{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,21]],"date-time":"2026-07-21T08:38:21Z","timestamp":1784623101473,"version":"3.55.0"},"reference-count":48,"publisher":"Oxford University Press (OUP)","issue":"3","license":[{"start":{"date-parts":[[2014,3,1]],"date-time":"2014-03-01T00:00:00Z","timestamp":1393632000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"funder":[{"DOI":"10.13039\/501100002879","name":"Canadian Institutes of Health Research","doi-asserted-by":"publisher","award":["MOP210316"],"award-info":[{"award-number":["MOP210316"]}],"id":[{"id":"10.13039\/501100002879","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2014,3,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Introduction<\/jats:title>\n                  <jats:p>Little is known about problems in sexual functioning among young people, despite the high rates found in adult samples. It is unclear which problems are most prevalent or how common sexual distress is for young people experiencing problems.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Aims<\/jats:title>\n                  <jats:p>This study aims to assess the prevalence, range, and correlates of sexual problems and distress among a sample of adolescents (16\u201321 years).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>Participants (mean age 19.2) were recruited from community and area high schools. Male adolescents (n = 114) completed online the International Index of Erectile Function (IIEF) and Premature Ejaculation Diagnostic Tool (PEDT). Female adolescents (n = 144) completed the Female Sexual Function Index (FSFI). Both completed the Female Sexual Distress Scale (FSDS) and the measures of background, relationship characteristics, and sexual histories.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Main Outcomes Measures<\/jats:title>\n                  <jats:p>Clinical cutoff scores on the IIEF, PEDT, FSFI, and FSDS were used to determine whether there was a significant sexual problem.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Adolescents reported extensive sexual experience, most in relationship contexts. Half of the sample (51.1%) reported a sexual problem; 50.0% reported clinically significant levels of distress associated with it. Similar rates of problems and distress were found among male and female adolescents. For the most part, adolescent characteristics, backgrounds, and experience were not associated with adolescents' sexual problems.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>Sexual problems are clearly prevalent among adolescents, and distressing to many who experience them, emphasizing a strong need to develop programs to address this issue.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1111\/jsm.12419","type":"journal-article","created":{"date-parts":[[2014,1,13]],"date-time":"2014-01-13T04:38:51Z","timestamp":1389587931000},"page":"630-641","source":"Crossref","is-referenced-by-count":68,"title":["Prevalence and Characteristics of Sexual Functioning among Sexually Experienced Middle to Late Adolescents"],"prefix":"10.1093","volume":"11","author":[{"given":"Lucia F.","family":"O'Sullivan","sequence":"first","affiliation":[{"name":"Department of Psychology \u00a0 , Fredericton, NB , Canada"},{"name":"University of New Brunswick \u00a0 , Fredericton, NB , Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lori A.","family":"Brotto","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology \u00a0 , Vancouver, BC , Canada"},{"name":"University of British Columbia \u00a0 , Vancouver, BC , Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"E. Sandra","family":"Byers","sequence":"additional","affiliation":[{"name":"Department of Psychology \u00a0 , Fredericton, NB , Canada"},{"name":"University of New Brunswick \u00a0 , Fredericton, NB , Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jo Ann","family":"Majerovich","sequence":"additional","affiliation":[{"name":"UNB Student Health Centre \u00a0 , Fredericton, NB , Canada"},{"name":"University of New Brunswick \u00a0 , Fredericton, NB , Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Judith A.","family":"Wuest","sequence":"additional","affiliation":[{"name":"Faculty of Nursing \u00a0 , Fredericton, NB , Canada"},{"name":"University of New Brunswick \u00a0 , Fredericton, NB , Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2014,3,1]]},"reference":[{"key":"2024032602352218300_bib1","doi-asserted-by":"crossref","first-page":"145","DOI":"10.1111\/j.1532-7795.2008.00554.x","article-title":"Light and heavy heterosexual activities of young Canadian adolescents: Normative patterns and differential predictors","volume":"18","author":"Williams","year":"2008","journal-title":"J Res Adolesc"},{"key":"2024032602352218300_bib2","first-page":"59","article-title":"Sexual health of Canadian youth: Findings from the Canadian youth, sexual health and HIV\/AIDS Study","volume":"15","author":"Boyce","year":"2006","journal-title":"Can J Hum Sex"},{"key":"2024032602352218300_bib3","doi-asserted-by":"crossref","first-page":"299","DOI":"10.1097\/00003727-200610000-00008","article-title":"Adolescent sexual health and practice: A review of the literature\u2014Implications for healthcare providers, educators, and policy makers","volume":"29","author":"Ahern","year":"2006","journal-title":"Fam Community Health"},{"key":"2024032602352218300_bib4","doi-asserted-by":"crossref","first-page":"277","DOI":"10.1146\/annurev.publhealth.27.021405.102244","article-title":"A public health success: Understanding policy changes related to teen sexual activity and pregnancy","volume":"27","author":"Brindis","year":"2006","journal-title":"Annu Rev Public Health"},{"key":"2024032602352218300_bib5","first-page":"197","article-title":"Sexual behaviour among adolescents: The role of the family, schools, and media in promoting sexual health","volume-title":"The crisis in youth mental health: Critical issues and effective programs","author":"Rosario","year":"2006"},{"key":"2024032602352218300_bib6","first-page":"1","article-title":"An adolescent perspective on sexual health education at school and at home: I. High school students","volume":"12","author":"Byers","year":"2003","journal-title":"Can J Hum Sex"},{"key":"2024032602352218300_bib7","first-page":"19","article-title":"An adolescent perspective on sexual health education at school and at home: II. Middle school students","volume":"12","author":"Byers","year":"2003","journal-title":"Can J Hum Sex"},{"key":"2024032602352218300_bib8","first-page":"9","article-title":"Parent-adolescent communication about sex and birth control: A conceptual framework","volume-title":"Talking sexuality: Parent-adolescent communication","author":"Jaccard","year":"2002"},{"key":"2024032602352218300_bib9","doi-asserted-by":"crossref","first-page":"39","DOI":"10.1038\/sj.ijir.3901250","article-title":"Sexual problems among women and men aged 40\u201380 y: Prevalence and correlates identified in the Global Study of Sexual Attitudes and Behaviors","volume":"17","author":"Laumann","year":"2005","journal-title":"Int J Impot Res"},{"key":"2024032602352218300_bib10","doi-asserted-by":"crossref","first-page":"970","DOI":"10.1097\/AOG.0b013e3181898cdb","article-title":"Sexual problems and distress in United States women: Prevalence and correlates","volume":"112","author":"Shifren","year":"2008","journal-title":"Obstet Gynecol"},{"key":"2024032602352218300_bib11","doi-asserted-by":"crossref","first-page":"724","DOI":"10.1007\/s10508-007-9220-1","article-title":"Correlates of early overt and covert sexual behaviors in heterosexual women","volume":"36","author":"Bickham","year":"2007","journal-title":"Arch Sex Behav"},{"key":"2024032602352218300_bib12","doi-asserted-by":"crossref","first-page":"102","DOI":"10.1080\/00224490509552263","article-title":"Context counts: Long-term sequelae of premarital intercourse or abstinence","volume":"42","author":"Else-Quest","year":"2005","journal-title":"J Sex Res"},{"key":"2024032602352218300_bib13","doi-asserted-by":"crossref","first-page":"155","DOI":"10.2105\/AJPH.2006.097444","article-title":"Long-term health correlates of timing of sexual debut: Results from a national US study","volume":"98","author":"Sandfort","year":"2008","journal-title":"Am J Public Health"},{"key":"2024032602352218300_bib14","doi-asserted-by":"crossref","first-page":"1349","DOI":"10.1111\/j.1743-6109.2008.01204.x","article-title":"National differences in parent-clinician communication regarding hypoactive sexual desire disorder","volume":"6","author":"Goldstein","year":"2009","journal-title":"J Sex Med"},{"key":"2024032602352218300_bib15","doi-asserted-by":"crossref","first-page":"1978","DOI":"10.1111\/jsm.12196","article-title":"Pelvic floor muscles mediate sexual problems in young adult rape victims","volume":"10","author":"Postma","year":"2013","journal-title":"J Sex Med"},{"key":"2024032602352218300_bib16","doi-asserted-by":"crossref","first-page":"2084","DOI":"10.1111\/jsm.12193","article-title":"Sexual function in childhood cancer survivors: A report from Project REACH","volume":"10","author":"Bober","year":"2013","journal-title":"J Sex Med"},{"key":"2024032602352218300_bib17","doi-asserted-by":"crossref","first-page":"580","DOI":"10.1016\/S1701-2163(16)30377-2","article-title":"The 2002 Canadian Contraception Study: Part B","volume":"26","author":"Fisher","year":"2004","journal-title":"J Obstet Gynaecol Canada"},{"key":"2024032602352218300_bib18","doi-asserted-by":"crossref","first-page":"877","DOI":"10.1007\/s10508-010-9637-9","article-title":"Biopsychosocial factors associated with dyspareunia in a community sample of adolescent girls","volume":"40","author":"Landry","year":"2010","journal-title":"Arch Sex Behav"},{"key":"2024032602352218300_bib19","doi-asserted-by":"crossref","first-page":"452","DOI":"10.1016\/j.jadohealth.2005.12.021","article-title":"Erectile dysfunction and Viagra use: What's up with college-age males?","volume":"39","author":"Mussachio","year":"2006","journal-title":"J Adolesc Health"},{"key":"2024032602352218300_bib20","doi-asserted-by":"crossref","first-page":"1425","DOI":"10.1097\/00002030-200207050-00017","article-title":"Increased risk of HIV and sexually transmitted disease transmission among gay or bisexual men who use Viagra, San Francisco 2000\u20132001","volume":"16","author":"Kim","year":"2002","journal-title":"AIDS"},{"key":"2024032602352218300_bib21","doi-asserted-by":"crossref","first-page":"1833","DOI":"10.1111\/jsm.12179","article-title":"One patient out of four with newly diagnosed erectile dysfunction is a young man\u2014Worrisome picture from the everyday clinical practice","volume":"10","author":"Capogrosso","year":"2013","journal-title":"J Sex Med"},{"key":"2024032602352218300_bib22","doi-asserted-by":"crossref","first-page":"195","DOI":"10.1300\/J015v24n01_21","article-title":"Female adolescent sexuality: An argument for a developmental perspective on the new view of women's sexual problems","volume":"24","author":"Tolman","year":"2002","journal-title":"Women Ther"},{"key":"2024032602352218300_bib23","doi-asserted-by":"crossref","first-page":"126","DOI":"10.1111\/j.1471-6402.2008.00418.x","article-title":"The sexual well-being of women who have experienced child sexual abuse","volume":"32","author":"Lemieux","year":"2008","journal-title":"Psychol Women Q"},{"key":"2024032602352218300_bib24","doi-asserted-by":"crossref","first-page":"2420","DOI":"10.1111\/j.1743-6109.2011.02341.x","article-title":"Recent and lifelong sexual dysfunction in a female UK population sample: Prevalence and risk factors","volume":"8","author":"Burri","year":"2011","journal-title":"J Sex Med"},{"key":"2024032602352218300_bib25","doi-asserted-by":"crossref","first-page":"175","DOI":"10.1037\/a0031683","article-title":"Virtual cheating hearts: Extradyadic and poaching interactions among adolescents with links to online sexual activities","volume":"45","author":"O'Sullivan","year":"2013","journal-title":"Canadian J Beh Sci"},{"key":"2024032602352218300_bib26","doi-asserted-by":"crossref","first-page":"455","DOI":"10.1037\/0022-006X.50.3.455","article-title":"Sexual Experiences Survey: A research instrument investigating sexual aggression and victimization","volume":"50","author":"Koss","year":"1982","journal-title":"J Consult Clin Psychol"},{"key":"2024032602352218300_bib27","doi-asserted-by":"crossref","first-page":"422","DOI":"10.1037\/0022-006X.53.3.422","article-title":"Sexual experiences survey: Reliability and validity","volume":"53","author":"Koss","year":"1985","journal-title":"J Consult Clin Psychol"},{"key":"2024032602352218300_bib28","doi-asserted-by":"crossref","first-page":"822","DOI":"10.1016\/S0090-4295(97)00238-0","article-title":"The International Index of Erectile Dysfunction (IIEF): A multidimenstional scale for assessment of erectile dysfunction","volume":"49","author":"Rosen","year":"1997","journal-title":"Urology"},{"key":"2024032602352218300_bib29","doi-asserted-by":"crossref","first-page":"565","DOI":"10.1016\/j.eururo.2007.01.028","article-title":"Development and validation of a premature ejaculation diagnostic tool","volume":"52","author":"Symonds","year":"2007","journal-title":"Euro Urol"},{"key":"2024032602352218300_bib30","doi-asserted-by":"crossref","first-page":"521","DOI":"10.1038\/sj.ijir.3901567","article-title":"Further evidence of the reliability and validity of the premature ejaculation diagnostic tool","volume":"19","author":"Symonds","year":"2007","journal-title":"Int J Impot Res"},{"key":"2024032602352218300_bib31","doi-asserted-by":"crossref","first-page":"346","DOI":"10.1016\/S0090-4295(99)00099-0","article-title":"Diagnostic evaluation of the erectile dysfunction domain of the International Index of Erectile Function","volume":"54","author":"Cappelleri","year":"1999","journal-title":"Urology"},{"key":"2024032602352218300_bib32","doi-asserted-by":"crossref","first-page":"191","DOI":"10.1080\/009262300278597","article-title":"The Female Sexual Function Index (FSFI): A multidimensional self-report instrument for the assessment of female sexual function","volume":"26","author":"Rosen","year":"2000","journal-title":"J Sex Marital Ther"},{"key":"2024032602352218300_bib33","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1080\/00926230590475206","article-title":"The Female Sexual Function Index (FSFI): Cross-validation and development of clinical cutoff scores","volume":"31","author":"Wiegel","year":"2005","journal-title":"J Sex Marital Ther"},{"key":"2024032602352218300_bib34","doi-asserted-by":"crossref","first-page":"3096","DOI":"10.1111\/j.1743-6109.2010.01871.x","article-title":"Sexual desire and the Female Sexual Function Index (FSFI): A sexual desire cutpoint for clinical interpretation of the FSFI in women with and without Hypoactive Sexual Desire Disorder","volume":"7","author":"Gerstenberger","year":"2010","journal-title":"J Sex Med"},{"key":"2024032602352218300_bib35","doi-asserted-by":"crossref","first-page":"317","DOI":"10.1080\/00926230290001448","article-title":"The Female Sexual Distres Scale (FSDS): Initial validation of a standardized scale for assessment of sexually related personal distress in women","volume":"28","author":"Derogatis","year":"2002","journal-title":"J Sex Marital Ther"},{"key":"2024032602352218300_bib36","doi-asserted-by":"crossref","first-page":"1549","DOI":"10.1111\/j.1743-6109.2009.01252.x","article-title":"Correlates of sexually related personal distress in women with low sexual desire","volume":"6","author":"Rosen","year":"2009","journal-title":"J Sex Med"},{"key":"2024032602352218300_bib37","doi-asserted-by":"crossref","first-page":"454","DOI":"10.1111\/j.1743-6109.2011.02507.x","article-title":"Premature ejaculation and erectile dysfunction prevalence and attitudes in the Asia-Pacific region","volume":"9","author":"McMahon","year":"2012","journal-title":"J Sex Med"},{"key":"2024032602352218300_bib38","doi-asserted-by":"crossref","first-page":"537","DOI":"10.1001\/jama.281.6.537","article-title":"Sexual dysfunction in the United States: Prevalence and predictors","volume":"281","author":"Laumann","year":"1999","journal-title":"JAMA"},{"key":"2024032602352218300_bib39","first-page":"82","article-title":"A population-based assessment of chronic unexplained vulvar pain: Have we underestimated the prevalence of vulvodynia?","volume":"58","author":"Harlow","year":"2003","journal-title":"J Am Med Womens Assoc"},{"key":"2024032602352218300_bib40","doi-asserted-by":"crossref","first-page":"52","DOI":"10.1007\/BF02701260","article-title":"Sexual scripts","volume":"22","author":"Simon","year":"1984","journal-title":"Society"},{"key":"2024032602352218300_bib41","doi-asserted-by":"crossref","first-page":"7","DOI":"10.1300\/J056v08n01_02","article-title":"How well does the traditional sexual script explain sexual coercion?: Review of a program of research","volume":"8","author":"Byers","year":"1996","journal-title":"J Psychol Human Sex"},{"key":"2024032602352218300_bib42","doi-asserted-by":"crossref","first-page":"517","DOI":"10.1080\/00224499.2012.700739","article-title":"College students and sexual consent: Unique insights","volume":"6","author":"Jozkowski","year":"2013","journal-title":"J Sex Res"},{"key":"2024032602352218300_bib43","doi-asserted-by":"crossref","first-page":"189","DOI":"10.1111\/j.1728-4465.2001.00189.x","article-title":"The effect of power in sexual relationships on reproductive and sexual health: An examination of the evidence","volume":"32","author":"Blanc","year":"2001","journal-title":"Stud Fam Plann"},{"key":"2024032602352218300_bib44","first-page":"41","article-title":"Sexual dysfunction in women: An overview of psychological\/psychosocial, pathophysiological, etiological aspects and treatment strategies","volume":"1","author":"Qureshi","year":"2007","journal-title":"Pharmacogn Rev"},{"key":"2024032602352218300_bib45","doi-asserted-by":"crossref","first-page":"1598","DOI":"10.1111\/j.1743-6109.2010.01778.x","article-title":"Definitions\/epidemiology\/risk factors for sexual dysfunction","volume":"7","author":"Lewis","year":"2010","journal-title":"J Sex Med"},{"key":"2024032602352218300_bib46","doi-asserted-by":"crossref","first-page":"3364","DOI":"10.1111\/j.1743-6109.2009.01494.x","article-title":"Risk factors for individual domains of female sexual function","volume":"6","author":"Jiann","year":"2009","journal-title":"J Sex Med"},{"key":"2024032602352218300_bib47","doi-asserted-by":"crossref","first-page":"120","DOI":"10.1111\/jsm.12050","article-title":"Adult survivors of childhood cancer: The medical and psychosocial late effects of cancer treatment and the impact on sexual and reproductive health","volume":"10","author":"Jacobs","year":"2013","journal-title":"J Sex Med"},{"key":"2024032602352218300_bib48","doi-asserted-by":"crossref","first-page":"133","DOI":"10.1111\/jsm.12048","article-title":"Developing age appropriate psychosexual support for adolescent cancer survivors: A discussion paper","volume":"10","author":"Kelly","year":"2013","journal-title":"J Sex Med"}],"container-title":["The Journal of Sexual Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1743609515307086?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1743609515307086?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/academic.oup.com\/jsm\/article-pdf\/11\/3\/630\/48358647\/jsm_11_3_630.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jsm\/article-pdf\/11\/3\/630\/48358647\/jsm_11_3_630.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,3,26]],"date-time":"2024-03-26T02:57:21Z","timestamp":1711421841000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jsm\/article\/11\/3\/630\/6958045"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,3,1]]},"references-count":48,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2014,3,1]]},"published-print":{"date-parts":[[2014,3,1]]}},"URL":"https:\/\/doi.org\/10.1111\/jsm.12419","relation":{},"ISSN":["1743-6109","1743-6095"],"issn-type":[{"value":"1743-6109","type":"electronic"},{"value":"1743-6095","type":"print"}],"subject":[],"published-other":{"date-parts":[[2014,3]]},"published":{"date-parts":[[2014,3,1]]}}}