Dagdeviren Nezih, Set Turan, Akturk Zekeriya
Department of Family Medicine, Trakya University Medical Faculty, Edirne, Turkey.
Int J Adolesc Med Health. 2008 Oct-Dec;20(4):431-9. doi: 10.1515/ijamh.2008.20.4.431.
The mean age of first sexual intercourse in Western countries is around 17 years and decreasing. Although Turkey is a bridge between East and West, embracing different cultures, little data are available on sexual issues in the population.
A questionnaire was administered to all students in the study year 2004-2005, collecting demographic data, sexual activities, sexual and contraceptive attitudes, and contraceptive knowledge. Of 7,657 applicants invited, 3,970 questionnaires could be analyzed.
Median age of the participants was 18 years (48.0% female, 52% male). Median age at first sexual intercourse was 17 years for females and 16 years for males. 46.5% of the males and 3.0% of the females had sexual intercourse experience. While 68% of the girls had their first sexual intercourse with their lovers, this ratio was 44.8 % for males (Chi square = 59.963, p <.001). Significantly more girls than boys were planning to have their sexual partner as future spouses (Chi square = 55.569, p <.001). Three fourth of the males approved premarital sex for males; this ratio was reversed for females (Chi square = 574.838, p <.001). Although both sexes disapproved premarital sexual intercourse of women, girls were significantly more conservative in this regard (78.6% vs. 92.5%) (Chi square = 110.460, p <.001).
Although the adolescent sexual intercourse rate in Turkey is low compared with Western countries, there is a tendency to increase. Therefore, sexual education is needed. When augmenting sexual education programs in undergraduate education, gender difference and cultural factors should be further evaluated.
西方国家首次性行为的平均年龄约为17岁且呈下降趋势。尽管土耳其是东西方的桥梁，融合了不同文化，但关于该国人口性问题的数据却很少。
对2004 - 2005学年的所有学生进行问卷调查，收集人口统计学数据、性活动、性与避孕态度以及避孕知识。在7657名受邀申请者中，3970份问卷可供分析。
参与者的年龄中位数为18岁（女性占48.0%，男性占52%）。女性首次性行为的年龄中位数为17岁，男性为16岁。46.5%的男性和3.0%的女性有过性经历。68%的女孩与恋人发生了首次性行为，而男性这一比例为44.8%（卡方 = 59.963，p <.001）。计划将性伴侣作为未来配偶的女孩明显多于男孩（卡方 = 55.569，p <.001）。四分之三的男性赞成男性婚前性行为；女性的情况则相反（卡方 = 574.838，p <.001）。尽管两性都不赞成女性婚前性行为，但女孩在这方面更为保守（78.6%对92.5%）（卡方 = 110.460，p <.001）。
尽管土耳其青少年的性行为发生率与西方国家相比很低，但有上升趋势。因此，需要进行性教育。在本科教育中加强性教育项目时，应进一步评估性别差异和文化因素。
