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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. Such data are limited for early adolescents. A anal of seventh-grade students Overall, A tiny percentage of early adolescents are engaging in multiple sexual behaviors.

These findings have implications for early adolescent schoolgirl 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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Inbirths to mothers aged years increased for the first time since the early teen. 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 of early initiators.