Mohammad Kazem, Farahani Farideh Khalaj Abadi, Mohammadi Mohammad Reza, Alikhani Siamak, Zare Mohammad, Tehrani Fahimeh Ramezani, Ramezankhani Ali, Hasanzadeh Alireza, Ghanbari Hossein
Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
J Adolesc Health. 2007 Oct;41(4):407-14. doi: 10.1016/j.jadohealth.2007.05.003. Epub 2007 Jul 20.
The purpose of this study is to evaluate the extent and potential correlates of sexual risk-taking behaviors among adolescent boys aged 15-18 in metropolitan Tehran.
Data were collected from a population-based, cross-sectional survey of adolescent males (ages 15-18) residing in Tehran, Iran. Of 1385 subjects, 382 reported sexual experience (27.7%). The article is mainly considering sexually experienced subjects. Two factors were considered as sexual risk-taking behavior ("not using condom or inconsistent condom use in sexual contacts" and "ever had multiple sexual partners in lifetime." Several other factors were considered as independent variables and their relations were assessed using t test, chi2 test, and logistic regression models.
Having no access to Internet, feeling regretful at sexual debut, having one sexual partner in lifetime and lower knowledge of condoms are predictors of condom non-use. Older age, using alcoholic drinks, early sexual debut, and poor knowledge of reproductive physiology are predictors of multiple sexual partners among adolescent boys aged 15-18 years.
Appropriate interventional programs should be implemented for adolescents in Iran to encourage and enable them to delay first sex and abstain unwanted and unplanned penetrative sex, to stress the health risks of alcohol use in terms of sexual health and finally to enhance their knowledge on different aspects of reproductive health particularly prevention against STI/HIV.
本研究旨在评估德黑兰大都市15 - 18岁青少年男性中冒险性行为的程度及其潜在关联因素。
数据收集自伊朗德黑兰居民中以人口为基础的15 - 18岁青少年男性横断面调查。在1385名受试者中，382人报告有性经历（27.7%）。本文主要考虑有性经历的受试者。将两个因素视为冒险性行为（“在性接触中不使用避孕套或避孕套使用不规律”以及“一生中曾有多个性伴侣”）。还将其他几个因素视为自变量，并使用t检验、卡方检验和逻辑回归模型评估它们之间的关系。
无法上网、首次性行为后感到后悔、一生中只有一个性伴侣以及对避孕套了解较少是不使用避孕套的预测因素。年龄较大、饮酒、首次性行为较早以及对生殖生理知识了解不足是15 - 18岁青少年男性有多个性伴侣的预测因素。
伊朗应为青少年实施适当的干预项目，鼓励并促使他们推迟首次性行为，避免意外和计划外的插入式性行为，强调饮酒对性健康的健康风险，最终增强他们在生殖健康各方面的知识，特别是预防性传播感染/艾滋病毒。
