Older Male Sexual Partner as a Marker for Sexual Risk-Taking in Adolescent Females in Nova Scotia

By Langille, Donald B.; Hughes, Jean R. et al. | Canadian Journal of Public Health, March/April 2007 | Go to article overview

Older Male Sexual Partner as a Marker for Sexual Risk-Taking in Adolescent Females in Nova Scotia


Langille, Donald B., Hughes, Jean R., Delaney, Mary E., Rigby, Janet A., Canadian Journal of Public Health


ABSTRACT

Purpose: To examine age differences between Nova Scotia women aged 15-19 and their male sexual partners, and to determine if those adolescents with older partners were more likely to have engaged in sexual risk-taking behaviours.

Methods: A cross-sectional survey (response rate=91%) administered in May 2003 assessed the following sexual risk behaviours: a) not using condom/hormonal contraception at last vaginal intercourse; b) having unplanned vaginal intercourse while using alcohol or drugs; c) having more than one partner in the previous year; d) vaginal intercourse before age 15; and e) ever having anal intercourse. Univariate analysis was carried out to determine associations of sexual risk behaviours with partner age difference. Logistic regression was then used to examine behaviours associated with partner age (p<0.15) in univariate analysis.

Results: Of the young women surveyed, 520 (47.7%) had had vaginal intercourse in the previous year; 515 of these provided information on their last partner's age. Over 10% had partners four or more years older. In multivariate analysis, having a partner ≥4 years older was associated with not using a condom at last intercourse (OR 2.15; 95% CI 1.10-4.20), having more than one partner in the previous year (OR 21.9; 95% CI 1.13-4.28) and having unplanned vaginal intercourse while using alcohol or drugs (OR 2.66; 95% CI 1.34-5.28).

Conclusions: A significant number of female adolescents have older male sexual partners, and such relationships are markers for high-risk sexual behaviours. Partner age is an important consideration for health professionals providing sexual health advice to young women.

MeSH terms: Adolescent; female; risk-taking; sexual behaviour

Adolescent females with older male sexual partners are at increased risk to their sexual health, including risk of sexually transmitted infections (STIs).1-4 STIs, which are most common among those aged 15-24,5 are associated with pelvic inflammatory disease, infertility and ectopic pregnancy.6 Lack of contraception and greater pregnancy risk occur where female adolescents' sexual partners are older.7 Teenage mothers are at increased risk of experiencing decreased educational opportunity and vocational attainment,8 and teenage pregnancy is associated with low birthweight infants, preterm delivery and increased infant mortality.9 The Canadian teenage pregnancy rate in 2002 was 33.9/1000, while the rate for Nova Scotia was 28.1/1000.10

Approximately 50% of Canadian11 and Nova Scotia12,13 females aged 15-19 have had vaginal intercourse at least once. Young women who are in relationships with older male partners may lack power in these relationships, and this may play a role in sexual risk taking.14 In Canada from 1992-1994, of those teenagers giving birth before age 18, 24% had partners more than six years older.15 The goal of this study was to examine age differences between adolescent females in Nova Scotia and their sexual partners at last intercourse to determine if those with partners older than themselves are more likely to have engaged in sexual risk-taking behaviours.

METHODS

Survey procedure

All students (both genders) in grades 10-12 attending four high schools in three counties in northern Nova Scotia were asked to complete a self-report survey which included questions about sexual activity and risk-taking behaviours, partner age and family structure. Survey questions were formulated by the investigators and were evaluated for face and content validity by a national panel of clinicians and researchers with adolescent sexual health expertise. Reliability was assessed by repeat survey administration at another high school in the same area of rural Nova Scotia. Kappa statistics ranged from 0.76 to 1.0. Surveys were administered in May 2003 during regularly scheduled classes by teachers in each classroom, who had been trained in its application by the research team two weeks before the survey took place. …

The rest of this article is only available to active members of Questia

Already a member? Log in now.

Notes for this article

Add a new note
If you are trying to select text to create highlights or citations, remember that you must now click or tap on the first word, and then click or tap on the last word.
One moment ...
Default project is now your active project.
Project items
Notes
Cite this article

Cited article

Style
Citations are available only to our active members.
Buy instant access to cite pages or passages in MLA 8, MLA 7, APA and Chicago citation styles.

(Einhorn, 1992, p. 25)

(Einhorn 25)

(Einhorn 25)

1. Lois J. Einhorn, Abraham Lincoln, the Orator: Penetrating the Lincoln Legend (Westport, CT: Greenwood Press, 1992), 25, http://www.questia.com/read/27419298.

Note: primary sources have slightly different requirements for citation. Please see these guidelines for more information.

Cited article

Older Male Sexual Partner as a Marker for Sexual Risk-Taking in Adolescent Females in Nova Scotia
Settings

Settings

Typeface
Text size Smaller Larger Reset View mode
Search within

Search within this article

Look up

Look up a word

  • Dictionary
  • Thesaurus
Please submit a word or phrase above.
Print this page

Print this page

Why can't I print more than one page at a time?

Help
Full screen
Items saved from this article
  • Highlights & Notes
  • Citations
Some of your highlights are legacy items.

Highlights saved before July 30, 2012 will not be displayed on their respective source pages.

You can easily re-create the highlights by opening the book page or article, selecting the text, and clicking “Highlight.”

matching results for page

    Questia reader help

    How to highlight and cite specific passages

    1. Click or tap the first word you want to select.
    2. Click or tap the last word you want to select, and you’ll see everything in between get selected.
    3. You’ll then get a menu of options like creating a highlight or a citation from that passage of text.

    OK, got it!

    Cited passage

    Style
    Citations are available only to our active members.
    Buy instant access to cite pages or passages in MLA 8, MLA 7, APA and Chicago citation styles.

    "Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences." (Einhorn, 1992, p. 25).

    "Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences." (Einhorn 25)

    "Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences." (Einhorn 25)

    "Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences."1

    1. Lois J. Einhorn, Abraham Lincoln, the Orator: Penetrating the Lincoln Legend (Westport, CT: Greenwood Press, 1992), 25, http://www.questia.com/read/27419298.

    Cited passage

    Thanks for trying Questia!

    Please continue trying out our research tools, but please note, full functionality is available only to our active members.

    Your work will be lost once you leave this Web page.

    Buy instant access to save your work.

    Already a member? Log in now.

    Search by... Author
    Show... All Results Primary Sources Peer-reviewed

    Oops!

    An unknown error has occurred. Please click the button below to reload the page. If the problem persists, please try again in a little while.