Savioja Hanna, Helminen Mika, Fröjd Sari, Marttunen Mauri, Kaltiala-Heino Riittakerttu
a School of Medicine , University of Tampere , Tampere , Finland.
b Science Centre , Pirkanmaa Hospital District , Tampere , Finland.
Eur J Contracept Reprod Health Care. 2017 Aug;22(4):298-304. doi: 10.1080/13625187.2017.1374361. Epub 2017 Sep 13.
To elucidate a possible connection between delinquency and adolescent sexual behaviours in different age groups from 14 to 20 and the role of depression therein.
Data were gathered from the cross-sectional Finnish School Health Promotion Study 2010 and 2011 with 186,632 respondents. We first examined the bivariate relationship between delinquency and sexual behaviour, and then proceeded to multivariate models accounting for self-reported depression. Analyses were conducted separately for girls and boys, in seven age groups. The main outcomes were analysed by χ test and logistic regression.
Delinquency was connected to having experienced sexual intercourse across all age groups, and was related to reporting multiple sexual partners among sexually active adolescents, in both boys and girls, before and after controlling for depression. Delinquency and depression were independently associated with the sexual behaviours studied.
Being sexually active and engaging in risky sexual behaviours are related to delinquency in the adolescent population throughout the developmental phase, even in late adolescence when being sexually active is developmentally normative. Being sexually active is further connected to depression until middle adolescence, and risky sexual behaviours across adolescence. Clinicians working with adolescents presenting with delinquent behaviour with or without depression need to address their sexual health needs.
阐明14至20岁不同年龄组青少年犯罪与性行为之间可能存在的联系,以及抑郁在其中所起的作用。
数据来自2010年和2011年芬兰学校健康促进横断面研究,共有186,632名受访者。我们首先研究了青少年犯罪与性行为之间的双变量关系,然后构建多变量模型纳入自我报告的抑郁情况。针对七个年龄组的女孩和男孩分别进行分析。主要结果通过χ检验和逻辑回归进行分析。
在所有年龄组中,青少年犯罪均与有过性交经历有关,在控制抑郁因素前后,在有性行为的青少年中,无论男孩还是女孩,青少年犯罪都与报告有多个性伴侣有关。青少年犯罪和抑郁分别与所研究的性行为相关。
在整个发育阶段,性行为活跃以及从事危险性行为均与青少年群体中的犯罪行为有关,即使在青春期后期性行为活跃是发育正常现象时也是如此。在青春期中期之前,性行为活跃还与抑郁相关,并且在整个青春期都与危险性行为有关。处理有或没有抑郁症状的青少年犯罪行为的临床医生需要关注他们的性健康需求。