Is "Sexual Competence" at First Heterosexual Intercourse Associated With Subsequent Sexual Health Status?
Is "Sexual Competence" at First Heterosexual Intercourse Associated With Subsequent Sexual Health Status?
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DOI：
10.1080/00224499.2015.1134424
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发表时间：
2017-01
影响因子：
3.6
通讯作者：
Wellings K
中科院分区：
文献类型：
--
作者：
Palmer MJ;Clarke L;Ploubidis GB;Mercer CH;Gibson LJ;Johnson AM;Copas AJ;Wellings K
第一次性交的时间通常根据实际年龄来定义，特别关注“早期”的第一次性行为。可以提出一个更微妙的概念，准备和适当的时间的第一次性交。利用2010-2012年进行的第三次全国性态度和生活方式调查（Natsal-3）的数据，这项研究研究探讨了基于背景的首次性交测量-称为性能力-是否与随后的性健康相关，以人口为基础的样本为17至24岁居住在英国（n = 2，784）。参与者在第一次性交时被归类为“性能力”，如果他们报告了以下四个标准：避孕保护，自主决定（不受外部影响），双方都是“平等的意愿”，并且发生在“正确的时间”。第一次性交时缺乏性能力与面试时人乳头瘤病毒（HPV）检测阳性独立相关;过去一年性功能低下;仅在女性中，报告性传播感染（STI）诊断;过去一年计划外怀孕;曾经经历过非自愿性行为。这些研究结果提供了经验支持定义的性质，第一次性交的经验，而不是只关注发生时的实际年龄。
The timing of first sexual intercourse is often defined in terms of chronological age, with particular focus on “early” first sex. Arguments can be made for a more nuanced concept of readiness and appropriateness of timing of first intercourse. Using data from the third National Survey of Sexual Attitudes and Lifestyles (Natsal-3), conducted in 2010–2012, this study examined whether a context-based measure of first intercourse—termed sexual competence—was associated with subsequent sexual health in a population-based sample of 17-to 24-year-olds residing in Britain (n = 2,784). Participants were classified as “sexually competent” at first intercourse if they reported the following four criteria: contraceptive protection, autonomy of decision (not due to external influences), that both partners were “equally willing,” and that it happened at the “right time.” A lack of sexual competence at first intercourse was independently associated with testing positive for human papillomavirus (HPV) at interview; low sexual function in the past year; and among women only, reported sexually transmitted infection (STI) diagnosis ever; unplanned pregnancy in the past year; and having ever experienced nonvolitional sex. These findings provide empirical support for defining the nature of first intercourse with reference to contextual aspects of the experience, as opposed to a sole focus on chronological age at occurrence.
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影响因子：
5.9
作者：
DONOVAN, JE;JESSOR, R
通讯作者：
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影响因子：
6.3
作者：
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通讯作者：
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DOI：
10.2307/2991518
发表时间：
1998-01-01
期刊：
FAMILY PLANNING PERSPECTIVES
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作者：
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通讯作者：
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