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Promoting Positive Adolescent Health Behaviors and Outcomes: Thriving in the 21st Century (2020)

Chapter: Appendix C: Comparison of Youth Risk Behavior Survey (YRBS) and National Survey of Family Growth (NSFG) Survey Items on Sexual Behavior

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Suggested Citation:"Appendix C: Comparison of Youth Risk Behavior Survey (YRBS) and National Survey of Family Growth (NSFG) Survey Items on Sexual Behavior." National Academies of Sciences, Engineering, and Medicine. 2020. Promoting Positive Adolescent Health Behaviors and Outcomes: Thriving in the 21st Century. Washington, DC: The National Academies Press. doi: 10.17226/25552.
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Page 165
Suggested Citation:"Appendix C: Comparison of Youth Risk Behavior Survey (YRBS) and National Survey of Family Growth (NSFG) Survey Items on Sexual Behavior." National Academies of Sciences, Engineering, and Medicine. 2020. Promoting Positive Adolescent Health Behaviors and Outcomes: Thriving in the 21st Century. Washington, DC: The National Academies Press. doi: 10.17226/25552.
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Page 166
Suggested Citation:"Appendix C: Comparison of Youth Risk Behavior Survey (YRBS) and National Survey of Family Growth (NSFG) Survey Items on Sexual Behavior." National Academies of Sciences, Engineering, and Medicine. 2020. Promoting Positive Adolescent Health Behaviors and Outcomes: Thriving in the 21st Century. Washington, DC: The National Academies Press. doi: 10.17226/25552.
×
Page 167
Suggested Citation:"Appendix C: Comparison of Youth Risk Behavior Survey (YRBS) and National Survey of Family Growth (NSFG) Survey Items on Sexual Behavior." National Academies of Sciences, Engineering, and Medicine. 2020. Promoting Positive Adolescent Health Behaviors and Outcomes: Thriving in the 21st Century. Washington, DC: The National Academies Press. doi: 10.17226/25552.
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Page 168
Suggested Citation:"Appendix C: Comparison of Youth Risk Behavior Survey (YRBS) and National Survey of Family Growth (NSFG) Survey Items on Sexual Behavior." National Academies of Sciences, Engineering, and Medicine. 2020. Promoting Positive Adolescent Health Behaviors and Outcomes: Thriving in the 21st Century. Washington, DC: The National Academies Press. doi: 10.17226/25552.
×
Page 169
Suggested Citation:"Appendix C: Comparison of Youth Risk Behavior Survey (YRBS) and National Survey of Family Growth (NSFG) Survey Items on Sexual Behavior." National Academies of Sciences, Engineering, and Medicine. 2020. Promoting Positive Adolescent Health Behaviors and Outcomes: Thriving in the 21st Century. Washington, DC: The National Academies Press. doi: 10.17226/25552.
×
Page 170
Suggested Citation:"Appendix C: Comparison of Youth Risk Behavior Survey (YRBS) and National Survey of Family Growth (NSFG) Survey Items on Sexual Behavior." National Academies of Sciences, Engineering, and Medicine. 2020. Promoting Positive Adolescent Health Behaviors and Outcomes: Thriving in the 21st Century. Washington, DC: The National Academies Press. doi: 10.17226/25552.
×
Page 171
Suggested Citation:"Appendix C: Comparison of Youth Risk Behavior Survey (YRBS) and National Survey of Family Growth (NSFG) Survey Items on Sexual Behavior." National Academies of Sciences, Engineering, and Medicine. 2020. Promoting Positive Adolescent Health Behaviors and Outcomes: Thriving in the 21st Century. Washington, DC: The National Academies Press. doi: 10.17226/25552.
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Page 172

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Appendix C Comparison of Youth Risk Behavior Survey (YRBS) and National Survey of Family Growth (NSFG) Survey Items on Sexual Behavior NSFG Questionnaire Question YRBS Category Questionnaire Female Male Ever had Have you ever Opposite Sex Partner Opposite Sex Partner sex had sexual Vaginal Sex Vaginal Sex intercourse? •  any time in your life, At •  Have you ever had have you ever had sexual sexual intercourse with intercourse with a man, a female (sometimes this that is, made love, had is called making love, sex, or gone all the way? having sex, or going all NOTE: Do not count the way)? oral sex, anal sex, heavy •  Have you ever put petting, or other forms your penis in a female’s of sexual activity that vagina (also known as do not involve vaginal vaginal intercourse)? penetration. Do not count sex with a female partner. •  Has a male ever put his penis in your vagina (also known as vaginal intercourse)? continued 165

166 A DECADAL SURVEY OF THE SOCIAL AND BEHAVIORAL SCIENCES NSFG Questionnaire Question YRBS Category Questionnaire Female Male Ever had Have you ever Oral Sex Oral Sex sex had sexual •  The next few questions •  The next few questions (continued) intercourse? are about oral sex. are about oral sex. (continued) By oral sex, we mean By oral sex, we mean stimulating the genitals stimulating the genitals with the mouth. Has a with the mouth. Has a male ever performed oral female ever performed sex on you? oral sex on you, that is, Have you ever performed stimulated your penis oral sex on a male? with her mouth? That is, have you ever •  Have you ever stimulated his penis with performed oral sex on a your mouth? female? Anal Sex Anal Sex •  Has a male ever put his •  Have you ever put your penis in your rectum or penis in a female’s anus butt (also known as anal or butt (also known as sex)? anal sex)? Same Sex Partner Same Sex Partner Oral Sex Oral Sex •  Have you ever performed •  Have you ever oral sex on another performed oral sex on female? another male, that is, •  Has another female ever stimulated his penis with performed oral sex on your mouth? you? •  Has another male ever performed oral sex on Other Sex you, that is, stimulated •  Have you ever had any your penis with his sexual experience of mouth? any kind with another female? Anal Sex •  Has another male ever put his penis in your anus or butt (receptive anal sex)? •  Have you ever put your penis in another male’s anus or butt (insertive anal sex)?

APPENDIX C 167 NSFG Questionnaire Question YRBS Category Questionnaire Female Male Age at first How old were Opposite Sex Partner Opposite Sex Partner sex you when you Vaginal Sex Vaginal Sex had sexual • That very first time •  That very first time intercourse for that you had sexual that you had sexual the first time? intercourse with a male, intercourse with a how old were you? female, how old were • The first time this you? occurred, how old were •  How old were you when you? this first intercourse • Thinking back after happened? your first menstrual •  The first time this period, how old were occurred, how old were you when you had sexual you? intercourse for the first time? Same Sex Partner • How old were you Any Sex when this first vaginal •  Thinking back to the intercourse happened? first time you ever had any sexual experience Same Sex Partner with a male partner, Oral Sex how old were you? •  Thinking back to the first time you ever had oral sex or another kind of sexual experience with a female partner, how old were you? Sequence of Opposite Sex Partner Opposite Sex Partner sexual acts •  Thinking back to when •  Thinking back to when you had oral sex with a you had oral sex with male for the first time, a female for the first was it before, after, or time, was it before, on the same occasion after, or on the same as your first vaginal occasion as your first intercourse with a male? vaginal intercourse with a female? continued

168 A DECADAL SURVEY OF THE SOCIAL AND BEHAVIORAL SCIENCES NSFG Questionnaire Question YRBS Category Questionnaire Female Male Lifetime During your Opposite Sex Partner Opposite Sex Partner sex life, with how Any Sex Any Sex partners many people •  This next section is about •  This next section is have you your male sex partners. about your female sex had sexual Now please think about partners. Now please intercourse? any male with whom think about any female you have had vaginal with whom you have intercourse, oral sex, or had vaginal intercourse, anal sex—any of these. oral sex, or anal sex— •  Thinking about your any of these. entire life, how many •  Thinking about your male sex partners have entire life, how many you had? Please count female sex partners have every partner even those you had? Please count you had sex with only every partner even those once. you had sex with only once. Same Sex Partner •  Thinking about your Same Sex Partner entire life, how many •  Thinking about your female sex partners have entire life, how many you had? male sex partners have you had? Recent sex During the Opposite Sex Partner Opposite Sex Partner partnersa past 3 months, Any Sex Any Sex with how •  Thinking about the last •  Thinking about the last many people 12 months, how many 12 months, how many have you male sexual partners female sexual partners had sexual have you had in the 12 have you had in the 12 intercourse? months since [date]? months since [date]? Please count every Please count every partner, even those you partner, even those you had sex with only once had sex with only once in those 12 months. in those 12 months. Vaginal Sex Vaginal Sex •  Thinking of your male •  How many different partners in the last 12 females have you had months, with how many sexual intercourse with of them did you have in the past 12 months, vaginal intercourse? that is, since [date]? •  Thinking of your female partners in the last 12 months, with how many of them did you have vaginal intercourse?

APPENDIX C 169 NSFG Questionnaire Question YRBS Category Questionnaire Female Male Recent sex Oral Sex Oral Sex partnersa •  Thinking of your male •  Thinking of your female (continued) partners in the last 12 partners in the last 12 months, with how many months, with how many of them did you have of them did you have oral sex? oral sex, either giving or receiving? Anal Sex •  Thinking of your male Anal Sex partners in the last 12 •  Thinking of your female months, with how many partners in the last 12 of them did you have months, with how many anal sex? of them did you have anal sex? Same Sex Partner Any Sex Same Sex Partner •  Thinking about the last Any Sex 12 months, how many •  Thinking about the last female sexual partners 12 months, how many have you had in the 12 male sexual partners months since [date]? have you had in the 12 Please count every months since [date]? partner, even those you Please count every had sex with only once partner, even those you in those 12 months. had sex with only once in those 12 months. Oral Sex •  Thinking of your male partners in the last 12 months, with how many of them did you have oral sex? Anal Sex •  Thinking of your male partners in the last 12 months, with how many of them did you have receptive anal sex where he put his penis in your anus (butt)? •  Thinking of your male partners in the last 12 months, with how many of them did you have insertive anal sex where you put your penis in his anus (butt)? continued

170 A DECADAL SURVEY OF THE SOCIAL AND BEHAVIORAL SCIENCES NSFG Questionnaire Question YRBS Category Questionnaire Female Male Substance Did you drink use and alcohol or sexual use drugs behavior before you had sexual intercourse the last time? Condom The last Opposite Sex Partner Opposite Sex Partner use at last time you Any Sex Any Sex sex had sexual • The very last time • The very last time intercourse, you had any type of you had any type of did you or sex—that is, vaginal sex—that is, vaginal your partner intercourse or anal sex intercourse or anal sex use a condom? or oral sex—with a male or oral sex—with a partner, was a condom female partner, did you used? use a condom? Vaginal Sex Vaginal Sex •  Was a condom used the •  Did you use a condom last time you had vaginal the last time you had intercourse with a male? vaginal intercourse with a female? Oral Sex •  Was a condom used the Oral Sex last time you performed •  Did you use a condom oral sex on a male? the last time a female performed oral sex on Anal Sex you? •  Was a condom used the last time you had anal Anal Sex sex with a male? •  Did you use a condom the last time you had anal sex with a female? Same Sex Partner Any Sex • The very last time you had any type of sex—that is vaginal intercourse or anal sex or oral sex—with a male or female partner, was a condom used? • Was that last sexual partner male or female?

APPENDIX C 171 NSFG Questionnaire Question YRBS Category Questionnaire Female Male Condom Oral Sex use at last •  Did you use a condom sex the last time you had (continued) oral sex with a male? Anal Sex •  Did you use a condom the last time you had receptive anal sex with a male? •  Did you use a condom the last time you had insertive anal sex with a male? Pregnancy The last Opposite Sex Partner Opposite Sex Partner prevention time you Vaginal Sex Vaginal Sex at last sexb had sexual •  The last time you had •  That last time that you intercourse, intercourse with [partner] had sexual intercourse what one in [date], did you or he with your [wife/partner], method did use any method? did you, yourself use you or your •  the reason you did Is any methods to prevent partner use not use a method of pregnancy or sexually to prevent birth control because transmitted disease? pregnancy? you, yourself, wanted to •  That last time, what (Select only become pregnant? methods did you use? one response.) •  And your partner, did •  That last time that you he want you to become had sexual intercourse pregnant? with your (wife/partner), •  Which method or did she use any methods methods did you or he to prevent pregnancy use? or sexually transmitted disease? •  That last time, what methods did she use? Sex of During •  Have you ever had any •  Have you ever had any sexual your life, sexual experience of other sexual experience contactsc with whom any kind with another of any kind with another have you female? male? had sexual contact? Sexual Which of the •  Which of the following •  Which of the following orientationc following best best represents how you best represents how you describes you? think of yourself? think of yourself?

172 A DECADAL SURVEY OF THE SOCIAL AND BEHAVIORAL SCIENCES a“Recent sex partners” refers to the last 3 months in the YRBS and last 12 months in the NSFG. bThe YRBS asks only about pregnancy prevention; the NSFG asks about both pregnancy and sexually transmitted infection (STI) prevention. cIncluded in the YRBS since 2015. SOURCE: Generated by the committee from YRBS questionnaires for 1991–2019 (CDC, 2018) and NSFG codebooks for 2015–2017 (CDC, 2019). REFERENCES Centers for Disease Control and Prevention (CDC). (2018). YRBS Questionnaire ­Content—1991–2019. Atlanta, GA: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for HIV/AIDS, Viral H ­ epatitis, STD, and TB Prevention, Division of Adolescent and School Health. ———. (2019). 2015–2017 NSFG: Public-Use Data Files, Codebooks, and Documentation. Available: https://www.cdc.gov/nchs/nsfg/nsfg_2015_2017_puf.htm.

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Adolescence is a critical growth period in which youth develop essential skills that prepare them for adulthood. Prevention and intervention programs are designed to meet the needs of adolescents who require additional support and promote healthy behaviors and outcomes. To ensure the success of these efforts, it is essential that they include reliably identifiable techniques, strategies, or practices that have been proven effective.

Promoting Positive Adolescent Health Behaviors and Outcomes: Thriving in the 21st Century identifies key program factors that can improve health outcomes related to adolescent behavior and provides evidence-based recommendations toward effective implementation of federal programming initiatives. This study explores normative adolescent development, the current landscape of adolescent risk behavior, core components of effective programs focused on optimal health, and recommendations for research, programs, and policies.

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