred even after controlling for trait mindfulness. These findings may also allow researchers and therapists to better address an individual's sexual wellbeing, relational wellbeing, and self-esteem by teaching sexual mindfulness skills.

Sources of Social Influence on Adolescents' Alcohol Use.

The present research examines social influences on self-reported frequency of drunkenness in a longitudinal sample of 1,439 adolescents (46% female, 90% White, mean age = 14 at baseline) with social network measures from friends, romantic partners, and romantic partners' friends. We build on past research by addressing multiple mechanisms of social influence-peers' frequency of drunkenness, alcohol-related attitudes, and unstructured socializing-across relationship types. Adolescents' drunkenness frequency increased when their friends' and partners' friends' drunkenness frequency increased and when their romantic partners' positive alcohol-related attitudes increased. Furthermore, the association between unstructured socializing and frequency of drunkenness was stronger for older than younger adolescents. Results advance understanding of the social transmission of alcohol use in adolescence and inform intervention efforts.

Peer Acceptance and Sexual Behaviors from Adolescence to Young Adulthood.

Well-liked adolescents are more likely than their peers to engage in sexual behaviors, which may place them at higher risk of negative outcomes such as sexually transmitted infections and unwanted pregnancy. Yet, little is known regarding whether peer acceptance in adolescence predicts sexual outcomes in young adulthood. Understanding developmental links between peer acceptance and sexual outcomes will inform theories of how peers affect health and can help identify targets for health promotion efforts. Using longitudinal sociometric data from 1878 participants in the PROSPER study (54% female, 82% White, mean age = 11.79 at baseline), the present research examined the association of adolescent peer acceptance, reported annually from grades 6-11, with adolescent and young adult sexual outcomes. Well-liked adolescents were more likely to have sexual intercourse by age 16. At age 19, well-liked individuals were more likely to have had sexual intercourse but were less likely to be diagnosed with a sexually transmitted infection. For boys but not girls, peer acceptance was linked to having more past year sexual partners in young adulthood. Adolescent peer acceptance was not associated with other young adult sexual outcomes, such as sex without a condom or casual sex. Overall, well-liked adolescents demonstrated healthy sexual development into young adulthood, despite a higher likelihood of sexual initiation early in adolescence. Findings demonstrate the importance of peer acceptance for healthy development into young adulthood and suggest that well-liked adolescents may be appropriate targets for peer-led sexual health education programs.

Never Been Kissed: Correlates of Lifetime Kissing Status in U.S. University Students.

Kissing a partner occurs relatively early during adolescence. Thus, young adults who have never kissed are off-time from their peers. Substantial exploration in the areas of identity and intimacy occur during this period, and kissing may fulfill both of these functions, addressing autonomy and relatedness motives for sexual behaviors. We examined the prevalence and personal, contextual, and adjustment/health predictors of delayed onset of kissing. An ethnically and racially diverse sample of traditionally aged first year university students (N = 738; 50.7% female) completed online surveys. Only 14.2% of young adults had never kissed a partner on the lips. Compared to their peers who had kissed partners, young adults who had never kissed were more likely to be Asian-American, less likely to be in a romantic relationship, were less extraverted, were more likely to be in the Honors College, and drank alcohol less frequently. In bivariate models but not the multivariate model, young adults who had never kissed were more neurotic, had mothers who were less facilitating of independence, and had lower self-esteem. Findings inform understanding of normative sexuality development, and inform future research on normative and off-time sexual behaviors in young adulthood.

Daily Associations Between Kissing and Affect During the Transition From Adolescence to Young Adulthood.

Kissing during late adolescence and the transition to adulthood is prevalent, relatively frequent, and distinct from many sexual behaviors in that it affords positive consequences with minimal risk. In this study, we examined within-person associations between kissing and day-to-day variation in affect. A racially/ethnically diverse sample of college students (N = 560; 54.1% female) completed up to 14 daily surveys for seven consecutive semesters. On days when students kissed, they reported more positive and less negative affect than on other days, after controlling for a number of known correlates. Findings differed at the semester- and person levels. Findings contribute to a normative developmental understanding of sexual behaviors during adolescence and the transition to adulthood.

Early Sexual Initiation and Mental Health: A Fleeting Association or Enduring Change?

The present research examined how the within-person association between sexual initiation and internalizing symptoms decays over time, using data with annual measurement occasions across adolescence (N = 1,789) and statistical models of within-person change. Sexual initiation was associated with increased levels of internalizing symptoms for early-initiating girls (ninth grade, approximately age 15), but not for on-time-initiating girls or for boys. The association between girls' early sexual initiation and internalizing symptoms declined precipitously over time. Indeed, 1 year after sexual debut, early-initiating girls were similar to on-time or noninitiating girls on internalizing symptoms, suggesting early sexual initiation does not produce lasting detriments to girls' mental health. Findings inform how researchers perceive sexual initiation, both as a developmental milestone and as a prevention target.

Are mothers' and fathers' parenting characteristics associated with emerging adults' academic engagement?

Although parenting is clearly linked to academic engagement in adolescence, less is known about links between parenting and academic engagement in emerging adulthood. A diverse sample of college students (N = 633; 53.1% female, 45.7% White/European American, 28.3% Asian American/Hawaiian/Pacific Islander, 26.4% Hispanic/Latino American, 21.6% Black/African American, and 2.8% Native American/American Indian) answered surveys about mothers' and fathers' parenting style, parent-offspring relationship quality, academic attitudes, academic behaviors, and academic performance. Emerging adults with more permissive mothers viewed grades as less important than emerging adults with less permissive mothers. Mothers' authoritarian parenting, mothers' permissive parenting, and relationship quality with father were differentially related to academic engagement depending on emerging adults' gender. Both mothers' and fathers' parenting characteristics may impact the academic engagement of emerging adults via past parenting behaviors and current quality of the parent-offspring relationship, despite decreased physical proximity of emerging adults and their parents.

Oral vs. Vaginal Sex Experiences and Consequences Among First-Year College Students.

To fully understand late adolescents' experiences of oral sex, we must consider both risk and normative developmental perspectives. Sexual experiences include a range of behaviors, but research on sexual behaviors and consequences focuses primarily on vaginal sex. Oral sex occurs at rates similar to vaginal sex, and carries some, though less, risk than vaginal sex. The current study examined the event-level prevalence and consequences of oral sex compared to vaginal sex with other-sex partners in first-year college students. Daily data were from recently sexually active first-year college students (N = 253 people, 834 days; M age, 18.4 years; SD = 0.4; 56% female; 31% Hispanic/Latino; 17% African American, 14% Asian American/Pacific Islander, 25% European American, 12% multiracial) who reported on sexual behaviors and consequences. Both positive (intimacy, physical satisfaction) and negative (worrying about health, guilt) consequences were less common for oral than vaginal sex. Gender differences suggested that female adolescents may find vaginal sex more rewarding than oral sex, whereas male adolescents may find them equally rewarding.

Gender's role in misperceptions of peers' sexual motives.

The sexual double standard influences men's and women's sexual attitudes and behavior, leading men and women to consider distinct sexual motives, or reasons whether or not to engage in sexual intercourse (Crawford & Popp 2003; Reiss 1964). The goal of the present paper was to document how the sexual double standard shapes perceptions of peers' sexual motives. We build on past research by using open-ended questions and measuring perceptions of both same-gender and other-gender peers. The sample included 154 heterosexual college students (50% female, 49% European American, 25% Latino American, 26% African American) recruited via probability sampling. When we compared perceptions of men's and women's sexual motives, we found that participants seemed to rely on the sexual double standard. Participants were more likely to attribute a female-stereotyped motive (e.g., romantic relationship characteristics, feeling "ready", emotional investment) and less likely to attribute a male-stereotyped motive ("easy", arousal, physical appearance) to female peers than to male peers. However, when we compared participants' own motives to perceptions of their peers' motives, participants overestimated male-stereotyped motives and underestimated female-stereotyped motives in peers, regardless of peer gender, possibly in congruence with stereotypes of hookup culture. These findings demonstrate that, although individuals sometimes rely on the sexual double standard to attribute sexual motives to others, misperceptions of peers' sexual motives may also be influenced by stereotypes of hookup culture. These misperceptions contribute to pluralistic ignorance that may influence college students' sexual behaviors.

"It felt good but weird at the same time": Emerging adults' first experiences of six different sexual behaviors.

Although sexual behavior is multidimensional, little research has focused on the experience of non-intercourse behaviors for adolescents and emerging adults. This paper uses open-ended coded data from a longitudinal study of college students (N = 346; Mean age = 18.5, 52% female, 27% Hispanic/Latino [HL], 25% non-HL European American, 23% non-HL Asian American, 16% non-HL African American, 9% non-HL Multiracial) to examine what emotional responses emerging adults report about their first experiences of six sexual behaviors. The four most common emotional reactions were happy, excited, fearful, and indifferent. Descriptions were largely positive, although mixed reactions were relatively common and emotional reactions varied by behavior. Results suggest the importance of including multiple types of sexual behaviors, as well as their possible positive and negative outcomes, in sexuality education programs.

Sex Rules: Emerging Adults' Perceptions of Gender's Impact on Sexuality.

Past research often explains gender differences in sexual behavior according to differences in social norms for men and women. Yet, individuals' perceptions and internalizations of current social norms are not well understood. This study aimed to examine emerging adults' perceptions of how being male or female impacts their sexuality and how their perceptions would differ if they were another gender. Participants (N = 205) were college students, 61% female, and ranged from age 18-25 (M = 20.5, SD = 1.7). Participants answered open-ended questions about gender and responses were coded for content, positive tone, and negative tone. In describing how being female affected their sexual thoughts and feelings, women were more likely than men to focus on reputation concerns and describe limits and contexts in which sexual behavior was acceptable. In describing how being male affected their sexual thoughts and feelings, men were more likely than women to focus on issues of desire. Women's perceptions about how their sexual thoughts and feelings would differ if they were male were consistent with men's perceptions of their own gender's actual impact on sexuality, and vice versa. Women's descriptions of their own gender's impact on sexuality were more emotionally laden than men's. Finally, being older was associated with less negative and more positive emotional tone in men's and women's responses respectively.

Correlates of human papillomavirus vaccination among female university students.

Human papillomavirus (HPV) is the most frequently occurring sexually transmitted infection in the United States, but only one third of adolescent girls have received the HPV vaccine (Centers for Disease Control and Prevention [CDC], 2012; Committee on Infectious Diseases, 2012). Understanding correlates of vaccination behavior among young women has important implications for health care delivery and public service messages targeting HPV vaccination. Female college students (N = 313) completed web-based surveys during their sophomore (second) year of college, fall 2008. Surveys included questions about HPV vaccination, demographic factors (ethnicity/race, socioeconomic status [SES]), individual characteristics (romantic relationship status, grade point average, religiosity), and sexual behavior. Lifetime HPV vaccination was reported by 46.5% of participants. Being African American/Black was associated with a lower likelihood of vaccination. Having a mother with more education, adhering to religious teachings about sex-related principles, and having engaged in recent penetrative sex were associated with a higher likelihood of vaccination. Health care providers should consider young women to be an important group for HPV vaccine education and catch-up, particularly for African American/Black young women and young women from lower SES backgrounds. Providing vaccine education and access to young women before they become sexually active is critical.