Leveraging a relationship-based sexual health framework for sexual risk prevention in adolescent men in the United States.
Leveraging a relationship-based sexual health framework for sexual risk prevention in adolescent men in the United States.
复制标题
利用基于关系的性健康框架预防美国青少年男性的性风险。
DOI：
10.1071/sh17097
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发表时间：
2018
期刊：
影响因子：
1.6
通讯作者：
Fortenberry,JDennis
中科院分区：
文献类型：
--
作者：
Hensel,DevonJ;Bales,CaseyL;Taylor,JuliaF;Fortenberry,JDennis
背景研究链接性健康，以降低性风险的青少年女性，但没有实证文献评估这些协会在adolescentmes.MethodsData的青少年男性（n = 72; 14-16岁）在美国的性关系和性行为的纵向队列研究。参与者提供了针对伴侣的季度访谈，从中获得性健康信息和伴侣性行为。构建了一个多层面的性健康衡量标准，并将其与伴侣关系的结果联系起来，包括口交、阴道和肛交、避孕套的使用、伴侣并发和亲密伴侣暴力。随机截距、混合效应线性、有序逻辑或二元逻辑回归用于分析。模型控制参与者的年龄，种族/民族和关系length. Results-Adolescent男性贡献了651独特的合作伙伴特定的采访。较高的性健康评分与合作伙伴显着相关，更频繁的口腔生殖器和阴道的性行为，以及更高的安全套使用率，较低的合作伙伴并发性和较低的接收和永久的亲密伴侣violence.ConclusionPositive性相关的经验，在青少年男性有助于核心的性健康，这反过来又与合作伙伴的性风险水平较低。目前的研究数据支持性健康在发展和公共卫生方面的应用，重点是促进健康的性行为和减少风险。来自美国的青少年男性的性健康水平较高，与更频繁地使用避孕套，更低的伴侣并发症和更少的亲密伴侣暴力有关。青年男子锻炼与健康性行为有关的技能，也可以加强与伴侣享受性生活和避免不良性后果所需的技能。
Background Studies link sexual health to lower sexual risk in adolescent women, yet no empirical literature evaluates these associations in adolescent men.MethodsData were drawn from a longitudinal cohort study of sexual relationships and sexual behaviour among adolescent men (n = 72; 14–16 years) in the US. Participants contributed quarterly partner-specific interviews, from which sexual health information and partnered sexual behaviours were drawn. A multidimensional measure of sexual health was constructed and linked to partnered outcomes, including oral–genital, vaginal and anal sex, condom use, partner concurrency and intimate partner violence. Random intercept, mixed-effects linear, ordinal logistic or binary logistic regression were for analyses. Models controlled for participant age, race/ethnicity and relationship length.ResultsAdolescent men contributed 651 unique partner-specific interviews. A higher sexual health score with partners was significantly associated with more frequent oral–genital and vaginal sex, as well as higher condom use, lower partner concurrency and lower received and perpetuated intimate partner violence.ConclusionPositive sexually related experiences in adolescent men contribute to a core of sexual wellbeing, which in turn is linked to lower levels of sexual risk with partners. The present study data support both developmental and public health applications of sexual health, with attention on promoting healthy sexuality as well as risk reduction. Higher sexual health among adolescent men from the US is associated with more frequent condom use, lower partner concurrency and less frequent intimate partner violence. Young men’s exercising the skills associated with healthy sexuality may also reinforce the skills needed to both enjoy sexuality with partners and to avoid adverse sexual outcomes.