Exposure to Sexual Lyrics and Sexual Experience Among Urban Adolescents

Primack, Brian A.; Douglas, Erika L.; Fine, Michael J.; Dalton, Madeline A.

doi:10.1016/j.amepre.2008.11.011

« Previous Next »American Journal of Preventive Medicine
Volume 36, Issue 4 , Pages 317-323, April 2009

Exposure to Sexual Lyrics and Sexual Experience Among Urban Adolescents

Brian A. Primack, MD, EdM, MS
- Division of General Internal Medicine, Department of Pediatrics, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania
- Department of Medicine, the Center for Research on Health Care, Department of Pediatrics, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania
- Division of Adolescent Medicine, Department of Pediatrics, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania
- Address correspondence and reprint requests to: Brian A. Primack, MD, EdM, MS, Center for Research on Health Care, 230 McKee Place Suite 600, Pittsburgh PA 15213
Erika L. Douglas, MS
- Division of General Internal Medicine, Department of Pediatrics, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania
- Department of Medicine, the Center for Research on Health Care, Department of Pediatrics, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania
Michael J. Fine, MD, MSc
- Division of General Internal Medicine, Department of Pediatrics, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania
- Department of Medicine, the Center for Research on Health Care, Department of Pediatrics, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania
- VA Pittsburgh Healthcare System and the Center for Health Equity Research and Promotion, VA Healthcare System, Pittsburgh, Pennsylvania
Madeline A. Dalton, PhD
- Department of Pediatrics, Hood Center for Children and Families, Dartmouth Medical School, Hanover, New Hampshire
- Community Health Research Program, Hood Center for Children and Families, Dartmouth Medical School, Hanover, New Hampshire

Background

Two thirds of all sexual references in music are degrading in nature, yet it remains uncertain whether these references promote earlier sexual activity. The purpose of this study was to determine if exposure to lyrics describing degrading sex in popular music is independently associated with sexual behavior in a cohort of urban adolescents.

Methods

All ninth-grade health students at three large urban high schools completed in-school surveys in 2006 and 2007. Participants' exposure to lyrics describing degrading sex was computed with overall music exposure and content analyses of their favorite artists' songs. Outcomes included sexual intercourse and progression along a noncoital sexual continuum. Multivariable regression was used to assess independent associations between exposure to lyrics describing degrading sex and outcomes.

Results

The 711 participants were exposed to 14.7 hours each week of songs with lyrics describing degrading sex (SD=17.0). Almost one third of participants (n=216) had previously been sexually active. Compared to those with the least exposure to lyrics describing degrading sex, those with the most exposure were more than twice as likely to have had sexual intercourse (OR=2.07; 95% CI=1.26, 3.41), even after adjusting for all covariates. Similarly, among those who had not had sexual intercourse, those in the highest tertile of exposure to lyrics describing degrading sex were nearly twice as likely to have progressed along a noncoital sexual continuum (OR=1.88; 95% CI=1.23, 2.88) compared to those in the lowest tertile. Finally, the relationships between exposure to lyrics describing nondegrading sex and sexual outcomes were not significant.

Conclusions

This study supports an association between exposure to lyrics describing degrading sex in popular music and early sexual experience among adolescents.