Kaestle Christine E, Morisky Donald E, Wiley Dorothy J
Department of Maternal and Child Health, University of North Carolina, Chapel Hill, NC, USA.
Perspect Sex Reprod Health. 2002 Nov-Dec;34(6):304-9.
The age difference between a female and her partner may influence relationship dynamics in ways that put the female at increased risk of unintended pregnancies and sexually transmitted diseases. Very little is known, however, about how romantic involvement progresses to intercourse, particularly among adolescent females with older male partners.
Data from 1,975 female participants in the National Longitudinal Study of Adolescent Health were analyzed using logistic regression to determine whether the age difference between an adolescent female and her romantic partner is a risk factor for sexual intercourse.
Adolescent females involved with an older partner have higher odds of having intercourse with that partner than females with partners their own age, after adjustment for demographic covariates. The magnitude of this association is most dramatic among the youngest females--for example, the odds of intercourse among 13-year-old females with a partner six years older are more than six times the odds among 13-year-old females with a same-age partner (odds ratio, 6.4), while 17-year-old females with partners six years older have about twice the odds of intercourse when compared with those who have a same-age partner (2.1).
Young adolescent females with substantially older partners are much more likely than their peers to have sex with their partner, which exposes them to the risks of pregnancy and sexually transmitted diseases.
女性与其伴侣之间的年龄差异可能会以某种方式影响恋爱关系动态,使女性意外怀孕和感染性传播疾病的风险增加。然而,对于恋爱关系如何发展为性行为,尤其是在与年长男性伴侣交往的青春期女性中,我们所知甚少。
对全国青少年健康纵向研究中的1975名女性参与者的数据进行逻辑回归分析,以确定青春期女性与其恋爱伴侣之间的年龄差异是否是性行为的一个风险因素。
在对人口统计学协变量进行调整后,与年龄相仿的伴侣相比,与年长伴侣交往的青春期女性与该伴侣发生性行为的几率更高。这种关联在最年轻的女性中最为显著——例如,13岁女性与比自己大6岁的伴侣发生性行为的几率是与同龄伴侣发生性行为几率的6倍多(优势比为6.4),而17岁女性与比自己大6岁的伴侣发生性行为的几率约为与同龄伴侣发生性行为几率的两倍(2.1)。
与年长伴侣交往的年轻青春期女性比同龄人更有可能与伴侣发生性行为,这使她们面临怀孕和感染性传播疾病的风险。