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Prevention/Epidemiology Virginity Pledges Among the Willing: Delays in First Intercourse and Consistency of Condom UseSeptember 30, 2008 The authors sought to examine longitudinal relationships between virginity pledging in adolescence and both sexual initiation and condom use. Previous studies showed mixed results and may not adequately control for pre-pledge differences between pledgers and non-pledgers, they noted. Data from a national sample of 12- to 17-year-olds surveyed in 2001 and followed-up at one and three years were used for logistic regression models estimating the association between making a pledge and each outcome. Propensity-score weighting and a rich set of demographic and psychosocial covariates were employed to reduce selection bias. Pre-existing characteristics differed substantially between pledgers and non-pledgers. However, after propensity weighting and statistical controls, pledging continued to be associated with delayed intercourse. In the absence of pledging, an estimated 42.4 percent of virgins with characteristics indicating an inclination to pledge initiate intercourse within three years. In the presence of the pledge, 33.6 percent of such youth initiate intercourse. Pledging was unassociated with condom use in those who had sex during this period. Among those who did not have intercourse during this period, pledging was unassociated with engagement in non-coital sexual behavior. Journal of Adolescent Health 09.2008; Vol. 43; No. 4 P. 341-348; Steven C. Martino, Ph.D.; Marc N. Elliott, Ph.D.; Rebecca L. Collins, Ph.D.; David E. Kanouse, Ph.D.; Sandra H. Berry, M.A. This article was provided by U.S. Centers for Disease Control and Prevention. It is a part of the publication CDC HIV/Hepatitis/STD/TB Prevention News Update. Visit the CDC's website to find out more about their activities, publications and services.
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