Service d'Information Promotion Education Santé (SIPES), Centre de Recherche "Epidémiologie, Biostatistiques et recherche clinique", Ecole de Santé Publique, Université Libre de Bruxelles (ULB), Brussels, Belgium.
Health Promotion Research Centre, National University of Ireland Galway, Galway, Ireland.
Int J Public Health. 2019 Mar;64(2):219-227. doi: 10.1007/s00038-018-1170-y. Epub 2018 Nov 19.
This study investigates the association between negative feelings about the first intercourse timing and sociodemographic and contextual factors. We hypothesized that girls and adolescents with an older first sexual partner will be more likely to report negative feelings and that prevalence of those feelings will vary across countries.
Adolescents (N = 6073, mean age = 15.6 ± 0.34), from Bulgaria, France, Ireland, and Scotland, taking part in the 2013/2014 HBSC study, were asked about sexual initiation, their age and partner's age at first intercourse, and their feeling about the timing of first intercourse.
One-fifth of the 1321 adolescents who had had sexual intercourse reported negative feelings about the first intercourse timing. Girls, adolescents from low affluent families, and those with an older first partner were more likely to report negative feelings. However, after adjustment for covariates, only girls and those from less affluent families had significantly higher odds of reporting negative feelings.
Sexual education programmes need to explicitly address decision-making around timing of first intercourse in order to reduce negative feelings, with a special attention to gender and social inequalities.
本研究调查了对初次性行为时间的负面感受与社会人口学和背景因素之间的关系。我们假设,与年龄较大的性伴侣发生初次性行为的女孩和青少年更有可能报告负面感受,而且这种感受的普遍性在不同国家之间存在差异。
参与 2013/2014 年 HBSC 研究的保加利亚、法国、爱尔兰和苏格兰的青少年(N=6073,平均年龄=15.6±0.34)被问及性初潮、他们的年龄和伴侣的初次性交年龄,以及他们对初次性交时间的感受。
在已发生性行为的 1321 名青少年中,有五分之一报告对初次性行为时间有负面感受。女孩、来自贫困家庭的青少年以及与年龄较大的伴侣发生初次性行为的青少年更有可能报告负面感受。然而,在调整了协变量后,只有女孩和来自贫困家庭的青少年报告负面感受的可能性显著更高。
性教育计划需要明确解决初次性行为时间的决策问题,以减少负面感受,特别要关注性别和社会不平等问题。