Multi-system influences on adolescent risky sexual behavior

Angela Chen, Elaine Adams Thompson, Dianne Morrison-Beedy

Research output: Contribution to journalArticlepeer-review

40 Scopus citations


We examined multi-system influences on risky sexual behavior measured by cumulative sexual risk index and number of nonromantic sexual partners among 4,465 single, sexually experienced adolescents. Hierarchical Poisson regression analyses were conducted with Wave I-II data from the National Longitudinal Study of Adolescent Health. Individual and family factors predicted both outcome measures. Neighborhood set predicted cumulative sexual risk index only, and peer factors predicted the number of nonromantic sexual partners only. School set did not predict either outcome. There were significant associations among risky sexual behavior, drug use, and delinquent behaviors. The results highlight the need for multifaceted prevention programs that address relevant factors related to family, peer and neighborhood influence as well as individual factors among sexually active adolescents.

Original languageEnglish (US)
Pages (from-to)512-527
Number of pages16
JournalResearch in Nursing and Health
Issue number6
StatePublished - Dec 2010


  • Adolescent
  • Hierarchical Poisson regression
  • Multi-system influence
  • Sexual behavior

ASJC Scopus subject areas

  • General Nursing


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