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Findings indicate that disability status is important to consider when examining adolescent sexuality; however, not all youth with disabilities have equal experiences.Using a racially diverse (27% Black, 20% Hispanic, and 53% non-Hispanic white) sample of 2,729 adolescent girls aged 12–24 at first sexual intercourse from the National Longitudinal Survey of Youth 1997, this article examines the association between disability and type of first sexual relationship, degree of discussion about birth control, and pregnancy wantedness.

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The initiation of sexual activity, however, is not the only salient factor in a young person's life. The characteristics of first sexual intercourse are also important to consider in the examination of adolescent sexual behavior. This social isolation may result in fewer opportunities to learn about sex from peers, to engage in sexual experimentation, and to develop the social skills necessary to build sexual relationships.

The context in which first sexual activity takes place—such as the committedness of a young person's relationship with their partner and their contraceptive behavior—is crucial for determining how young people are ultimately affected by their experience (Faulkner and Lannutti 2010; Grello et al. However, adolescents with disabilities are often neglected from research on sexual behavior, despite evidence that they may experience first sexual intercourse differently than adolescents without disabilities. Blum (1997) argues that social isolation— and not an adolescent's impairment—is the primary contributor to sexual issues among young people with chronic conditions.

In-depth interviews have provided rich descriptions of the challenges to dating (Howland and Rintala 2001) and developing romantic relationships (Lesseliers and Van Hove 2002; Skar 2003) for persons with physical and developmental disabilities.

However, less is known about the association between a young person's disability status and the context in which first sexual intercourse occurs—especially net of other potentially confounding youth and family characteristics.

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First, adolescents with disabilities participate in fewer social activities and are less likely to date than adolescents without disabilities (Anderson et al. Next, parents of adolescents with disabilities may be more reluctant to discuss sexuality with their children than parents of adolescents without disabilities because of an adolescent's impairment.

For example, parents of adolescents with developmental or emotional conditions may anticipate—or observe—inappropriate sexual behavior (Tissot 2009) and wish to avoid discussion of sexuality for fear they may spark additional interest in sexual expression (Nelson 1995).

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