{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,18]],"date-time":"2026-02-18T03:43:13Z","timestamp":1771386193708,"version":"3.50.1"},"reference-count":32,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2024,6,22]],"date-time":"2024-06-22T00:00:00Z","timestamp":1719014400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100006438","name":"Office of the Assistant Secretary for Health","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100006438","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Adolescence"],"published-print":{"date-parts":[[2024,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>The United States has the highest teen pregnancy rate and sexually transmitted infection rates among developed countries. One common approach that has been implemented to reduce these rates is abstinence\u2010only\u2010until\u2010marriage programs that advocate for delaying sexual intercourse until marriage. These programs focus on changing adolescents' beliefs toward abstinence until marriage; however, it is unclear whether adolescents' beliefs about abstinence predict their sexual behavior, including sexual risk behavior (SRB). An alternative approach may be encouraging youth to delay their sexual debut until they reach the age of maturity, but not necessarily until marriage.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>To address this question, we compare the longitudinal association between abstinence beliefs (i.e., abstaining completely until marriage) and beliefs about delayed sexual debut with subsequent SRB 24 months later. The harmonized data set included 4620 (58.2% female, <jats:italic>M<\/jats:italic><jats:sub>age<\/jats:sub>\u2009=\u200913.0, SD<jats:sub>age<\/jats:sub>\u2009=\u20090.93) participants from three randomized controlled trials attending 44 schools in the southern United States. Negative binomial regressions were employed to examine the association of abstinence until marriage beliefs and beliefs regarding delaying sex with SRB.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>We identified that beliefs supporting delaying sex until an age of maturity were associated with lower odds of engaging in SRB, such as having multiple sex partners and frequency of condomless sex, for both sexes. However, stronger abstinence beliefs had no significant associations with all SRB outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Findings suggest prevention programming that focuses on encouraging youth to delay sex until an appropriate age of maturity may be more effective at preventing SRB and consequent negative sexual health outcomes.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jad.12365","type":"journal-article","created":{"date-parts":[[2024,6,23]],"date-time":"2024-06-23T06:59:05Z","timestamp":1719125945000},"page":"1684-1690","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Abstinence beliefs in early adolescence and sexual risk behavior two years later"],"prefix":"10.1002","volume":"96","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9822-4824","authenticated-orcid":false,"given":"Shristi","family":"Bhochhibhoya","sequence":"first","affiliation":[{"name":"Department of Health, Human Performance &amp; Recreation University of Arkansas Fayetteville North Carolina USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Briana","family":"Edison","sequence":"additional","affiliation":[{"name":"School of Public Health &amp; Center for Research on Interpersonal Violence Georgia State University Atlanta Georgia USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elizabeth R.","family":"Baumler","sequence":"additional","affiliation":[{"name":"School of Behavioral Health Sciences University of Texas Health Science Center at Houston Houston Texas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christine M.","family":"Markham","sequence":"additional","affiliation":[{"name":"School of Public Health University of Texas Health Science Center at Houston Houston Texas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Susan T.","family":"Emery","sequence":"additional","affiliation":[{"name":"School of Public Health University of Texas Health Science Center at Houston Houston Texas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Melissa F.","family":"Peskin","sequence":"additional","affiliation":[{"name":"School of Public Health University of Texas Health Science Center at Houston Houston Texas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ross","family":"Shegog","sequence":"additional","affiliation":[{"name":"School of Public Health University of Texas Health Science Center at Houston Houston Texas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert C.","family":"Addy","sequence":"additional","affiliation":[{"name":"School of Public Health University of Texas Health Science Center at Houston Houston Texas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jeff R.","family":"Temple","sequence":"additional","affiliation":[{"name":"School of Behavioral Health Sciences University of Texas Health Science Center at Houston Houston Texas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dennis E.","family":"Reidy","sequence":"additional","affiliation":[{"name":"School of Public Health &amp; Center for Research on Interpersonal Violence Georgia State University Atlanta Georgia USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,6,22]]},"reference":[{"key":"e_1_2_10_2_1","unstructured":"Advocates for Youth. (2007).The history of federal abstinence\u2010only funding.https:\/\/advocatesforyouth.org\/wp-content\/uploads\/storage\/advfy\/documents\/fshistoryabonly.pdf"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jadohealth.2010.05.004"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/1363460708089425"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1136\/sti.2007.026245"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.5993\/AJHB.29.5.5"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1177\/1090198110375036"},{"key":"e_1_2_10_8_1","unstructured":"Centers for Disease Control and Prevention. (2023).Youth risk behavior survey data\u20102019.https:\/\/www.cdc.gov\/healthyyouth\/data\/yrbs\/results.htm"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1746-1561.2006.00135.x"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.whi.2014.02.002"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1080\/15546128.2015.1015760"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11121-022-01438-5"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1001\/archpediatrics.2007.12"},{"key":"e_1_2_10_14_1","unstructured":"Guttmacher Institute. 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