Sexual behaviors of physically disabled adolescents in the United States
Sexual behaviors of physically disabled adolescents in the United States
复制标题
DOI：
10.1016/s1054-139x(01)00400-1
复制
发表时间：
2002-07-01
影响因子：
7.6
通讯作者：
Udry, JR
中科院分区：
文献类型：
--
作者：
Cheng, MM;Udry, JR
目的：调查美国身体残疾青少年和非残疾青少年在性行为某些方面的差异。方法：使用来自全国青少年健康纵向研究（Add Health）的 1994-1995 年第一波数据，这是一个分层、多阶段集群、以学校为基础的 7 至 12 年级样本。身体残疾是根据功能限制和活动限制来衡量的。共有1153名青少年被确定为身体残疾，主要是肢体困难。我们研究了他们对学校性教育、避孕知识、性态度和受欢迎程度的接触情况。通过多项逻辑回归方法分析了他们的浪漫吸引力和性经历，并控制了年龄、青春期发育和其他社会人口统计学变量。结果：尽管残疾青少年青春期发育较慢且社会孤立程度更高，但他们的性经历与非残疾青少年相同。他们接受的学校性教育与非残疾男孩的情况大致相似，但残疾男孩对节育的了解程度稍低。性活跃的严重残疾男孩在同性同龄人中很受欢迎，就像非残疾男孩一样。尽管残疾青少年的性经验相同，但严重残疾的男孩和女孩对异性的浪漫吸引力较少，并且对自己的性取向不太确定。患有轻度残疾的青少年比非残疾青少年更容易受到同性吸引。身体残疾的少女遭受强迫性行为的几率始终较高。结论：身体残疾青少年的性发育及其对性教育和指导的特殊需求不应被忽视。应更加关注保护身体残疾女孩免受性虐待和性剥削。 (C) 青少年医学协会，2002 年。
Purpose: To examine differences in some aspects of sexual behavior between physically disabled and non-disabled adolescents in the United States.Methods: The 1994-1995 Wave I data from the National Longitudinal Study of Adolescent Health (Add Health), a stratified, multistage cluster, school-based sample of 7th to 12th graders, were used. Physical disabilities were measured in terms of functional limitation and activity restriction. A total of 1153 adolescents were identified as physically disabled, mainly with limb difficulties. We studied their exposure on school sex education, contraceptive knowledge, sex attitudes, and popularity. Their experiences in romantic attraction and sex were analyzed by multinomial logistic regression methods, controlling for age, pubertal development, and other sociodemographic variables.Results: Although disabled adolescents are slower in pubertal development and more socially isolated, they are as sexually experienced as their nondisabled counterparts. Their exposure to school sex education is largely similar to that of the nondisabled, yet disabled boys are somewhat less knowledgeable about birth control. Severely disabled boys who are sexually active are popular among their same-sex peers, much like nondisabled boys. Although disabled adolescents are as sexually experienced, severely disabled boys and girls have less opposite-sex romantic attraction and are less sure about their sexual preference. Adolescents with mild disabilities have a higher tendency for same-sex attraction than do the nondisabled. Adolescent girls with physical disabilities consistently have higher odds of experiencing forced sex.Conclusions: Physically disabled adolescents' sexual development and their specific needs for sex education and guidance should not be overlooked. More attention should be paid to protect physically disabled girls from sexual abuses and exploitations. (C) Society for Adolescent Medicine, 2002.