Young women's degree of control over first intercourse: An exploratory analysis

Young women's degree of control over first intercourse: An exploratory analysis
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DOI:
10.2307/2991518
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发表时间:
1998-01-01
期刊:
FAMILY PLANNING PERSPECTIVES
影响因子:
--
通讯作者:
Moore, K
Moore, K
中科院分区:
其他
文献类型:
--
作者:
Abma, J;Driscoll, A;Moore, K

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内容:虽然政策制定者和研究人员似乎都经常认为,年轻女性主动进行性交的决定是有意识的,没有任何模糊性,但这些年轻女性对第一次性交的实际控制程度很少得到明确的审查。1995年全国家庭成长调查要求所有有过性行为的妇女在1-10分的范围内,对15-24岁有过首次婚前性行为的妇女进行Logistic回归分析,以检验背景因素和性需求评分对自愿首次性行为时避孕药具使用的影响。在13岁或13岁以下的妇女中,24%的人在第一次婚前性行为时报告说,这种经历是非自愿的,而在19-24岁的妇女中,这一比例为10%。约四分之一的受访者报告他们的第一次性交是自愿的,他们在渴望量表上选择了一个低值(1-4)。第一个伴侣比自己大7岁或7岁以上的女性选择低值的可能性是第一个伴侣年龄相同或更小的女性的两倍多(36%对17%)。与其他女性相比,其伴侣年龄大于7岁或7岁以上的女性在第一次性交时使用避孕药具的可能性也较小。在引入人口统计学和背景因素、伴侣年龄差异和关系状态的控制后,自愿第一次性交的意愿与该次性交时避孕药具使用的几率也没有独立相关性。将女性的第一次性交简单地描述为自愿或非自愿是不够的。考虑到需求程度的措施可能有助于阐明性启动,避孕药具的使用和少女怀孕大量年轻妇女自愿参加了她们感到矛盾或消极的第一次性经历,这一事实值得方案规划者和服务提供者注意。
Context: While policymakers and researchers alike often seem to believe that young women's decision to initiate sexual intercourse is conscious and free of ambiguity: the actual degree of control that such young women exert over first intercourse has rarely been explicitly examined.Methods: The 1995 National Survey of Family Growth asked all women who had experienced intercourse to rate, on a 1-10, scale, the wantedness of their first intercourse; they were then asked whether the experience was voluntary Logistic regression analysis of data for women aged 15-24 who had experienced first premarital intercourse was performed to test the effect of background factors and wantedness scores on contraceptive use at voluntary first intercourse.Results: twenty-four percent of women aged 13 or younger at the time of their first premarital intercourse report the experience to have been nonvoluntary compared with 10% of those aged 19-24 at first premarital intercourse. About one-quarter of respondents who reported their first intercourse as voluntary chose a low value (1-4)on the wantedness scale. Women whose first partner was seven or more years older than themselves were more than twice as likely as those whose first partner was the same age or younger to choose a low value (36% vs. 17%). Women whose partner had been seven or more years older were also less likely than other women to have used contraceptives at first intercourse. After the introduction of controls for demographic and background factors, partner age discrepancy and relationship status, wantedness of voluntary first intercourse was nor independently related to the odds of contraceptive use at that intercourse.Conclusion: Characterizing women's first intercourse as simply voluntary or nonvoluntary is inadequate Measures that take into account degrees of wantedness may help elucidate relationships between sexual initiation, contraceptive use and teenage pregnancy the fact that substantial numbers of young women voluntarily participated in a first sexual experience about which they felt ambivalent or negative deserves the attention of program planners and service providers.