Pengpid Supa, Peltzer Karl
ASEAN Institute for Health Development, Mahidol University, Salaya, Phutthamonthon, Nakhonpathom, Thailand.
Department of Research Innovation and Development, University of Limpopo, Turfloop Campus, Sovenga, South Africa.
Int J Adolesc Med Health. 2018 Oct 20;33(1):/j/ijamh.ahead-of-print/ijamh-2018-0028/ijamh-2018-0028.xml. doi: 10.1515/ijamh-2018-0028.
The aim of this study was to estimate the prevalence and correlates of having had sexual intercourse among adolescents in Brunei Darussalam. The sample included 2599 school-going adolescents that responded to the Global School-based Student Health Survey (GSHS) [mean age 14.7 years, standard deviation (SD) = 1.4]. Sexual behaviour with a range of other health behaviours and protective factors were assessed based on a self-report. The relationship between socio-demographic, substance use, psychosocial, protective factors and ever had sexual intercourse were assessed using logistic regression analyses. Results indicate that 11.3% ever had sexual intercourse and 2.1% had two or more sexual partners in their lifetime. Among the sexually active students, 50% had early sexual debut (<14 years), 38.3% had used a condom at last sex, and 31.8% had used other birth control at last sex. In adjusted analysis, older age [odds ratio (OR) = 1.58, confidence interval (CI) = 1.04, 2.42], current tobacco use (OR = 1.67, CI = 1.10, 2.52), current alcohol consumption (OR = 2.26, CI = 1.26, 4.93), history of attempted suicide (OR = 1.96, CI = 1.20, 3.19) and bullying victimisation (OR = 1.43, CI = 1.00, 2.05) were associated with ever having had sexual intercourse. Significant sexual risk behaviour was found and several risk factors identified for incorporation in comprehensive sex education.
本研究旨在估算文莱达鲁萨兰国青少年发生性行为的患病率及其相关因素。样本包括2599名接受全球学校学生健康调查（GSHS）的在校青少年[平均年龄14.7岁，标准差（SD）=1.4]。基于自我报告评估了性行为与一系列其他健康行为及保护因素之间的关系。使用逻辑回归分析评估社会人口统计学、物质使用、心理社会、保护因素与曾经发生性行为之间的关系。结果表明，11.3%的人曾经发生过性行为，2.1%的人一生中拥有两个或更多性伴侣。在有性行为的学生中，50%的人初次性行为较早（<14岁），38.3%的人在最后一次性行为时使用了避孕套，31.8%的人在最后一次性行为时使用了其他避孕措施。在调整分析中，年龄较大[比值比（OR）=1.58，置信区间（CI）=1.04，2.42]、当前吸烟（OR = 1.67，CI = 1.10，2.52）、当前饮酒（OR = 2.26，CI = 1.26，4.93）、自杀未遂史（OR = 1.96，CI = 1.20，3.19）和受欺凌（OR = 1.43，CI = 1.00，2.05）与曾经发生性行为有关。发现了显著的性风险行为，并确定了几个风险因素，以便纳入全面的性教育。
