Carolina Population Center, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Department of Maternal and Child Health, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, 135 Dauer Drive, 401 Rosenau Hall, CB #7445, Chapel Hill, NC, 27599, USA.
Arch Sex Behav. 2018 Aug;47(6):1791-1810. doi: 10.1007/s10508-018-1176-9. Epub 2018 Mar 28.
The goal of this study was to examine, in a nationally representative sample, relationships between various sexual initiation patterns, subsequent sexual partnerships, and related health outcomes from adolescence through early adulthood. Data were from a subset of 6587 respondents from the National Longitudinal Study of Adolescent to Adult Health. Bivariate analyses and adjusted logistic and ordinary least squares regression models were used to determine associations between membership in three sexual initiation classes, lifetime sexual partner counts, and multiple health outcomes, including lifetime sexually transmitted infection or disease (STI/STD) diagnosis, lifetime unintended pregnancy, and romantic relationship quality. Broadly, having fewer lifetime sexual partners was associated with lower odds of STI/STD diagnosis and unintended pregnancy, and better relationship quality; however, findings also indicated both within and between sexual initiation class differences in the relationship between lifetime sexual partners and all three health outcomes. In particular, results showed little variation in health outcomes by sexual partnering among those who postponed sexual activity, but members of the class characterized by early and atypical sexual initiation patterns who had fewer lifetime partners exhibited better health outcomes than most other initiation groups. These results show that while both sexual initiation and partnering patterns add important information for understanding sexual health from adolescence to early adulthood, partnering may be more relevant to these sexual health outcomes. Findings indicate a need for more comprehensive sexuality education focused on sexual risk reduction and promotion of relationship skills among adolescents and adults.
本研究的目的是在全国代表性样本中考察各种性开始模式、随后的性伴侣关系以及从青春期到成年早期的相关健康结果之间的关系。数据来自全国青少年健康纵向研究的 6587 名受访者的一个子集。采用双变量分析和调整后的逻辑和普通最小二乘法回归模型，确定了三种性开始类别、终生性伴侣数量与多种健康结果之间的关系，包括终生性传播感染或疾病 (STI/STD) 诊断、终生意外怀孕和浪漫关系质量。总体而言，终生性伴侣较少与 STI/STD 诊断和意外怀孕的几率较低以及关系质量较好相关；但是，研究结果还表明，在性开始类别内和类别之间，终生性伴侣与所有三种健康结果之间的关系存在差异。特别是，在那些推迟性行为的人中间，性伴关系对健康结果的影响差异较小，但那些具有早期和非典型性开始模式且终生伴侣较少的类别的成员的健康结果要好于大多数其他开始群体。这些结果表明，尽管性开始和伴侣关系模式都为理解从青春期到成年早期的性健康提供了重要信息，但伴侣关系可能与这些性健康结果更为相关。研究结果表明，需要更加全面的性教育，重点是减少青少年和成年人的性风险并促进关系技能。
