Family and peer support matter for precoital and coital behaviors among adolescents in Lima

Angela M. Bayer, Lilia Z. Cabrera, Robert H. Gilman, Michelle J. Hindin, Amy O. Tsui

Research output: Contribution to journalArticlepeer-review

4 Scopus citations


We analyzed the association between sub-scales developed with adolescents and the outcomes of precoital behaviors and vaginal sex in Lima, Peru. Adolescent participants in key informant sessions operationalized concepts identified during qualitative concept mapping into several sub-scales. Face and content validity testing and pilot application with respondent debriefing were used to refine the sub-scales. Three hundred 15-17 year olds were surveyed about the sub-scales, socio-demographics and sexual behaviors. Exploratory factor analysis confirmed six sub-scales, self-image, goals and decision-making, family education, parental rules/control, school support and peer support, which we regressed on the outcomes. Twice as many males as females reported more than three precoital behaviors and vaginal sex. Higher peer support reduced the likelihood of vaginal sex and precoital behaviors and higher family education reduced precoital behaviors. Results affirm the importance of including adolescents in the entire research process and of sex education with family- and peer-based strategies.

Original languageEnglish (US)
Pages (from-to)1309-1318
Number of pages10
JournalJournal of Adolescence
Issue number8
StatePublished - Dec 1 2014


  • Adolescents
  • Peru
  • Precoital behaviors
  • Scales
  • Sexual behaviors
  • Sexual initiation

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Social Psychology
  • Developmental and Educational Psychology
  • Psychiatry and Mental health


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