Adolescent Sexual and Reproductive wellness in the us

Adolescent Sexual and Reproductive wellness in the us

Sex is a simple part of being individual, and sexual intercourse is a fundamental section of peoples development for young adults in the usa. Because they develop, adolescents and young adults need access to evidence-based, holistic and information that is nonstigmatizing training and solutions that support their lifelong intimate and reproductive health insurance and wellbeing. The findings most notable reality sheet about adolescent sexual and health that is reproductive america will be the most up to date available, drawn primarily from current nationally representative studies. Although these information have actually restrictions (see box that is accompanying, they nevertheless offer essential insights into young people’s experiences and requirements.


Information are really a tool that is powerful but available information aren’t without their restrictions. The nationwide study information from where this resource draws cannot fully represent the context for which a young person’s health behavior and decision generating does occur. In addition, not totally all populations are included or properly represented into the available information. This particular fact sheet presents the very best available data on this matter.


  • During adolescence, many young adults participate in a selection of intimate actions and develop romantic and intimate relationships. 1,2
  • In 2013–2014, 20% of 13–14-year-olds and 44% of 15–17-year-olds reported that they had ever endured some sort of connection or dating experience. 3
  • In 2013–2015, 90% of adolescents aged 15–19 defined as straight or heterosexual, while 5% of males and 13% of females reported their sexual orientation as lesbian, homosexual, bisexual or something like that else. 4
  • Masturbation is really a typical behavior during adolescence; in a nationwide test of young adults aged 14–17, reports of ever having masturbated increased with age and more men reported masturbation than females (74% vs. 48%). 5


  • Partnered activity that is sexual consist of a selection of actions. In 2015–2017, 40percent of adolescents aged 15–19 reported ever having had penile-vaginal sex (commonly described as “sexual intercourse”), 45% had had dental intercourse by having a different-sex partner and 9% reported ever having had anal intercourse having a partner that is different-sex. 6
  • Overall, the share of 15–19-year-olds which have had intercourse has remained constant in the last few years. 7 But one of the narrower populace of senior high school pupils, there was clearly a decrease in 2013–2017 when you look at the percentage which had ever endured sexual intercourse—from 47% to 40percent. 8
  • The percentage of young adults who may have had intercourse that is sexual rapidly because they age through adolescence. In 2013, about one in five 15-year-olds and two-thirds of 18-year-olds reported having had intercourse (Figure 1). 9
  • Among adolescents aged 15–19 in 2015–2017 that has had penile-vaginal intercourse, 75% of females and 48% of males stated that their very first sexual intercourse ended up being having a constant partner. 6
  • At the time of 2015–2017, among teenagers aged 18–24 who’ve had sex that is penile-vaginal 71% of guys described their very first intimate experience as desired, instead of unwelcome (4%) or which they had blended emotions (25%). One-half of women stated they’d blended emotions (51%), while 45% stated sex that is first desired and 4% stated it absolutely was unwelcome. 6
  • Among teenagers aged 18–24 in 2015–2017, 13percent of females and 5% of males stated that that they had ever been forced to own genital intercourse. 6


  • Utilization of condoms along with other contraceptives reduce adolescents risk that is’ of and HIV and STI transmission. 10,11 There’s no one well contraceptive way for every adolescent. Choice making about method option should mirror people needs that are priorities.
  • Many adolescents use contraceptives at both first intercourse and a lot of recent sex that is penile-vaginal. In 2015–2017, 89percent of females and 94% of men aged 15–19 reported which they or their partner had utilized contraceptives the final time they’d sexual activity, and 77% of females and 91% of males reported contraceptive utilize the very first time that they had sexual activity. 6
  • The condom could be the contraceptive technique many widely used among adolescents. The first time they had sexual intercourse in 2015–2017, 63% of females and 82% of males aged 15–19 reported having used a condom. 6
  • Older adolescents are more inclined to utilize prescription types of contraception, and condom usage becomes less frequent as we grow older. 8
  • Adolescents aged 14 or more youthful in the beginning intercourse are not as likely than older adolescents to make use of contraceptives to start with intercourse. 12
  • Adolescents’ nonuse of contraceptives can be driven by many people facets, including not enough access, the necessity for private care and low-cost services, a belief that they’re not likely to have expecting and poor partner negotiation abilities. 13,14 In addition, some adolescents may possibly not be making use of contraceptives because they wish to get pregnant. 15


  • Adolescents and young adults need access to private intimate and health that is reproductive solutions.
  • Numerous medical care providers usually do not consult with their adolescent patients about intimate health conditions during main care visits. Whenever these conversations do take place, they’re usually brief; in one single research of visits in 2009–2012, intimate wellness conversations with clients aged 12–17 lasted on average 36 moments. 16
  • Despite guidance acknowledging young men’s needs for intimate and reproductive wellness solutions in the last few years, many gaps stay. 17-19 In a 2018 research of male clients aged 15–24, only 1 in 10 received all the suggested intimate and health that is reproductive. 20
  • Queer teenagers require use of medical care solutions which can be comprehensive of these identities and experiences, including clinicians that are well been trained in discussing and addressing the health that is particular of people in these teams. 21

Contraceptive solutions

  • In 2019, federal legislation calls for medical insurance intends to protect the total array of feminine contraceptive practices, including guidance and relevant solutions, without out-of-pocket expenses. 22 but, some teenagers might not utilize insurance coverage to gain access to health that is reproductive as they are maybe not conscious that these solutions are covered or due to privacy issues. 23,24 The U.S. Supreme Court has ruled that minors’ privacy liberties through the straight to get services that are contraceptive. 25
  • No state clearly calls for consent that is parental notification for minors to acquire contraceptive solutions. Nonetheless, two states (Texas and Utah) need parental permission for contraceptive services paid for with state funds. 25
  • Twenty-one states while the District of Columbia (DC) explicitly enable minors to get services that are contraceptive a parent’s participation. Another 25 states have affirmed that right for many classes of minors ( ag e.g., a married or parenting small), while four states don’t have a statute or policy about the subject (Figure 2). 25
  • Even if parental permission is not necessary for contraceptive solutions, issues about privacy may restrict adolescents’ usage of or usage of contraceptive or other reproductive wellness solutions. Amongst females aged 15–17 whom had ever endured intercourse in 2013–2015, those that reported concerns about privacy had been considerably less prone to have obtained a contraceptive solution in the earlier year compared to those whom would not have these issues. 26
  • In 2011–2015, 31percent of females aged 15–17 and 56% of the aged 18–25 reported having received contraceptive solutions when you look at the this past year; about one-quarter of both age-groups had gotten this care from publicly funded clinics and also the remainder from personal medical care providers. 27
  • Almost one million ladies more youthful than age 20 received services that are contraceptive publicly supported household preparation centers in 2014. These types of services aided adolescents to avoid 232,000 pregnancies which they wished to postpone or avoid. 28

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