美国青少年和年轻成年女性的性教育和避孕措施使用:2011-2017年全国家庭增长调查分析

Q2 Medicine

Contraception: X Pub Date : 2020-01-01 DOI:10.1016/j.conx.2020.100048

Aneesha Cheedalla , Caroline Moreau , Anne E. Burke

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引用次数: 14

摘要

目的性教育的综合性对性健康措施的影响尚未得到充分的研究。我们比较了2011年至2017年美国15-24岁女性的全面性教育趋势及其与首次性交时避孕药具使用和当前避孕药具使用的关系。研究设计分析包括2011-2017年全国家庭增长调查中15-24岁的女性。我们将综合性教育定义为包括在NSFG中查询的6个主题(如何对性说不，避孕方法，在哪里获得避孕措施，如何使用避孕套，性传播感染，艾滋病毒/艾滋病)，非综合性教育定义为包括少于6个主题。多变量回归模型研究了与避孕指标的关系。结果5445名受访女性在2011-2013年、2013-2015年和2015-2017年接受全面性教育的比例分别为35%、40%和34%。在所有时期，在第一次性行为之前接受过全面性教育的受访者在15岁之前报告第一次性行为的可能性较小(aOR 0.55;(95% CI: 0.40-0.74)和非自愿性第一次性行为(aOR: 0.42, 95% CI: 0.26-0.72)。在初次性行为中，接受过全面性教育的人更有可能使用任何(aOR = 1.63;95% CI: 1.18-2.25)和非常有效(aOR = 1.35;95% CI: 1.04-1.75)避孕。综合性教育与当前避孕措施使用无关(aOR = 0.87;95% ci: 0.63-1.21)。结论全面的性教育与初次性交时避孕药具使用率增加有关，但与当前避孕药具使用率无关。促进综合性教育的项目可能对初次性行为的预防有积极的影响。

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Sex education and contraceptive use of adolescent and young adult females in the United States: an analysis of the National Survey of Family Growth 2011–2017

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Sex education and contraceptive use of adolescent and young adult females in the United States: an analysis of the National Survey of Family Growth 2011–2017

Objectives

The effects of the comprehensiveness of sex education on sexual health measures have not been well-studied. We compared trends in comprehensive sex education and its relation to contraceptive use at first intercourse and current contraceptive use for women ages 15–24 in the United States between 2011 and 2017.

Study design

Analyses included females ages 15–24 from the 2011–2017 National Survey of Family Growth. We defined comprehensive sex education as including 6 topics queried in the NSFG (how to say no to sex, birth control methods, where to get birth control, how to use condoms, sexually transmitted infections, HIV/AIDS), and non-comprehensive sex education as including less than 6 topics. Multivariable regression models investigated associations with contraceptive indicators.

Results

Among 5445 respondents, percentages of women receiving comprehensive sex education in 2011–2013, 2013–2015, and 2015–2017 were 35%, 40%, and 34%. Across all periods, respondents reporting comprehensive sex education before first sex were less likely to report first sexual intercourse before age 15 (aOR 0.55; 95% CI: 0.40–0.74) and non-volitional first intercourse (aOR 0.42, 95% CI: 0.26–0.72) compared to those with non-comprehensive sex education. At first intercourse, those with comprehensive sex education were more likely to have used any (aOR = 1.63; 95% CI: 1.18–2.25) and very effective (aOR = 1.35; 95% CI: 1.04–1.75) contraception. Comprehensive sex education was unrelated to current contraceptive use (aOR = 0.87; 95% CI: 0.63–1.21).