The Impact of Sexual Initiation Timing and Sexual Experience on Depressive Symptoms in South Korean Adolescents: Gender Differences in a Nationwide Cross-Sectional Study
The Impact of Sexual Initiation Timing and Sexual Experience on Depressive Symptoms in South Korean Adolescents: Gender Differences in a Nationwide Cross-Sectional Study
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DOI：
10.1016/j.pedn.2019.11.009
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发表时间：
2020-05-01
影响因子：
2.4
通讯作者：
Lee, Jaeyoung
中科院分区：
文献类型：
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作者：
Lee, Jaeyoung
目的：本研究利用韩国青少年风险行为调查的数据来检验韩国青少年开始性行为的性别差异和开始性行为的年龄对抑郁症状的影响。设计和方法：本研究对第14届韩国青少年风险行为调查（2018年）的横截面数据进行了二次分析。本研究纳入了60,040名12-18岁青少年的数据。采用复样本多元logistic回归分析性经验、开始性行为年龄与抑郁症状的关系。结果：总体而言，5.7%的参与者声称有过性经历。性启蒙倾向于发生在七年级及以上。此外，33.6%的女孩和21.1%的男孩报告有抑郁症状。抑郁症状与性起始经历有关，但抑郁症状与性起始时间无关。结论：本研究为青少年的性经历和抑郁症状之间的关系提供了初步证据：然而，这种关系似乎与性开始的时间无关。这些发现表明，性活跃的青少年应该接受抑郁症状的筛查，无论性别如何。实践意义：这是第一个研究韩国青少年开始性行为及其时间对抑郁症状影响的研究。在制定针对青少年的心理健康政策时，应考虑到韩国青少年的性行为。此外，性活跃的青少年应该被筛查和监测抑郁症状。(C) 2019 Elsevier Inc.版权所有。
Purpose: This study utilized data from the Korea Youth Risk Behavior Survey to examine gender differences in the impact of sexual initiation, and age at sexual initiation, on depressive symptoms among Korean adolescents.Design and methods: This study performed a secondary analysis of cross-sectional data from the 14th Korea Youth Risk Behavior Survey (2018). Data from 60,040 adolescents aged 12-18 were included in this study. The relationship between sexual experience, age at initiation, and depressive symptoms was analyzed with complex sample multiple logistic regression.Results: Overall, 5.7% of participants declared having had sexual experience. Sexual initiation tended to occur from grade 7 and above. In addition, 33.6% of girls and 21.1% of boys reported having depressive symptoms. Depressive symptoms were associated with sexual initiation experience, but depression symptoms were not assodated with the timing of sexual initiation.Conclusions: This study provides preliminary evidence of a relationship between sexual experience and depressive symptoms among adolescents: however, this relationship appeared independent of the timing of sexual initiation. These findings suggest that sexually active adolescents should be screened for depressive symptoms, regardless of gender.Practice implications: This is the first study to examine the impact of sexual initiation and its timing on depressive symptoms among Korean adolescents. Sexual behaviors of Korean adolescents should be accounted for during the development of mental health policies aimed at young people. In addition, sexually active adolescents should be screened and monitored for depressive symptoms. (C) 2019 Elsevier Inc. All rights reserved.