Li Nan, Boulay Marc
Department of Population, Family and Reproductive Health, Johns Hopkins Bloomberg School of Public Health, 615 N. Wolfe Street, Baltimore, MD 21205, USA.
Sex Health. 2010 Dec;7(4):471-7. doi: 10.1071/SH09108.
A national survey found that more than one-tenth of unmarried Bangladeshi adolescents were sexually experienced and much of this experience involves high-risk behaviours such as unprotected sexual intercourse with commercial sex workers. However, very few studies have explored the factors that contribute to premarital sex among Bangladeshi adolescents.
Data are from the 2004 Adolescent Reproductive Health Communication Midline Survey, a national survey in Bangladesh. Multivariate statistical methods were applied to identify risk and protective factors for premarital sex among Bangladeshi male adolescents.
Among 1048 unmarried males between ages of 15 and 19 years, 12.8% reported ever having had sex. Multivariate analyses demonstrated that, in terms of the self system, having plans to study in the future were associated with a lower risk of engaging in premarital sex (odds ratio (OR) = 0.38; 95% confidence interval (CI) = 0.25-0.59) while knowledge of reproductive health and life skills did not have a strong influence. Strong influences of both familial and extra-familial system were observed. Respect for parents' values and beliefs about sex was associated with decreased odds of premarital sex (OR = 0.39; 95% CI = 0.26-0.59). 'Ever talked with friends about sex-related issues' was associated with threefold increased odds and an increase in peer influence score was associated with increased odds of premarital sex.
These results demonstrate that premarital sex among Bangladeshi male adolescents was influenced by numerous factors, and they should be taken into account in programs aiming to delay the age of sexual debut.
一项全国性调查发现，超过十分之一的未婚孟加拉国青少年有过性经历，而且其中许多经历涉及高风险行为，如与商业性工作者发生无保护措施的性行为。然而，很少有研究探讨促成孟加拉国青少年婚前性行为的因素。
数据来自2004年孟加拉国全国性的青少年生殖健康交流中期调查。采用多变量统计方法来确定孟加拉国男性青少年婚前性行为的风险和保护因素。
在1048名年龄在15至19岁之间的未婚男性中，12.8%报告曾有过性行为。多变量分析表明，就自我系统而言，有未来学习计划与较低的婚前性行为风险相关（优势比（OR）=0.38；95%置信区间（CI）=0.25 - 0.59），而生殖健康和生活技能知识并没有强烈影响。观察到家庭和家庭外系统都有很大影响。尊重父母对性的价值观和信念与婚前性行为几率降低相关（OR = 0.39；95% CI = 0.26 - 0.59）。“曾与朋友谈论过与性相关的问题”与三倍的几率增加相关，同伴影响得分增加与婚前性行为几率增加相关。
这些结果表明，孟加拉国男性青少年的婚前性行为受到众多因素影响，在旨在推迟首次性行为年龄的项目中应考虑到这些因素。
