School of Social Work, University of Michigan, Ann Arbor, Michigan, United States.
Rev Panam Salud Publica. 2010 Oct;28(4):267-74. doi: 10.1590/s1020-49892010001000005.
to examine a range of individual, parenting, and family factors associated with sexual intercourse among a community sample of youth and their families in Santiago, Chile.
Data were taken from the Santiago Longitudinal Study conducted in January 2008-November 2009. Participants were 766 youth (mean age = 14.03 years, 51% male) from municipalities of low- to mid-socioeconomic status. Variables included emotional and behavioral subscales from the Child Behavior Checklist's Youth Self Report, parental monitoring, family involvement, parental control and autonomy, relationship with each parent, and sexual activity. Bivariate and multivariate logistic regression models were used to examine the odds of sexual intercourse initiation.
seventy (9.14%) youth reported having had sex in their lifetime; the average age of first sexual intercourse among this group was 13.5 years (Standard Deviation [SD] = 1.74) for males and 14.08 (SD = 1.40) for females. Having sex was inversely associated with withdrawn-depressed symptoms (Odds Ratio [OR] = 0.84, Confidence Interval [CI] = 0.72-0.97), but positively associated with somatic complaints (OR = 1.20, CI = 1.04-1.38) and rule breaking behavior (OR = 1.21, CI = 1.08-1.36), after adjusting for demographic and other individual and parenting variables. The majority (80%) of the youth who had had sex reported using protection at the time of last intercourse.
findings highlight the role that mental health problems-some of them not commonly associated with onset of sexual activity-may play in a youth's decision to have sex. The potential protective effects of several parenting and family characteristics disappeared with youth age and youth behavioral problems.
研究智利圣地亚哥社区青少年及其家庭中与性行为相关的一系列个体、养育和家庭因素。
数据来自 2008 年 1 月至 2009 年 11 月进行的圣地亚哥纵向研究。参与者为来自低至中等社会经济地位城市的 766 名青少年(平均年龄为 14.03 岁,51%为男性)。变量包括儿童行为检查表青少年自我报告中的情绪和行为子量表、父母监督、家庭参与、父母控制和自主权、与每个父母的关系以及性行为。使用双变量和多变量逻辑回归模型来检验首次发生性行为的几率。
70 名(9.14%)青少年报告称他们在一生中曾有过性行为;该组的首次性行为平均年龄为 13.5 岁(男性标准差 [SD] = 1.74),女性为 14.08 岁(SD = 1.40)。性行为与退缩抑郁症状呈负相关(优势比 [OR] = 0.84,置信区间 [CI] = 0.72-0.97),但与躯体抱怨(OR = 1.20,CI = 1.04-1.38)和违反规则行为(OR = 1.21,CI = 1.08-1.36)呈正相关,调整人口统计学和其他个体和养育变量后。大多数(80%)有过性行为的青少年报告说,他们在最近一次性行为中使用了保护措施。
研究结果强调了心理健康问题在青少年决定发生性行为中的作用,其中一些问题通常与性行为的开始无关。一些养育和家庭特征的潜在保护作用随着青少年年龄和行为问题的增加而消失。