年轻人早期的性行为和高危性行为:低自我控制的作用。

Early sexual debut and risky sex in young adults: the role of low self-control.

机构信息

Department of Public Health, Brigham Young University, 4103 LSB, Provo, UT, 84602, USA.

出版信息

BMC Public Health. 2019 Nov 8;19(1):1483. doi: 10.1186/s12889-019-7734-9.

Abstract

BACKGROUND

The purpose of this study was to examine the role of low self-control as a mediator or moderator between early age at sexual debut and risky sexual behavior in young adulthood.

METHODS

Data on 5734 male and female Add Health participants were used. Self-control (waves 1 & 3), age at sexual debut (wave 3) and risky sexual behavior (wave 4) were used in a structural equation modeling framework to assess the relationships of interest.

RESULTS

Approximately 17% of respondents were < 15 years at first sexual intercourse. Among females only, both early age at first intercourse (Parent-report: z = 5.08, p < .001; Self-report: z = 2.05, p < .05) and low self-control at wave 3 (Parent-report: z = 2.30, p < .05; Self-report: z = 2.31, p < .05) mediated the relationship between low self-control at wave 1 and risky sexual behaviors in young adulthood. Similarly in the male-only model, both early age at first intercourse (Parent-report: z = 2.92, p < .01; Self-report: z = 3.04, p < .01) and low self-control at wave 3 (Parent-report: z = 1.99, p < .05; Self-report: z = 3.15, p < .01) mediated the relationship between low self-control and risky sexual behaviors in young adulthood. There was evidence of moderation in the male-only model (- 0.26, p < .01), such that lower impulsivity strengthened the relationship between early sex and risky sex.

CONCLUSIONS

This study confirms the role of executive functions in sexual behaviors and suggests that interventions aimed at improving self-control may be beneficial in reducing risky sexual behavior.

摘要

背景

本研究旨在探讨低自我控制在青少年早期初次性行为与成年早期危险性行为之间的中介或调节作用。

方法

使用了“青少年健康纵向研究”(Add Health)中 5734 名男性和女性参与者的数据。使用自我控制(第 1 波和第 3 波)、初次性行为年龄(第 3 波)和危险性行为(第 4 波),在结构方程模型框架中评估相关关系。

结果

约 17%的受访者初次性行为年龄<15 岁。仅在女性中,初次性交年龄较早(父母报告:z=5.08,p<.001;自我报告:z=2.05,p<.05)和第 3 波的低自我控制(父母报告:z=2.30,p<.05;自我报告:z=2.31,p<.05)在第 1 波的低自我控制与成年早期危险性行为之间起到了中介作用。同样,在仅男性模型中,初次性交年龄较早(父母报告:z=2.92,p<.01;自我报告:z=3.04,p<.01)和第 3 波的低自我控制(父母报告:z=1.99,p<.05;自我报告:z=3.15,p<.01)在第 1 波的低自我控制与成年早期危险性行为之间起到了中介作用。在仅男性模型中存在调节作用(-0.26,p<.01),即较低的冲动性增强了早期性行为与危险性行为之间的关系。

结论

本研究证实了执行功能在性行为中的作用,并表明旨在提高自我控制的干预措施可能有助于减少危险性行为。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8f1c/6839049/0c18c1ad5598/12889_2019_7734_Fig1_HTML.jpg

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