Social Factors Associated with Readiness for Sexual Activity in Adolescents: A Population-Based Cohort Study
Social Factors Associated with Readiness for Sexual Activity in Adolescents: A Population-Based Cohort Study
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DOI：
10.1007/s10508-013-0162-5
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发表时间：
2015-04-01
影响因子：
3.8
通讯作者：
Waylen, Andrea
中科院分区：
文献类型：
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作者：
Heron, Jon;Low, Nicola;Waylen, Andrea
各种因素与青春期的性活动有关，重要的是确定哪些因素能促进健康和适应性、浪漫和性发展。这项研究的目的是描述青春期的早期性交比率(16岁之前)和性准备情况，并评估这些社会模式的程度。我们前瞻性地研究了来自雅芳父母和孩子纵向研究的近5000名15岁的青少年，这是一项英国出生队列研究。在2006至2008年间，女性和男性参与者回答了一项关于去年浪漫和性行为的计算机辅助采访。对性交和性交准备的预测因素通过一系列社会人口统计指标进行了检验。总体而言，17.7%(95%可信区间16.7%，18.9%)的参与者报告在过去一年中发生过性行为，报告性行为经历的女孩多于男孩(风险比1.30，95%可信区间1.15，1.47)。在这些人中，三分之一的男性和女性都被归类为未准备好，因为他们不愿意、缺乏自主权、感到后悔或没有使用避孕措施。有强有力的证据表明，性行为的社会模式，来自贫困家庭、社会阶层较低的年轻人以及年轻、受教育程度较低的母亲的比例较高。相比之下，在860名有过性行为的年轻人中，没有明确的证据表明社会因素和性准备之间的联系。在性准备方面缺乏社会模式支持提供全面的教育，以便为所有社会群体的青少年发展生活技能。
Various factors are associated with sexual activity in adolescence and it is important to identify those that promote healthy and adaptive romantic and sexual development. The objectives of this study were to describe rates of early sexual intercourse (before 16 years) and sexual readiness in adolescence and to assess the extent to which these were social patterned. We prospectively studied nearly 5,000 15-year-olds from the Avon Longitudinal Study of Parents and Children, a UK birth cohort. Between 2006 and 2008, female and male participants answered a computer assisted interview about romantic and sexual behaviors in the last year. Predictors of sexual intercourse and readiness for sexual intercourse were examined across a range of sociodemographic measures. Overall, 17.7 % (95 % CI 16.7 %, 18.9 %) of participants reported having had sexual intercourse in the last year, with more girls than boys reporting sexual experience (risk ratio 1.30, 95 % CI 1.15, 1.47). Of these, one-third of both male and female were classed as unready because they were unwilling, lacking in autonomy, felt regret or had not used contraception. There was strong evidence of social patterning for sexual activity with higher rates for young people from poorer homes, with lower social class, and with younger, less educated mothers. In contrast, among 860 young people who had had sexual intercourse, there was no clear evidence of associations between social factors and sexual readiness. The lack of social patterning in sexual readiness supports the provision of comprehensive education to develop life skills for adolescents across all social groups.