青少年男性在妊娠中的性健康需求。
The Sexual Health Needs of Adolescent Boys Involved in a Pregnancy.
机构信息
Division of Adolescent Medicine, Department of Pediatrics, Indiana University School of Medicine, Indianapolis, Indiana.
Fort Wayne Medical Education Program, Family Medicine Residency, Fort Wayne, Indiana.
出版信息
J Adolesc Health. 2019 Apr;64(4):537-540. doi: 10.1016/j.jadohealth.2018.10.299. Epub 2019 Jan 14.
PURPOSE
Little is known about fatherhood in middle adolescence. To better understand their sexual health needs, we describe relationship characteristics, perception of masculinity, and associated sexually transmitted infection (STI) risk behaviors in a community-based sample of urban middle adolescent boys who have fathered a child or been involved with a pregnancy.
METHODS
We used venue-based sampling to recruit 339 boys (aged 14-17 years) in neighborhoods with high STI prevalence. We administered a brief survey on sexual relationship and pregnancy history, STI risk, juvenile justice involvement, and masculinity.
RESULTS
Fifteen percent had either fathered a child or been involved with a pregnancy. In multivariate analysis, controlling for age and ethnicity, adolescent fathers were more likely to be involved with juvenile justice and engage in STI risk behaviors. These included condom nonuse and partner checking a cell phone. Although of borderline significance, older partners, past STI testing, and drug or alcohol use at last sex improved model fit.
CONCLUSION
Adolescent fathers have distinct relational and sexual health needs. Their specific needs should be targeted by prevention programs.
目的
关于青春期中期的父性角色，我们知之甚少。为了更好地了解他们的性健康需求，我们对一个基于社区的城市青春期中期男孩样本进行了描述，这些男孩有生育或怀孕经历，他们的关系特征、男子气概认知和相关的性传播感染（STI）风险行为。
方法
我们使用基于地点的抽样方法，在 STI 高发率的社区招募了 339 名年龄在 14-17 岁的男孩。我们对他们进行了简短的性关系和怀孕史、STI 风险、少年司法涉入和男子气概的调查。
结果
15%的男孩有生育或怀孕经历。在多变量分析中，控制年龄和种族，青少年父亲更有可能涉及少年司法，并从事 STI 风险行为。这些行为包括不使用安全套和检查伴侣手机。虽然处于边缘显著水平，但年长的伴侣、过去的 STI 检测以及上次性行为中的药物或酒精使用改善了模型拟合度。
结论
青少年父亲有独特的关系和性健康需求。预防计划应针对他们的特定需求。
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