DuRant R H, Jay S
Department of Pediatrics, Medical College of Georgia, Augusta.
Am J Dis Child. 1989 Dec;143(12):1467-72. doi: 10.1001/archpedi.1989.02150240089025.
We tested the hypothesis that the nature of the heterosexual relationship would be associated with the contraceptive and sexual behavior among three groups of females: those with a boyfriend who agreed to be interviewed (n = 31); those whose boyfriends refused to be interviewed (n = 38); and those without a single identifiable boyfriend (n = 44). A pretested questionnaire was administered to a random sample of 113 black females aged 12 to 18 years from a lower socioeconomic population. The three groups did not differ in age, Tanner stage, previous pregnancies, or in demographic variables. Females with boyfriends were more likely than others to be currently sexually active. Overall, 47.8% of the sample was sexually active. Females whose boyfriends were interviewed were more likely to feel that having a baby would ruin their life. Among sexually active females (n = 54), a higher percentage of females whose boyfriends were interviewed (90%) were currently using a prescription method of birth control and demonstrated higher previous contraceptive compliance. There were no differences between the groups with boyfriends in the degree that the females felt their boyfriends supported their use of birth control; those without boyfriends perceived less support. Six months after the initial interview, a higher percentage of sexually active females had a boyfriend as compared with other subjects. Although the 31 females and their boyfriends differed in the mean scores of several sexual behavior and attitude scales, the girls' and their boyfriends' scores on these scales were moderately correlated. These findings suggest that the nature of the heterosexual relationship may influence both the sexual and the contraceptive behavior of black female adolescents.
异性恋关系的性质与三组女性的避孕及性行为相关，这三组女性分别是：其男友同意接受访谈的女性（n = 31）；其男友拒绝接受访谈的女性（n = 38）；以及没有可确认男友的女性（n = 44）。我们对来自社会经济地位较低人群的113名年龄在12至18岁的黑人女性进行了随机抽样，并向她们发放了经过预测试的问卷。这三组女性在年龄、坦纳分期、既往怀孕情况或人口统计学变量方面并无差异。有男友的女性比其他女性更有可能当前处于性活跃状态。总体而言，样本中有47.8%的女性处于性活跃状态。其男友接受访谈的女性更有可能认为生孩子会毁掉她们的生活。在性活跃的女性（n = 54）中，其男友接受访谈的女性中目前使用处方避孕方法的比例更高（90%），并且之前的避孕依从性也更高。有男友的两组女性在她们感觉男友支持其使用避孕措施的程度上没有差异；没有男友的女性则感觉得到的支持较少。在初次访谈六个月后，与其他受试者相比，性活跃女性中有男友的比例更高。尽管31名女性及其男友在几个性行为和态度量表的平均得分上存在差异，但女孩及其男友在这些量表上的得分具有中度相关性。这些发现表明，异性恋关系的性质可能会影响黑人女性青少年的性行为和避孕行为。
