Prevalence and Predictors of Sexual Inexperience in Adulthood
Prevalence and Predictors of Sexual Inexperience in Adulthood
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DOI：
10.1007/s10508-013-0164-3
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发表时间：
2014-02-01
影响因子：
3.8
通讯作者：
Halpern, Carolyn Tucker
中科院分区：
文献类型：
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作者：
Haydon, Abigail A.;Cheng, Mariah M.;Halpern, Carolyn Tucker
伴侣性行为的出现代表着一种重要的发展转变。然而，对于那些在成年后仍缺乏性经验的人，人们知之甚少。我们使用了2857人的数据，这些人参与了国家青少年健康纵向研究(ADD Health)的第一至第四波，并报告在18岁之前没有性行为(即口腔生殖器、阴道或肛交)，以使用离散时间生存模型来确定青少年的社会人口、生物社会和行为特征，这些特征预测了成年人缺乏性行为经验。第四波的参与者的平均年龄为28.5岁(SD=1.92)。在青春期没有主动性行为的参与者中，超过八分之一的人在年轻时仍然禁欲。性不吸引显著预测男性(AOR=0.5)和女性(AOR=0.6)的性经验不足。如果男性是非西班牙裔亚洲人，他们在18岁后开始性行为的几率也较低，报告称他们晚于平均青春期发育，或者被评为身体不好看(AORS=0.6-0.7)。超重、认知能力较差或经常参加宗教活动的女性发生性行为的几率较低(AORS=0.7~0.8)，而被调查者评价为非常有吸引力或父母教育程度较低的女性发生性行为的几率较高(AORS=1.4~1.8)。我们的发现强调了这一独特人群的异质性，并表明有许多不同的途径可能导致自愿或非自愿的成人性经验不足。理解青春期缺乏性经验的含义，可能对研究整个生命过程中的性发展具有重要的意义。
The emergence of partnered sexual behavior represents an important developmental transition. However, little is known about individuals who remain sexually inexperienced well into adulthood. We used data from 2,857 individuals who participated in Waves I-IV of the National Longitudinal Study of Adolescent Health (Add Health) and reported no sexual activity (i.e., oral-genital, vaginal, or anal sex) by age 18 to identify, using discrete-time survival models, adolescent sociodemographic, biosocial, and behavioral characteristics that predicted adult sexual inexperience. The mean age of participants at Wave IV was 28.5 years (SD = 1.92). Over one out of eight participants who did not initiate sexual activity during adolescence remained abstinent as young adults. Sexual non-attraction significantly predicted sexual inexperience among both males (aOR = 0.5) and females (aOR = 0.6). Males also had lower odds of initiating sexual activity after age 18 if they were non-Hispanic Asian, reported later than average pubertal development, or were rated as physically unattractive (aORs = 0.6-0.7). Females who were overweight, had lower cognitive performance, or reported frequent religious attendance had lower odds of sexual experience (aORs = 0.7-0.8) while those who were rated by the interviewers as very attractive or whose parents had lower educational attainment had higher odds of sexual experience (aORs = 1.4-1.8). Our findings underscore the heterogeneity of this unique population and suggest that there are a number of different pathways that may lead to either voluntary or involuntary adult sexual inexperience. Understanding the meaning of sexual inexperience in young adulthood may have important implications for the study of sexuality development across the life course.