Crochard Anne, Luyts Dominique, di Nicola Sylvie, Gonçalves M Alice G
GlaxoSmithKline, Marly le Roi, France.
Gynecol Oncol. 2009 Dec;115(3 Suppl):S7-S14. doi: 10.1016/j.ygyno.2009.06.003. Epub 2009 Jun 23.
To generate country-specific data on age of sexual debut in young adults in 7 European countries with regard to the optimal age for prophylactic human papillomavirus (HPV) vaccination.
Survey of self-reported sexual debut and behavior in a sample of young adults aged 18-24 years in 7 European countries (Czech Republic, Ireland, Italy, Netherlands, Poland, Russia, France). Subjects (minimum of 500 males and 500 females per country) were recruited at public places using an in-street collecting approach in all countries except France, where the survey was conducted at home. Data were collected using a short, anonymous, self-administered questionnaire designed to gather information about any kind of sexual activity the subject might have engaged in with a partner, with standardized content to enable comparison between countries.
Up to 14% of young men and 22% of young women aged 18-24 years had yet to experience sexual activity at the time of the survey. Median age of sexual debut calculated by survival analysis ranged between 16 and 17 years in boys and between 17 and 18 years in girls. The proportion of boys sexually active before the age of 15 years ranged from 5.0% (Poland) to 15.8% (Italy). The proportion of girls sexually active before the age of 15 years was lower compared with boys in all countries, ranging from 2.6% (Poland) to 11.9% (the Netherlands). The first sexual partner for girls was typically at least 1 year older, irrespective of the age of sexual debut. Almost one-third of young women did not use a condom at sexual debut.
This survey provides an update on sexual debut and behavior in young adults in some European countries. Estimated age at sexual debut ranged between 16 and 18 years and appeared to be later in girls than in boys. The proportion of girls sexually active before the age of 15 years was low (</=11.9%). Almost one-third of young women did not use a condom. This survey provides useful information to support current or planned HPV vaccination programs in Europe.
获取7个欧洲国家青年人性初次接触年龄的特定国家数据，以确定预防性人乳头瘤病毒（HPV）疫苗接种的最佳年龄。
对7个欧洲国家（捷克共和国、爱尔兰、意大利、荷兰、波兰、俄罗斯、法国）18至24岁的青年样本进行自我报告的性初次接触和性行为调查。除法国外，所有国家均采用街头收集方法在公共场所招募受试者（每个国家至少500名男性和500名女性），法国的调查在家庭中进行。使用一份简短、匿名、自我填写的问卷收集数据，该问卷旨在收集受试者与伴侣可能进行的任何类型性活动的信息，其内容标准化以便于国家间比较。
在调查时，18至24岁的青年男性中高达14%、青年女性中高达22%尚未有过性活动。通过生存分析计算得出的性初次接触的中位年龄，男孩在16至17岁之间，女孩在17至18岁之间。15岁前有性活动的男孩比例从5.0%（波兰）到15.8%（意大利）不等。在所有国家，15岁前有性活动的女孩比例均低于男孩，从2.6%（波兰）到11.9%（荷兰）不等。女孩的第一个性伴侣通常至少比其大1岁，与性初次接触的年龄无关。近三分之一的青年女性在初次性行为时未使用避孕套。
本次调查提供了一些欧洲国家青年人性初次接触和性行为的最新情况。估计性初次接触年龄在16至18岁之间，女孩似乎比男孩晚。15岁前有性活动的女孩比例较低（≤11.9%）。近三分之一的青年女性未使用避孕套。本次调查为支持欧洲当前或计划中的HPV疫苗接种计划提供了有用信息。
