Kaestle Christine E, Halpern Carolyn T
Department of Maternal & Child Health, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina 27599-7400, USA.
J Adolesc Health. 2005 May;36(5):386-92. doi: 10.1016/j.jadohealth.2004.02.030.
To examine whether psychological or physical violence between adolescent romantic partners is associated with the sexual intercourse status of the couple.
This study used a nationally representative sample of 6548 adolescents 12 to 21 years old from the National Longitudinal Study of Adolescent Health (Add Health). Variables of interest include violence between partners, whether partners had sexual intercourse, and demographics such as respondent's gender, race, and socioeconomic status. Bivariate comparisons of proportions and logistic regression models were used to analyze data.
Violent victimization was more likely to occur in romantic relationships that included sexual intercourse: 37% of the respondents reporting sexual relationships experienced at least one form of verbal or physical violence victimization, compared with 19% of those reporting relationships with no sexual intercourse. In relationships characterized by both sexual intercourse and violence, sexual intercourse was significantly more likely to precede violence rather than the reverse, regardless of type of violent act.
The covariation of violent victimization and sexual intercourse in adolescent romantic relationships underscores the need for health and sex education programs to integrate instruction and guidance on multiple facets of romance and sexuality.
探讨青少年恋爱伴侣之间的心理暴力或身体暴力是否与情侣的性交状况相关。
本研究使用了来自青少年健康全国纵向研究（Add Health）的具有全国代表性的6548名12至21岁青少年样本。感兴趣的变量包括伴侣之间的暴力、伴侣是否有过性交，以及诸如受访者的性别、种族和社会经济地位等人口统计学特征。使用比例的双变量比较和逻辑回归模型来分析数据。
暴力受害情况更有可能发生在有性交行为的恋爱关系中：报告有性关系的受访者中有37%经历过至少一种形式的言语或身体暴力受害，而报告没有性交关系的受访者中这一比例为19%。在以性交和暴力为特征的关系中，无论暴力行为的类型如何，性交明显更有可能先于暴力发生，而不是相反。
青少年恋爱关系中暴力受害与性交的共变情况凸显了健康和性教育项目需要整合关于恋爱和性取向多个方面的指导和引导。
