Patterns of contraceptive use within teenagers' first sexual relationships
Patterns of contraceptive use within teenagers' first sexual relationships
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DOI：
10.1111/j.1931-2393.2003.tb00177.x
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发表时间：
2003-11-01
影响因子：
5.8
通讯作者：
Franzetta, K
中科院分区：
文献类型：
--
作者：
Manlove, J;Ryan, S;Franzetta, K
上下文青少年的意外怀孕率很高，部分原因是不一致使用或不使用避孕药具。重要的是要确定如何合作伙伴和关系的特点与避孕药具的使用和一致性内青少年的第一次性关系。Logistic和多元Logistic回归分析数据来自1，027名参与前两波国家青少年健康纵向研究的参与者研究了关系和伴侣特征对青少年健康的影响。在青少年第一次性关系中使用和持续使用避孕方法。在开始一段关系和与该伴侣的第一次性行为之间等待较长时间的青少年，在第一次性行为之前讨论避孕或使用双重避孕方法的青少年显着增加了曾经或总是使用避孕药的几率。那些立下童贞誓言的青少年，有一个年长的伴侣，有更多的亲密朋友认识他们的第一个伴侣，或者报告说有一段不浪漫的关系，但包括牵手，亲吻和告诉他们的伴侣他们喜欢或爱他们，避孕的使用率或一致性都降低了。随着关系长度的增加，青少年更有可能曾经使用的方法，但不太可能总是使用的methods.CONCLUSIONS：父母和程序应鼓励青少年推迟性交，讨论避孕与合作伙伴开始性行为之前，要警惕避孕的使用，特别是在长期的性关系和与老年合作伙伴的关系。
CONTEXT. Teenagers have a high unintended pregnancy rate, in part because of inconsistent use or nonuse of contraceptives. It is important to determine how partner and relationship characteristics are related to contraceptive use and consistency within adolescents' first sexual relationships.METHODS: Logistic and multinomiol logistic regression analyses of data from 1,027 participants in the first two waves of the National Longitudinal Study of Adolescent Health examined the influence of relationship and partner characteristics on ever-use and consistent use of contraceptive methods during teenagers' first sexual relationships.RESULTS. Teenagers who had waited a longer time between the start of a relationship and first sex with that partner, discussed contraception before first having sex or used dual contraceptive methods had significantly increased odds of ever or always using contraceptives. Adolescents who had taken a virginity pledge, had an older partner, had a greater number of close friends who knew their first partner, or reported having a relationship that was not romantic but that involved holding hands, kissing and telling their partners they liked or loved them had decreased odds of contraceptive use or consistency. As relationship length increased, teenagers were more likely to ever have used a method, but less likely to always have used a method.CONCLUSIONS: Parents and programs should encourage teenagers to delay sexual intercourse, discuss contraception with partners before initiating sex and be vigilant about contraceptive use, particularly in long-term sexual relationships and in relationships with older partners.