Sexual Health and Behavior in a U.S. Probability Sample of Adolescents and Adults

项目摘要/摘要 卫生政策、教育规划和与卫生相关的服务需要准确和向上的- 关于人口的性行为、态度和经历的最新数据。我们建议 进行全国性健康和行为调查(NSSHB)第八波，以便 支持这样的公共卫生努力。性健康是人类健康的重要组成部分。自.以来 2014年，性传播感染(STI)率逐年上升。性传播感染挑战 个人和新生儿的健康，每年花费数十亿美元。非故意的 怀孕率总体上有所下降，尽管青春期和年轻成年女性的怀孕率更高 意外怀孕的风险以及性少数群体妇女也是如此。在15-19岁的青少年中，3 四分之四的怀孕是意外的。性健康已被世界卫生组织概念化 组织(WHO)作为与以下方面有关的身体、情感、精神和社会健康状态 性；它不仅指没有疾病，而且还指快乐的可能性 以及没有强迫、歧视和暴力的安全性行为体验。从… 青春期到老年，人们有不同的性健康需求。这些性健康 需求包括选择何时与伴侣发生性行为，防止意外 怀孕，降低艾滋病毒和性传播感染(STI)的风险，获得和使用 避孕套/避孕、性认同发展、患者/提供者的性健康 谈话，痛苦的性行为，阴道干燥，性胁迫和性侵犯，性功能，如 以及发展和维持令人满意的关系。自2009年以来，全国社保委员会 是美国唯一一项具有全国代表性的概率调查 性健康，评估不同的性行为和态度，并对个人进行抽样 从青春期到老年(通常是14岁到94岁)。我们有一个独特的机会 开发NSSHB-WAVE 8以最大限度地与其他国家进行跨国比较 在类似时间进行的具有全国代表性的性健康概率调查 框架在英国、法国和澳大利亚。我们的目标是：(1)设计和现场NSSHB-第8波， 对9500多人进行了调查；(2)展示了科学和公共卫生的重要性 NSSHB-浪潮8通过更新人口-性健康行为流行率，建立 人口-未被充分研究的性行为的流行率，并检查 某些性行为和生殖胁迫和性胁迫；以及(3)密切合作 由性健康和生殖健康科学家、教育工作者和主要领导人组成的顾问委员会 传播研究成果，并为其他科学家提供数据提供便利。

Project Summary / Abstract Health policies, educational programming, and health-related services require accurate and up- to-date data on the sexual behaviors, attitudes, and experiences of the population. We propose to conduct Wave 8 of the National Survey of Sexual Health and Behavior (NSSHB) in order to support such public health efforts. Sexual health is an important part of human health. Since 2014, sexually transmitted infection (STI) rates have increased annually. STIs challenge the health of individuals and newborns, and cost billions of dollars each year. Unintended pregnancies have decreased overall, though adolescent and young adult women are at greater risk for unintended pregnancy as are sexual minority women. Among adolescents aged 15-19, 3 of 4 pregnancies are unintended. Sexual health has been conceptualized by the World Health Organization (WHO) as a state of physical, emotional, mental and social well-being in relation to sexuality; it refers not only to the absence of disease but also to the possibility of pleasurable and safe sexual experiences that are free of coercion, discrimination, and violence. From adolescence through old age, people have diverse sexual health needs. These sexual health needs include choosing when to become sexually active with a partner, preventing unintended pregnancy, reducing risks of HIV and sexually transmitted infection (STI), accessing and using condoms/contraception, sexual identity development, patient/provider sexual health conversations, painful sex, vaginal dryness, sexual coercion and assault, sexual function, as well as the development and maintenance of satisfying relationships. Since 2009, the NSSHB has served as the nation's only U.S. nationally representative probability survey that is focused on sexual health, assesses diverse sexual behaviors and attitudes, and samples individuals from adolescence through advanced age (often ages 14 to 94). We have a unique opportunity to develop the NSSHB-Wave 8 so as to maximize cross-national comparisons with other nationally representative probability surveys of sexual health being conducted in a similar time frame in the U.K., France, and Australia. We aim to: (1) Design and field NSSHB-Wave 8, surveying 9500+ individuals; (2) Demonstrate the scientific and public health importance of NSSHB-Wave 8 by updating population-prevalence of sexual health behaviors, establishing the population-prevalence of understudied sexual behaviors, and examining associations between certain sexual behaviors and reproductive coercion and sexual coercion; and (3) work closely with an Advisory Board of sexual and reproductive health scientists, educators, and key leaders to disseminate findings and to facilitate data availability to other scientists.