Des Moines Register 08-20-06 Teens & Sex — their definitions and beliefs DAWN SAGARIO REGISTER STAFF WRITER What is sex? The question seems simple—until you ask people of different generations. Even among teenagers, you’ll hear a wide range of definitions. For most, you can be considered a virgin today and have oral sex. That view is one of a number of trends we discovered after talking to Iowa teens, their parents and others. Here are eight common threads in teen thinking about sex today. "When I was in middle school, there were a lot of people having sex," said Canady, 18, from Des Moines. "But there were also a lot of people having oral sex because they thought, 'Well, that's not sex. I can't get pregnant. I can't get a disease.'" Canady is a former member of the Des Moines teen group "R3," which stands for Rights, Respect and Responsibility. Many young people have oral sex before they even kiss, said Angie Lones of the Young Women's Resource Center in Des Moines. "They view kissing as more intimate," said Lones, who sees kids at younger ages having both oral sex and sexual intercourse. "(It) blows my mind, but that is what we're hearing." Previous generations considered oral sex to be one of the most intimate sexual acts two people in a committed relationship could share. Not today. It is now more common than sexual intercourse among teenagers one in four claim they have had oral sex but not intercourse. Among 15- to 19-year-olds, oral sex was practiced by more than half. The data are based on information from the 2002 National Survey of Family Growth, which reported on the sexual behavior of men and women ages 15 to 44 in the United States. Brian Meland remembers hearing younger students refer to oral sex as a casual, almost offhand event. "To them, they were still virgins," said Meland, 19, a sophomore at Western Iowa Tech Community College in Sioux City. "They didn't think of that as actual sex. It was just an activity." Yet Josh Sheridan, who graduated from Hoover High School in Des Moines in May, holds the line. "It's still sex no matter what," said Sheridan, 18, who started a Gay Straight Alliance at Hoover his junior year. "It still has the same bodily fluid transmission. It still involves an orgasm. It's still sex." 2. Teens as young as 13 engage in same-sex practices Part of that experimentation includes bisexuality, which has achieved celebrity status in the media. The Madonna-Britney kiss captured world attention. It has helped young people feel that some experimentation, done safely, is OK, said Warren Blumenfeld, co-professor of the "Introduction to Queer Studies" class at Iowa State. "It might just be more acknowledged now," said Blumenfeld. Young people ages 13 to 18 tend to experiment when they're in their "identity development stage," he said. "This is the primary time that young people are asking themselves, 'Who am I?'" Some teens say girls kiss girls to tantalize and get attention from potential boyfriends. "I cannot count how many girls will go to parties and they'll be drinking and making out with their girlfriends because the guys think it's hot," said Tiffany Canady. "We are the generation of experimentation," said Canady, 18, from Des Moines. "I think we're in that age where it's more acceptable to be gay, bi, straight, lesbian, whatever; transgender, transsexual." It's a trend others have noticed. "I think the female-female is really presented in the media as this really sexy thing. I think a lot of that is driven by the male eye," said Rhonda Chittenden, who works with the Iowa Network for Adolescent Pregnancy Prevention, Parenting and Sexual Health. Natalie Fuller has seen girls kiss other girls as an attention-grabbing ploy, and also admits to kissing her own girlfriends. "I've never seen a case of girls making out because they're bisexual, not in high school," said Fuller, 20, who at 16 co-authored a book with her mother, Doris, titled, "Promise You Won't Freak Out." In college, same-sex kissing begins to lose its novelty, she said. "I think college is where girls will actually have a bisexual experience," Fuller said. 3. Gay teens come out earlier Gay and lesbian youths are now announcing their sexual orientation in the early teen years. With factors like access to more information about homosexuality and positive gay role models in the media, teens feel more comfortable being candid. Groups like Gay Straight Alliances, notably in rural Iowa schools, are helping to create safer and more accepting environments for gay students and their allies. The non-straight population includes 5 to 10 percent of students at any given time. In Iowa, that’s about 48,000 students through 12th grade, using 2004 enrollment numbers. Another 18,000 non-straight students would be enrolled in Iowa’s public, private and community colleges and universities, according to Ryan Roemerman, director of the Iowa Pride Network. Despite greater acceptance of gay students, some still face harassment and a hostile environment in their communities, according to a survey released in November 2005 by the Iowa Pride Network. As a result, Roemerman said, they may have lower GPAs, be less likely to have college aspirations and more likely to be suicidal. The average age of students in the survey was 16. “In rural towns, where people place a lot on certain traditions, it can be very isolating. (It’s) also destructive in the sense that they don’t feel like they have any support lines to go through,” Roemerman said. Many teachers don’t understand the gravity of the harassment these students face at school, Roemerman said. When a homophobic remark is made in the presence of a teacher, 75 percent of the time, “teachers don’t react at all, which is disturbing,” he said. Gay Straight Alliances at schools can help to bridge that gap in understanding. There are now more than 50 alliances in the state, Roemerman said. The network has reached out to rural communities like Independence, Orange City and Solon. 4. Teen pregnancy drops, condom use increases, but pressure persists Parents and adults may be happy to hear that teens are waiting longer to have sex, a trend that crosses gender, race and ethnic lines. Not only that, but teen pregnancies nationwide are on the decline after reaching a peak in 1991. That trend is mirrored in Iowa. Teenagers are also using condoms more often. The U.S. teenage birthrate among 15- to 19-year-olds declined from 1991 to 2004. The number dropped from 61.8 births per 1,000 girls to 41.2 births (the 2004 data is preliminary), according to the National Campaign to Prevent Teen Pregnancy. In Iowa, the teen birthrate among the same age group decreased from 34.4 births to 31.6 births per 1,000 girls from 2000 to 2004, according to the Iowa Department of Public Health. As much as 75 percent of the decrease in the pregnancy rate can be attributed to contraceptive use. The rest is the result of postponing first sexual intercourse, said Tom Klaus, program director for teen pregnancy prevention at Advocates for Youth in Washington, D.C. “Teenagers ask the right questions, but they’re the ones that are hard for adults to answer,” said Dr. Ken Cheyne, who specializes in adolescent medicine at Blank Children’s Hospital. Cheyne said the most important question to help teens answer is: “‘My body says yes; how do I make my mind say no?’ We need to learn how to deal with those strong emotions.” He said it’s the parents’ job to be clear about their stand on sex. “I can provide health information to teenagers, but parents can reinforce and teach values,” Cheyne said. In conversations with Iowa teens, attention emerged as a big reason for submitting to sexual pressure. Sometimes, teenage sex is an act of rebellion and revenge, one educator said. “A lot of times they do it to get at their parents,” said Kirsten Colt, a human reproductive health educator with Planned Parenthood of Greater Iowa. “That’s the main reason I hear.” 5. STDS on the rise among teens Here’s the good news: National research shows that teenagers are waiting longer to have intercourse. Here’s the bad news: Sexually transmitted diseases among teens are on the rise nationwide and in Iowa. Chlamydia, gonorrhea, and HIV cases are up among 15- to 19-year-olds, state statistics show. What’s especially scary is that in many cases, these diseases have no symptoms. Left undetected, they can cause infertility. Teenagers typically engage in riskier behavior than adults. That puts them at high risk for sexually transmitted diseases. Teen girls and young women are more susceptible because their bodies are not developed enough to protect them from these infections. Young people are paying the price. While 15- to 24-year-olds make up onequarter of the sexually active population, they are acquiring nearly half of all new sexually transmitted infections, statistics from the Centers for Disease Control and Prevention (CDC) show. Adolescents are the hardest hit by chlamydia. Girls 14 to 19 have the highest proportion of chlamydia of any age group — nearly one in 20, research from the CDC shows. Among men, the greatest prevalence of diseases was among 20- to 29-year-olds. In Iowa, chlamydia cases are up about 23 percent among 15- to 19-year-olds, said Karen Thompson, STD program manager with the Iowa Department of Public Health. Gonorrhea cases have held fairly steady the last five years. Risky behavior is partly to blame for the rise, Thompson said. Teens who test positive for chlamydia and gonorrhea often say they have multiple sex partners, use condoms incorrectly or don’t use condoms at all. Thompson said the increase is also the result of more accurate tests and more individuals being tested. In half of the cases, there are no symptoms, Thompson said. “That means that without routine screening, positives may not be found until serious and irreversible damage has been done to the infected person.” 6. Boys push more girls into oral, anal sex Agreeing to have oral and anal sex is one way to get attention, teens say. Among girls, the pressure to submit to sexual activity is especially high. “For a lot of the girls I know, a boy will just say they’re pretty … and they’ll go off and do whatever, either have sex or give them oral sex or anything,” said Venessa McDole, 15, a sophomore at North High School in Des Moines. McDole is also a member of the “R3” (Rights, Respect and Responsibility) team that visits schools to talk about safe sex and pregnancy prevention, healthy relationships and good decisions. Girls especially are under pressure to perform oral sex, said Natalie Fuller, 20, who while in high school co-authored a book with her mother, Doris, titled, “Promise You Won’t Freak Out.” “It’s because they’re trying to put off having sex,” Fuller said. “They want to keep the boys happy, but not give it all away. “A lot of my friends don’t even consider anal sex as real sex,” said Fuller, who lives in Costa Mesa, Calif. Virginity is strictly defined as never having had vaginal intercourse. Anal sex has become frequent with teens in the last three or four years, said Kirsten Colt. “I have to talk about it all the time,” said Colt, an educator with Planned Parenthood of Greater Iowa in Sioux City. “My guess is that maybe teens were doing it and weren’t talking about it.” Colt is director of the “Acting Out!” teen theater troupe, which writes plays that encourage abstinence. While anal sex is not as common as oral sex, Fuller said girls are still pressured from boyfriends to try it. “I think boys watch porn and watch a lot of anal sex in porn; they’re curious, they want to try it,” she said. 7. Teens unaware of STD-oral sex link So you think having oral sex protects you from getting sexually transmitted diseases? Think again. Health officials in California are finding individuals with gonorrhea infections in their throats, said Karen Thompson, STD program manager at the Iowa Department of Public Health. Also, there are more cases of a type of chlamydia usually passed through anal sex, Thompson said. The Centers for Disease Control and Prevention has seen an increase of the cases in the past year. Young people don’t know oral sex can cause infections, said Rhonda Chittenden, with FutureNet, the Iowa Network for Adolescent Pregnancy Prevention, Parenting and Sexual Health. There have also been nationally documented cases of HIV transmission via oral sex, though the risk is lower than sexual intercourse, said Randy Mayer, with the Iowa Department of Public Health. “For oral intercourse, the rate of HIV transmission is extremely low,” Mayer said. “But very few people engage only in oral intercourse and don’t have other risk factors.” Giving oral sex carries a risk of 0.5 cases per 10,000 exposures; receiving oral sex results in 1 case per 10,000 exposures. With sexual intercourse, the risk is 10 cases per 10,000 exposures. For anal sex, HIV transmission risk jumps to 50 per 10,000 exposures. 8. More teens take vow of abstinence Teenagers in the United States are waiting longer to have sex, a sign that abstinence efforts have made some impact on young people’s sexual behavior. The abstinence movement is becoming more accepted with scores of teenagers taking virginity pledges in elaborate ceremonies in Iowa churches. Kim Wheeler took such a pledge last year at Grace Church in Des Moines. The 16-year-old’s silver purity ring, a gift from her father, is a symbol of her commitment to save sex for marriage. “It’s just a reminder that I’m not supposed to,” said Wheeler, from Des Moines. “And it’s not just the physical sex; like don’t be tempted, don’t be lustful.” Statistics demonstrate that a large number of teens are taking the abstinence message to heart. In 2003, 53 percent of U.S. high school students said they had never had sex. The figure was 46 percent in 1991, according to Advocates for Youth in Washington, D.C. Fifty-eight percent of white students had never had sex in 2003, compared to 50 percent in 1991. Among African American students, it was 33 percent and 19 percent, respectively; and Latino students, 49 percent and 47 percent, respectively. Critics of virginity pledges and abstinence-only education say that while teens may be waiting longer to have sex, they’re not receiving information about how to protect themselves if they decide to have sex. Research in 2000 found that adolescents who took virginity pledges delayed their first sexual intercourse for 18 months, but they were one-third less likely to use contraception their first time, compared to nonpledging peers. Some churches, like Cornerstone World Outreach in Sioux City, make taking a vow of abstinence seem cool. When youths take a pledge to abstain from premarital sex, they also gain membership into an exclusive club. Perks include literally getting the red carpet treatment at school, and going out for pizza in a 1934 restored hot rod. Associate Pastor Cary Gordon said teens who meet specific requirements can join “Club Oneighty,” which includes taking a special pledge before family and friends. “They stand up publicly and they vow that they are going to have zero premarital sex, zero drugs, zero alcohol,’’ Gordon said. He talks to kids about sex because their parents are afraid to, Gordon said. “If you’re not teaching children to not have sex until you’re married … then you’re basically treating sex like it’s a candy store.”