Valle Ann-Karin, Røysamb Espen, Sundby Johanne, Klepp Knut Inge
University of Oslo, Department of General Practice and Community Medicine, Blindern, Norway.
Adolescence. 2009 Summer;44(174):479-98.
This study investigated the associations among first sexual intercourse and body image, future educational plans, depressed moods, as well as the influence of parental education and income. These associations were tested by gender and ethnicity and adjusted for variables likely to affect the findings, such as perceived social support, sexual abuse, and age. Tenth graders from Lower Secondary Schools in Oslo enrolled in 2000 and 2001 were invited to participate in this cross-sectional in-school study (participation rate: 88%). Out of the 7,343 participants, only those 15 or 16 years of age were included in the analyses (N = 7,187). Data on both parents' level of education and income were obtained from official registries. Body image was independently associated with sexual intercourse for adolescent girls. Those with high scores on body image concerns were more likely to have experienced first intercourse. For both male and female adolescents, future education plans including higher education were negatively associated with first sexual intercourse. Depressed mood and sexual abuse had positive associations with reported first sexual intercourse. Independent associations between sexual debut and parental education and income were also found. Adolescents of fathers with higher education were less likely to report having had first sexual intercourse. A similar relationship was observed between mothers' levels of education and their sons. It was found that first sexual intercourse among 15- and 16-year-olds is associated with higher scores on body image concerns for adolescent girls. Social support and parental higher education seem to decrease the likelihood of having had first sexual intercourse in this age group. In future research, body image and various aspects of social support need to be better understood in relation to adolescent sexuality in various social and cultural contexts.
本研究调查了首次性行为与身体意象、未来教育计划、抑郁情绪之间的关联，以及父母教育程度和收入的影响。这些关联按性别和种族进行了检验，并对可能影响研究结果的变量进行了调整，如感知到的社会支持、性虐待和年龄。邀请了2000年和2001年在奥斯陆初中就读的十年级学生参与这项校内横断面研究（参与率：88%）。在7343名参与者中，只有15或16岁的学生被纳入分析（N = 7187）。父母的教育程度和收入数据均来自官方登记处。身体意象与青春期女孩的性行为独立相关。身体意象关注度得分高的女孩更有可能经历过首次性交。对于青少年男性和女性来说，包括高等教育在内的未来教育计划与首次性行为呈负相关。抑郁情绪和性虐待与报告的首次性行为呈正相关。还发现首次性行为与父母的教育程度和收入之间存在独立关联。父亲受过高等教育的青少年报告有过首次性行为的可能性较小。在母亲的教育程度和她们儿子之间也观察到了类似的关系。研究发现，15至16岁青少年的首次性行为与青春期女孩更高的身体意象关注度得分相关。社会支持和父母的高等教育似乎会降低这个年龄组有过首次性行为的可能性。在未来的研究中，需要在各种社会和文化背景下，更好地理解身体意象和社会支持的各个方面与青少年性行为的关系。
