Early Coital Debut and Associated HIV Risk Factors Among Young Women and Men in South Africa
Early Coital Debut and Associated HIV Risk Factors Among Young Women and Men in South Africa
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DOI：
10.1363/ifpp.35.082.09
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发表时间：
2009-06-01
影响因子：
4.4
通讯作者：
Rees, Helen
中科院分区：
文献类型：
--
作者：
Pettifor, Audrey;O'Brien, Katie;Rees, Helen
背景：南非的年轻人感染艾滋病毒的风险很高。因为第一次性经历可能会影响一个年轻人的艾滋病毒的风险，更好地了解性交的首次亮相是need.METHODS：数据从一个全国性的代表性调查，包括7,692性活跃的南非青年年龄在15-24被用来评估与性首次和受访者的第一次性伴侣的特点。进行泊松回归分析，以确定这些特征与伴侣年龄差异、早期性交首次（即，15岁之前），强迫与第一个伴侣发生性关系，第一次性行为不使用避孕套。18%的年轻男性和8%的年轻女性报告了过早的首次性交。在第一伴侣年龄较大的女性和鼹鼠中（调整后的患病率为每年1.1），以及在强迫性行为的女性中（2.5），过早初次亮相的可能性较高。首次性行为时使用避孕套与早期首次性交（1.5）和强迫性行为（1.6）有关。在女性中，不使用的可能性升高的受访者谁有一个早期的首次亮相，但没有强迫性行为（1.3），并在那些谁有一个后来的首次亮相和强迫性行为（1.4）。结论：早期性交首次亮相与可能增加年轻人感染艾滋病毒的风险，如强迫性行为和有年长的合作伙伴的因素。干预工作应鼓励青年推迟初次性交，并促进使青年人的首次性经历更安全的战略。国际性与生殖健康观点，2009，35（2）：74-82.
CONTEXT: Young people in South Africa are at high risk of HIV infection. Because first sexual experiences may influence a young person's HIV risk, a better understanding of coital debut is needed.METHODS: Data from a nationally representative survey that included 7,692 sexually active South African youth aged 15-24 were used to assess characteristics related to sexual debut and to respondents' first sexual partner. Poisson regression analyses were conducted to identify relationships among these characteristics and partner age differences, early coital debut (i.e., before age 15), forced sex with one's first partner and non use of condoms at first sex.RESULTS. Eighteen percent of young men and 8% of young women reported early coital debut. The likelihood of early debut was elevated among females and moles who hod had an older first partner (adjusted prevalence ratio, 1.1 per year) and among females who hod hod forced sex (2.5). Lock of condom use at first sex was associated with early coital debut (1.5) and forced sex (1.6) for moles. Among females, the likelihood of nonuse was elevated for respondents who had had an early debut but had not had forced sex (1.3), and among those who had had both a later debut and forced sex (1.4).CONCLUSIONS: Early coital debut is associated with factors that may increase a young person's risk for HIV infection, such as forced sex and having older partners. Intervention efforts should encourage youth to delay coital debut and promote strategies to make young people's first sexual experience safer. international Perspectives on Sexual and Reproductive Health, 2009,35(2):74-82.