Depression Childhood Depression How Self-Esteem Influences Teen Sex Behavior By Nancy Schimelpfening Nancy Schimelpfening Nancy Schimelpfening, MS is the administrator for the non-profit depression support group Depression Sanctuary. Nancy has a lifetime of experience with depression, experiencing firsthand how devastating this illness can be. Learn about our editorial process Updated on May 28, 2022 Medically reviewed Verywell Mind articles are reviewed by board-certified physicians and mental healthcare professionals. Medical Reviewers confirm the content is thorough and accurate, reflecting the latest evidence-based research. Content is reviewed before publication and upon substantial updates. Learn more. by Amy Morin, LCSW Medically reviewed by Amy Morin, LCSW Facebook LinkedIn Twitter Amy Morin, LCSW, is the Editor-in-Chief of Verywell Mind. She's also a psychotherapist, the author of the bestselling book "13 Things Mentally Strong People Don't Do," and the host of The Verywell Mind Podcast. Learn about our Medical Review Board Print Hero Images / Getty Images Table of Contents View All Table of Contents Teen Sex Behavior and Self-Esteem Who Is at Risk Warning Signs How to Educate/Support Teens According to a report by the National Center for Health Statistics, more than half of all teenagers in the U.S. have had sex by the time they reach age 18. Unfortunately, teens may lack the maturity and emotional resources to properly manage sexual relationships. It is not uncommon for teens to engage in risky sexual behaviors such as lack of protection or multiple sexual partners. "Low self-esteem in children is a sure way to push them toward engaging in risky and reckless sexual behavior as teens. They wish to be popular and the inability to make wise decisions about the consequences of one's actions is at the core of the problem, explains licensed psychologist Patricia A. Farrell, PhD. The CDC reports that half of all newly reported STDs occur in young people between the ages of 15 and 24 and that nearly half of all sexually active high schoolers did not use condoms the last time they had sex. Unprotected sex significantly increases the risk of contracting a sexually transmitted infection (STI) or experiencing an unintended pregnancy. Research suggests that self-esteem is an important factor in determining whether teens are sexually active, but the effect is different between girls and boys. Teen Sex Behavior and Self-Esteem A number of studies have found a connection between self-esteem and teen sexual activity. For example, one early study found that girls who reported being sexually active had lower scores on measures of self-esteem. What the results did not indicate, however, is whether self-esteem was the cause or a consequence of sex. "Kids are impressionable and if they see that popularity in a group is related to risky sex, those with low self-esteem, especially the girls, will gravitate toward it," Farrell suggests. Some of this may be attributed to the fact that girls tend to have lower self-esteem than boys, and are more likely to hold negative views of both their physical and intellectual characteristics. One study found that self-esteem had differing effects on sexual behaviors in teen boys and girls: Younger girls with lower self-esteem are more likely to engage in sexual activity.Teen boys with low self-esteem are less likely to be sexually active.Boys who have high self-esteem are nearly 2.5 times more likely to initiate sex.Girls with high self-esteem are three times less likely to have sex. Half of the boys who had high self-esteem in seventh grade had sex by ninth grade. Of the girls with low self-esteem in seventh grade, 40% had sex by the time they were in ninth grade. Another study looking at risky sexual behaviors in Nigerian teens found that adolescents with low self-esteem were 1.7 times more likely to engage in risky sexual behaviors such as having sex without a condom, having multiple sexual partners, and having sex in exchange for drugs. Research also suggests that low self-esteem can be a predictor for having sex at an earlier age. Who Is at Risk It is important to remember that not all teens with low self-esteem will become sexually active. Conversely, high self-esteem is not necessarily a guarantee that your teen will not become sexually active. In fact, research suggests that high self-esteem may actually make boys more likely to begin having sex. Kids who have a strong sense of themselves and self-respect will not be immune from sexual urges, but having good self-esteem may help them to handle relationships in more mature ways. Teens who are struggling with their own sense of self-worth may be the most prone to unwise decisions about sex. Issues Tweens and Teens Face Warning Signs for Parents to Look For Unless you have a very open relationship with your child, you may not know they are sexually active unless a problem arises such as unintended pregnancy, illness, or an STI. If your child is dating, you should assume there is a possibility they will become sexually active. If you are fortunate to have a very trusting relationship with your child, they may actually come and ask you for advice. If not, you may find signs of contraceptives or evidence that your child is seeking out moments to be alone with a boyfriend or girlfriend for private moments. The best advice, however, is to be proactive rather than waiting for signs. Talk frankly with your child about sex. Work actively to ensure they place a high value on themselves and their futures. How Parents Can Educate/Support Teens As a parent or caregiver, you can help foster healthy self-esteem in your teen as well as a supportive and caring relationship with you, which can encourage your teen to make healthy choices in all aspects of their life, including their relationships and sexuality. Talk to Your Child's Pediatrician If you suspect that your teen has low self-esteem or is depressed, talk to your child's doctor. Your child's pediatrician can screen for potential problems and also provide information about safe sex and birth control options. Sexually active teens will also need non-judgmental education about the risks and responsibilities of sex, including proper medical care where appropriate. Activities that raise self-esteem may help teens feel more empowered and in control of their lives and bodies. Talk to Your Child About Sex Farrell notes that parents and caregivers should model healthy close personal relationships. She also stresses the importance of engaging in open communication with children. "Open conversations regarding questions that will be asked about sex are significant and parents must provide positive parenting practices to counter the information the children may get from their friends," she explains. Such communication, Farrell suggests, shouldn't be restricted to a single conversation. Instead, it should be an ongoing pattern of communication that helps kids feel comfortable talking about their lives. "Research has shown that teens who shared their parents’ values, developed over years of open conversations, make better decisions about delaying sex and understand that sex does not mean love," she says. Ideas for Initiating Conversations Great opportunities to talk to your teen include while in the car (kids may feel more comfortable listening to what you are saying without needing to look at you, Farrell suggests) and in teachable moments such as while watching TV shows that feature relevant storylines regarding sex, relationships, and risky sexual behavior. Address Signs of Depression If your child is depressed or struggling with low esteem, there are things that you can do to help. Your teen's pediatrician may recommend treatments such as medication or psychotherapy to address underlying symptoms of depression or anxiety. How to Help Your Depressed Teenager Offer Quality Sex Education Recent findings from the CDC's National Youth Risk Behavior Surveys indicate that fewer teens are engaging in risky sexual behavior than in the past. While the research could not point to any specific intervention as the cause of this trend, access to medically accurate sex education programs and online educational information may play an important role. Such trends suggest that parents may be able to reduce the risk by talking about making healthy choices and providing frank, factual information about sex, including safe sex practices and the consequences of risky behaviors. Farrell notes that making sure that kids have access to age-appropriate, accurate information is imperative. "Several things that parents should keep in mind include asking the teen where they are getting their information about sex, what they know about relationships and the prevention of STDs, and what messages are factual and medically accurate," she suggests. Resources for Parents Talking With Your Teens About Sex: Going Beyond "The Talk" from the Centers for Disease Control and Prevention (CDC) Staying Connected: A Guide for Parents on Raising an Adolescent Daughter from the American Psychological Association (APA) Talking to Parents About Adolescent Sexuality from Pediatric Clinics of North America. A Word From Verywell It's important for parents to watch for signs of poor self-esteem or symptoms of depression in teens. It is also essential to remember that teens view their parents as the single largest influence on their decisions regarding sex. For this reason, talking to your kids frankly about sex is essential despite any awkward Important topics to discuss include anatomy and physiology, STIs and protection, puberty, sex practices, boundaries, relationships, sexual orientation, contraception, pornography, and abuse. In many cases, educating yourself before having such conversations can be helpful. If you suspect that your child might have low self-esteem or depression, take steps to get them the help they need. Look for ways to support your child's self-esteem and talk to your teen's pediatrician about treatment options that can help with depression. Press Play for Advice On Raising Confident Children Hosted by Editor-in-Chief and therapist Amy Morin, LCSW, this episode of The Verywell Mind Podcast, featuring actress/author Jazmyn Simon, shares how to raise confident kids. Click below to listen now. Follow Now: Apple Podcasts / Spotify / Google Podcasts 8 Sources Verywell Mind uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy. Abma JC, Martinez GM. Sexual activity and contraceptive use among teenagers in the United States, 2011-2015. 2017; June(104):1-23. Centers for Disease Control and Prevention. Sexual Risk Behaviors Can Lead to HIV, STDs, & Teen Pregnancy. Orr DP, Wilbrandt,ML, Brack CJ, Rauch SP, Ingersoll GM. Reported sexual behaviors and self-esteem among young adolescents. Am J Dis Child. 1989;143(1):86-90. doi:10.1001/archpedi.1989.02150130096023 Bleidorn W, Arslan RC, Denissen JJ, Rentfrow PJ, Gebauer JE, Potter J, Gosling SD. Age and gender differences in self-esteem-A cross-cultural window. J Pers Soc Psychol. 2016;111(3):396-410. doi:10.1037/pspp0000078 Enejoh V, Pharr J, Mavegam BO, et al. Impact of self esteem on risky sexual behaviors among Nigerian adolescents. AIDS Care. 2016;28(5):672-676. doi:10.1080/09540121.2015.1120853 Ethier KA, et al. Self-esteem emotional distress and sexual behavior among adolescent females: Inter-relationships and temporal effects. J Adolesc Health. 2006;38(3):268-274. doi:10.1016/j.jadohealth.2004.12.010 Centers for Disease Control and Prevention. Youth Risk Behavior Survey: Data Summary and Trends Report 2007-2017. Ashcraft AM, Murray PJ. Talking to parents about adolescent sexuality. Pediatr Clin North Am. 2017;64(2):305-320. doi:10.1016/j.pcl.2016.11.002 Additional Reading Spencer JM, Zimet GD, Aalsma MC, Orr DP. Self-esteem as a predictor of initiation of coitus in early adolescents. Pediatrics. 2002;109(4):581-584. doi:10.1542/peds.109.4.581 By Nancy Schimelpfening Nancy Schimelpfening, MS is the administrator for the non-profit depression support group Depression Sanctuary. Nancy has a lifetime of experience with depression, experiencing firsthand how devastating this illness can be. See Our Editorial Process Meet Our Review Board Share Feedback Was this page helpful? Thanks for your feedback! What is your feedback? Other Helpful Report an Error Submit Speak to a Therapist for Depression Advertiser Disclosure × The offers that appear in this table are from partnerships from which Verywell Mind receives compensation.