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青少年首次恋爱关系中的避孕方式。

Patterns of contraceptive use within teenagers' first sexual relationships.

作者信息

Manlove Jennifer, Ryan Suzanne, Franzetta Kerry

机构信息

Child Trends, Washington, DC, USA.

出版信息

Perspect Sex Reprod Health. 2003 Nov-Dec;35(6):246-55. doi: 10.1363/psrh.35.246.03.

Abstract

CONTEXT

Teenagers have a high unintended pregnancy rate, in part because of inconsistent use or nonuse of contraceptives. It is important to determine how partner and relationship characteristics are related to contraceptive use and consistency within adolescents' first sexual relationships.

METHODS

Logistic and multinomial logistic regression analyses of data from 1,027 participants in the first two waves of the National Longitudinal Study of Adolescent Health examined the influence of relationship and partner characteristics on ever-use and consistent use of contraceptive methods during teenagers' first sexual relationships.

RESULTS

Teenagers who had waited a longer time between the start of a relationship and first sex with that partner, discussed contraception before first having sex or used dual contraceptive methods had significantly increased odds of ever or always using contraceptives. Adolescents who had taken a virginity pledge, had an older partner, had a greater number of close friends who knew their first partner, or reported having a relationship that was not romantic but that involved holding hands, kissing and telling their partners they liked or loved them had decreased odds of contraceptive use or consistency. As relationship length increased, teenagers were more likely to ever have used a method, but less likely to always have used a method.

CONCLUSIONS

Parents and programs should encourage teenagers to delay sexual intercourse, discuss contraception with partners before initiating sex and be vigilant about contraceptive use, particularly in long-term sexual relationships and in relationships with older partners.

摘要

背景

青少年意外怀孕率很高,部分原因是避孕措施使用不规律或未使用。确定伴侣及恋爱关系特征如何与青少年首次恋爱关系中的避孕措施使用及使用规律相关很重要。

方法

对青少年健康全国纵向研究前两波的1027名参与者的数据进行逻辑回归和多项逻辑回归分析,研究恋爱关系和伴侣特征对青少年首次恋爱关系中避孕方法的使用及规律使用的影响。

结果

从恋爱开始到与该伴侣首次发生性行为间隔时间较长、在首次性行为前讨论过避孕或使用双重避孕方法的青少年,曾经或一直使用避孕措施的几率显著增加。做出过贞操承诺、伴侣年龄较大、有更多认识其首任伴侣的密友,或报告处于非浪漫但涉及牵手、亲吻并向伴侣表达喜欢或爱意的恋爱关系中的青少年,使用避孕措施或保持使用规律的几率降低。随着恋爱关系持续时间增加,青少年更有可能曾经使用过某种避孕方法,但不太可能一直使用。

结论

家长和相关项目应鼓励青少年推迟性行为,在开始性行为前与伴侣讨论避孕问题,并警惕避孕措施的使用,尤其是在长期恋爱关系和与年龄较大伴侣的恋爱关系中。

相似文献

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Patterns of contraceptive use within teenagers' first sexual relationships.青少年首次恋爱关系中的避孕方式。
Perspect Sex Reprod Health. 2003 Nov-Dec;35(6):246-55. doi: 10.1363/psrh.35.246.03.

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