Stone Nicole, Hatherall Bethan, Ingham Roger, McEachran Juliet
Centre for Sexual Health Research, University of Southampton, UK.
Perspect Sex Reprod Health. 2006 Mar;38(1):6-12. doi: 10.1363/psrh.38.006.06.
The development of UK national targets to reduce the transmission of HIV and other STDs has focused health promotion efforts on advocating the use of condoms during penetrative vaginal and anal sex. However, other behaviors that can facilitate STD transmission-such as oral sex and, in particular, fellatio-have received limited attention.
Between 2003 and 2005, a sample of 1,373 full- and part-time students, primarily aged 16-18, completed questionnaires about their knowledge, attitudes and experiences related to sexual behavior and health. Chi-square tests were used to assess differences by sexual experience and gender. Supplementary data were obtained from sexual event diaries completed by 108 young people.
Fifty-six percent of survey respondents had experienced fellatio or cunnilingus, including 22% of those who had not yet engaged in penetrative intercourse. Of young people who had had vaginal intercourse, 70% had previously had oral sex. Among those who had experienced fellatio once, 17% had used a condom, but only 2% of respondents who had engaged in fellatio more than once reported consistent use. Reduced pleasure and lack of motivation, desire and forethought were reasons given for not using condoms during fellatio; hygiene, avoidance of the dilemma of whether to spit or swallow ejaculate, and taste were commonly cited as triggers for use.
Greater efforts are needed to publicize the risk of exposure to STDs that many young people face because of unprotected noncoital sexual activities before, as well as after, they enter into relationships involving intercourse.
英国制定了减少艾滋病毒和其他性传播感染传播的国家目标，这使得健康促进工作主要集中在倡导在阴道性交和肛交时使用避孕套。然而，其他可能促进性传播感染传播的行为，如口交，尤其是口交，受到的关注有限。
在2003年至2005年期间，对1373名全日制和非全日制学生（主要年龄在16 - 18岁）进行了抽样调查，他们完成了关于性行为和健康的知识、态度及经历的问卷。卡方检验用于评估不同性经历和性别的差异。补充数据来自108名年轻人填写的性活动日记。
56%的调查受访者有过口交或舔阴经历，其中包括22%尚未进行过插入式性交的人。有过阴道性交的年轻人中，70%之前有过口交经历。在有过一次性口交经历的人中，17%使用过避孕套，但在有过多次口交经历的受访者中，只有2%报告一直使用避孕套。口交时不使用避孕套的原因包括快感降低以及缺乏动机、欲望和事前考虑；卫生、避免吐痰或吞咽精液的两难境地以及味道通常被认为是使用避孕套的触发因素。
需要做出更大努力，宣传许多年轻人在进入涉及性交的关系之前和之后，因无保护的非性交性活动而面临的性传播感染暴露风险。
