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Margaret Villers, an assistant professor of obstetrics and gynecology at the Medical University of South Carolina in Charleston, examined more than 20,000 responses in a study of teenage girls.

Villers and her team found that “when obese girls did have sex,” they were “three times as likely as healthy-weight girls to have had sex by the age of 13; 30% more likely to have sex with more than three boys by the end of high school; [and] less likely to use condoms.” Varney writes that based on feedback from therapists, “Overweight teenage girls can be reluctant to refuse any advances out of fear that they’ll have few chances in the future for romantic and sexual attention.” Furthermore, a 2011 study found that “extremely obese high-school girls” were “less likely to have sexual intercourse overall…But when they did have a sexual encounter, 42% reported using drugs or alcohol — four times the rate of healthy-weight girls.” This is troubling for a host of reasons, not the least of which is that “since girls who were drunk or high often ‘did more’ sexually than they originally intended, [they] were more likely to have sex without birth control.” Jennie Noll, a professor at Penn State who participated in that study, “worries that heavy girls who become sexually active aren’t developing mature sexual identity that will serve them well on their journey to adulthood; they’re just stuck in a cycle.

Like most youth-organizations, the BSA has struggled with the problem of sex abuse and how to handle abuse allegations. In the 1980s, BSA developed its Youth Protection program, a comprehensive program to educate and prevent abuse.