Oral Sex and Condom Use in a US National Sample of Adolescents and Young Adults
Oral Sex and Condom Use in a US National Sample of Adolescents and Young Adults
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DOI：
10.1016/j.jadohealth.2017.08.022
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发表时间：
2018-04-01
影响因子：
7.6
通讯作者：
Hernandez, Stephanie M.
中科院分区：
文献类型：
--
作者：
Holway, Giuseppina Valle;Hernandez, Stephanie M.
目的：研究美国15-24岁青少年和青壮年(AYA)最近一次口交时使用避孕套以及口交行为的相关因素。方法：对2011-2015年度全国家庭成长调查中3816名女性和3520名男性进行描述性统计、Logistic回归和多项Logistic回归分析。大多数年轻人报告在过去12个月中至少有一个口交伴侣，16%的女性和24%的男性报告有两个或更多的伴侣。最后一次口交时避孕套使用率很低(女性为8%，男性为9%)。在最后一次口交中，黑人男性(调整后的优势比[AOR]=3.46)、黑人女性(AOR=2.65)和其他种族/民族的女性(AOR=2.40)更有可能使用避孕套。年龄在20-24岁的女性(AOR=.31)，母亲受过大学或以上教育的女性(AOR=.43)，以及没有口交经历的男性和女性在最后一次口交时使用避孕套的可能性较小(AOR=.46和.20)。结论：我们的研究表明，与异性伴侣发生口交是AYA的一种规范行为，但在这种行为中使用避孕套的情况并不常见。互动研讨会和医患讨论的重点是口交相关的健康风险，以及适当的保护方法，这可能有助于增加避孕套的摄入量。(C)2017年青少年健康与医学学会。版权所有。
Purpose: The objective of this study was to examine correlates associated with condom use at the last oral sex, as well as oral sex behavior, among adolescents and young adults (AYAs) aged 15-24 years in the U.S.Methods: Descriptive statistics, logistic regression, and multinomial logistic regression were conducted using data collected from 3,816 females and 3,520 males in the 2011-2015 National Survey of Family Growth.Results: More than half of AYAs had engaged in oral sex with an opposite-sex partner. Most youth reported having at least one oral sex partner in the last 12 months, with 16% of females and 24% of males reporting two or more partners. Condom use at the last oral sex was quite low (8% for females and 9% for males). Black males (adjusted odds ratio [AOR] = 3.46), black females (AOR = 2.65), and females of other race/ethnicities (AOR = 2.40) were more likely to use a condom at the last oral sex. Females aged 20-24 years (AOR = .31), females whose mothers had a college education or more (AOR = .43), and males and females who reported no intercourse experience were less likely to use a condom at the last oral sex (AORs = .46 and .20, respectively).Conclusions: Our study suggests that oral sex with an opposite-sex partner is a normative behavior for AYAs; however, condom use during this sexual activity is uncommon. Interactive workshops and physician-patient discussions focused on the health risk risks associated with oral sex, as well as appropriate methods of protection, may help to increase condom uptake. (c) 2017 Society for Adolescent Health and Medicine. All rights reserved.