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Participants included adolescents aged 13 to 17 ( M = 15.5, SD = 1.49) at baseline ( n = 714), followed over 18 months. Computer-assisted interviews were used to collect self-reported sexual practices and experiences of physical and psychological abuse at both time points. Latent transition analyses were used to identify three patterns of sexual risk behaviors: abstainers, safe sex with multiple partners, and unsafe sex with multiple partners. Most adolescents transitioned to safer sexual behavior patterns over time. Adolescents exhibiting the riskiest sexual practices at baseline were most likely to report subsequent abuse and less likely to be placed into out-of-home care. Findings provide a more nuanced understanding of sexual risk among child welfare\u2013involved adolescents and inform practices to promote positive transitions within the system.<\/jats:p>","DOI":"10.1177\/1077559514548701","type":"journal-article","created":{"date-parts":[[2014,8,25]],"date-time":"2014-08-25T23:47:30Z","timestamp":1409010450000},"page":"50-60","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":13,"title":["Adolescent Maltreatment in the Child Welfare System and Developmental Patterns of Sexual Risk Behaviors"],"prefix":"10.1177","volume":"20","author":[{"given":"Patrick J.","family":"Fowler","sequence":"first","affiliation":[{"name":"Washington University in St. Louis, St. Louis, MO, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Darnell","family":"Motley","sequence":"additional","affiliation":[{"name":"DePaul University, Chicago, IL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jinjin","family":"Zhang","sequence":"additional","affiliation":[{"name":"Rady Children\u2019s Hospital, San Diego, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jennifer","family":"Rolls-Reutz","sequence":"additional","affiliation":[{"name":"Rady Children\u2019s Hospital, San Diego, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John","family":"Landsverk","sequence":"additional","affiliation":[{"name":"Oregon Social Learning Center, Eugene, OR, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2014,8,25]]},"reference":[{"key":"bibr1-1077559514548701","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2009-2424"},{"key":"bibr2-1077559514548701","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2008-3836"},{"key":"bibr3-1077559514548701","doi-asserted-by":"publisher","DOI":"10.1007\/978-1-4612-3562-0"},{"key":"bibr4-1077559514548701","doi-asserted-by":"publisher","DOI":"10.1542\/peds.108.3.e46"},{"key":"bibr5-1077559514548701","volume-title":"Latent class and latent transition analysis for the social, behavioral, and health sciences","author":"Collins L. 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