青少年不使用避孕套:来自58个国家的上学青少年的患病率和相关因素
Nazifa Nawal Huda1, Rashawan Raziur Rouf2, Md Shajedur Rahman Shawon3
1Department of Global Public Health, Karolinska Institutet, Stockholm, Sweden.
概括
在全球范围内,27.6%的性活跃青少年不使用避孕套,男孩和非洲地区的比例更高. 欺凌,吸毒和多个伴侣等因素与避孕套的不使用有关.
科学领域:
- 全球青少年健康问题
- 性和生殖健康性和生殖健康性.
- 流行病学 流行病学
背景情况:
- 青少年的性健康是一个关键的全球公共卫生问题.
- 以前关于青少年不使用避孕套的研究表明,由于方法上的差异,结果不一致.
- 了解避孕套不使用的患病率和相关因素对于有针对性的干预至关重要.
研究的目的:
- 调查12-15岁青少年中不使用避孕套的全球流行情况.
- 确定与避孕套不使用相关的因素,并检查性别和地区的差异.
- 为制定有效的性健康战略提供信息.
主要方法:
- 这是一项跨部门研究,利用了来自58个国家的2009-2018年全球学校健康调查的数据.
- 包括183,100名年龄在12-15岁的青少年.
- 使用随机效应元分析和多层混合效应逻辑回归.
主要成果:
- 总体而言,有27.6%的性活跃青少年报告不使用避孕套,男性 (27.9%) 的患病率高于女性 (25.6%).
- 患病率因地区而异,非洲患病率最高 (29.2%),东南亚患病率最低 (21.1%).
- 相关因素包括女性性别,年龄较大,孤独,自杀念头,欺凌,父母的支持,缺课,吸烟,非法药物的使用,早期的性行为,以及多个伴侣.
结论:
- 青少年在全球范围内,按性别和地区存在不使用避孕套的流行率和相关因素的显著差异.
- 调查结果强调了针对性性健康计划和公平的资源分配的必要性.
- 解决心理社会因素和风险行为对于减少避孕套不使用至关重要.
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