Page Randy M, Hall Cougar P
Department of Health Science, Brigham Young University, Provo, UT 84604, USA.
J Sch Health. 2009 Aug;79(8):369-79. doi: 10.1111/j.1746-1561.2009.00423.x.
This study examines the relationship between sexual behavior, alcohol use, and indicators of psychosocial distress (mental health) of adolescents in 6 sub-Saharan African countries using the Global School-based Student Health Survey (GSHS).
The sample consisted of 22,949 adolescents from Botswana, Kenya, Namibia, Uganda, Zambia, and Zimbabwe who participated in 2003 or 2004 GSHS surveys. Statistical analysis was conducted to determine whether sexual behaviors increased with levels of psychosocial distress and alcohol use.
Sexual behaviors (having sex or having sex with 2 or more people) were associated with both psychosocial distress and alcohol use. Odds ratios showed that both boys and girls reporting psychosocial distress and alcohol use were at higher risk for having sex. Results also indicated that the likelihood of sexual behaviors increased when there was an increase in the number of psychosocial indicators and frequency of alcohol consumption.
The results of this study are consistent with those conducted in the United States suggesting that sexual behavior, psychosocial distress, and substance use are interconnected. These findings highlight the need for school health education and health services in sub-Saharan Africa, specifically the efforts to reduce psychosocial distress and prevent substance use in efforts to prevent the spread of human immunodeficiency virus and other sexually transmitted infections.
本研究利用全球学校学生健康调查（GSHS），调查撒哈拉以南非洲6个国家青少年的性行为、饮酒情况与心理社会困扰（心理健康）指标之间的关系。
样本包括来自博茨瓦纳、肯尼亚、纳米比亚、乌干达、赞比亚和津巴布韦的22949名青少年，他们参与了2003年或2004年的GSHS调查。进行统计分析以确定性行为是否随心理社会困扰程度和饮酒量的增加而增加。
性行为（发生性行为或与两人及以上发生性行为）与心理社会困扰和饮酒均有关联。优势比表明，报告有心理社会困扰和饮酒的男孩和女孩发生性行为的风险更高。结果还表明，当心理社会指标数量增加和饮酒频率增加时，性行为的可能性也会增加。
本研究结果与美国的研究结果一致，表明性行为、心理社会困扰和物质使用相互关联。这些发现凸显了撒哈拉以南非洲地区学校健康教育和卫生服务的必要性，特别是为减少心理社会困扰和预防物质使用所做的努力，以防止人类免疫缺陷病毒和其他性传播感染的传播。
