Malith Kumarasinghe, W Indralal De Silva, Ranjith de Silva, M Suchira Suranga
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引用次数: 2
Abstract
Background: Youth are at high risk for casual and unprotected sexual activities even before marriage. The objective of the study is to describe the sexual behavior, and contraceptive use among unmarried youth of Sri Lanka and to assess the factors associated with sexual behaviour.
Methods: An observational descriptive cross-sectional study was conducted in three selected districts in Sri Lanka from 1st March 2019 to 31st January 2020 among 1057 never-married youth using a self-administered questionnaire. Both stratified cluster sampling and snowball sampling were used to select the eligible never-married youth. Factors associated with sexual intercourse were assessed using logistic regression.
Results: Compared to boys (26%), more girls (35%) were engaged in unprotected sexual intercourse. Among sexually active unmarried youth aged less than 20 years, 10% had sexual intercourse with an unknown person. Unmarried Tamil and estate sector youth displayed significantly lower chances of sexual intercourse compared to Sinhala and urban counterparts (OR = 0.390, CI = 0.213-0.715, p = 0.002 and OR = 0.807, CI = 0.709-0.978, p = 0.020 respectively). Youth in the rural (69.5%) and urban sectors (87.3%) tend to use contraceptives during intercourse compared to the youth in the Estate sector (51.1%).
Conclusions: A significant portion of youth are exposed to sexual risk behavior including unprotected sexual intercourse even before marriage which can contribute to many social and health consequences. Focus interventions are needed to address the issue.
背景:青少年甚至在婚前发生随意和无保护的性行为的风险很高。该研究的目的是描述性行为，以及斯里兰卡未婚青年避孕药具的使用，并评估与性行为相关的因素。方法:2019年3月1日至2020年1月31日，在斯里兰卡选定的三个地区对1057名未婚青年进行了一项观察性描述性横断面研究，采用自填问卷。采用分层整群抽样和滚雪球抽样两种方法对符合条件的未婚青年进行抽样。使用逻辑回归评估与性交相关的因素。结果:与男孩(26%)相比，女孩(35%)有更多的无保护性交行为。在性活跃的20岁以下未婚青年中，10%与不认识的人发生过性行为。与僧伽罗人和城市同龄人相比，未婚泰米尔人和房地产行业的年轻人表现出明显较低的性交机会(OR = 0.390, CI = 0.213-0.715, p = 0.002; OR = 0.807, CI = 0.709-0.978, p = 0.020)。农村地区的青年(69.5%)和城市地区的青年(87.3%)倾向于在性交时使用避孕药具，而农村地区的青年(51.1%)倾向于使用避孕药具。结论:很大一部分青年面临性危险行为，包括婚前无保护的性交，这可能导致许多社会和健康后果。需要采取重点干预措施来解决这一问题。
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