Coerced first intercourse and reproductive health among adolescent women in Rakai, Uganda
Coerced first intercourse and reproductive health among adolescent women in Rakai, Uganda
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DOI：
10.1363/3015604
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发表时间：
2004-12-01
期刊：
影响因子：
--
通讯作者：
Gray, R
中科院分区：
文献类型：
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作者：
Koenig, MA;Zablotska, I;Gray, R
上下文虽然有越来越多的认识的范围和意义的青春期妇女在发展中国家经历的性胁迫，其后果对生殖健康的证据仍然limited.METHODS：一个样本的575个性经验丰富的15-19岁的妇女在2001-2002年进行了采访，正在进行的Rokai监测项目在乌干达农村的一部分。卡方检验和Logistic回归被用来调查强迫第一次性交和选定的生殖健康行为和outcomes.RESULTS：14%的年轻女性报告说，他们的第一次性交被强迫之间的关联。在考虑了受访者人口统计学特征的影响后，报告第一次性交被强迫的年轻妇女比那些目前没有使用现代避孕药具、在失去性交时使用避孕套以及在过去六个月内一直使用避孕套的年轻妇女明显更少，他们更有可能将当前或最近的怀孕报告为意外怀孕（在曾经怀孕的妇女中）并报告一种或多种生殖道症状。强迫第一次性交是一个重要的社会和公共卫生问题，可能对年轻妇女的生殖健康和福祉产生严重影响。改善少女生殖健康的干预措施应直接针对性胁迫问题。
CONTEXT. Although there is increasing recognition of the scope and significance of sexual coercion experienced by adolescent women in developing countries, evidence on its consequences for reproductive health remains limited.METHODS: A sample of 575 sexually experienced 15-19-year-old women were interviewed in 2001-2002 as part of the ongoing Rokai surveillance project in rural Uganda. Chi-square tests and logistic regressions were used to investigate associations between coerced first intercourse and selected reproductive health behaviors and outcomes.RESULTS: Fourteen percent of young women reported that their first sexual intercourse had been coerced. After the effects of respondents' demogrophic characteristics were accounted for, young women who reported coerced first intercourse were significantly less likely than those who did not to be currently using modem contraceptives, to have used condoms at lost intercourse and to have used them consistently during the preceding six months, they were more likely to report their current or most recent pregnancy as unintended (among ever-pregnant women) and to report one or more genital tract symptoms.CONCLUSIONS: Coerced first intercourse is an important social and public health problem that has potentially serious repercussions for young women's reproductive health and well-being. Interventions to improve adolescent women's reproductive health should directly address the issue of sexual coercion.