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			 Researchers examined data from two nationwide surveys - one with 
			almost 20,000 male high school students and another with more than 
			7,700 males ages 15 to 24. Overall, 7.6 percent of high school 
			students in the first survey and 3.6 percent of participants in the 
			second survey reported having sex for the first time before age 13. 
 Across cities nationwide, the proportion of boys who reported having 
			sex before age 13 ranged from as small as one in 20 in San Francisco 
			to as large as one in four in Memphis, Tennessee.
 
 "Adolescent males' attitudes and value about their sexuality and 
			masculinity are influenced by the social context of their 
			community," said lead study author Laura Lindberg, a researcher at 
			the Guttmacher Institute in New York City.
 
 "Our findings reflect that where you live exposes you to different 
			social norms about manhood," Lindberg said by email. "The variation 
			across settings means that programs for young people's development 
			and health need to be tailored and responsive to the communities 
			they are in."
 
 In most cities examined in the study, black males were more likely 
			to report having sex before age 13 than their white counterparts. In 
			many cities, Hispanic males were also more likely to have sex at 
			young ages than white boys.
 
			 
			Compared to black males, white males were 79 percent less likely to 
			have sex before age 13, and Hispanic males were 73 percent less 
			likely.
 In the survey of older teens and young adults, 8.5 percent of 
			participants who had sex before age 13 described it as "unwanted," 
			and another 37 percent said they had "mixed feelings" about it. A 
			similar proportion of young men who waited longer to have sex 
			described their first encounter as unwanted or had mixed feelings.
 
			
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			The two surveys asked about sex differently. The larger one asked 
			high school boys about the age of first sexual intercourse without 
			specifying the partner's sex. But the smaller survey, involving 
			males from adolescence through early adulthood, asked about the 
			timing of first heterosexual intercourse.
 Another limitation of the analysis is that it focused on 
			vaginal-penile intercourse, which may not necessarily be the type of 
			sexual encounter all young people have or want to have, the study 
			authors note in JAMA Pediatrics.
 
			"Of course, young people engage in a range of sexual behaviors, and 
			age at first vaginal sex is only one indicator of sexuality," 
			Lindberg said.
 Still, the results suggest that parents and educators may need to 
			start talking with children about sex at younger ages if they want 
			to ensure kids have all the facts about safe sex and relationships 
			before they become sexually active, the study team notes.
 
 "From naming body parts to explaining where babies come from, 
			parents should be talking early and often with their children in an 
			honest way about sex," Lindberg said. "Parents and educators can't 
			wait until a high school class to cover key topics when many young 
			males start having sex before this."
 
 SOURCE: http://bit.ly/2D0Xm7u JAMA Pediatrics, online April 8, 2019.
 
			  
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