Multiple sexual partners among US adolescents and young adults
Multiple sexual partners among US adolescents and young adults
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DOI：
10.2307/2991502
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发表时间：
1998-11-01
期刊：
影响因子：
--
通讯作者：
Zabin, LS
中科院分区：
文献类型：
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作者：
Santelli, JS;Brener, ND;Zabin, LS
背景：由于许多青少年和年轻人没有正确和一致地使用避孕套：他们的性伴侣数量是性传播疾病的重要危险因素，包括艾滋病病毒在内的与多性伴侣相关的因素有助于疾病干预措施的设计。方法：利用1992年参加青年危险行为调查的8450名14-22岁男性和女性的数据，调查青少年多性伴侣的患病率和相关因素。结果：63%的女性受访者和%的男性受访者有过性行为经历。在调查前三个月内有过性行为的人中，分别有15%和35%的人在此期间有过两个或更多的伴侣。在每个年龄段，大多数有性经验的受访者都有不止一个终生伴侣；在14岁到21岁之间，女性中有6个或更多伴侣的比例从8%上升到31%，男性从14%上升到45%。在Logistic回归分析中，酒精使用、非法药物使用和第一次性交时的年轻年龄与女性在过去三个月内有两个或更多伴侣且已婚的几率增加有关；黑人或西班牙裔种族或民族：饮酒和第一次性交时的年轻年龄增加了男性的几率，结婚降低了增加的几率。随着报告的酒精相关行为数量的增加，女性中最近有过多个伴侣的受访者的调整比例从8%上升到48%，男性从23%上升到61%。结论：饮酒与拥有多个性伴之间的强烈关联强调了教育年轻人酒精对选择伴侣的影响和感染性传播疾病的风险的必要性。
Context: Because many teenagers and young adults fail to use condoms correctly and consistently: the number of sexual partners they have is an important risk factor for sexually transmitted diseases, including HIV Identifying factors that are associated with having multiple partners can help in the design of disease interventions.Methods: Data on 8,450 males and females aged 14-22 who participated in the 1992 Youth Risk Behavior Survey were used to examine the prevalence of and factors associated with young people's having multiple partners.Results: In all, 63% of female respondents and 64% of males were sexually experienced. Among those who had had sex during the three months before the survey, 15% and 35%, respectively had had two or more partners during that period. At each age, the majority of sexually experienced respondents had had more than one lifetime partner; between ages 14 and 21, the proportion who had had six or more rose from 8% to 31% among females and from 14% to 45% among males. In logistic regression analyses, alcohol use, illicit drug use and young age at first coitus were associated with increased odds that females had had two or more partners in the previous three months and being married lowered the odds; black or Hispanic race or ethnicity: alcohol use and young age at first coitus increased the odds for males, and being married reduced the adds. As the number of reported alcohol-related behaviors increased, the adjusted proportion of respondents who had recently had multiple partners rose from 8% to 48% among females and from 23% to 61% among men.Conclusions: The strong association between alcohol use and having multiple sexual partners underscores the need to educate young people about the effects of alcohol on partner choice and the risk of infection with sexually transmitted diseases.