在坦桑尼亚开展艾滋病毒干预措施三十年后，青少年早期性初体验的发生率和预测因素：初体验时间分析。
Incidence and predictors of adolescent's early sexual debut after three decades of HIV interventions in Tanzania: a time to debut analysis.
机构信息
Department of Epidemiology and Biostatistics, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.
出版信息
PLoS One. 2012;7(7):e41700. doi: 10.1371/journal.pone.0041700. Epub 2012 Jul 27.
Abstract
PURPOSE
To determine the incidence and predictors of adolescent's early sexual debut after three decades of HIV interventions in Tanzania.
METHODS
In a cross-section study of adolescents aged 16-19 residing in Morogoro Municipality, information on socio-demographic, parental-and-peer communication, and sexual behaviors were collected. Cox-regression analysis was used to examine predictors of time to sexual debut.
RESULTS
A total of 316 adolescents with mean age of 17.5±0.9 were recruited. Half (48.7%) of adolescent were sexually active with mean age at sexual debut of 14.6±2.3. Of these, 57.8% had sex before their 15(th) birthday with incidence of early sexual debut of 17.4/1000 person-years at risk. Adolescent family characteristics, peer pressure, alcohol use, parental and peer communication were key predictors of early sexual debut.
CONCLUSION
Parental and peer communication strategies works calling for efforts to increase its scope to reach all adolescents alongside promoting family stability and reducing adolescent alcohol consumption.
摘要
目的
在坦桑尼亚开展 HIV 干预措施三十年后，确定青少年早期性初体验的发生率及其预测因素。
方法
在对莫罗戈罗市 16-19 岁青少年进行的横断面研究中，收集了社会人口统计学、父母和同伴沟通以及性行为方面的信息。使用 Cox 回归分析来检验性初体验时间的预测因素。
结果
共招募了 316 名平均年龄为 17.5±0.9 的青少年。一半（48.7%）的青少年有过性行为，性初体验的平均年龄为 14.6±2.3。其中，57.8%的人在 15 岁生日前发生过性行为，性初体验的发生率为 17.4/1000 人年。青少年的家庭特征、同伴压力、饮酒、父母和同伴沟通是性初体验的主要预测因素。
结论
父母和同伴沟通策略有效，需要努力扩大其范围，覆盖所有青少年，同时促进家庭稳定和减少青少年饮酒。
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