{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,13]],"date-time":"2026-02-13T14:27:42Z","timestamp":1770992862348,"version":"3.50.1"},"reference-count":26,"publisher":"American Public Health Association","issue":"11","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Am J Public Health"],"published-print":{"date-parts":[[1996,11]]},"abstract":"<jats:p>OBJECTIVES: The purpose of this study was to determine whether high school-aged virgins engage in sexual practices that can transmit sexually transmitted diseases, including the human immunodeficiency virus (HIV). METHODS: Data were collected from an anonymous self-administered survey of 2026 urban students in 9th through 12th grades. RESULTS: Forty-seven percent of adolescents were virgins (42% of male adolescents and 53% of female adolescents). Of those who were virgins, 29% and 31% reported that, during the prior year, they had engaged in heterosexual masturbation of a partner and masturbation by a partner, respectively. The corresponding rates for heterosexual fellatio with ejaculation, cunnilingus, and anal intercourse were 9%, 10%, and 1%. Homosexual sexual activities were rare. Condom use for fellatio was also rare. Level of risk of virgins' sexual activities was associated with illicit substance use and other non-sexual risk behaviors, even after demographic variables had been controlled. CONCLUSIONS: Few high school-aged virgins engaged in anal intercourse, but many engaged in other genital sexual activities. Some of these activities can transmit disease, and all can indicate a need for counseling about sexual decision making, risk, and prevention.<\/jats:p>","DOI":"10.2105\/ajph.86.11.1570","type":"journal-article","created":{"date-parts":[[2008,11,29]],"date-time":"2008-11-29T13:30:23Z","timestamp":1227965423000},"page":"1570-1576","source":"Crossref","is-referenced-by-count":119,"title":["The sexual practices of adolescent virgins: genital sexual activities of high school students who have never had vaginal intercourse."],"prefix":"10.2105","volume":"86","author":[{"given":"M A","family":"Schuster","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R M","family":"Bell","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"D E","family":"Kanouse","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"844","reference":[{"key":"p_1","first-page":"885","volume":"40","author":"Centers for Disease Control","year":"1992","journal-title":"MMWR Morb Mortal Wkly Rep."},{"key":"p_2","doi-asserted-by":"publisher","DOI":"10.2307\/2135494"},{"key":"p_3","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.83.11.1609"},{"key":"p_4","doi-asserted-by":"crossref","unstructured":"Irwin CE Jr, Shafer MA. 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