Timing of First Sexual Intercourse and Young Adult Health Outcomes.
Timing of First Sexual Intercourse and Young Adult Health Outcomes.
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第一次性交的时间和年轻人的健康结果。
DOI：
10.1016/j.jadohealth.2016.04.019
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发表时间：
2016
期刊：
影响因子：
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通讯作者：
Rice,CaraE
中科院分区：
文献类型：
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作者：
Vasilenko,SaraA;Kugler,KariC;Rice,CaraE
目的探讨发生性行为的年龄与青年期性传播感染（sti）和抑郁的关系。方法：我们使用国家青少年到成人健康纵向研究（Add Health; N = 8,938人）的数据，研究了一生和过去一年的性传播感染发生率、一生的抑郁症诊断以及过去一周的抑郁症状随性行为发生年龄的变化。使用时变效应模型来检查发病年龄（以连续年龄衡量）与年轻成年期这些结果之间的关系，并对所有分析进行分层以检查性别差异。结果16岁前发生第一次性行为的个体报告的所有结果的发生率高于平均水平；例如，估计有35%的女性和12%的男性在14岁时开始接受性传播感染，而在24岁开始接受性传播感染的人中，这一比例约为5%。25岁以后第一次性行为的时间与低于平均水平的性传播感染率和终生抑郁症诊断相关，但与过去一年的抑郁症状程度较高相关。尽管男性抑郁症的诊断在发病年龄上差别不大，但性别之间的模式相似。结论16岁前发生性行为可能与性传播感染和抑郁症的高发有关。研究结果为综合性计划提供了支持，这些计划既可以促进初次性行为的延迟，也可以为那些过早发生性行为的人提供安全性行为和心理支持。
PurposeTo examine how age of onset of sexual intercourse is associated with past-year and lifetime sexually transmitted infections (STIs) and depression in young adulthood.MethodsWe examined how occurrence of a lifetime and past-year STI, lifetime diagnosis of depression, and past-week depressive symptoms differed as a function of age of onset of sexual intercourse using data from the National Longitudinal Study of Adolescent to Adult Health (Add Health; N = 8,938 individuals). Time-varying effect models were used to examine how age of onset, measured as continuous age, was associated with these outcomes in young adulthood, with all analyses stratified to examine gender differences.ResultsIndividuals who engaged in first intercourse before age 16 reported higher than average rates of all outcomes studied; for example, an estimated 35% of women and 12% of men who initiated at age 14 years reported a lifetime STI, compared with about 5% of those who initiated at age 24 years. Timing of first intercourse past the mid-twenties was associated with lower than average rates of STIs and lifetime depression diagnoses but was associated with a somewhat higher level of past-year depressive symptoms. Patterns were similar by gender, although there was little difference in men's depression diagnoses by age of onset.ConclusionsResults suggest that sexual intercourse before age 16 years may be associated with higher rates of STIs and depression. Findings provide support for comprehensive programs that both promote delay of first intercourse and provide safe sex and psychological support for those who initiate early.