Types Of Sexual Relationships Research Articles

And how do LGB adults rate their orgasms in a relational context?

Subjective orgasm experience (SOE) refers to the perception, assessment, and/or sensation of orgasm on a psychological level, with the particularity that the study of SOE in nonheterosexual populations is currently very scarce. The study sought to analyze differences in SOE dimensions, comparing the intensity of each adjective of the Orgasm Rating Scale (ORS) and creating a ranking of the adjectives that better represent it in LGB men and women. In a sample of 1475 adults organized into 4 groups according to the type of sexual relationships reported, comparisons were made using multivariate analysis of variance and chi-square tests. Differences were obtained in the intensity of all the SOE dimensions, and in 23 of the 25 ORS adjectives. Lesbians and bisexual women reported higher intensity in SOE compared with bisexual and gay men. Because the ORS has been established as a good tool for detecting orgasmic difficulties in nonheterosexual populations, this study could provide LGBT affirmative psychotherapy with evidence on how these individuals evaluate their orgasms in a relational context. This study extends prior limited knowledge about how LGB people evaluate their orgasmic experiences in the context of sexual relationships. Despite this, the study poses limitations such as nonprobability sampling or the inclusion of exclusively cisgender and young individuals, making it difficult to generalize the results. Although significant differences were found between LGB men and women, all groups agree on the adjectives they use to describe the subjective experience of orgasm in the context of sexual relationships; therefore, evidence is provided about how LGB people evaluate their orgasmic experiences in this context.

Socialized sexual values and meanings ascribed to sex as predictors of the experience of sex: A theoretical model

AbstractThis paper proposes a midrange model based on symbolic interactionism that identifies potential predictors of the experience of sex. Symbolic interactionism is a sociological framework which focuses on how individuals construct shared meanings for objects and events through repeated interactions. Regarding sexual behavior, meanings are typically socialized through repeated interactions with parents and significant others in one's life. These meanings can therefore vary from person to person and individuals may have different meanings as a result of their gender, as well as for sexual behavior within diverse types of sexual relationships. Individuals who have meanings and values that are discrepant with their behavior may have more negative sexual experiences than individuals whose meanings, values, and behavior are more congruent. The symbolic interactionism framework and its concepts are presented and explained, and empirical findings which support the proposed associations are then presented. Limitations and implications of the model are also discussed.

Features of sexual behaviour of young people that determine the increase in the incidence of sexually transmitted infections (sti) in the Republic of Tajikistan

Aim. To identify the features of the sexual behavior of young people that cause the spread of sexually transmitted infections.Material and methods. A questionnaire was developed and a survey was conducted among 500 men and women that belong to various social groups of the population. The age of participants was 18 - 30 years and they were coming from 4 districts of republican subordination. The survey was based on a typical sample of the mentioned age group. Collected data were statistically processed using MS OFFICE 2007 packages.Results and discussion. It was found that the awareness of respondents about sexually transmitted infections and measures for their prevention remains at a very low level. More than 21.0% of respondents have active sexual life, and at least one in five does not associate this with the possible realization of the risk of contracting STIs / HIV / AIDS. About 17.0% of young people believe that if they become infected with these diseases, they will seek medical help only from their friends, physicians that they are familiar with, and paramedics.Conclusion. It is known for a fact that virtually all models of sexual behavior and all types of sexual relationships are present among young people today. However, in Tajikistan, there are certain features of the sexual behavior of young people (polygamy and civil marriage). A low level of knowledge and the need to raise awareness among adolescents and young people about the negative consequences of risky sexual behavior have been established.

Exploring Adolescents' (Non-)Use of Modern Contraceptives in Ghana Through the Lens of the Theory of Gender and Power.

Despite the benefits of modern contraceptives, its usage is low among adolescents in sub-Saharan Africa. Based on the theory of gender and power, this study explored adolescents' (non-)use of contraceptives in the context of their sexual and reproductive health. Data were collected from adolescents (15-19years) through focus group discussions as well as through interviews with five key informants. The collected data were investigated through thematic analysis. The study revealed that gender and power influenced adolescents sexual behavior. Both young men and young women engaged in risky sexual behavior, which exposed them to unintended pregnancy. Whereas some young women engaged in risky sexual behaviors due to financial reasons, young men engaged in such behaviors for pleasure. Lack of knowledge about the correct use of modern contraceptives, type of sexual relationship, and cultural norms of adolescent girls' appropriate sexual behavior influenced the use of contraceptives by adolescent girls. Avoiding pregnancy could be easier for adolescent girls if only they could have easy access to more long-term and reliable contraceptive methods. Education on the need to use condoms during sexual intercourse should be intensified to create awareness about using condoms to avoid sexually transmitted infections in addition to unwanted pregnancy.

Sexual Relationship Types, Partner HIV Self-Testing, and Pre-Exposure Prophylaxis Among South African Adolescent Girls and Young Women: A Latent Class Analysis.

Sexual relationships among adolescent girls and young women (AGYW) are influenced by social, economic, and gender dynamics. Understanding AGYW's different relationship types and their implications for HIV risk is important for development of tailored interventions. We sought to identify relationship typologies among AGYW and their impact on uptake of HIV prevention interventions. From May 2018 to February 2019, 2200 HIV-negative AGYW (ages 16-24) in Johannesburg, South Africa, participated in an HIV prevention intervention involving distribution of HIV self-test kits to their male partners. AGYW were also offered pre-exposure prophylaxis. At baseline, AGYW completed a questionnaire, and outcomes were assessed for 3 months. We used latent class analysis to identify relationship types and mixture modeling to estimate the impact of relationship type on engagement in prevention interventions. We identified 3 relationship types: "stable, empowered relationships with older partners" (class 1, n = 973); "shorter, empowered relationships with peer partners" (class 2, n = 1067); and "shorter relationships with risky partners" (class 3, n = 160). Compared with AGYW in class 1 relationships, AGYW in class 2 and 3 relationships were less likely to complete partner testing alongside HIV results sharing (class 2 adjusted risk ratio: 0.89, 95% confidence interval: 0.85 to 0.95; class 3 adjusted risk ratio: 0.84, 95% confidence interval: 0.73 to 0.94). Pre-exposure prophylaxis uptake was highest in class 3 (11.2%) compared with class 2 (3.8%) and class 1 (1.0%; P < 0.001). Relationship type impacts uptake of HIV prevention interventions among South African youth. Intervention effectiveness could be optimized by using tailored approaches to HIV risk mitigation among AGYW.

Views on HIV Disclosure Among Older Adults Living With HIV Who Are Childhood Sexual Abuse Survivors

Rates of childhood sexual abuse (CSA) among people living with HIV are twice the CSA estimates among the general population. These statistics suggest that CSA prevalence may range from 16-22% among older adults living HIV (OALH). HIV disclosure continues to be a key consideration among people living with HIV. However, studies examining the views on HIV disclosure among OALH who are CSA survivors are lacking. Therefore, the aim of this study was to explore the views on HIV disclosure among OALH who are CSA survivors using a qualitative approach. Twenty-four adults aged 50-67 years, living with HIV and with a CSA history participated in the study. In-depth semi-structured interviews were conducted, audio-recorded and were analyzed using thematic analysis. The iterative analytic process included discussion of initial thoughts and key concepts, identification and reconciliation of codes, and naming of emergent themes. Three themes emerged: “You don’t have to tell the person if it’s just casual sex”, “Nothing ought to be hidden especially when you get ready to engage in sex”, and “As for me, I don’t disclose”. Views on HIV disclosure among OALH varied. Some participants stated that disclosure of HIV status should be dependent on the type of sexual relationship, while some OALH stated that participants should disclose regardless of type of relationship. Some participants were hesitant to disclose their HIV status due to anticipated HIV-related stigma. Understanding the perspectives on HIV disclosure among OALH with a CSA history may help to inform disclosure intervention programs for this vulnerable population.

Female university students\u2019 preferences for different types of sexual relationships: implications for gender-based violence prevention programs and policies

BackgroundGender-based violence among young women is a growing problem worldwide. The consequences of this victimization have been well reported in the scientific literature, among which negative health outcomes stand out. The factors influencing this problem are many; one highlighted by research is socialization into a dominant coercive discourse that associates sexual-affective attraction to males with violent attitudes and behaviors, while in turn, such discourse empties males with egalitarian behaviors from sexual attractiveness. This coercive discourse may be shaping the sexual preferences of female youth. The current paper explores young women’s preferences for different types of sexual relationships and, more particularly, for what type of sexual affective relationships they coercively preferred men with violent attitudes and behavior.MethodsA quantitative, mixed-design vignette study was conducted with 191 college females in Spain. We focused the analysis only on responses about vignettes including narratives of men with violent attitudes and behaviors. In addition, we examined whether participants would report higher coerced preferences for violent men when asked about the coerced preferences of their female friends than when asked about their own preferences.ResultsOnly 28.95% of participants responded that their female friends would prefer a young man with violent behavior for a stable relationship, meanwhile 58.42% would do it for hooking up. When reporting about themselves, the difference was greater: 28.42% would prefer a young man with violent behavior for hooking up and just 5.78% for a stable relationship.ConclusionsThe dominant coercive discourse that links attractiveness to people with violent attitudes and behaviors may be explaining the results obtained in this study. The findings can help eliminate the stereotype largely adopted by some intervention and prevention programs which assume that gender-based violence occurs mainly in stable relationships, considering that falling in love is the reason that lead women to suffer from violence. Our results can also support health professionals and others serving young women to enhance their identification of gender violence victimization, as well as our findings point to the need to include the evidence of gender violence in sporadic relationships in prevention programs and campaigns addressed to young women.

Describing the “Gray” Area of Consent: A Comparison of Sexual Consent Understanding Across the Adult Lifespan

ABSTRACT Sexual violence or misconduct can occur at any age, yet sexual consent understanding is not well studied, especially beyond early adulthood. This project aimed to describe how sexual consent is conceptualized across the adult lifespan, drawing comparisons between young, middle-aged, and older adults. Additionally, we examined variables that may differ by age group and influence sexual consent conceptualization. In a survey, young adults (n= 266), middle-aged adults (n= 236), and older adults (n= 51) were asked to define sexual consent and complete a measure on the appropriateness of giving and receiving consent in different types of sexual relationships. Participants also reported on their exposure to formal sex education and their current sexual relationship status. More than half (57.4%) of participants included basic elements of a simple core definition (agreement in reference to sexual acts), and most (63.3%) expanded beyond a simple definition. Age groups differed significantly on variables expected to influence sexual consent definitions, including exposure to sexual education and sexual consent attitudes. Age group differences were not found when examining the simple core definition, but young adults and middle-aged adults differed significantly in their expansion on the definition. Sexual consent attitudes were also significantly related to the scope of the supplied definition. These findings suggest that sexual consent definitions vary in scope across at least a portion of the lifespan and that the importance placed on sexual consent may be a reasonable intervention target regardless of age differences in sexual experience and education.

Explanatory Psychological Factors of Inconsistently Condom Use among Spanish University Students: Gender Differences.

More than 50% of Spanish youth does not use of condoms correctly and consistently. University students are a particular population at high risk of the HIV infection, other STIs and unwanted pregnancies. The influence of psychological variables in using of condom is analyzed by gender and type of sexual relationship. A total of 256 females and 168 males were assessed (Mage= 20.62; SD = 2.16). A regression logistic analysis showed that sexual sensation seeking appears as an explanatory variable of inconsistently condom use in both females and males in vaginal intercourse, steady relationship intercourse and sex under the alcohol and other drugs effects (adjusted odds ratio between 1.095 and 1.124). Moreover, self-esteem appears as a risk factor and extraversion as a protective factor of use of condom in females. On the other hand, neuroticism reveals itself as a protective factor and fear of negative evaluation as a risk factor of use of condom in males. It is necessary to know the psychological mechanisms that underlie sexual risk behaviors for adapting interventions to individual and contextual characteristics.

Association between condom use and perspectives on contraceptive responsibility in different sexual relationships among sexually active college students in China: A cross-sectional study.

China has increasing incidence of unplanned pregnancies among college students these years. Increasing students’ sense of responsibility to protect sexual partners may help reduce the rate of unplanned pregnancies.A self-administered questionnaire was distributed to students from 3 colleges in Sichuan, China. Among them, 559 of male students and 267 of female students were included in this study. The questionnaire collected participants’ characteristics, usage of condom, and investigated male and female students’ perceptions of who should be responsible for contraception use.We found that relationship status was closely related to students perceiving responsibility for reproductive health and condom using. Male students who were in casual relationships during their most recent sexual encounter and shared responsibility for contraception were more likely to use condoms than other male students (P < .001). Female students who were in steady relationships during their most recent sexual encounter and shared responsibility for contraception were more likely to use condoms than other female students (P = .007). The multivariate analysis revealed condom use was associated with greater odds of sharing responsibility for contraceptive use in different types of sexual relationships.Improving students’ attitudes toward responsibility for contraception may increase condom use among students at risk for unplanned pregnancies. Programs providing targeted health education and services may help reduce the rate of unplanned pregnancies among students in China.

A portrait of risk behavior towards HIV infection among Brazilian Army conscripts by geographic regions, 2016.

Knowledge about risky sexual behavior among young people has been widely acknowledged as a key tool to controlling the spread of HIV. This article aimed at presenting the risk behavior of Brazilian Army conscripts toward HIV infection according to the country's geographic regions. . We collected data from 37,282 conscripts, aged 17 to 22, during enlistment in the Brazilian Army in 2016. The prevalence of HIV infection, both self-reported and measured through laboratory results, and risk behavior factors were estimated by region. 75% of the sample of conscripts reported to have already started sexual activity, and the average age of their sexual initiation was 15. Condom use varied according to the type of sexual relationship, being lower among steady partners and greater among less stable relationships. HIV prevalence assessed by laboratory tests was 0.12% across the country and the highest prevalence was observed in the North region (0.24%). Alcohol and illicit drug usage was higher in the South region. The study allowed the observation of risk behavior monitoring for HIV infection among young Brazilians. Lower condom usage among steady partners may be contributing to an increase in the number of HIV-infected individuals. Results suggest the need to intensify prevention campaigns to disseminate safe sex practices among young people, in addition to the expansion of testing offer to this population.

Program implementer perspectives replicating evidence based sexual reproductive health programs

PurposeExplore factors affecting implementation of evidence based adolescent sexual/reproductive health programs, from the perspectives of program implementers. MethodsIn-depth interviews were conducted with 18 program implementers delivering six sexual/reproductive health programs in New Jersey. Programs were delivered among 2698 primarily African American and Hispanic adolescents in school and community-based settings. Interview transcripts were coded and analyzed iteratively for themes by trained experts. ResultsProgram implementers reported weaknesses in the program curricula content and design, scheduling constraints with partner sites, and questions from adolescents as factors challenging to implementation. Relationship-building (with adolescents and community partners) and answering adolescent questions were identified as strategies to program implementation. Implementers expressed need for flexibility in the curriculum to tailor the program to participant needs. However, implementers felt restricted in tailoring the program because of a perceived need to adhere to the prescribed program. ConclusionsEvidence based programs may need to provide more flexibility for implementers to customize programs to student needs. Given the age range of the target audience (ages 10–19), programming should consider the variance of an adolescent’s life and assumptions regarding adolescent biology knowledge, modes of communication, and type of sexual relationships. Additionally, facilitators may better meet student needs if they feel less restricted.

“I’ll call you…” Communication frequency as a regulator of satisfaction and commitment across committed and casual sexual relationship types

Casual sexual relationships (CSRs) are common among young adults. Although it is a widely discussed topic in the popular media, little empirical work has examined the expectations related to communication within these relationships. Moreover, few studies have made comparative examinations across various relationship types. Through two studies, we first identified the differences in communication, satisfaction, and commitment across relationship types. Then we examined communication frequency as a regulator of satisfaction and commitment across relationship types. In Study 1, participants responded to a hypothetical relationship scenario depicting either a committed relationship (CR), friends with benefits (FWB), or a booty call/fuck buddy relationship (BC/FB); they indicated how committed and satisfied they would feel as well as how frequently they would communicate with the partner. Participants in Study 2 reported on these variables in their most recently terminated relationship. Overall, we found the highest frequencies of commitment and communication in CRs; BCs/FBs and other similar CSRs had the lowest. FWBs often fell between the other two categories. Satisfaction did not differ reliably across relationship types. A serial mediational analysis revealed that the more a relationship was considered to be a CR, the more partners communicated, which was associated with more satisfaction and, in turn, commitment. Our findings highlight the distinctions between expectations within FWB relationships, compared to other relationships types, suggesting that they fall somewhere between CRs and other CSRs on commitment and relational expectations. In addition, the results support the idea that individuals intentionally regulate their communication to maintain the expected level of commitment within a relationship.

Difficulties and facilities for notification of sexual partners with sexually transmitted infections

Objective: to understand the difficulties and facilities of professionals to notify sexual partners with sexually transmitted infections. Methods: qualitative study carried out with 19 professionals from four referral services in sexually transmitted infections. A semistructured interview was conducted and the statements were analyzed through Content Analysis technique. Results: the difficulties identified were: diversity of types of sexual relationships, resistance of the index patient, emphasis on information transmission, ineffective verbal communication, insufficient time and absence of monitoring. The facilities were: respect for patient autonomy, counseling free of judgments, effective verbal communication, motivation and negotiation, written communication, confidential environment, partnership with the multiprofessional team, communication through card to evaluate effectiveness of notification. Conclusion: based on the competencies, communication was identified as a facilitator of empowerment of the index patient in the process of to reveal the infection to the contacts, and weaknesses emerged in the conduct of cases about the knowledge, planning, implementation, partnership and evaluation.

Ensuring Health Care Providers Have Comprehensive Communication Tools for Future Microbicide Introduction in Kenya: A Formative Research Study

As the field of HIV prevention advances and new antiretroviral (ARV)-based prevention products are developed, health care providers will play a critical role in promoting or limiting new product use. To provide evidence-based communication supporting potential product roll-out, we developed and assessed a suite of vaginal microbicide communication materials tailored to various Kenyan audiences. However, our materials could potentially be adapted for use with other ARV-based prevention products and settings. For health care providers, we developed three sets of materials: informational brochures, wall charts, and a counseling flip chart. Trained research assistants conducted 24 in-depth interviews with providers from a range of health facilities in Nairobi and Nakuru, Kenya. Interviews assessed providers’ current HIV counseling practices for women in different types of sexual relationships, attitudes toward vaginal microbicide gel, and thoughts on the content and usefulness of the microbicide communication materials; priority was given to the counseling flip chart. Interviews also included hypothetical counseling scenarios to assess providers’ potential to appropriately use materials and adapt their counseling techniques. Microbicide communication materials were well received and effective in educating providers about microbicides and in helping them provide appropriate counseling for hypothetical scenarios involving women in different sexual contexts.

Continuity and change in sexual attitudes: A cross-time comparison of tolerance towards non-traditional relationships

This article explores how attitudes towards different types of sexual relationships have changed over time. Data from the National Survey of Sexual Attitudes and Lifestyles (1990, 2000 and 2010) are used to investigate whether people living in Britain have become more (or less) tolerant of one night stands, same-sex relationships and extra-marital relations, and whether any observed changes result from period or cohort effects. While attitudes towards same-sex relationships became far more tolerant between 1990 and 2010, the pattern was not the same for one night stands or extra-marital relationships. Based upon these results the article argues that the proposition made by individualisation theory regarding the loosening of traditional norms is far too simplistic when talking about change over time in intimate life. It is argued instead that a more nuanced theory of social change is required, consistent with the finding that some norms are strengthening rather than weakening. The article also claims that certain elements of individualisation theory might in fact be consistent with the strengthening of those norms.

Perceived Dual Method Responsibilities by Relationship Type Among African-American Male Adolescents

PurposeTo describe the extent to which African-American male adolescents perceive responsibility for contraception and condom use and to understand the perceived importance of dual method use for respondents in casual versus committed relationships. MethodsData were collected using surveys informed by formative focus group sessions. Participants included African-American male high-school students aged 14–19 years from the Chicago's South Side. Respondents were surveyed regarding contraceptive behavioral intentions and perceived importance of dual method use. Responses were compared by relationship type. Logistic regression modeling was used to determine the association between contraception responsibility and perceiving dual method protection as important for each sexual relationship type. ResultsSample included 348 young men (mean age: 16.1 years; mean age at first sex: 13.8 years). Among those who had heard of condoms (99.4%) and withdrawal (90.4%), most reported liking these methods (83.7% and 53.9%). Participants were more likely to report greater responsibility within a committed relationship for all perceived contraceptive responsibilities (e.g., going with partner to get contraception). Participants were more likely to engage in conversation about pregnancy prevention with a committed partner. Among sexually active respondents, perceived contraceptive responsibility was associated with perceiving dual protection as very important (odds ratio = 1.58; 95% confidence interval = 1.05–2.38). ConclusionsRespondents felt partially responsible for pregnancy prevention, particularly within committed relationships, and were open to using dual protection. However, many respondents had low levels of contraception knowledge. These findings indicate that male African-American adolescents might benefit from increased education and support around contraception methods and condom use.

Does relationship status matter for sexual satisfaction? The roles of intimacy and attachment avoidance in sexual satisfaction across five types of ongoing sexual relationships

Are individuals more sexually satisfied in casual sexual relationships or more serious, long-term romantic ones? How are intimacy and attachment styles related to sexual satisfaction in different types of sexual relationships? The present study explored sexual satisfaction across five different types of ongoing sexual relationships: friends with benefits, casual dating, exclusive dating, engaged, and married. A sample of 475 individuals (24 males and 71 females in each group) completed online measures of sexual satisfaction, relationship intimacy, and attachment style. First, engaged individuals reported higher sexual satisfaction than all other relationship types except exclusive dating; no other significant differences emerged. Second, intimacy and sexual satisfaction were positively correlated within each relationship type; however, correlations were stronger for exclusive dating, engaged, and married relationships compared to friends with benefits and casual dating relationships. Third, attachment avoidance, but not attachment anxiety, emerged as a significant predictor for sexual satisfaction in all relationship types except casual dating. These results suggest that there may be different underlying processes involved in sexual satisfaction in different relationship types. Despite similar levels of sexual satisfaction across relationship types, there was variability in the roles of intimacy and attachment avoidance for sexual satisfaction. This variability, however, was not limited to “casual” vs. “serious” sexual relationships, as important differences also emerged between friends with benefits and casual dating relationships. Implications, limitations, and possible directions for future research are discussed.

Pre-eclampsia - A disease of an individual couple.

Preeclampsia still ranks as one of obstetrics major problems. Clinicians typically encounter preeclampsia as maternal disease with variable degrees of fetal involvement. More and more the unique immunogenetic maternal-paternal relationship is appreciated, and as such also the specific 'genetic conflict' that is characteristic of haemochorial placentation. From that perspective preeclampsia can also been seen as a disease of an individual couple with primarily maternal and fetal manifestations. Factors that are unique to a specific couple would include the length and type of sexual relationship, the maternal (decidual natural killer cells) acceptation of the invading cytotrophoblast (paternal HLA-C), and seminal levels of transforming growth factor-b and probably other cytokines. The magnitude of the maternal response would be determined by factors including a maternal set of genes determining her characteristic inflammatory responsiveness, age, quality of her endothelium, obesity/insulin resistance and probably a whole series of susceptibility genes amongst which the thrombophilias received a lot of attention in recent years. The maternal and fetal genomes perform different roles during development. Inheritable paternal, rather than maternal, imprinting of the genome is necessary for normal trophoblast development. Preeclampsia may relate to a 'hefty' genetic conflict, or a mother unable to cope with a 'physiologic' genetic conflict. The paternal contribution to preeclampsia, in addition to the actual act of fertilization is demonstrated by.

Reproductive health service utilization and associated factors among adolescents (15–19 years old) in Gondar town, Northwest Ethiopia

BackgroundThe utilization of reproductive health services is an important component in preventing adolescents from different sexual and reproductive health problems. It plays a vital role in safeguarding youth in Sub-Saharan African countries including Ethiopia, which accounts for a high proportion of the region’s new HIV infections as well as maternal and infant mortality ratios. Due to this, assessing adolescent reproductive health service utilization and associated factors has its own contribution in achieving the national Millennium Development Goals (MDG), especially goals 4 to 6.MethodsA community based cross-sectional study was conducted from April 5–19, 2012, in 4 randomly selected administrative areas of Gondar town. A total of 1290 adolescents aged 15–19 were interviewed using a pre-tested and structured questionnaire. Data were entered in to the EPI INFO version 3.5.3 statistical software and analyzed using an adapted SPSS version 20 software package. Logistic regression was done to identify possible factors associated with family planning (FP), and voluntary counseling and testing (VCT) service utilization.ResultsOut of the total participants, 79.5% and 72.2% utilized FP and VCT services, respectively. In addition, among sexually experienced adolescents, 68.1% and 88.4% utilized contraceptive methods and VCT service during their first sexual encounter, respectively. Educational status, discussion with family/relatives, peer groups, sexual partners and teachers were significantly associated with FP service utilization. Also, adolescents who had a romantic sexual relationship, and those whose last sexual relationship was long-term, were about 6.5 times (Adjusted Odds Ratio [AOR] = 6.5, 95% CI: 1.23, 34.59), and about 3 times (AOR = 3, 95% CI: 1.02, 8.24) more likely to utilize FP services than adolescents who had no romantic relationship or long-term sexual relationship, respectively. In addition, the variables significantly associated with VCT service utilization were: participants who had secondary education and above, schooling attendance, co- residence with both parents, parental communication, discussion of services with peer groups, health workers, and perception of a risk of HIV/AIDS.ConclusionsThe majority of the adolescents were utilizing FP and VCT service in Northwest Ethiopia. But among the sexually experienced adolescents, utilization of FP at first sexual intercourse and VCT service were found to be low. Educational status, schooling attendance, discussion of services, type of sexual relationship and perception of risk were important factors affecting the utilization of FP and VCT services. Building life skill, facilitating parent to child communication, establishing and strengthening of youth centers and school reproductive health clubs are important steps to improve adolescents’ reproductive health (RH) service utilization.