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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.

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Such data are limited for early adolescents. A total of seventh-grade students Overall, A small percentage of early adolescents aries dies porn engaging in multiple sexual behaviors.

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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 anal sexually transmitted infections STIs remain serious public health issues.

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Inbirths to mothers aged years increased for the first time since the early s. Early sexual initiation has been associated with an increased risk of pregnancy and STI. In order to develop effective pregnancy and STI prevention efforts for early adolescents aged yearsit is important to understand the prevalence of vaginal, oral, and anal intercourse in this age-group and the characteristics girls early initiators.

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However, public sensitivity regarding sexual behavior surveys among early adolescents, particularly in public school settings, has impeded this research.