Risk Factors for Early Sexual Intercourse in Adolescence: A Systematic Review of Cohort Studies.

IF 2.3 3区医学 Q2 PSYCHIATRY

Child Psychiatry & Human Development Pub Date : 2024-12-01 Epub Date: 2023-03-25 DOI:10.1007/s10578-023-01519-8

Larissa F Reis, Pamela J Surkan, Kaitlyn Atkins, Rodrigo Garcia-Cerde, Zila M Sanchez

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Abstract

This systematic review provides a comprehensive assessment of risk factors related to early sexual intercourse (ESI) among adolescents. We used PRISMA guidelines to identify eligible cohort studies published between January 1999 and December 2020. We searched on three databases: PubMed, Embase and LILACS. Studies were screened for quality and eligibility. Of 2787 identified studies, seven met our inclusion criteria. The studies examined a range of factors, which were organized into four dimensions - individual, family, social and environmental, and sociodemographic. Risk factors with strong associations for ESI were: adolescent and parental substance use, aggression and conduct disorders, family attachment, school achievement, family living situation, and maternal education. Three studies were birth cohorts. This review demonstrates the important roles of substance use, family attachment and academic factors in shaping adolescents' sexual behavior. A strength of this review is its focus on longitudinal studies, enabling exploration of exposures collected before initiation of sexual intercourse.

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青春期过早发生性行为的风险因素：队列研究的系统回顾。

本系统综述全面评估了与青少年过早性交（ESI）相关的风险因素。我们采用 PRISMA 指南来识别 1999 年 1 月至 2020 年 12 月间发表的符合条件的队列研究。我们在三个数据库中进行了检索：PubMed、Embase 和 LILACS。我们对研究的质量和资格进行了筛选。在 2787 项已确定的研究中，有 7 项符合我们的纳入标准。这些研究考察了一系列因素，并将其分为四个方面--个人、家庭、社会和环境以及社会人口。与 ESI 密切相关的风险因素包括：青少年和父母使用药物、攻击行为和行为障碍、家庭依恋、学校成绩、家庭生活状况和母亲教育程度。三项研究为出生队列研究。本综述表明，药物使用、家庭依恋和学业因素对青少年性行为的形成具有重要作用。本综述的一个优点是它侧重于纵向研究，从而能够对开始性行为之前收集的暴露因素进行探讨。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Child Psychiatry & Human Development Multiple-

CiteScore

0.50

自引率

3.40%

发文量

174

期刊介绍： Child Psychiatry & Human Development is an interdisciplinary international journal serving the groups represented by child and adolescent psychiatry, clinical child/pediatric/family psychology, pediatrics, social science, and human development. The journal publishes research on diagnosis, assessment, treatment, epidemiology, development, advocacy, training, cultural factors, ethics, policy, and professional issues as related to clinical disorders in children, adolescents, and families. The journal publishes peer-reviewed original empirical research in addition to substantive and theoretical reviews.