A Multidimensional Model of Sexual Health and Sexual and Prevention Behavior Among Adolescent Women
A Multidimensional Model of Sexual Health and Sexual and Prevention Behavior Among Adolescent Women
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DOI：
10.1016/j.jadohealth.2012.05.017
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发表时间：
2013-02-01
影响因子：
7.6
通讯作者：
Fortenberry, J. Dennis
中科院分区：
文献类型：
--
作者：
Hensel, Devon J.;Fortenberry, J. Dennis
目的：性健康是指与性相关的终生幸福状态。在青年人中，性健康具有多个层面，包括性行为对发展的积极贡献，以及获得避免意外怀孕和性传播感染等不良性后果的相关技能。现有的努力，了解性健康，但是，还没有经验操作性的多维度模型的性健康和评估其关联到不同的性/预防behaviors.Methods：性健康的尺寸和性/预防行为是从一个更大的纵向队列研究的青少年女性之间的性关系（N = 387，14-17岁）。二阶潜变量模型（AMOS/19.0）评估性健康与维度之间的关系，并分析性健康对性/预防结局的影响。结果：所有一阶潜变量都是性健康的显著指标（β：0.192 - 0.874，均p <0.001）。性健康状况的改善与禁欲、非性交和阴道性行为的频率增加、最后一次性交时使用避孕套、避孕套保护事件的比例增加、使用激素或其他避孕方法以及没有性传播感染密切相关。所有的模型表现出良好的fit.Conclusions：性健康是一个经验连贯的结构，在其整体的尺寸是显着联系到广泛的成果，包括禁欲，避孕套的使用和没有性传播感染。这意味着，无论年轻人的经历如何，性健康都是促进积极的性发展和初级预防的一个重要因素。(C)2013年青少年健康和医学协会。All rights reserved.
Purpose: Sexual health refers a state of lifespan well-being related to sexuality. Among young people, sexual health has multiple dimensions, including the positive developmental contributions of sexuality, as well as the acquisition of skills pertinent to avoiding adverse sexual outcomes such as unintended pregnancy and sexually transmitted infections (STIs). Existing efforts to understand sexual health, however, have yet to empirically operationalize a multi-dimensional model of sexual health and to evaluate its association to different sexual/prevention behaviors.Methods: Sexual health dimensions and sexual/prevention behaviors were drawn from a larger longitudinal cohort study of sexual relationships among adolescent women(N = 387, 14-17 years). Second order latent variable modeling (AMOS/19.0) evaluated the relationship between sexual health and dimensions and analyzed the effect of sexual health to sexual/prevention outcomes.Results: All first order latent variables were significant indicators of sexual health (beta: 0.192 - 0.874, all p < .001). Greater sexual health was significantly associated with sexual abstinence, as well as with more frequent non-coital and vaginal sex, condom use at last sex, a higher proportion of condom-protected events, use of hormonal or other methods of pregnancy control and absence of STI. All models showed good fit.Conclusions: Sexual health is an empirically coherent structure, in which the totality of its dimensions is significantly linked to a wide range of outcomes, including sexual abstinence, condom use and absence of STI. This means that, regardless of a young person's experiences, sexual health is an important construct for promoting positive sexual development and for primary prevention. (C) 2013 Society for Adolescent Health and Medicine. All rights reserved.