Vigoureux Solène, Bajos Nathalie, Ringa Virginie
Université Paris-Saclay, Univ Paris-Sud, UVSQ, CESP Centre for research in Epidemiology and Population Health, U1018, Gender, Sexuality and Health team, Kremlin-Bicêtre, France; Ined, Paris, France; Service de Gynécologie Obstétrique, Hôpital Bicêtre, GHU Sud, AP-HP, Faculty of Medicine, Univ Paris Sud F-94276, Le Kremlin Bicêtre, France.
Université Paris-Saclay, Univ Paris-Sud, UVSQ, CESP Centre for research in Epidemiology and Population Health, U1018, Gender, Sexuality and Health team, Kremlin-Bicêtre, France; Ined, Paris, France.
J Pediatr Adolesc Gynecol. 2018 Feb;31(1):33-39. doi: 10.1016/j.jpag.2017.08.003. Epub 2017 Aug 12.
Most women begin sexual activity as teenagers but nearly 20% of women in France younger than 25 years rely on less effective contraceptive methods (condoms or methods such as withdrawal or periodic abstinence). We sought to analyze the association with less effective contraception among women aged 15-24 years in France and communication about sex and contraception with their parents. DESIGN, SETTING, PARTICIPANTS, INTERVENTIONS, AND MAIN OUTCOME MEASURES: The analyses focused on 713 sexually active women who did not currently want a child, were using contraception, and were interviewed in 2010 in a national cross-sectional probability survey (FEcondité CONtraception Dysfonctions sexuelles [FECOND]) when they were 15-24 years old. Associations between the use of less effective contraception, social and demographic characteristics, sexual activity, health characteristics, and communication with parents and friends about sexuality and contraception were tested with logistic regression models according to age group.
Less effective contraception (condoms, and barrier or natural methods) is used more often by younger women: 27.5% of 15- to 19-year-old women and 14.7% of 20- to 24-year-old women (P < .001). After adjustment for demographic characteristics and aspects of their sex lives (regularity and frequency of intercourse), women who reported difficulty discussing contraception and sex with their mothers at age 15 years were more likely than those with easier communication to use less effective contraception (for those 15-19 years, odds ratio = 1.97; 95% confidence interval, 0.94-4.10, and for those 20-24 years, odds ratio = 2.36; 95% confidence interval, 1.31-4.26). Difficulty in communicating with their parents, especially their mothers, about sex, is associated with young women's choice of less effective contraception.
大多数女性在青少年时期开始性行为，但在法国，近20%的25岁以下女性依赖效果较差的避孕方法（避孕套或体外射精或定期禁欲等方法）。我们试图分析法国15至24岁女性中使用效果较差的避孕方法与与父母进行性与避孕方面沟通之间的关联。
设计、背景、参与者、干预措施及主要结局指标：分析聚焦于713名性活跃且目前不想要孩子、正在使用避孕措施的女性，她们于2010年在一项全国性横断面概率调查（生育、避孕、性功能调查[FECOND]）中接受访谈，当时年龄在15至24岁。根据年龄组，使用逻辑回归模型测试了使用效果较差的避孕方法、社会和人口统计学特征、性活动、健康特征以及与父母和朋友就性与避孕进行沟通之间的关联。
年轻女性更常使用效果较差的避孕方法（避孕套以及屏障法或自然避孕法）：15至19岁女性中有27.5%，20至24岁女性中有14.7%（P <.001）。在对人口统计学特征及其性生活方面（性交的规律性和频率）进行调整后，15岁时表示难以与母亲讨论避孕和性的女性比沟通较容易的女性更有可能使用效果较差的避孕方法（对于15至19岁的女性，比值比 = 1.97；95%置信区间，0.94至4.10；对于20至24岁的女性，比值比 = 2.36；95%置信区间，1.31至4.26）。与父母，尤其是母亲，在性方面沟通困难与年轻女性选择效果较差的避孕方法有关。
