Evaluating the Internet as a sexually transmitted disease risk environment for teens: findings from the communication, health, and teens study.
Evaluating the Internet as a sexually transmitted disease risk environment for teens: findings from the communication, health, and teens study.
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DOI：
10.1097/olq.0b013e31829413f7
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发表时间：
2013-07
影响因子：
3.1
通讯作者：
Rietmeijer C
中科院分区：
文献类型：
--
作者：
Buhi ER;Klinkenberger N;McFarlane M;Kachur R;Daley EM;Baldwin J;Blunt HD;Hughes S;Wheldon CW;Rietmeijer C
很少有研究调查青少年的性健康风险和在线性寻求之间的联系。本研究的目的是评估青少年在线会见性伴侣与一系列性风险行为和结果之间的关联。年龄在13到19岁之间的参与者是从佛罗里达的一个公共资助的青少年诊所招募的。在获得知情同意/同意后，273名参与者完成了一项音频计算机辅助自我访谈，其中包括人口统计学，性行为，性传播疾病（STD）史以及在线寻求性行为和体验等问题。参与者还提供了衣原体和淋病检测的尿液样本。使用逻辑回归分析数据，以确定具有在线性伴侣和性行为/结果之间的关联。在调整了显著的双变量相关性后，报告在线性伴侣的青少年更有可能是男性，多种族，有同性性活动史，报告阴道性伴侣的数量更多，并且报告第一次阴道性行为的年龄较低。然而，有在线性伴侣的青少年不太可能患有性病或目前的生物性性病。这项研究是第一个将生物学STD结果与年轻人群中的在线性伴侣数据相关联的研究之一。虽然在网上遇到性伴侣与过去或现在的性病无关，但它与其他性风险行为有关。未来的研究需要审查青少年之间的在线性伙伴关系的复杂性，并制定干预措施。
Few studies have examined the association between sexual health risks and online sex-seeking among teenagers. The purpose of this study was to assess the associations between meeting sex partners online and a range of sexual risk behaviors and outcomes among adolescents. Participants aged 13 to 19 years were recruited from a publicly funded teen clinic in Florida. After obtaining informed consent/assent, 273 participants completed an audio computer-assisted self-interview that included questions on demographics, sexual behavior, sexually transmitted disease (STD) history, and online sex-seeking behaviors and experiences. Participants also provided urine samples for chlamydia and gonorrhea testing. Data were analyzed using logistic regression to identify the association between having an online sex partner and sexual behaviors/outcomes. After adjusting for significant bivariate correlates, teens reporting online sex partners were more likely to be male, be multiracial, have a history of same-sex sexual activity, report a higher number of vaginal sex partners, and report a lower age at first vaginal sex. However, teens with online sex partners were no more likely to have ever had an STD or a current biological STD. This study is one of the first to correlate biological STD results to online sexual partnering data in a youth population. Although meeting a sex partner online was not associated with past or current STDs, it was associated with other sexual risk behaviors. Future research is needed to examine the complex nature of online sexual partnering among adolescents and to develop intervention approaches.