Ihongbe Timothy O, Cha Susan, Masho Saba W
Division of Epidemiology, Department of Family Medicine and Population Health, Virginia Commonwealth University, 830 East Main Street, 8th Floor, Richmond, VA 23298-0212.
J Sch Health. 2017 Mar;87(3):200-208. doi: 10.1111/josh.12485.
Research has shown that early age of sexual debut is associated with physical dating violence (PDV), but sex-specific associations are sparse. We estimated the prevalence of PDV victimization in high school students who have initiated sexual intercourse and examined sex-specific association between age of sexual debut and PDV victimization.
Data on 8637 students in grades 9 through 12 who had initiated sex was obtained from the 2009-2011 national Youth Risk Behavior Survey. The association was examined using multiple logistic regression, accounting for the complex survey design, and stratified by sex.
Approximately 15% of sexually active students reported past-year PDV victimization. The odds of PDV victimization among girls who had sexual debut at <12 years was 2.46 (95% CI = 1.50-4.02) and 2.20 (95% CI = 1.42-3.41) for boys, compared to those who initiated sex at 16 years and older.
Evidence supports the belief that early sexual debut is associated with higher odds of PDV victimization, particularly for girls. Healthcare providers, school counselors, and educators should be aware of this sex difference in the association between early sexual debut age and PDV victimization while focusing PDV interventions on adolescents with early sexual debut age.
研究表明，初次性行为的年龄较早与身体约会暴力（PDV）相关，但特定性别的关联较少。我们估计了已开始性行为的高中生中PDV受害情况的患病率，并研究了初次性行为年龄与PDV受害情况之间的特定性别关联。
从2009 - 2011年全国青少年风险行为调查中获取了8637名9至12年级已开始性行为的学生的数据。使用多因素逻辑回归分析这种关联，考虑到复杂的调查设计，并按性别分层。
约15%有性行为的学生报告在过去一年遭受过PDV侵害。与16岁及以上开始性行为的人相比，12岁之前初次性行为的女孩遭受PDV侵害的几率为2.46（95%置信区间 = 1.50 - 4.02），男孩为2.20（95%置信区间 = 1.42 - 3.41）。
有证据支持这样的观点，即初次性行为年龄较早与遭受PDV侵害的几率较高相关，尤其是对女孩而言。医疗保健提供者、学校辅导员和教育工作者应意识到初次性行为年龄较早与PDV受害情况之间的这种性别差异，同时将PDV干预重点放在初次性行为年龄较早的青少年身上。
