青春期早期的禁欲信仰和两年后的性风险行为
Shristi Bhochhibhoya1, Briana Edison2, Elizabeth R Baumler3
1Department of Health, Human Performance & Recreation, University of Arkansas, Fayetteville, North Carolina, USA.
Journal of adolescence
|June 26, 2024
概括
鼓励青少年推迟性活动到成熟,不一定是婚姻,与减少性风险行为有关. 仅禁欲的计划对青少年的性风险行为没有显著影响.
科学领域:
- 青少年健康 青少年健康
- 公共卫生 公共卫生
- 性健康教育 性健康教育
背景情况:
- 与其他发达国家相比,美国的青少年怀孕率和性传播感染率很高.
- 只有禁欲直到结婚的计划旨在通过促进延迟性交来降低这些比例.
- 禁欲信仰在预测青少年性风险行为 (SRB) 的有效性仍然不清楚.
研究的目的:
- 为了比较戒断信念和延迟性初恋信念之间的纵向关联,与随后的SRB.
- 为了确定延迟性初恋到成熟,而不是婚姻,是否会影响SRB.
- 评估不同青少年性健康信息传递策略的有效性.
主要方法:
- 利用了来自美国南部三个随机对照试验的4620名青少年 (58.2%为女性,平均年龄为13.0) 的统一数据.
- 采用负二项式回归来分析禁欲信念和延迟性信仰与SRB之间的纵向关联.
- 评估的SRB结果是在最初的信念评估后的24个月.
主要成果:
- 支持延迟性交到成熟期的信念与参与SRB的几率较低显著相关.
- 具体来说,延迟首次见面的信念与减少多个性伴侣的几率和无避孕套性行为的频率相关.
- 更强烈的禁欲-直到结婚的信念没有显示出与任何测量的SRB结果的显著关联.
结论:
- 鼓励延迟性行为直到适当的成熟年龄才开始的预防计划可能更有效.
- 这些计划可以减少SRB,减少青少年的负面性健康结果.
- 将重点从严格禁欲转移到适合年龄的延迟性开始可能会改善公共卫生结果.
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