Osorio Alfonso, Lopez-Del Burgo Cristina, Carlos Silvia, de Irala Jokin
Institute for Culture and Society, University of NavarraPamplona, Spain.
Instituto de Investigación Sanitaria de Navarra, Navarra Institute for Health ResearchPamplona, Spain.
Front Psychol. 2017 Jul 27;8:1298. doi: 10.3389/fpsyg.2017.01298. eCollection 2017.
This cross-sectional study assesses the association between age of sexual initiation during adolescence and a selection of well-being outcomes regarding that first relationship. High-school adolescents from El Salvador (2,686) and from Peru (3,399) replied to a paper-pencil questionnaire. Those who were sexually initiated replied to several questions regarding their age at sexual initiation, condom use, satisfaction and reasons/circumstances for that sexual relationship. Approximately 19% of participants were sexually initiated ( = 1,179). After retaining participants with valid responses and with sexual initiation ages between 13 and 17, the final sample for this paper consisted of 996 sexually initiated participants (526 Salvadorians and 470 Peruvians). Multiple logistic regression analyses showed that those who initiated sex at earlier ages had worse outcomes compared to those who initiated at older ages. Specifically, they had lower odds of having used a condom, of having good memories of that experience and of having had that first relationship because they were in love. Conversely, they had higher odds of having had that first sexual relationship as a result of peer pressure ("Most of my friends already had sex"), because of partner pressure ("I was afraid to lose him/her," "My partner told me he/she would leave me" or "I did not know how to say no to a person who insisted"), or as a consequence of different forms of impaired autonomy ("I was under the influence of alcohol or drugs" or "As a consequence of seeing sexual images"). Results show that sex at earlier ages is associated with worse adolescent health and well-being outcomes.
这项横断面研究评估了青少年时期首次性行为的年龄与首次恋爱关系中一系列幸福指标之间的关联。来自萨尔瓦多的2686名高中生和来自秘鲁的3399名高中生回答了纸质问卷。有过性行为的学生回答了几个关于首次性行为年龄、使用避孕套情况、满意度以及该段恋爱关系的原因/情况的问题。约19%的参与者有过性行为（n = 1179）。在保留回答有效且首次性行为年龄在13至17岁之间的参与者后，本文的最终样本包括996名有过性行为的参与者（526名萨尔瓦多人和470名秘鲁人）。多项逻辑回归分析表明，与较晚开始性行为的人相比，较早开始性行为的人结果更差。具体而言，他们使用避孕套的几率更低，对那段经历有美好回忆的几率更低，因相爱而开始第一段恋爱关系的几率更低。相反，由于同伴压力（“我的大多数朋友都已经有过性行为”）、伴侣压力（“我害怕失去他/她”、“我的伴侣告诉我他/她会离开我”或“我不知道如何拒绝一个坚持的人”）或不同形式的自主能力受损（“我受酒精或药物影响”或“由于看到性图像”），他们开始第一段性行为的几率更高。结果表明，较早发生性行为与更差的青少年健康和幸福指标相关。
