Although the phrase is commonly understood in the Netherlands to mean penile-vaginal intercourse, there may be adolescents for whom this term may hold different meanings (e.g., oral sex, mutual masturbation, sleeping, etc).
It may be that adolescent females score higher on the ESS without being objectively sleepier, though this remains to be tested.
Another study suggests that this may be because adolescent mothers experiencing high prenatal or parenting stress are more likely to have emotional distress and low maternal adjustment [ 9].
It may be that adolescents who smoke choose other adolescents who smoke to be their closest friends [ 27].
Indeed, it may be that adolescents with MDD are on a different developmental trajectory than healthy youth.
This may be because adolescents had better understanding of questions in Yoruba language than in English language.
This may be because adolescents only become aware of dominance in the later period of their skill development.
We believe this may be because adolescents are more concerned with the correction of their body shape and appearance and are thus more tolerant of pain.
It may be that adolescents who have experienced NSP avoid those activities which propagate NSP, thereby eliminating any association in a cross-sectional analysis.
In light of these observations, it may be that adolescents give greater emphasis to mental health when reporting both their QOL perceptions and self-rated health.
