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Ideally, communication should occur before the initiation of sexual behavior 29 , Developmentally-Appropriate Features of Adolescent Sexual Risk Reduction Interventions The second aim of this paper is to review sexual risk reduction interventions to a identify developmentally-appropriate features, and b when possible, to examine the relationship between the developmental appropriateness and sexual risk outcomes. Consistent with a biopsychosocial model, we considered an intervention to be developmentally-appropriate if the conceptual model underlying the intervention, and the intervention components, explicitly targeted the unique biological, psychological, and social determinants of adolescent sexual behavior. Adolescent relationships differ from adults. These transitions are viewed best within a biopsychosocial framework that includes biological, psychological, and social development Students who initiate sex later are more likely to use condoms Many intervention activities address multiple domains of development, making it difficult to precisely categorize features into bio-psycho-social domains; thus our categorization scheme is a heuristic rather than a rigid classification. Increasingly, the importance of developmental factors in designing adolescent interventions is recognized 7 , We examined RCTs to determine if they contained components tailored to the unique developmental needs of adolescents. These studies are identified and summarized in Table 1. Moreover, some interventions appear ineffective, and much of the variance in reducing sexual risk remains unaccounted for, suggesting that additional factors or theoretical frameworks are needed to guide future intervention studies Furthermore, decision-making ability is reduced in novel or emotionally-laden situations 41 — 42 , such as sexual encounters where arousal levels are high. Youth with more egocentric thinking have been found to have greater numbers of sexual partners Girls like that because they want to please and be pleased all in one. We limited our review to RCTs because this design eliminates many threats to internal validity 55 , and improves the ability to infer causation to the intervention for effects observed Greater age differences between adolescent partners have been associated with less frequent condom use Interventions also addressed the social influences of risky sex such as peer norms and provided communication skills training. Other interventions include components that have been shown to be effective with youth e. Watch her get down on her knees as he blows his load, filling her dirty little open mouth with creamy semen, all the way to the brim! Therefore, adolescents, particularly younger teens, may require extensive instruction in order to protect themselves. Similar rates of sexual activity, as well as feelings associated with sexual intercourse and intentions to engage in sex, are found among peer friendship groups They may also benefit from additional training in risk appraisal, decision-making, problem-solving, and considering immediate and long-term consequences of risky sex. In contrast, interventions that may be appealing to youth, but lack an empirical or theoretical backing, may not be truly developmentally appropriate. Changes in these domains have implications for sexual risk-taking and reducing risk. Naked girl enjoys stroking and sucking his hard dick while he fingers and licks her yummy cunt, sliding his hands up and down her sensual naked body while she presses her breasts against his belly and plays with his genitals. What a beautifully shaped young lady.
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