Makenzius Marlene, Larsson Margareta
Department of Women's and Children's Health, Uppsala University, Uppsala, Sweden.
Scand J Caring Sci. 2013 Mar;27(1):20-6. doi: 10.1111/j.1471-6712.2012.00989.x. Epub 2012 Mar 28.
In public health efforts, knowledge about risk-groups is important for creating societal conditions to ensure good health on equal terms.
To investigate differences in lifestyle and perceived health among 15-year-old teenagers with experience of sexual intercourse (self-defined) and same-aged teenagers without experience of sexual intercourse.
A two-cluster questionnaire study among 15-year-old Swedish students (n = 2170) in 2009/10. Chi-squared test was used to identify differences between three groups: teenagers who had not had sexual intercourse; teenagers who had had sexual intercourse at age of 14 or younger; and teenagers who had had intercourse at an age of 15.
Thirty-two per cent (n = 334) of girls and 31% (n = 324) of boys had had sexual intercourse. Teenagers with experience of sexual intercourse at 15 years or younger used more tobacco, alcohol and illicit drugs than same-aged teenagers without intercourse experience did. Furthermore, teenagers with experience of intercourse, especially those with a debut at 14 year or younger, had less positive school experiences, more involvement in injuries and physical violence, were less (girls) and more (boys) physically active, and perceived a poorer health than teenagers without intercourse experience.
Sexual intercourse at the age of 15 or younger is an indicator for a hazardous lifestyle and problematic life situation.
在公共卫生工作中，了解风险群体对于创造社会条件以确保平等的健康状况至关重要。
调查有性交经历（自我定义）的15岁青少年与无性交经历的同龄青少年在生活方式和感知健康方面的差异。
2009/10年对2170名15岁瑞典学生进行了一项双聚类问卷调查研究。采用卡方检验来确定三组之间的差异：未发生过性行为的青少年；14岁及以下发生过性行为的青少年；15岁发生过性行为的青少年。
32%（n = 334）的女孩和31%（n = 324）的男孩有过性行为。15岁及以下有性交经历的青少年比无性交经历的同龄青少年更多地使用烟草、酒精和非法药物。此外，有性交经历的青少年，尤其是初次性交在14岁及以下的青少年，学校经历较不积极，更多地卷入受伤和身体暴力事件，女孩身体活动较少而男孩较多，并且比无性交经历的青少年感知到的健康状况更差。
15岁及以下的性交是危险生活方式和问题生活状况的一个指标。
