Demography and Population Studies Programme,Schools of Public Health and Social Sciences,University of the Witwatersrand,Johannesburg,South Africa.
J Biosoc Sci. 2019 Mar;51(2):254-272. doi: 10.1017/S002193201800010X. Epub 2018 Apr 10.
The question of youth sexual behaviour has been widely debated, with researchers such as Berhan and Berhan (2015) arguing that young adults aged 15-24 are more likely to engage in risky behaviours. However, research has not adequately addressed the issue of positive sexual behaviours, in particular among young people in sub-Saharan Africa. Adapting the compensatory model of risk and resiliency theory, this study examined the determinants of positive sexual behaviours among youth in sub-Saharan Africa. Using recent data from Demographic and Health Surveys of sixteen countries representative of each African region (East, West, Southern and Central), it was hypothesized that positive sexual behaviours of youth (condom use at last sex and single sexual partnership) would be most strengthened by protective factors at the individual and family levels, and that these behaviours would differ by region due to regional variation in socio-cultural practices. Delayed age at sexual debut (first sex after the age of 15) was found to be the strongest protective factor for positive sexual behaviours among males and females in sub-Saharan Africa. Certain socioeconomic variables were found to be positively associated with positive sexual behaviours and the associations differed by gender.
青年性行为问题一直备受争议，Berhan 和 Berhan（2015）等研究人员认为，15-24 岁的年轻人更有可能从事危险行为。然而，研究尚未充分解决积极性行为的问题，特别是在撒哈拉以南非洲的年轻人中。本研究通过适应风险和弹性理论的补偿模型，研究了撒哈拉以南非洲年轻人积极性行为的决定因素。利用代表每个非洲区域（东部、西部、南部和中部）的十六个国家的人口与健康调查的最新数据，假设年轻人（上次性行为时使用避孕套和单一性关系）的积极性行为将通过个体和家庭层面的保护因素得到最大加强，由于社会文化实践的区域差异，这些行为在不同地区会有所不同。研究发现，性初潮延迟（15 岁以后的第一次性行为）是撒哈拉以南非洲男性和女性积极性行为的最强保护因素。某些社会经济变量与积极性行为呈正相关，且这种关联因性别而异。
