Association between First Sexual Intercourse and Sexual Violence Victimization, Symptoms of Depression, and Suicidal Behaviors among Adolescents in the United States: Findings from 2017 and 2019 National Youth Risk Behavior Survey.
Association between First Sexual Intercourse and Sexual Violence Victimization, Symptoms of Depression, and Suicidal Behaviors among Adolescents in the United States: Findings from 2017 and 2019 National Youth Risk Behavior Survey.
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DOI：
10.3390/ijerph18157922
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发表时间：
2021-07-27
影响因子：
--
通讯作者：
Onyeaka HK
中科院分区：
文献类型：
--
作者：
Baiden P;Panisch LS;Kim YJ;LaBrenz CA;Kim Y;Onyeaka HK
本研究的目的是调查美国性活跃青少年的第一次性行为与性暴力受害、抑郁症状和自杀意念之间的关系。这项研究的数据来自美国2017年和2019年的全国青年风险行为调查。采用Poisson回归分析了6252名14-18岁（49.5%为女性）报告有过性行为的青少年。本研究的结果变量包括性暴力受害、抑郁症状、自杀意念、自杀计划和自杀企图，主要解释变量为首次性交年龄和强迫性交。我们还分析了性别和种族的差异。在6252名报告有过性行为的青少年中，7.1%的人在13岁之前有过第一次性行为，14.8%的人经历过强迫性行为。在过去的一年中，大约16%的青少年经历过性暴力，42.6%的青少年报告有抑郁症状，23.9%的青少年有自杀意念，19.3%的青少年有自杀计划，11.1%的青少年在过去的一年中试图自杀。在回归分析中，早期性交与自杀意念（相对危险度（RR）= 1.15，95%置信区间（CI）= 1.02-1.30）、自杀计划（RR = 1.18，95% CI = 1.00-1.38）和自杀企图（RR = 1.36，95% CI = 1.15-1.61）显著正相关。控制协变量的影响，强迫性交史与五个结果呈正相关，相对危险度在1.59和6.01之间。这项研究的结果表明，早期或强迫性交的历史与青少年心理健康状况不佳有关，并强调了制定干预措施的重要性，这些干预措施提供心理支持，以减少早期性交和强迫性交对青少年健康的不利影响。
The objective of this study was to investigate the association between first sexual intercourse and sexual violence victimization, symptoms of depression, and suicidal ideation among sexually active adolescents in the United States. Data for this study came from the U.S. 2017 and 2019 iterations of the National Youth Risk Behavior Survey. An analytic sample of 6252 adolescents aged 14–18 years old (49.5% female) who reported ever having sexual intercourse was analyzed using Poisson regression. The outcome variables investigated in this study were sexual violence victimization, symptoms of depression, suicidal ideation, a suicide plan, and suicide attempts, and the main explanatory variables were age at first sexual intercourse and forced sexual intercourse. We also analyzed differences by gender and race. Of the 6252 adolescents who reported ever having sexual intercourse, 7.1% had their first sexual intercourse before age 13, and 14.8% experienced forced sexual intercourse. About 16% of adolescents experienced sexual violence during the past year, 42.6% reported symptoms of depression, 23.9% experienced suicidal ideation, 19.3% made a suicide plan, and 11.1% attempted suicide during the past year. In the regression analysis, early sexual intercourse was significantly and positively associated with suicidal ideation (relative risk (RR) = 1.15, 95% Confidence Interval (CI) = 1.02–1.30), suicide plan (RR = 1.18, 95% CI = 1.00–1.38), and suicide attempts (RR = 1.36, 95% CI = 1.15–1.61). Controlling for the effects of covariates, history of forced sexual intercourse was positively associated with the five outcomes examined with the relative risk ranging between 1.59 and 6.01. Findings of this study suggest that history of early or forced sexual intercourse is associated with poor mental health outcomes among adolescents and underscores the importance of developing interventions that offer psychological support in reducing the adverse impact of early sexual intercourse and forced sexual intercourse on adolescent health.
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DOI：
10.1111/jcpp.12176
发表时间：
2014-07
期刊：
Journal of child psychology and psychiatry, and allied disciplines
影响因子：
--
作者：
Samek DR;Iacono WG;Keyes MA;Epstein M;Bornovalova MA;McGue M
通讯作者：
McGue M
影响因子：
3.6
作者：
Higgins, Jenny A.;Trussell, James;Davidson, J. Kenneth
通讯作者：
Davidson, J. Kenneth
DOI：
10.1016/j.pedn.2019.11.009
发表时间：
2020-05-01
影响因子：
2.4
作者：
Lee, Jaeyoung
通讯作者：
Lee, Jaeyoung
影响因子：
3.8
作者：
Alleyne, Binta;Coleman-Cowger, Victoria H.;Vines, Linda Nicole
通讯作者：
Vines, Linda Nicole
影响因子：
8
作者：
Finer, Lawrence B.;Philbin, Jesse M.
通讯作者：
Philbin, Jesse M.