This study explores the relationship between age at first sexual intercourse and four indicators of sexual behaviour
among adolescents aged 14 to 19 years in Burkina Faso, Malawi and Uganda. Analyses are conducted using data
from National Surveys of Adolescents, organized in 2004. Multivariate analyses are performed using dichotomous
logistic regression and ordered polychotomic logistic regression. Analyses show that initiation of sexual activity
before age 14 is more likely to be associated with having a casual sex partner. It is less likely to be associated with
condom use at first sexual relation or with systematic condom use in the past 12 months. These associations vary
depending on adolescents’ country and gender. Delaying onset of sexuality could be a surer and safer way to protect
health during adolescence. However, sexual and reproductive health programs that advocate abstinence only are
likely to have few positive effects on young people. To better implement this strategy, sexual education for
adolescents should be integrated (Afr J Reprod Health 2012 (Special Edition); 16[2]: 173-188).

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Greenberg J. Age at first coitus. A marker for risky

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sexual behavior in women. Sexually transmitted

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diseases 1992; 19 (6): 331-334

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]Singh S et al. Gender Differences in the Timing of First

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Intercourse: Data from 14 Countries. International

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Family Planning Perspectives 2000; 26 (1): 21-28,

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Mba CJ. Sexual behaviour and the risks of HIV/AIDS

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and other STDs among young people in sub-saharan

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Africa: A review. Research Review 2003; 19 (1):

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-26

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Debesse M. L’Adolescence. Paris : Collection Que Saisje

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? PUF, 1988 : 128.

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Spriggs AL, Halpern CT. Timing of Sexual Debut and

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Initiation Of Postsecondary Education by Early

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Adulthood. Perspectives on Sexual and

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Reproductive Health 2008; 40 (3): 152-161

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Alsaker FD. Timing of puberty and reactions to pubertal

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changes. In: Rutter M. ed., Psychosocial

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Disturbances in Young People: Challenges for

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Prevention. Cambridge, UK: Cambridge University

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Press, 1995; 37-82.

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Petersen AC, Taylor B. The biological approach to

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adolescence: biological change and psychological

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adaptation. In: Adelson J. ed., Handbook of

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Adolescent Psychology, New York: Wiley, 1980;

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-155

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Harrison A et al. Early sexual debut among young men

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in rural South Africa: heightened vulnerability to sexual risk? Sexually Transmitted Infections 2005;

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(3): 259-261

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Harrison A et al. Young People’s Sexual Partnerships in

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KwaZulu-Natal, South Africa: Patterns, Contextual

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Influences, and HIV Risk. Studies in Family

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Planning 2008; 39 (4): 295-308

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Rwengue M. Comportements sexuels à risques parmi les

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jeunes de Bamenda, au Cameroun. Perspectives

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Internationales sur le Planning Familial 2000;

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Numéro special: 13-19

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Madise N et al. Is Poverty a Driver for Risky Sexual

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Behaviour? Evidence from National Surveys of

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Adolescents in four African Countries. African

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Journal of Reproductive Health 2007; 11 (3): 83-98

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Konings E et al. Sexual behaviour survey in a rural area

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(mysql): SELECT * FROM citation_settings WHERE citation_id = '30642'  

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of northwest Tanzania. AIDS 1994; 8 (7): 987-993

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Mnyika KS et al. Determinants of high-risk sexual

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behaviour and condom use among adults in the

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Arusha region, Tanzania. International Journal of

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STD & AIDS 1997; 8 (3): 176-183

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Lugoe WL et al. Sexual debut and predictors of condom

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use among secondary school students in Arusha,

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Tanzania. AIDS Care 1996; 8 (4): 443-452

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Pettifor A et al. Early Coital Debut and Associated HIV

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Risk Factors Among Young Women and Men in

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South Africa. International Perspectives on Sexual

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and Reproductive Health 2009; 35 (2): 74-82

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(mysql): SELECT * FROM metadata_descriptions WHERE assoc_type = 1048579 AND assoc_id = 30654 ORDER BY metadata_description_id DESC  

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Gueye M et al. Timing of first intercourse among Malian

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(mysql): SELECT * FROM citation_settings WHERE citation_id = '30655'  

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(mysql): SELECT * FROM metadata_descriptions WHERE assoc_type = 1048579 AND assoc_id = 30655 ORDER BY metadata_description_id DESC  

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adolescents: Implications for contraceptive use.

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International Family Planning Perspectives 2001; 27

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(2): 56-62, 70

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(mysql): SELECT * FROM metadata_descriptions WHERE assoc_type = 1048579 AND assoc_id = 30658 ORDER BY metadata_description_id DESC  

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Sauvain-Dugerdil C et al. The Start of the Sexual

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Transition in Mali: Risks and Opportunities. Studies

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(mysql): SELECT * FROM metadata_descriptions WHERE assoc_type = 1048579 AND assoc_id = 30660 ORDER BY metadata_description_id DESC  

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in Family Planning 2008; 39 (4): 263-280

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Duncan ME et al. First coitus before menarche and risk

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(mysql): SELECT * FROM citation_settings WHERE citation_id = '30662'  

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(mysql): SELECT * FROM metadata_descriptions WHERE assoc_type = 1048579 AND assoc_id = 30662 ORDER BY metadata_description_id DESC  

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of sexually transmitted disease. Lancet 1990; 335

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(8685): 338-3340

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(mysql): SELECT * FROM metadata_descriptions WHERE assoc_type = 1048579 AND assoc_id = 30664 ORDER BY metadata_description_id DESC  

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Pettifor AE et al. Early age of first sex: a risk factor for

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(mysql): SELECT * FROM citation_settings WHERE citation_id = '30665'  

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(mysql): SELECT * FROM metadata_descriptions WHERE assoc_type = 1048579 AND assoc_id = 30665 ORDER BY metadata_description_id DESC  

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HIV infection among women in Zimbabwe. AIDS

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; 18 (10): 1435-1442

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Meekers D. Sexual initiation and premarital childbearing

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(mysql): SELECT * FROM citation_settings WHERE citation_id = '30668'  

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(mysql): SELECT * FROM metadata_descriptions WHERE assoc_type = 1048579 AND assoc_id = 30668 ORDER BY metadata_description_id DESC  

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in sub-Saharan Africa. Population Studies 1994; 48

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(1): 47-64

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(mysql): SELECT * FROM metadata_descriptions WHERE assoc_type = 1048579 AND assoc_id = 30670 ORDER BY metadata_description_id DESC  

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Vimard P. Synthèse : entre présent contrasté et avenir

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(mysql): SELECT * FROM citation_settings WHERE citation_id = '30671'  

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incertain : la démographie, la santé de la

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(mysql): SELECT * FROM citation_settings WHERE citation_id = '30672'  

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reproduction et le développement en Afrique

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(mysql): SELECT * FROM metadata_descriptions WHERE assoc_type = 1048579 AND assoc_id = 30673 ORDER BY metadata_description_id DESC  

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subsaharienne. In : Ferry B. dir., L'Afrique face à ses défis démographiques : un avenir incertain.

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(mysql): SELECT * FROM citation_settings WHERE citation_id = '30674'  

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Paris : Karthala, CEPED, AFD, 2007 : 329-367.

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UNDP. Rapport sur le Développement Humain de

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/2008. 2007, Available at:

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(mysql): SELECT * FROM citation_settings WHERE citation_id = '30678'  

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(mysql): SELECT * FROM metadata_descriptions WHERE assoc_type = 1048579 AND assoc_id = 30678 ORDER BY metadata_description_id DESC  

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dictables.pdf> Accessed February 10, 2009.

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(mysql): SELECT * FROM metadata_descriptions WHERE assoc_type = 1048579 AND assoc_id = 30679 ORDER BY metadata_description_id DESC  

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Guiella G, Woog V. Santé sexuelle et de la reproduction

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(mysql): SELECT * FROM citation_settings WHERE citation_id = '30680'  

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(mysql): SELECT * FROM metadata_descriptions WHERE assoc_type = 1048579 AND assoc_id = 30680 ORDER BY metadata_description_id DESC  

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des adolescents au Burkina Faso: Résultats de

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l’Enquête Nationale sur les Adolescents du Burkina

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Faso 2004. New York: Occasional Report No. 21,

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Guttmacher Institute, 2006 : 152

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(mysql): SELECT * FROM metadata_descriptions WHERE assoc_type = 1048579 AND assoc_id = 30684 ORDER BY metadata_description_id DESC  

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Munthali A et al. Adolescent Sexual and Reproductive

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(mysql): SELECT * FROM citation_settings WHERE citation_id = '30685'  

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(mysql): SELECT * FROM metadata_descriptions WHERE assoc_type = 1048579 AND assoc_id = 30685 ORDER BY metadata_description_id DESC  

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Health in Malawi: Results from the 2004 National

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Survey of Adolescents. New York: Guttmacher

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Institute, Occasional Report, No. 24, 2006: 152.

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(mysql): SELECT * FROM citation_settings WHERE citation_id = '30688'  

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Neema S et al. Adolescent sexual and reproductive

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(mysql): SELECT * FROM citation_settings WHERE citation_id = '30689'  

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(mysql): SELECT * FROM metadata_descriptions WHERE assoc_type = 1048579 AND assoc_id = 30689 ORDER BY metadata_description_id DESC  

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health in Uganda: results from the 2004 Uganda

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(mysql): SELECT * FROM citation_settings WHERE citation_id = '30690'  

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National Survey of Adolescents. New York:

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Guttmacher Institute, Occasional Report, No. 25,

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: 150.

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Digest Innocenti. Le mariage précoce. 2001; 7 : 28.

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Dixon-Mueller R. “ How Young is “Too Young”?

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Comparative Perspectives on Adolescent Sexual,

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Marital, and Reproductive Transitions ”. Studies in

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Family Planning 2008; 39 (4): 247-262

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Santelli J et al. Abstinence and abstinence-only

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education: A review of U.S. policies and programs.

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(mysql): SELECT * FROM citation_settings WHERE citation_id = '30700'  

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Journal of Adolescent Health 2006; 38 (1): 72-81

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Bessinger R et al. Sexual Behavior, HIV, and Fertility

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(mysql): SELECT * FROM citation_settings WHERE citation_id = '30702'  

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Trends. A Comparative Analysis of Six Countries.

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Phase I of the ABC Study. Washington, DC:

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Measure Evaluation/USAID, 2003: 73.

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(mysql): SELECT * FROM citation_settings WHERE citation_id = '30705'  

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Asiimwe-Okiror G et al. Change in sexual behaviour and

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decline in HIV infection among young pregnant

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women in urban Uganda. AIDS 1997; 11 (4): 1757-

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(mysql): SELECT * FROM citation_settings WHERE citation_id = '30709'  

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Green EC et al. Uganda’s HIV Prevention Success: The

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(mysql): SELECT * FROM citation_settings WHERE citation_id = '30710'  

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Role of Sexual Behavior Change and the National

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Response. AIDS and Behavior 2006; 10 (4): 335-

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Gersovitz M. HIV, ABC and DHS: age at first sex in

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Uganda. Sexually Transmitted Infections 2007; 83

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(2): 165-168

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Shears KH. Abstinence sexuelle: une option pour les

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(mysql): SELECT * FROM citation_settings WHERE citation_id = '30717'  

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adolescents. Network en Français 2002; 22 (1)

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(mysql): SELECT * FROM citation_settings WHERE citation_id = '30718'  

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(mysql): SELECT * FROM metadata_descriptions WHERE assoc_type = 1048579 AND assoc_id = 30718 ORDER BY metadata_description_id DESC  

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Grunseit A et al. Sexuality education and young people’s

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sexual behavior: a review of studies. Journal of

Adolescent Research 1997; 12 (4): 421-453.