Department of Obstetrics and Gynecology, The Ohio State University, Columbus, OH 43210, USA.
Contraception. 2010 Sep;82(3):236-42. doi: 10.1016/j.contraception.2010.03.019. Epub 2010 May 6.
The study was conducted to characterize the relationship between formal sex education and the use and type of contraceptive method used at coital debut among female adolescents.
This study employed a cross-sectional, nationally representative database (2002 National Survey of Family Growth). Contraceptive use and type used were compared among sex education groups [abstinence only (AO), birth control methods only (MO) and comprehensive (AM)]. Analyses also evaluated the association between demographic, socioeconomic, behavioral variables and sex education. Multiple logistic regression with adjustment for sampling design was used to measure associations of interest.
Of 1150 adolescent females aged 15-19 years, 91% reported formal sex education (AO 20.4%, MO 4.9%, AM 65.1%). The overall use of contraception at coitarche did not differ between groups. Compared to the AO and AM groups, the proportion who used a reliable method in the MO group (37%) was significantly higher (p=.03) (vs. 15.8% and 14.8%, respectively).
Data from the 2002 NSFG do not support an association between type of formal sex education and contraceptive use at coitarche but do support an association between abstinence-only messaging and decreased reliable contraceptive method use at coitarche.
本研究旨在描述正式性教育与初次性行为中避孕方法的使用和类型之间的关系。
本研究采用了横断面、全国代表性数据库（2002 年全国家庭增长调查）。在性教育组（仅禁欲（AO）、仅避孕方法（MO）和综合（AM））之间比较了避孕方法的使用和类型。分析还评估了人口统计学、社会经济、行为变量与性教育之间的关系。采用具有抽样设计调整的多变量逻辑回归来测量相关关系。
在 1150 名 15-19 岁的青少年女性中，91%报告接受过正式性教育（AO 20.4%，MO 4.9%，AM 65.1%）。初次性行为时的避孕方法总体使用率在各组之间没有差异。与 AO 和 AM 组相比，MO 组中使用可靠避孕方法的比例（37%）明显更高（p=.03）（分别为 15.8%和 14.8%）。
2002 年 NSFG 的数据不支持正式性教育类型与初次性行为时避孕方法使用之间的关联，但确实支持禁欲信息与初次性行为时可靠避孕方法使用减少之间的关联。
