出国旅行增加瑞典青少年的性健康冒险行为：一项采用病例交叉策略的基于人群的研究。
Travel abroad increases sexual health risk-taking among Swedish youth: a population-based study using a case-crossover strategy.
作者信息
Sundbeck Mats, Agardh Anette, Östergren Per-Olof
机构信息
a Social Medicine and Global Health , Lund University , Malmö , Sweden.
出版信息
Glob Health Action. 2017;10(1):1330511. doi: 10.1080/16549716.2017.1330511.
Abstract
BACKGROUND
The fact that youth take sexual risks when they are abroad have been shown in previous studies. However, it is not known if they increased their sexual risk-taking when travelling abroad, compared to the stay in their homeland.
OBJECTIVE
To assess whether Swedish youth increased their individual sexual risk behaviour, defined as having a casual sex partner, when travelling abroad and to examine possible factors that may be associated with increased risk-taking abroad.
DESIGN
In 2013, a population-based sample of 2189 Swedes, 18-29 years, was assessed by a questionnaire (45% response rate). Sexuality, duration of travel, parents' country of origin, mental health, heavy episodic drinking (HED), use of illicit drugs, and socio-demographic background were assessed. Increased risk of casual sex in relation to time spent abroad vs. time spent in Sweden was analysed by a variant of case-crossover design. Factors that could be associated with increased risk of casual sex in Sweden and abroad, separately, were analysed by logistic regression.
摘要
背景
先前的研究已表明年轻人在国外时会有性风险行为。然而，与在本国时相比，他们在出国旅行时是否增加了性冒险行为尚不清楚。
目的
评估瑞典年轻人在出国旅行时是否增加了其个人性风险行为（定义为有随意性伴侣），并研究可能与在国外增加冒险行为相关的因素。
设计
2013年，通过问卷调查对2189名年龄在18至29岁的瑞典人进行了基于人群的抽样调查（回复率为45%）。评估了性行为、旅行时长、父母的原籍国、心理健康、大量饮酒、非法药物使用以及社会人口学背景。通过病例交叉设计的一种变体分析了与在国外度过的时间相比，在瑞典度过的时间里随意性行为风险增加的情况。分别通过逻辑回归分析了在瑞典和国外可能与随意性行为风险增加相关的因素。
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