This study examines the prevalence of vaginal, oral, and anal inter-course among a population of urban, public middle school students, the characteristics of early sexual initiators, and the sequence of sexual initiation. Such data are limited for early adolescents. A total of seventh-grade students Overall, A small percentage of early adolescents are engaging in multiple sexual behaviors. These findings have implications for early adolescent school-based sexual health education. Although adolescent pregnancy rates have declined steadily in the United States over the past decade, adolescent births and sexually transmitted infections STIs remain serious public health issues.
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