Hogben Matthew, Harper Christopher, Habel Melissa A, Brookmeyer Kathryn, Friedman Allison
Division of STD Prevention, Centers for Disease Control and Prevention, Atlanta, GA 30030, USA.
Division of Adolescent and School Health, Centers for Disease Control and Prevention, Atlanta, GA 30030, USA.
Sex Health. 2017 Nov;14(6):540-547. doi: 10.1071/SH16164.
Background Several common global definitions of sexual health refer to physical, emotional and social well-being, with respect to sexuality, and also to the need for this well-being to be reflected for all individuals in relationships. How well sexual health definitions fit US youths' attitudes to sexual health, and associations between these attitudes, sexual behaviours and sexual health care were assessed.
In total, 4017 youth aged between 15 and 25 years via an online survey panel, weighted to be representative of the US population, were surveyed. Respondents reported their attitudes towards seven dimensions of sexual health that we abstracted from existing global definitions (emotional fulfillment, social connectedness, spirituality, overall pleasure, physical intimacy, mental fulfillment, reciprocal benefits). Respondents also reported on sexual health-related discussions with partners, sexual behaviours, and their use of sexual health care. Outcomes through weighted frequency estimates and ordinal regression models were reported.
Youth generally construed all seven dimensions as important to sexual health, with the emotional dimension rated most favourably. Attitudes to the dimensions of overall pleasure, physical intimacy and spirituality were most consistently related to sexual health discussions and behaviours. The behaviours most consistently related to sexual health attitudes were going for a sexual health check-up, discussing birth control/pregnancy and discussing risk before sex without a condom.
Youth construal of sexual health fits well with global sexual health definitions. Attitudes to dimensions of sexual health were related to some sexual health-related behaviours, especially healthcare use and complex discussions.
背景 性健康的几个常见全球定义涉及性方面的身体、情感和社会福祉，以及这种福祉需要在所有处于恋爱关系中的个体身上得到体现。评估了性健康定义与美国青少年对性健康的态度的契合程度，以及这些态度、性行为和性健康护理之间的关联。
通过在线调查小组对总共4017名年龄在15至25岁之间的青少年进行了调查，这些样本经过加权处理以代表美国人口。受访者报告了他们对从现有全球定义中提取的性健康七个维度的态度（情感满足、社会联系、精神层面、总体愉悦、身体亲密、心理满足、互惠互利）。受访者还报告了与伴侣进行的与性健康相关的讨论、性行为以及他们对性健康护理的使用情况。报告了通过加权频率估计和有序回归模型得出的结果。
青少年普遍认为所有七个维度对性健康都很重要，其中情感维度的评价最为积极。对总体愉悦、身体亲密和精神层面维度的态度与性健康讨论和行为的相关性最为一致。与性健康态度最一致相关的行为是进行性健康检查、讨论避孕/怀孕以及在无避孕套性行为前讨论风险。
青少年对性健康的理解与全球性健康定义非常契合。对性健康维度的态度与一些与性健康相关的行为有关，特别是医疗保健的使用和复杂的讨论。
