Department of Nursing, Medical University of Gdansk, Poland.
Acta Obstet Gynecol Scand. 2010 Nov;89(11):1447-52. doi: 10.3109/00016349.2010.520080.
To analyze sexual behavior and the use of contraception among young women in Poland.
Cross-sectional study.
1,478 young women in higher (78.9%) and secondary (21.1%) education.
Gdansk region in Poland.
The data were gathered between September and December 2008 by the use of a questionnaire prepared for the purpose of this study, completed anonymously and in person by the young women.
Sexual activity had been initiated by 67.2% of the women studied at a mean age of 18.7 years (±1.97). Assessment was made of changes in their contraceptive practice between the time of sexual initiation and later sexual activity. Since their first experience of intercourse 67.0% did not change their contraceptive methods. As many as 40.1% continued using either low effective methods or no contraception. Early sexual initiation was linked to a significantly lower likelihood of highly effective contraception, more frequent unprotected sexual intercourse and more sexual partners (p < 0.05). Over half of women assigned to a 'high-risk' group with regard to the chance of unintended pregnancy and sexually transmitted infection, declared that their behavior did not carry any risk, similar (p > 0.05) to those who did not have a history of hazardous behavior.
Sexual behavior differentiates Polish women from the women in Western Europe. Despite the welcome tendency toward choosing reliable contraceptives, use of appropriate contraception is still insufficient.
分析波兰年轻女性的性行为和避孕措施使用情况。
横断面研究。
接受高等（78.9%）和中等（21.1%）教育的 1478 名年轻女性。
波兰格但斯克地区。
2008 年 9 月至 12 月期间，使用为此项研究专门设计的问卷收集数据，由年轻女性匿名并亲自填写。
研究中 67.2%的女性在平均年龄为 18.7 岁（±1.97）时开始性行为。评估了她们在首次性行为和后来的性行为之间避孕措施的变化。自首次性行为以来，67.0%的女性没有改变其避孕方法。多达 40.1%的女性继续使用低效率的方法或不采取避孕措施。早期性行为与高效避孕措施的可能性显著降低、无保护性行为更频繁以及性伴侣更多相关（p < 0.05）。超过一半的女性被归类为意外怀孕和性传播感染风险较高的“高危”人群，但她们表示自己的行为没有风险，这与没有危险行为史的女性相似（p > 0.05）。
性行为使波兰女性与西欧女性有所不同。尽管有选择可靠避孕措施的可喜趋势，但适当避孕措施的使用仍然不足。
