Early sexual debut among young men in rural South Africa: heightened vulnerability to sexual risk?
Early sexual debut among young men in rural South Africa: heightened vulnerability to sexual risk?
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DOI：
10.1136/sti.2004.011486
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发表时间：
2005-06-01
影响因子：
3.6
通讯作者：
Frohlich, J
中科院分区：
文献类型：
--
作者：
Harrison, A;Cleland, J;Frohlich, J
目的：本报告研究了南非农村年轻男性过早的性行为（15岁），包括(1)初次性行为的风险行为，以及(2)第一次性行为的年龄作为以后性风险的预测因子。方法：对代表性横断面家庭调查中15 ~ 24岁男性（n = 314）的性行为资料进行分析。结果：13.1%的15 - 24岁男性在15岁之前有过性行为。15岁以下有初次性行为的男性更有可能报告第一次性经历的危险行为：没有使用安全套（19%），有一个随意的伴侣（26.8%），以及感觉自己没有“准备好并想要发生性行为”（19.5%）。多因素分析显示，性行为发生时间早与近3年内>= 3名性伴侣有显著相关性（OR = 10.26, p< 0.01）。结论：在这种情况下，15岁前开始性行为的男性构成了一个明显的风险群体。在青春期前，在初次性行为之前，需要对年轻男性进行具体的干预。
Objective: This report examines early sexual debut (, age 15) among young men in rural South Africa including ( 1) risk behaviours at first sexual experience, and ( 2) age at first sex as a predictor of later sexual risk.Methods: Analysis of sexual behaviour data for men 15 24 years ( n = 314) from representative cross sectional household survey.Results: 13.1% of 15 - 24 year old men experienced sexual debut before age 15. Men with sexual debut at less than age 15 were more likely to report risk behaviours at first sexual experience: no condom use (19%), a casual partner (26.8%), and not feeling they had been "ready and wanted to have sex'' (19.5%). In multivariate analysis, early sexual debut was strongly associated with >= 3 partners in the past 3 years ( OR = 10.26, p< 0.01).Conclusions: Men who initiate sex before age 15 form a distinct risk group in this setting. Specific interventions are needed for young men in the preteen years, before sexual debut.