城市少数民族青年过早开始性行为和随后的性相关风险:健康研究的影响。

L. O'donnell, C. O'Donnell, A. Stueve
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引用次数: 419

摘要

自20世纪80年代以来,美国青少年,尤其是少数族裔青少年开始发生性行为的年龄已经下降。关于过早开始性行为和随后的危险性行为之间关系的信息有限。方法对1287名城市少数民族青少年在七、八年级完成3次问卷调查,970名在十年级完成随访。采用Logistic回归检验开始时间对10年级性行为和风险的影响,并对性别、种族和年龄进行调整。结果基线时,31%的男性和8%的女性报告了性开始;到了10年级,这两个数字分别是66%和52%。男性近期性行为从基线时的20%增加到八年级时的39%;54%的人表示最近发生过性行为,6%的人在10年级之前让伴侣怀孕。在女性中,从基线到八年级,最近的性行为增加了两倍(5%至15%);42%的人最近发生过性行为,12%的人在十年级前怀孕。早期启动者有多个性伴侣、怀孕、强迫伴侣发生性行为、频繁性交以及在醉酒或吸毒时发生性行为的可能性更大。除了性交频率、醉酒或性高潮外,所有结果都有显著的性别差异。结论:过早开始性行为的少数民族青少年,其行为具有较高的负面健康风险。重要的是让家长和学校参与预防工作,解决青春期早期开始性行为的问题,并针对那些继续将自己及其伴侣置于危险之中的青年。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Early sexual initiation and subsequent sex-related risks among urban minority youth: the reach for health study.
CONTEXT Since the 1980s, the age at which U.S. teenagers, especially minority youth, begin having sex has decreased. There is limited information on the relationship between early sexual initiation and subsequent risky sexual behaviors. METHODS A sample of 1,287 urban minority adolescents completed three surveys in seventh and eighth grade, and 970 completed a follow-up in 10th grade. Logistic regression was used to test the effects of timing of initiation on 10th-grade sexual behaviors and risks, adjusting for gender, ethnicity and age. RESULTS At baseline, 31% of males and 8% of females reported sexual initiation; by the 10th grade, these figures were 66% and 52%, respectively. Recent intercourse among males increased from 20% at baseline to 39% in eighth grade; 54% reported recent sex and 6% had made a partner pregnant by 10th grade. Among females, recent intercourse tripled from baseline to eighth grade (5% to 15%); 42% reported recent sex and 12% had been pregnant by grade 10. Early initiators had an increased likelihood of having had multiple sex partners, been involved in a pregnancy, forced a partner to have sex, had frequent intercourse and had sex while drunk or high. There were significant gender differences for all outcomes except frequency of intercourse and being drunk or high during sex. CONCLUSIONS Minority adolescents who initiate sexual activity early engage in behaviors that place them at high risk for negative health outcomes. It is important to involve parents and schools in prevention efforts that address sexual initiation in early adolescence and that target youth who continue to place themselves and their partners at risk.
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