Childhood behavior problems linked to sexual risk taking in young adulthood: A birth cohort study

Sandhya Ramrakha, Melanie L Bell, Charlotte Paul, Nigel Dickson, Terrie E. Moffitt, Avshalom Caspi

Research output: Contribution to journalArticle

56 Scopus citations

Abstract

OBJECTIVE: To study whether behavioral and emotional problems during childhood predicted early sexual debut, risky sex at age 21 years, and sexually transmitted infections up to age 21 years. Some possible mediational pathways were also explored. METHOD: Participants were enrolled in the Dunedin Multidisciplinary Health and Development Study (n = 1,037), a prospective, longitudinal study of a New Zealand birth cohort born in 1972-1973. Data obtained at ages 5, 7, 9, 11, 13, 15, and 21 years were used. Adjustment was made for gender, socioeconomic status, parenting factors, and residence changes. RESULTS: High levels of antisocial behavior between age 5 and 11 years were associated with increased odds of early sexual debut (adjusted odds ratio [AOR] 2.17, 95% confidence [CI] 1.34-3.54) and risky sex (AOR 1.88, 95% CI 1.04-3.40). No relationship was observed between hyperactivity and later sexual health outcomes. In contrast, high levels of anxiety were associated with reduced odds of risky sex (AOR 0.45, 95% CI 0.25-0.80) and sexually transmitted infections (AOR 0.34, 95% CI 0.17-0.70). Involvement with delinquent peers explained some of the association between antisocial behavior and early sexual debut and risky sex. A poor relationship with parents also explained some of the association between antisocial behavior and early sexual debut. CONCLUSIONS: The findings demonstrate links between behavioral and emotional problems occurring early in life and later deleterious sexual health outcomes. Targeting antisocial behavior and teaching accurate appraisals of danger during childhood may help mitigate these negative consequences. Copyright 2007

Original languageEnglish (US)
Pages (from-to)1272-1279
Number of pages8
JournalJournal of the American Academy of Child and Adolescent Psychiatry
Volume46
Issue number10
DOIs
Publication statusPublished - Oct 2007
Externally publishedYes

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Keywords

  • Antisocial
  • Anxiety
  • Early sexual debut
  • Risky sex
  • Sexually transmitted infections

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Developmental and Educational Psychology

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