Division of Reproductive Health, Centers for Disease Control and Prevention, Atlanta, GA, USA.
Int Perspect Sex Reprod Health. 2011 Mar;37(1):6-15. doi: 10.1363/3700611.
Despite high levels of sexual activity and risk behaviors among Jamaican youth, few population-based studies have examined their prevalence or correlates.
The prevalence of three sexual risk behaviors was assessed using data from the 2008-2009 Jamaican ?Reproductive Health Survey on a subsample of adolescents aged 15-19 who neither were in a union nor had a child. Factors associated with the risk behaviors were examined separately for females and males, using bivariate analysis and multivariate logistic regression.
In the year prior to the survey, 32% of females and 54% of males had had sexual intercourse; of those, 12% and 52%, respectively, had had more than one sexual partner, and 49% and 46% had used condoms ?inconsistently or not at all. School enrollment was protective against females being sexually active and males having multiple partners. Females who were enrolled in an age-appropriate or higher grade had decreased odds of using condoms inconsistently or not at all, and males who were enrolled in a lower than age-appropriate grade had a decreased risk of being sexually active. Males in the lowest wealth tercile were less likely than those in the highest tercile to have been sexually active or to have had multiple partners. Weekly attendance at religious services was protective against all three risk behaviors for both genders, with the exception of inconsistent or no condom use among males.
Future reproductive health programs should continue to target adolescents in venues other than schools and churches, and should also address the varying needs of females and males.
尽管牙买加青年的性行为活跃且存在高危行为，但很少有基于人群的研究调查过这些行为的流行率或相关因素。
利用 2008-2009 年牙买加生殖健康调查的数据，对未处于婚姻状态或未育的 15-19 岁青少年亚组进行了三项性行为风险因素的流行率评估。使用双变量分析和多变量逻辑回归，分别对女性和男性的风险行为相关因素进行了分析。
在调查前一年，32%的女性和 54%的男性有过性行为；其中，分别有 12%和 52%的人有过多个性伴侣，49%和 46%的人没有或没有坚持使用安全套。入学对女性的性行为和男性的多个性伴侣都有保护作用。进入与年龄相适应或更高年级的女性使用安全套不规律或不使用的可能性较低，而进入低于与年龄相适应年级的男性性行为的风险较低。在财富最低的三分之一群体中，男性有性行为或多个性伴侣的可能性低于财富最高的三分之一群体。每周参加宗教服务对女性和男性的所有三种风险行为都有保护作用，但男性使用安全套不规律或不使用的情况除外。
未来的生殖健康计划应继续针对学校和教堂以外的青少年开展，并应满足女性和男性不同的需求。
