Section of Adolescent Medicine, Indiana University School of Medicine, Indianapolis, Indiana.
J Adolesc Health. 2011 Sep;49(3):327-9. doi: 10.1016/j.jadohealth.2010.12.020. Epub 2011 Mar 15.
A sexually transmitted infection (STI) diagnosis may profoundly change the meaning of adolescent women's relationships, particularly when the relationship involves a shared child. This study explored the sexual, contraceptive, and emotional characteristics of sexual partners with whom adolescent women had and did not have children in the 3 months after the first STI diagnosis.
Adolescent women (n = 387; age: 14-17 years at enrollment) were tested quarterly for STI and completed partner-specific items on emotional and sexual relationship content. We used nonparametric statistics (SPSS/18.0) to compare these characteristics between partners with whom these adolescent women did (n = 20) or did not (n = 118) share a child.
Rates of condom use at last sex, overall condom use, and condom insistence were lower with sexual partners involving shared children as compared with childless sexual partners. Relationship status, commitment to partner, and using no method of contraception were more common in parous sexual relationships as compared with nulliparous sexual relationships after an STI.
After an STI, adolescent women have different sexual risk behaviors with the fathers of their children, even after a signal event such as a recent STI diagnosis. Tailored counseling may specifically address the challenges of STI prevention with partners who have the unique status of being the "father of the baby."
性传播感染（STI）的诊断可能会深刻改变青少年女性关系的意义，尤其是当这种关系涉及到共同的孩子时。本研究探讨了在首次 STI 诊断后的 3 个月内，与青少年女性有孩子和没有孩子的性伴侣的性、避孕和情感特征。
每季度对 387 名青少年女性（纳入时年龄为 14-17 岁）进行 STI 检测，并完成关于情感和性关系内容的特定伴侣项目。我们使用非参数统计（SPSS/18.0）来比较这些特征，这些特征在有（n=20）和没有（n=118）共同孩子的伴侣之间进行比较。
与没有孩子的性伴侣相比，与有孩子的性伴侣发生性行为时使用安全套的比率、总体安全套使用率和坚持使用安全套的比率较低。与没有孩子的性关系相比，在 STI 后，有孩子的性关系中，关系状况、对伴侣的承诺和不使用任何避孕方法更为常见。
在 STI 后，即使是在最近的 STI 诊断等信号事件之后，青少年女性与孩子的父亲发生性行为的风险行为也不同。有针对性的咨询可能会特别针对与具有“婴儿父亲”独特身份的伴侣预防 STI 带来的挑战。
