Rink Elizabeth, Tricker Ray, Harvey S Marie
Department of Health and Human Development, Montana State University, Bozeman, Montana 59717-3540, USA.
J Adolesc Health. 2007 Oct;41(4):398-406. doi: 10.1016/j.jadohealth.2007.04.017. Epub 2007 Jul 20.
This study examined the extent to which perceptions of sex, depression, and other personal and social factors influenced onset of sexual intercourse during maturation among female adolescents.
Data from the National Longitudinal Study of Adolescent Health were used. Participants were 3,644 female adolescents 15-19 years of age who completed the wave 1 In-Home Interview. Logistic regression was used to predict onset of sexual intercourse at waves 1, 2, and 3. Variables examined were age, race, depression, self-esteem, sexual intercourse, religiosity, alcohol use, perceptions of sex, mother connectedness, father connectedness, peer connectedness, and school connectedness. Interaction effects among these variables with depression were examined.
Ambivalent perceptions of sex, in addition to closer relationships with one's father, peers, and school environment, were associated with delaying onset of sexual intercourse among non-depressed teens. Perceptions of sex did not influence engagement in sexual intercourse among depressed adolescents. Close maternal relationships delayed onset of sexual intercourse among depressed adolescent females, whereas the interactions between depression and father connectedness, peer connectedness, and school connectedness were associated with having sex.
Different strategies are needed to address sexual behaviors for non-depressed and depressed female teens. Public health programs concerned with influencing sexual perceptions among non-depressed female adolescents should incorporate parents, peers, and school activities into their planning and implementation. Because depression in combination with connection to the environment was a significant risk factor for sexual intercourse, future research must explore the factors that delay sexual intercourse, particularly for teenage girls with depression.
本研究调查了性别观念、抑郁以及其他个人和社会因素在多大程度上影响了女性青少年成熟过程中性行为的开始。
使用了来自全国青少年健康纵向研究的数据。参与者为3644名15至19岁的女性青少年，她们完成了第一轮家庭访谈。使用逻辑回归来预测第1、2和3轮中的性行为开始情况。所考察的变量包括年龄、种族、抑郁、自尊、性行为、宗教信仰、饮酒、性别观念、与母亲的亲密程度、与父亲的亲密程度、与同伴的亲密程度以及与学校的亲密程度。考察了这些变量与抑郁之间的交互作用。
除了与父亲、同伴和学校环境关系更密切外，对性的矛盾观念与非抑郁青少年性行为开始时间的延迟有关。性观念并未影响抑郁青少年的性行为参与情况。亲密的母婴关系延迟了抑郁青少年女性性行为的开始，而抑郁与父亲亲密程度、同伴亲密程度和学校亲密程度之间的交互作用与发生性行为有关。
对于非抑郁和抑郁的女性青少年，需要采取不同的策略来解决性行为问题。关注影响非抑郁女性青少年性观念的公共卫生项目应将父母、同伴和学校活动纳入其规划和实施中。由于抑郁与环境关联是性行为的一个重要风险因素，未来的研究必须探索延迟性行为的因素,特别是对于患有抑郁症的少女。
