New York City Department of Health and Mental Hygiene, 125 Worth St, New York, NY 10013, USA.
Pediatrics. 2010 Nov;126(5):879-86. doi: 10.1542/peds.2010-0396. Epub 2010 Oct 25.
To describe sexual behaviors, sexual violence, and sexual identity among a population-based sample of adolescents according to the sex of their sex partners, considering separately those with partners of both sexes.
From the 2005-2007 New York City Youth Risk Behavior Surveys, 3805 male and 3456 female adolescents reported having had sex and the sex of their sexual contacts. Subgroups were constructed: only opposite-sex partners; only same-sex partners; and partners of both sexes (both-sex partners). Weighted prevalence, risk behaviors (eg, using drugs/alcohol with sex), and sexual identity among subgroups were described.
Similar numbers of sexually active male (3.2%) and female adolescents (3.2%) reported only same-sex behavior, but fewer male than female adolescents reported both-sex partners (3.7% vs 8.7%; P < .001). Male adolescents with both-sex partners reported a higher prevalence of sexual risk behaviors than male adolescents with only opposite-sex or only same-sex partners. Female adolescents with both-sex or only same-sex partners reported a higher prevalence of risk behaviors than female adolescents with only opposite-sex partners. Adolescents with both-sex partners reported a marked prevalence of dating violence and forced sex. Many adolescents with only same- or both-sex partners (38.9%) self-identified as straight.
Of sexually active adolescents, 9.3% reported a same-sex partner, a higher estimate than other published rates. Those who reported both male and female partners reported behaviors that placed them at risk for sexually transmitted infections (STIs), including HIV. Pediatricians and school health providers must inquire about behaviors, not identity, to determine STI risk, and STI education should be appropriate for youth with same-sex partners.
根据性伴侣的性别，描述基于人群的青少年群体中的性行为、性暴力和性身份，同时分别考虑有同性和异性伴侣的情况。
来自 2005-2007 年纽约市青少年风险行为调查，3805 名男性和 3456 名女性青少年报告了有过性行为，以及他们性接触对象的性别。构建了亚组：仅有异性伴侣；仅有同性伴侣；以及具有两性伴侣（双性伴侣）。描述了亚组中加权流行率、风险行为（例如，与性接触时使用毒品/酒精）和性身份。
报告仅有同性行为的活跃男性（3.2%）和女性（3.2%）青少年数量相似，但报告双性伴侣的男性青少年比女性青少年少（3.7%比 8.7%；P<0.001）。有双性伴侣的男性青少年比仅有异性或同性伴侣的男性青少年报告的性行为风险更高。有双性或同性伴侣的女性青少年比仅有异性伴侣的女性青少年报告的风险行为更高。有双性伴侣的青少年报告了更高比例的约会暴力和强迫性行为。许多仅有同性或双性伴侣的青少年（38.9%）自我认同为异性恋。
在活跃的青少年中，有 9.3%报告有同性伴侣，这一估计高于其他已发表的比率。那些报告有男性和女性伴侣的人报告了性行为，这使他们面临性传播感染（STI）的风险，包括 HIV。儿科医生和学校卫生服务提供者必须询问行为，而不是身份，以确定 STI 风险，并且应该为有同性伴侣的青少年提供适当的 STI 教育。
