Factors affecting British teenagers' contraceptive use at first intercourse: The importance of partner communication
Factors affecting British teenagers' contraceptive use at first intercourse: The importance of partner communication
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DOI：
10.2307/3097729
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发表时间：
2002-07-01
影响因子：
5.8
通讯作者：
Ingham, R
中科院分区：
文献类型：
--
作者：
Stone, N;Ingham, R
背景：尽管关于英国青少年性行为和避孕行为的知识越来越多，但许多定量工作未能考虑到这种行为发生的更广泛的社会背景。方法：1999年对963名16-18岁的全日制学生进行调查，收集个人、环境和背景因素的信息。进行了逻辑回归分析，以调查这些因素如何决定在初次性行为中使用现代方法，以及是否事先讨论了这种使用。结果：三个因素与年轻男性第一次性行为使用避孕措施的几率显著相关——事先讨论避孕（比值比，5.7-13.8），给出第一次性行为的亲密原因（比值比，6.4），以及父母在童年和青少年早期积极地描述性行为（比值比，1.2）。对年轻女性而言，有五个因素能显著预测性行为的发生——沟通（优势比为6.2-15.0）、第一次性行为的年龄（优势比为1.8）、没有去过性服务提供者（优势比为5.0）、与青少年男性互动时感到自在（优势比为1.2）以及“有点”或不期望发生性行为（优势比分别为0.2和0.4）。在年轻男性中，与讨论避孕的几率显著相关的因素是社会剥夺的程度、关系的持续时间和父母谈论性的开放程度；在年轻女性中，最重要的因素是发生性行为的亲密原因的数量，以及父母的温暖和可用性。结论：提高青少年性和避孕决策协商能力的努力应是多方面的。至关重要的是，父母在整个童年和青春期提供一个支持性的氛围，在那里讨论性问题是可以接受的，在那里家人可以放心地公开谈论。
CONTEXT: Despite the growing body of knowledge about teenager's sexual and contraceptive behavior in the United Kingdom, much quantitative work has failed to consider the broader social contexts in which this behavior occurs.METHODS: A 1999 survey of 963 full-time students aged 16-18 gathered information on individual, contextual and background factors. Logistic regression analyses were conducted to investigate how these factors determine use of a modern method at first sex and whether such use is discussed beforehand.RESULTS: Three factors were significantly associated with the odds of contraceptive use at first sex among young men-discussing contraception beforehand (odds ratios, 5.7-13.8), giving an intimate reason for having sex the first time (6.4) and having parents who portrayed sexuality positively during childhood and the early teenage years (1.2). For young women, five factors significantly predicted use-communication (odds ratios, 6.2-15.0), age at first sex (1.8), not having visited a service provider (5.0), feeling comfortable interacting with teenage males (1.2) and "sort of" or not expecting to have sex (0.2 and 0.4, respectively). Among young men, the factors significantly associated with the odds of having discussed contraception were the level of social deprivation, the length of the relationship and parents' openness to talking about sex; among young women, the factors were the number of intimate reasons given for having sex and the warmth and availability of parents.CONCLUSIONS: Efforts to increase young people's ability to negotiate sexual and contraceptive decision-making should be multifaceted. It is essential that parents provide a supportive climate throughout childhood and adolescence, where discussions of sexual issues are acceptable and where families feel comfortable talking openly.